Iptacopan

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Fabhalta, Iptacopan hydrochloride

NOVARTIS AG NVS NVSEF · Atypical Hemolytic Uremic Syndrome; Paroxysmal Nocturnal Hemoglobinuria; C3G; Generalized Myasthenia Gravis; IC-MPGN

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    9

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA218276,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Atypical Hemolytic Uremic Syndrome; Paroxysmal Nocturnal Hemoglobinuria; C3G; Generalized Myasthenia Gravis; IC-MPGN Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 19 Jul 20219 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 5 Dec 2023

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Iptacopan. Editors add each one with its source.

Filed application

No filed application is on record for Iptacopan. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Iptacopan.

Clinical trials

Trials linked to Iptacopan
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT06994845ClinicalTrials.gov record for NCT06994845 (opens in a new tab)Study to Assess the Efficacy, Pharmacokinetics, Safety and Tolerability of Iptacopan in Pediatric Patients With Primary IgANPhase 3Recruiting31 (estimated)28 Jun 2030 (estimated) No
NCT06517758ClinicalTrials.gov record for NCT06517758 (opens in a new tab)A Phase III Study to Investigate Efficacy, Safety and Tolerability of Iptacopan Compared With Placebo in Participants Aged 18 to 85 Years With gMG.Phase 3Active, not recruiting146 (estimated)30 Apr 2027 (estimated) No
NCT05935215ClinicalTrials.gov record for NCT05935215 (opens in a new tab)Efficacy and Safety of Switching From Anti-C5 Antibody Treatment to Iptacopan Treatment in Study Participants With Atypical Hemolytic Uremic Syndrome (aHUS)Phase 3Recruiting50 (estimated)21 Jul 2028 (estimated) No
NCT05755386ClinicalTrials.gov record for NCT05755386 (opens in a new tab)APPARENTStudy of Efficacy and Safety of Iptacopan in Participants With IC-MPGNPhase 3Recruiting106 (estimated)27 Oct 2028 (estimated) No
NCT05630001ClinicalTrials.gov record for NCT05630001 (opens in a new tab)APPULSESingle Arm, Open Label Trial With Iptacopan Treatment for 24 Weeks, in Patients on Stable Regimen of Anti-C5 Who Switch to Iptacopan.Phase 3Completed52 (actual)17 Oct 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT05630001 (opens in a new tab)

Posted results on ClinicalTrials.gov for APPULSE

  • Change in Hb Levels as Mean of Visits Between Day 126 and Day 168 Compared to Baseline Tested for Non-inferiority (g/dL)
    • LNP023 200mg b.i.d.: Estimate not given, p-value <0.0001, Mixed Models Analysis, non-inferiority

Serious adverse events (Adverse events were reported from first dose of study treatment until end of study treatment plus 7 days post treatment for non-serious AEs and 30 days post treatment for serious AEs if patient did not roll over to REP study, up to a maximum duration of 198 days): LNP023 200mg b.i.d. 2 of 52

Source: ClinicalTrials.gov results for NCT05630001 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT04889430ClinicalTrials.gov record for NCT04889430 (opens in a new tab)APPELHUSEfficacy and Safety of Iptacopan (LNP023) in Adult Patients With Atypical Hemolytic Uremic Syndrome Naive to Complement Inhibitor TherapyPhase 3Completed34 (actual)11 Apr 2026 (actual) No
NCT04817618ClinicalTrials.gov record for NCT04817618 (opens in a new tab)APPEAR-C3GStudy of Efficacy and Safety of Iptacopan in Patients With C3 Glomerulopathy.Phase 3Recruiting98 (estimated)29 Jan 2027 (estimated) No

Publications listing APPEAR-C3G (1), newest first

  1. Oral iptacopan therapy in patients with C3 glomerulopathy: a randomised, double-blind, parallel group, multicentre, placebo-controlled, phase 3 study.

    Lancet (London, England) · 2025 Oct 11

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT04747613ClinicalTrials.gov record for NCT04747613 (opens in a new tab)Long-term Safety and Tolerability of Iptacopan in Patients With Paroxysmal Nocturnal HemoglobinuriaPhase 3Active, not recruiting208 (actual)18 Oct 2027 (estimated) No

Publications listing NCT04747613 (1), newest first

  1. Patient-Reported Meaningful Change in Symptoms and Impacts of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Three Phase III Clinical Trials of Iptacopan.

    The patient · 2025 Nov

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT04820530ClinicalTrials.gov record for NCT04820530 (opens in a new tab)APPOINT-PNHStudy of Efficacy and Safety of Twice Daily Oral Iptacopan (LNP023) in Adult PNH Patients Who Are Naive to Complement Inhibitor TherapyPhase 3Completed40 (actual)2 Nov 2022 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04820530 (opens in a new tab)

Posted results on ClinicalTrials.gov for APPOINT-PNH

Serious adverse events (Adverse events of LNP023 group were reported from first dose of study treatment until the end of study treatment plus up to 30 days, up to a maximum duration of 48 weeks): LNP023 200mg b.i.d. 8 of 40

Source: ClinicalTrials.gov results for NCT04820530 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing APPOINT-PNH (3), newest first

  1. Patient-Reported Meaningful Change in Symptoms and Impacts of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Three Phase III Clinical Trials of Iptacopan.

    The patient · 2025 Nov

  2. Oral iptacopan monotherapy in paroxysmal nocturnal haemoglobinuria: final 48-week results from the open-label, randomised, phase 3 APPLY-PNH trial in anti-C5-treated patients and the open-label, single-arm, phase 3 APPOINT-PNH trial in patients previously untreated with complement inhibitors.

    The Lancet. Haematology · 2025 Jun

  3. Oral Iptacopan Monotherapy in Paroxysmal Nocturnal Hemoglobinuria.

    The New England journal of medicine · 2024 Mar 14

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

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FDA actions

Original approvals and new-indication supplements for Iptacopan, newest first
ApplicationActionDateOutcomeReviewSource
NDA218276Action letter for NDA218276 (opens in a new tab) Supplement 7 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218276Action letter for NDA218276 (opens in a new tab) Supplement 4 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218276Action letter for NDA218276 (opens in a new tab) Supplement 1 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA218276Action letter for NDA218276 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

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EU status (EMA)

AuthorisedOrphan medicinePRIME

Fabhalta (EMEA/H/C/005764)

Authorised
Therapeutic area
Hemoglobinuria, Paroxysmal
Marketing authorisation holder
Novartis Europharm Limited
Active substance (INN)
iptacopan
ATC code
L04A
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

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Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.