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Apellis Announces Negative CHMP Opinion for Pegcetacoplan for GA in the European Union and Plans to Seek Re-Examination of Application

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Apellis Pharmaceuticals, Inc. (Nasdaq: APLS) received a negative opinion from the CHMP of the European Medicines Agency on the marketing authorization application of intravitreal pegcetacoplan for the treatment of geographic atrophy secondary to age-related macular degeneration. The company plans to seek immediate re-examination of its application. The MAA is based on results from the Phase 3 OAKS and DERBY studies at 24 months, which showed promising treatment effects over time and a well-demonstrated safety profile. However, the negative opinion is disappointing for the millions of Europeans living with GA, a progressive and irreversible form of vision loss.
Positive
  • Results from the Phase 3 OAKS and DERBY studies at 24 months showed promising treatment effects over time and a well-demonstrated safety profile.
  • More than 2.5 million people in Europe are living with GA, a progressive and irreversible form of vision loss.
Negative
  • Apellis Pharmaceuticals received a negative opinion from the CHMP of the European Medicines Agency on the marketing authorization application of intravitreal pegcetacoplan.

The negative opinion from the CHMP regarding Apellis Pharmaceuticals' marketing authorization application for pegcetacoplan is a significant event with potential financial repercussions for the company. Typically, a negative ruling can lead to a decrease in investor confidence, potentially impacting the company's stock price and its ability to raise capital. The decision is particularly impactful because it concerns a treatment for a condition with no current alternatives, representing a sizeable market opportunity. Investors will be closely monitoring the company's next steps, especially its plan to seek immediate re-examination of the application. The outcome of this process will be critical in determining the company's future revenue potential in the European market.

The CHMP's negative opinion is a pivotal moment for Apellis Pharmaceuticals as it directly affects the potential availability of a new treatment for geographic atrophy. The reference to the Phase 3 OAKS and DERBY studies underscores the scientific basis for the application, highlighting that the treatment has demonstrated efficacy and safety in clinical trials. The company's commitment to re-examine the application suggests that they believe in the strength of their data and its potential to meet the unmet medical needs of over 2.5 million Europeans suffering from this condition. The medical community will be interested in the specifics of the CHMP's concerns and how Apellis plans to address them to satisfy regulatory requirements.

The European market represents a significant patient population for treatments targeting age-related macular degeneration and the current lack of treatment options for geographic atrophy indicates a high unmet demand. Apellis Pharmaceuticals' strategy to address the CHMP's questions and seek re-examination could, if successful, open a substantial market segment for the company. Understanding the competitive landscape, potential market size and the demographics of the affected population will be essential in forecasting the treatment's market penetration and revenue generation, should it eventually receive approval.

WALTHAM, Mass., Jan. 26, 2024 (GLOBE NEWSWIRE) -- Apellis Pharmaceuticals, Inc. (Nasdaq: APLS) announced today that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency has adopted a negative opinion on the marketing authorization application (MAA) of intravitreal pegcetacoplan for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD). As previously announced, this opinion was expected based on a negative trend vote following an oral explanation meeting in December 2023. Apellis plans to seek immediate re-examination of its application.

“We are very disappointed in this outcome on behalf of the millions of Europeans with GA who currently have no treatment options for this irreversible form of blindness,” said Jeffrey Eisele, Ph.D., chief development officer, Apellis. “We plan to promptly initiate the re-examination of our application and address CHMP questions, with the goal of bringing this first-ever potential treatment to the GA community in Europe.”

The MAA is based on results from the Phase 3 OAKS and DERBY studies at 24 months, which were published in The Lancet. Treatment with both every-other-month and monthly pegcetacoplan reduced GA lesion growth with increasing treatment effects over time and showed a well-demonstrated safety profile. Additionally, pegcetacoplan preserved visual function longer in multiple post hoc Phase 3 analyses that have been presented at medical congresses.

More than 2.5 million people in Europe are living with GA,1 a progressive and irreversible form of vision loss that severely impairs independence and quality of life.

About the Phase 3 OAKS and DERBY Studies
OAKS (n=637) and DERBY (n=621) are Phase 3, multicenter, randomized, double-masked, sham-controlled studies comparing the efficacy and safety of intravitreal pegcetacoplan with sham injections across a broad and heterogenous population of patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). The studies evaluated the efficacy of monthly and every-other-month pegcetacoplan in patients with GA assessed by change in the total area of GA lesions from baseline as measured by fundus autofluorescence.

