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Drugs in development · updated 11 November 2026

Ruxoprubart: clinical trials and development status

Other names and codes: NM8074

FDA substance registryNot approved in the USNo EMA authorisation

As of 11 November 2026 Ruxoprubart is in 8 active clinical trials (recruiting or ongoing, phases I–III) for 5 diseases. The most advanced phase is II.

Authorisation

Sources: EMA, AIFA register (open data), FDA. For Germany only the EU centralised authorisation is shown: the national BfArM register is not one of our sources.

Where Ruxoprubart trials are recruiting

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8Active trials
IIMost advanced phase
5Diseases studied

What it is

A humanized monoclonal antibody directed against complement factor Bb (FBb; Bb) that can be used to treat various alternate pathway (AP)-mediated diseases. Upon administration, ruxoprubart selectively targets, binds to and neutralizes Bb. This prevents the binding of Bb to C3 and prevents the formation of protease C3 convertase (C3Bb). This prevents the conversion of C3 into the fragments C3a and C3b, thereby preventing C3b deposition and C3b-mediated extravascular hemolysis. Also, by preventing the formation of C3Bb, C3Bb is unable to bind to C3b to form the protease C5 convertase (C3BbC3b). As C5 convertase is responsible for the conversion of C5 to C5a/C5b and initiation of membrane attack complex (MAC), ruxoprubart is able to prevent MAC-mediated tissue damage. Altogether, ruxoprubart inhibits the activation of the alternative complement pathway (ACP). Overactivation of AP plays a key role in the initiation and propagation of C3b deposition, inflammation and tissue destruction.

Source: NCI Thesaurus

Diseases studied

For each disease: the drug’s most advanced phase and active trials, with the reference trial on ClinicalTrials.gov.

DiseaseMost advanced phaseActive trialsReference trial
Paroxysmal nocturnal hemoglobinuriaII3NCT05646563
Anti-neutrophil cytoplasmic antibody-associated vasculitisII1NCT06226662
Atypical hemolytic uremic syndromeII1NCT05684159
DermatomyositisII1NCT06887738
IgA glomerulonephritisII1NCT06454110

Everything on Ruxoprubart

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Source: Phuturdex analysis of ClinicalTrials.gov (U.S. National Library of Medicine), FDA and EMA data, updated 11 November 2026. Active trials = recruiting or ongoing, phases I–III. Diseases are those named by each trial (NLM MeSH terms). The estimated launch, when shown, refers to the United States and is a Phuturdex calculation described on the Method page, not official data: the drug may already be marketed in other countries.

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