TAbS







Crovalimab Approved Naked monospecific

Antibody Information

Entry ID 150
INN Crovalimab
Status Approved
Drug code(s) SKY59, RG6107, RO7112689
Brand name 派圣凯®, PiaSky
mAb sequence source mAb humanized
General Molecular Category Naked monospecific
Format, general category Full length Ab
Format details None
Isotype (Fc) IgG1
Light chain isotype kappa
Linker None
Ave. DAR None
Conjugated/fused moiety None
Discovery method/technology Rabbit B cell derived

Therapeutic information

Target(s) Complement C5
Indications of clinical studies Sickle cell disease, Atypical Hemolytic Uremic Syndrome, Paroxysmal Nocturnal Hemoglobinuria
Primary therapeutic area Cardiovascular / hemostasis disorders

Development stage information


Most advanced stage of development (global) Approved EU, US, Japan, China
Status Active
Start of clinical phase (IND filing or first Phase 1) September 15, 2016
Start of Phase 2
Start of Phase 3 September 30, 2020
Date BLA/NDA submitted to FDA June 20, 2023
Year of first approval (global) 2024
Date of first US approval June 20, 2024
INN, US product name Crovalimab, crovalimab-akkz
US or EU approved indications Treatment of adult and pediatric patients 13 years and older with paroxysmal nocturnal hemoglobinuria (PNH) and body weight of at least 40 kg

Company information

Company Chugai Pharmaceuticals
Licensee/Partner None
Comments about company or candidate July 1 2024: The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has recommended granting approval in the European Union (EU) for Roche's PiaSky (crovalimab) to treat paroxysmal nocturnal haemoglobinuria (PNH), a rare, life-threatening blood condition. March 2024: Approved in Japan. February 8, 2024 -- Chugai Pharmaceutical Co., Ltd. announced that crovalimab (Chinese product name : 派圣凯®), a humanized complement inhibitor C5 monoclonal antibody discovered by Chugai, was approved by the National Medical Products Administration (NMPA) of People’s Republic of China for treatment of adults and adolescents (12 years of age and above) with PNH not been previously treated with complement inhibitors. EU review started July 13, 2023. BLA receives standard review designation from FDA. June 2023: Chugai Pharmaceutical Co., Ltd. applied for manufacturing and marketing approval to the Ministry of Labor, and submitted marketing applications in the US and EU (https://www.chugai-pharm.co.jp/english/news/detail/20230727160000_1000.html?year=2023&category=) Aug 11, 2022: Chugai Pharmaceutical Co., Ltd. announced that the National Medical Products Administration (NMPA) of People’s Republic of China accepted an application for regulatory approval of crovalimab (development code: SKY59/RG6107) for paroxysmal nocturnal hemoglobinuria (PNH) and granted priority review. Crovalimab is a humanized complement inhibitor C5 monoclonal antibody discovered by Chugai. As F. Hoffmann-La Roche Ltd. is responsible for the development of crovalimab outside Japan and Taiwan, the regulatory application was filed by a China affiliate of Roche. In China, crovalimab was designated as a Breakthrough Therapy for PNH in July 2021. NCT04861259 Phase 3 in atypical hemolytic uremic syndrome due to start in May 2021. NCT04434092 and NCT04432584 Phase 3 studies recruiting as of Sep 30, 2020. NCT03157635 Phase 1/2 study started in Nov 2016 still recruiting as of Aug 2019. Phase 1/2 EudraCT Number: 2016-002128-10. The SMART-IgG Anti-hC5 Antibody (SKY59/RO7112689) Has Favorable PK, PD, Subcutaneous Bioavailability, and Safety Profile in Phase I HV Study. (Roeth et al Blood 2017 130:4750). Nonclinical data published in Scientific Reports 2017 Apr; 7(1):1080.
Full address of company 1-1 Nihonbashi-Muromachi 2-Chome Chuo-ku, Tokyo 103-8324 JAPAN
Asia
Japan
https://www.chugai-pharm.co.jp/english/rule/contact/index.html

Description/comment

Recycling antibody: Designed to have pH-dependent binding to target. mAb will release bound target in lysosome, then mAb will recycle via FcRn-mediated pathway. A series of rabbit anti-C5 antibodies were generated by immunizing rabbits with human C5 protein. The screening process was designed to identify antibodies with pH-dependent antigen-binding capabilities. To accomplish this, we screened for antibodies with different binding affinities at pH 7.4 compared to pH 5.8 using ELISA and Biacore analysis. As a result, several antibodies which preferentially bind to C5 at pH7.4, but weakly at pH 5.8 were obtained. Among them, CFA0305 was chosen as a lead antibody to be further optimized based on its pH-dependent C5-binding property. After humanization of CFA0305, comprehensive mutagenesis on the antibody variable region was performed to identify mutations that improve the antigen-binding property, and combination of effective mutations gave the antibody high affinity with pH-dependent binding property (Fig. 1b). Some of histidine residues present in SKY59 were found to be important for the pH-dependent interaction.Various mutations were further applied to the variable regions of the antibody to improve pharmacokinetics (PK) and physicochemical properties, and to minimize the likelihood of immunogenicity in human. The constant region of the antibody was converted to a modified human IgG1/κ without effector functions, and engineered (M428L/N434A) to have enhanced affinity to FcRn at an acidic pH to extend the plasma half-life of the antibody. This final humanized and optimized antibody was named SKY59. ACT-Fc is applied to crovalimab

Additional information

Anticipated events None
Factor(s) contributing to discontinuation None