About Geographic Atrophy (GA)
Geographic atrophy (GA) is an advanced form of age-related macular degeneration and a leading cause of blindness worldwide, impacting more than one million Americans and five million people worldwide.2,3 It is a progressive and irreversible disease caused by the growth of lesions, which destroy the retinal cells responsible for vision. The vision loss caused by GA severely impairs independence and quality of life by making it difficult to participate in daily activities. On average, it takes only 2.5 years for GA lesions to start impacting the fovea, which is responsible for central vision.4

About Pegcetacoplan for Geographic Atrophy (GA)
Pegcetacoplan is an investigational, targeted C3 therapy designed to regulate excessive activation of the complement cascade, part of the body’s immune system, which can lead to the onset and progression of many serious diseases. SYFOVRE® (pegcetacoplan injection) is approved in the United States for the treatment of GA secondary to age-related macular degeneration.

About Apellis 
Apellis Pharmaceuticals, Inc. is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for some of the most challenging diseases patients face. We ushered in the first new class of complement medicine in 15 years and now have two approved medicines targeting C3. These include the first-ever therapy for geographic atrophy, a leading cause of blindness around the world. We believe we have only begun to unlock the potential of targeting C3 across serious retinal, rare, and neurological diseases. For more information, please visit http://apellis.com or follow us on Twitter and LinkedIn.

Apellis Forward-Looking Statement 
Statements in this press release about future expectations, plans and prospects, as well as any other statements regarding matters that are not historical facts, may constitute “forward-looking statements” within the meaning of The Private Securities Litigation Reform Act of 1995. These statements include, but are not limited to, statements regarding the Company’s plan to seek re-examination of the MAA . The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including whether the benefit/risk profile of SYFOVRE following the reported events of retinal vasculitis will impact our commercialization efforts; whether SYFOVRE will receive approval from foreign regulatory agencies for GA when expected or at all, including the impact on the likelihood and timing of such approvals; and other factors discussed in the “Risk Factors” section of Apellis’ Annual Report on Form 10-K with the Securities and Exchange Commission on February 21, 2023 and Quarterly Report on Form 10-Q filed on November 1, 2023 and the risks described in other filings that Apellis may make with the Securities and Exchange Commission. Any forward-looking statements contained in this press release speak only as of the date hereof, and Apellis specifically disclaims any obligation to update any forward-looking statement, whether as a result of new information, future events or otherwise.

Media Contact:
Lissa Pavluk 
media@apellis.com
617.977.6764

Investor Contact: 
Meredith Kaya 
meredith.kaya@apellis.com
617.599.8178 

1Apellis data on file reflecting analysis of Colijin et al., 2016; Wong et al. 2014; Rudnicka et al., 2014; Korb et al., 2014; Piermarocchi et al., 2011; Fernandez-Arias et al., 2011; Augood et al., 2006.
2Rudnicka AR, Jarrar Z, Wormald R, et al. Age and gender variations in age-related macular degeneration prevalence in populations of European ancestry: a meta analysis. Ophthalmology 2012;119:571–580.
3Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health 2014;2:e106–116.
4 Lindblad AS, et al, and AREDS Research Group. Arch Ophthalmol. 2009;127(9):1168-1174.


FAQ

What is the outcome of the CHMP opinion on Apellis Pharmaceuticals' marketing authorization application for intravitreal pegcetacoplan?

The CHMP adopted a negative opinion on the MAA for the treatment of geographic atrophy secondary to age-related macular degeneration.

What are the results of the Phase 3 OAKS and DERBY studies at 24 months?

The studies showed promising treatment effects over time and a well-demonstrated safety profile.

How many people in Europe are living with geographic atrophy?

More than 2.5 million people in Europe are living with GA, a progressive and irreversible form of vision loss.

Apellis Pharmaceuticals, Inc.

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About APLS

apellis pharmaceuticals is an early stage biotechnology company applying immunotherapy to auto-immune diseases, with an initial emphasis on diseases of the lungs such as asthma and chronic obstructive pulmonary disease (copd), diseases of the retina such as age-related macular degeneration (amd), and rare hematological diseases such as paroxysmal nocturnal hemoglobinuria (pnh). apellis believes that targeting a key element in the immune system called the complement system can have profound disease modifying benefits. we call this approach complement immunotherapy.