Table 1.
Complement inhibitor | Medicine | Diseases | Study phase |
---|---|---|---|
Recombinant C1 inhibitor | Conestat alfa | HAE Side effects: headache and allergy. |
In clinical use, EU approved. |
(Ruconest in Europe/Rhucin in USA) | |||
| |||
Plasma-derived C1 inhibitors | Berinert P/cinryze | HAE | In clinical use, FDA approved. |
| |||
C3 inhibitors | Compstatin (POT-4) | AMD | Phase II |
Staphylococcal complement inhibitor (SCIN) | Preclinical | ||
| |||
Myristoylated peptidyl derived from soluble CR1 | Mirococept (APT070) | Delayed graft function of cadaveric kidney after transplantation. | Phase II |
| |||
Factor H | Plasma-derived factor H concentrate | HUS, AMD | Preclinical |
TT30/targeted alternative pathway inhibitor/factor H | PNH, AMD | Phase I | |
| |||
Factor D inhibitor | Anticomplement factor D | AMD | Phase II |
| |||
Factor B inhibitor | TA106/anti-complement factor B | AMD | Preclinical |
| |||
C5 inhibitors | Eculizumab | PNH Side effects: headache, thrombocytopenia, gastrointestinal complaints and infections. Before use: vaccination against meningococcal infection. |
In clinical use, FDA approved. |
Various other diseases, for example, kidney transplants, HUS, AMD. | Phase I | ||
Pexelizumab | Phase III study failed | ||
Mubodina | HUS | Preclinical | |
Ergidina | Ischemia/reperfusion injury | Preclinical | |
ARC 1905 | AMD | Phase I | |
| |||
C5a inhibitor | PMX 53 and several other compounds | AMD | Phase II study discontinued |
Osteoarthritis | Phase I | ||
| |||
Targeted complement inhibitors | Targeted (CR2 mediated) complement inhibitors |
Chronic glomerulonephritis | Phase I |
HAE: hereditary angioedema; AMD: acute macular degeneration; HUS: haemolytic uraemic syndrome; PNH: paroxysmal nocturnal haematuria.