Pegcetacoplan to prevent recurrence of C3G/IC-MPGN after kidney transplant
Official title: A 2-year, Single-arm, Multi-center Study to Explore the Efficacy and Safety of Pegcetacoplan in Preventing Disease Recurrence in Adolescent and Adult Kidney Transplant Recipients With C3 Glomerulopathy or Primary Immune-complex Membranoproliferative Glomerulonephritis
Run by Swedish Orphan Biovitrum · NCT07898774 · Data updated 2026-11-12
This study tests whether giving pegcetacoplan around the time of kidney transplant can delay or prevent recurrent C3 glomerulopathy or primary IC-MPGN in eligible patients.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Swedish Orphan Biovitrum Industry-sponsored |
| Locations | 33 sites (Recife, Pernambuco and 32 other locations) |
| Status | Recruiting |
| Started | January 21, 2027 |
| Main results expected | January 17, 2031 |
| Study ends | January 17, 2031 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07898774 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults or adolescents with C3G or primary IC-MPGN planning a kidney transplant and at high risk for disease recurrence.
✕Probably not a fit
Patients without high recurrence risk or those who do not respond to pegcetacoplan may not experience graft benefits.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The PRESERVE study is a phase 3b, multicenter, single-arm, open-label trial assessing pegcetacoplan added to standard post-transplant care to see if it can delay or prevent recurrence of C3G or IC-MPGN after kidney transplantation. Participants receive pegcetacoplan starting at transplantation and are followed to monitor disease recurrence, kidney function, graft outcomes, safety, and tolerability. The study targets patients with a history or high risk of recurrence and who are fully vaccinated according to local guidelines. Outcomes will help determine if early complement inhibition can improve long-term graft survival in this high-risk population.
Why it matters
Potential benefit: If successful, pegcetacoplan could delay recurrence and improve long-term kidney graft function for high-risk transplant patients.
How similar studies have gone: Prior studies of complement inhibition have shown signals of benefit in native or recurrent kidney disease, but this specific prevention approach in transplant recipients is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female patients with a diagnosis of C3 glomerulopathy (C3G) or primary immune-complex membranoproliferative glomerulonephritis (IC-MPGN) who are planning to undergo kidney transplantation because of the disease. * Have a high risk of disease recurrence following kidney transplantation, based on either having a previous kidney allograft loss due to recurrence of C3G or primary IC-MPGN, or assessed as having a high risk by the investigator based on other clinical information. * Is fully vaccinated and up to date with their vaccinations against Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type B, in accordance with local guidelines, at the time of initiating pegcetacoplan. Exclusion Criteria: * A known secondary cause for MPGN, including but not limited to monoclonal gammopathy of clinical significance, hepatitis B, hepatitis C, or autoimmune cryoglobulinemia. * History of invasive meningococcal disease. * History of malignancy, except for the following: cured basal or squamous cell skin cancer, curatively treated in situ disease, or currently malignancy-free and has been off-treatment for the malignancy for at least 5 years. * Hypersensitivity to pegcetacoplan or any of its excipients. * Known or suspected hereditary fructose intolerance. * Any other medical condition which, in the opinion of the Investigator, makes the participant unsuitable for inclusion. * Use of a complement inhibitor for the treatment of C3G or primary IC-MPGN within 1 month prior to the scheduled kidney transplantation surgery.
Where it's running
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Hammersmith Hospital
London, Greater London, United Kingdom Recruiting -
Real Hospital Português
Recife, Pernambuco, Brazil Not yet recruiting -
UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus Botucatu
Botucatu, São Paulo, Brazil Not yet recruiting -
Hospital das Clinicas da Faculdade de Medicina da USP - HCFMUSP
São Paulo, São Paulo, Brazil Not yet recruiting -
University of Alberta - Faculty of Medicine & Dentistry
Edmonton, Alberta, Canada Not yet recruiting -
St. Paul's Hospital
Vancouver, British Columbia, Canada Not yet recruiting
Show 27 more locations
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London Health Sciences Centre (LHSC) - University Hospital
London, Ontario, Canada Not yet recruiting -
Toronto General Hospital
Toronto, Ontario, Canada Not yet recruiting -
McGill University Health Centre Research Institute
Montreal, Quebec, Canada Not yet recruiting -
Helsinki University Central Hospital
Helsinki, Finland Not yet recruiting -
CHU Strasbourg - Nouvel Hôpital Civil
Strasbourg, Bas Rhin, France Not yet recruiting -
Hopital Rangueil
Toulouse, Haute Garonne, France Not yet recruiting -
Hopital Lapeyronie pt
Montpellier, Herault, France Not yet recruiting -
Hopital Claude Huriez - CHU Lille
Lille, Nord, France Not yet recruiting -
Hôpital Necker - Enfants Malades
Paris, Paris, France Not yet recruiting -
Hopital Edouard Herriot - CHU Lyon
Lyon, Rhone, France Not yet recruiting -
Medizinische Hochschule Hannover
Hanover, Lower Saxony, Germany Not yet recruiting -
Universitaetsklinikum Koeln
Cologne, North Rhine-Westphalia, Germany Not yet recruiting -
Universitaetsklinikum Essen
Essen, North Rhine-Westphalia, Germany Not yet recruiting -
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
Bari, Bari, Italy Not yet recruiting -
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)
Bergamo, Bergamo, Italy Not yet recruiting -
Ospedale Pediatrico Bambino Gesù
Roma, Roma, Italy Not yet recruiting -
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, Roma, Italy Not yet recruiting -
King Faisal Specialist Hospital & Research Center
Riyadh, Saudi Arabia Not yet recruiting -
Hospital Universitari Vall d'Hebron - VHIR
Barcelona, Barcelona, Spain Not yet recruiting -
Complejo Hospitalario Universitario A Coruña
A Coruña, La Coruña, Spain Not yet recruiting -
Hospital Universitario 12 de Octubre
Madrid, Madrid, Spain Not yet recruiting -
Hospital Regional Universitario de Malaga
Málaga, Málaga, Spain Not yet recruiting -
Hospital de Cruces
Barakaldo, Vizcaya, Spain Not yet recruiting -
Centre Hospitalier Universitaire Vaudois (CHUV)
Lausanne, Switzerland Not yet recruiting -
Royal Free Hospital
London, Greater London, United Kingdom Not yet recruiting -
Manchester Royal Infirmary
Manchester, Greater Manchester, United Kingdom Not yet recruiting -
Freeman Hospital
Newcastle upon Tyne, Tyne & Wear, United Kingdom Not yet recruiting
Study contacts
- Study coordinator: Study Physician
- Email: medical.info@sobi.com
- Phone: +46 86972000
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Pegcetacoplan in real-world C3G and IC-MPGN patients
This study tests pegcetacoplan's safety and effectiveness in people with C3 glomerulopathy or primary IC-MPGN in real-world practice.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.