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This is a **combination of avacincaptad pegol and an anti-VEGF agent**. Avacincaptad pegol is a pegylated RNA aptamer that selectively binds and inhibits complement factor C5 in the complement cascade, thus blocking the cleavage of C5 into C5a and C5b and reducing inflammation and membrane attack complex (MAC) formation. It is approved as a treatment for geographic atrophy (GA) secondary to age-related macular degeneration (AMD)[1][2][3][4]. Anti-VEGF drugs are a class of biologics or small molecule drugs targeting vascular endothelial growth factor (VEGF), suppressing abnormal neovascularization and vascular permeability, and are standard care in neovascular (wet) AMD and other chorioretinal vascular diseases[5][6]. The rationale for combining avacincaptad pegol with an anti-VEGF agent in trials or practice is to address both the inflammatory pathway involved in GA and the angiogenic pathway implicated in neovascular AMD. No fixed-dose combination pharmaceutical of avacincaptad pegol with an anti-VEGF agent is currently marketed, but combination therapy (sequential or concurrent use of both drugs) is used in research settings for cases of conversion from dry to wet AMD or for coexisting pathologies.
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