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Avacopan

FDA-approved product (capsule, oral), marketed as Tavneos.

Registered studies
26
Lab records
0
Pathogens at ≥40%
3 of 4

Chemical structure

Chemical structure of Avacopan
A drawing shows what the molecule is, not what it does.

Existing / approved use

Documented · FDA, WHO, ChEMBL

Approved for

  • Anti-neutrophil antibody associated vasculitis
  • Anti-neutrophil cytoplasmic antibody-associated vasculitis
  • Granulomatosis with Polyangiitis
  • Microscopic polyangiitis

Indications ChEMBL records as approved, from FDA and DailyMed labels. Label ↗

WHO therapeutic group
Complement inhibitors
FDA pharmacologic class
Complement 5a Receptor Antagonist FDA label ↗
Anti-infective classification
Not classified as an anti-infective.

Repurposing investigation

This medicine is being investigated here for AI-predicted antimicrobial activity against MRSA, E. coli and M. tuberculosis. It was surfaced computationally for further investigation; it is not an established treatment for these infections.

AI-predicted activity

AI prediction · nothing measured
  • MRSA59.3% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • E. coli43.6% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • K. pneumoniae34.0% AI-predicted activityBelow the ≥40% mark this site uses to surface candidates.
  • M. tuberculosis71.3% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.

A model’s estimate of laboratory activity against each pathogen species. It is not clinical effectiveness.

Evidence

Clinical and experimental

Documented evidence

Clinical

26registered studies name this medicine, for any condition. See them below.

Experimental

No evidence found

No laboratory measurement against the four pathogens in the ChEMBL records loaded here.

Docking

Computational · nothing measured

Dihydrofolate reductase ↗ (E. coli)

Not yet docked: queued in the docking rundetails

KPC-2 carbapenemase ↗ (K. pneumoniae)

Not yet docked: queued in the docking rundetails

Enoyl-ACP reductase (InhA) ↗ (M. tuberculosis)

Not yet docked: queued in the docking rundetails

Dihydrofolate reductase ↗ (MRSA)

Not yet docked: queued in the docking rundetails

AutoDock Vina, one experimentally solved protein per pathogen. This project’s screening target is -7.0 kcal/mol, its own mark rather than a universal cutoff. A docking score is a structural hypothesis, not proof of binding, and requires experimental validation.

Other medicines to investigate

AI prediction · nothing measured

Other repurposing candidates: approved medicines besides Avacopan with AI-predicted activity ≥40% against the chosen pathogen, leaving out existing antimicrobials. They are computational candidates for further investigation, not alternatives and not recommendations.

Sorted by AI-predicted activity, high to low. The order is not a ranking of which medicine is better.

Registered studies

A registration describes a study; it does not establish a positive result.

  • A Study of CCX168 in Japanese and Caucasian Healthy Adult Males

    NCT05988008 · start 2017-10-23

    Registered record
    Registry ID
    NCT05988008
    Conditions
    Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    Interventions
    CCX168; Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2017-10-23
    Completion
    2018-09-20
    Enrolment
    80

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionAnti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    InterventionCCX168; Placebo
    PhasePhase 1
    Registry statusCompleted
  • Controlled Trial Evaluating Avacopan in C3 Glomerulopathy

    NCT03301467 · start 2017-09-29

    Registered record
    Registry ID
    NCT03301467
    Conditions
    C3 Glomerulopathy (C3G)
    Interventions
    Avacopan; Avacopan Matching Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2017-09-29
    Completion
    2021-10-27
    Enrolment
    57

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionC3 Glomerulopathy (C3G)
    InterventionAvacopan; Avacopan Matching Placebo
    PhasePhase 2
    Registry statusCompleted
  • A Phase 3 Clinical Trial of CCX168 (Avacopan) in Patients With ANCA-Associated Vasculitis

    NCT02994927 · start 2017-03-15

    Registered record
    Registry ID
    NCT02994927
    Conditions
    ANCA-Associated Vasculitis
    Interventions
    Avacopan; Prednisone; Cyclophosphamide; Rituximab; Azathioprine
    Study type
    INTERVENTIONAL
    Phase
    Phase 3
    Registry status
    Completed
    Start
    2017-03-15
    Completion
    2019-11-01
    Enrolment
    331

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionANCA-Associated Vasculitis
    InterventionAvacopan; Prednisone; Cyclophosphamide; Rituximab +1 more
    PhasePhase 3
    Registry statusCompleted
  • A Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of CCX168 With Concomitant Medications

