Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 12 and up

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

PhasePhase 3
Study typeInterventional
Ages12 Years and up
SexAll
Enrollment30 (estimated)
SponsorSwedish Orphan Biovitrum
Industry-sponsored
Locations33 sites (Recife, Pernambuco and 32 other locations)
StatusRecruiting
StartedJanuary 21, 2027
Main results expectedJanuary 17, 2031
Study endsJanuary 17, 2031
Registry record updatedNovember 9, 2026
Trial IDNCT07898774 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • 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.

    Recruiting at 4 sites Phase 4 Swedish Orphan Biovitrum · Kingswood and 100 other locations · NCT07746895

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.