Drug intelligence / Profile preview

avacincaptad pegol + anti-vegf

Development stage
Unknown
Lead developer
Astellas Pharma
Modality
Spiegelmers → RNA Aptamers → RNA Therapeutics → Nucleic Acid Therapeutics, DNA Vaccines → Plasmid DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Vaccine mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Small Molecules, Antisense Oligonucleotides (ASOs) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Conjugated siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Aptamers → DNA Aptamers → DNA Therapeutics → Nucleic Acid Therapeutics, Gene Therapy Plasmids → Plasmid DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Protein Replacement mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Gene Editing mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Natural RNA Aptamers → RNA Aptamers → RNA Therapeutics → Nucleic Acid Therapeutics, Unmodified DNA Aptamers → DNA Aptamers → DNA Therapeutics → Nucleic Acid Therapeutics, miRNA Mimics → MicroRNA (miRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Long Non-coding RNA (lncRNA) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Antibody-Based Therapeutics, miRNA Inhibitors → MicroRNA (miRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Chemically Modified siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Oligonucleotides → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Single-strand DNA → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics
Administration
Ophthalmic (intravitreal)
01

Overview

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.

02

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