    NCT06004947 · start 2016-01-14

    Registered record
    Registry ID
    NCT06004947
    Conditions
    Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    Interventions
    CCX168; Midazolam; Celecoxib; Itraconazole; Rifampicin
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2016-01-14
    Completion
    2016-06-10
    Enrolment
    32

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionAnti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    InterventionCCX168; Midazolam; Celecoxib; Itraconazole +1 more
    PhasePhase 1
    Registry statusCompleted
  • A Study in Healthy Volunteers to Evaluate the Pharmacokinetic Food Effect and Cardiac Safety of CCX168

    NCT05988021 · start 2015-12-03

    Registered record
    Registry ID
    NCT05988021
    Conditions
    Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    Interventions
    CCX168
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2015-12-03
    Completion
    2016-05-25
    Enrolment
    16

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionAnti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    InterventionCCX168
    PhasePhase 1
    Registry statusCompleted
  • Complement Inhibition in aHUS Dialysis Patients

    NCT02464891 · start 2015-06-04

    Registered record
    Registry ID
    NCT02464891
    Conditions
    Atypical Hemolytic Uremic Syndrome
    Interventions
    CCX168
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Terminated
    Start
    2015-06-04
    Completion
    2017-07-13
    Enrolment
    6

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionAtypical Hemolytic Uremic Syndrome
    InterventionCCX168
    PhasePhase 2
    Registry statusTerminated
  • Open-Label Study to Evaluate Safety and Efficacy of CCX168 in Subjects With IGA Nephropathy on Stable RAAS Blockade

    NCT02384317 · start 2015-03-27

    Registered record
    Registry ID
    NCT02384317
    Conditions
    Immunoglobulin A Nephropathy
    Interventions
    CCX168
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2015-03-27
    Completion
    2018-06-01
    Enrolment
    7

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionImmunoglobulin A Nephropathy
    InterventionCCX168
    PhasePhase 2
    Registry statusCompleted
  • Clinical Trial to Evaluate Safety and Efficacy of CCX168 in ANCA-Associated Vasculitis

    NCT02222155 · start 2015-02-04

    Registered record
    Registry ID
    NCT02222155
    Conditions
    ANCA-associated Vasculitis
    Interventions
    CCX168 10 mg, twice daily, plus cyclophosphamide/rituximab plus glucocorticoids; CCX168 30 mg, twice daily, cyclophosphamide/rituximab plus glucocorticoids; Placebo, twice daily, plus cyclophosphamide/rituximab plus glucocorticoids
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2015-02-04
    Completion
    2016-07-19
    Enrolment
    42

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionANCA-associated Vasculitis
    InterventionCCX168 10 mg, twice daily, plus cyclophosphamide/rituximab plus glucocorticoids; CCX168 30 mg, twice daily, cyclophosphamide/rituximab plus glucocorticoids; Placebo, twice daily, plus cyclophosphamide/rituximab plus glucocorticoids
    PhasePhase 2
    Registry statusCompleted
  • A Study to Assess the Mass Balance Recovery (Absorption, Distribution, Metabolism and Excretion) of [14C]CCX168 in Healthy Participants

    NCT06004960 · start 2014-10-20

    Registered record
    Registry ID
    NCT06004960
    Conditions
    Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    Interventions
    [14C]CCX168
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-10-20
    Completion
    2014-12-05
    Enrolment
    6

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionAnti-neutrophil Cytoplasmic Antibody-associated Vasculitis
    Intervention[14C]CCX168
    PhasePhase 1
    Registry statusCompleted
  • A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis

    NCT01363388 · start 2011-09

    Registered record
    Registry ID
    NCT01363388
    Conditions
    Vasculitis
    Interventions
    Placebo; CCX168
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2011-09
    Completion
    2016-01
    Enrolment
    67

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionVasculitis
    InterventionPlacebo; CCX168
    PhasePhase 2
    Registry statusCompleted
  • A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of CCX168 in Healthy Participants

    NCT05984251 · start 2009-12-21

    Registered record
    Registry ID
    NCT05984251
    Conditions
    Vasculitis; Systemic Lupus Erythematosus (SLE)
    Interventions
    CCX168; Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2009-12-21
    Completion
    2011-04-11
    Enrolment
    48

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionVasculitis; Systemic Lupus Erythematosus (SLE)
    InterventionCCX168; Placebo
    PhasePhase 1
    Registry statusCompleted