European Commission Approves Aspaveli for Rare Kidney Diseases C3G and IC-MPGN
Sobi has received European Commission approval for Aspaveli (pegcetacoplan) to treat patients aged 12 years and older with C3 glomerulopathy (C3G) or primary immune-complex membranoproliferative glomerulonephritis (IC-MPGN).
The therapy is approved in combination with a renin–angiotensin system (RAS) inhibitor, unless RAS treatment is contraindicated or not tolerated.
A First-in-Class Option for Adolescents and Adults
Aspaveli is a targeted C3/C3b inhibitor designed to control excessive complement activation, a central driver of both diseases.
Key approval highlights:
First approved therapy for adolescents aged 12–17 years
First approved treatment for primary IC-MPGN
Addresses diseases with limited treatment options and high progression risk
The approval follows a positive CHMP opinion in December 2025.
Strong Phase 3 Evidence From the VALIANT Trial
The decision is supported by results from the Phase 3 VALIANT study, recently published in The New England Journal of Medicine.
Aspaveli demonstrated benefits across all major disease markers:
Significant reduction in proteinuria
Stabilisation of kidney function (eGFR)
Substantial clearance of C3 deposits
The VALIANT trial enrolled 124 patients aged 12 years and older, including adults, adolescents, and post-transplant patients.
Why This Approval Matters?
C3G and primary IC-MPGN are rare, progressive kidney diseases.
Disease burden remains severe:
Around 50% of patients progress to kidney failure within 5–10 years
Up to 90% experience recurrence after kidney transplantation
Approximately 8,000 patients in Europe are affected
Aspaveli directly targets the underlying disease mechanism, rather than only managing symptoms.
Regulatory and Commercial Landscape
Aspaveli (also marketed as Empaveli in some regions) is now approved for C3G and IC-MPGN in:
European Union
United States
Other global markets
The drug is also approved for paroxysmal nocturnal haemoglobinuria (PNH).
Sobi and Apellis Pharmaceuticals hold global co-development rights for systemic pegcetacoplan. Sobi manages ex-US commercialisation, while Apellis retains US rights.
About Sobi
Sobi is a global biopharma company focused on rare diseases, with approximately1,900 employees worldwide.
The company continues to expand its portfolio by targeting high-unmet-need conditions with mechanism-driven therapies.