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Avacincaptad Pegol

Published: July 26, 2026Updated: July 26, 2026

Avacincaptad pegol is an ophthalmological medication used to treat geographic atrophy (GA) secondary to age-related macular degeneration (AMD). It is an RNA aptamer that inhibits complement protein C5, preventing the formation of the membrane attack complex (MAC) that damages retinal cells. This medication is administered as an intravitreal injection.

Quick summary

Avacincaptad pegol is an eye injection medication that inhibits complement C5 to slow vision loss in geographic atrophy secondary to AMD.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
S01XA32
RxNorm
2645108
Generic
Avacincaptad Pegol
Class
atc-s01
Brands
Izervay
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)intravitreal injection
Usual dose
2mg
Maximum
consult physician
Frequency
monthly
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intravitreal injection
Usual dose
2mg
Maximum
consult physician
Frequency
monthly
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity based on animal studies and pharmacological considerations for intravitreal administration
Chronic overdose: cumulative toxicity data not well established for this intravitreal medication; long-term safety established through clinical trials at recommended dosing
Immediate actions
immediate ophthalmologic evaluation, intraocular pressure monitoring, fundoscopic examination
Antidote
no specific antidote available(supportive care and symptomatic treatment only)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid unless benefits outweigh risks

Key Recommendations

use only if potential benefit justifies potential risk to the fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid unless benefits outweigh risks

Key Recommendations

use only if potential benefit justifies potential risk to the fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid unless benefits outweigh risks

Key Recommendations

use only if potential benefit justifies potential risk to the fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

unknown if drug is excreted in human milk; weigh benefits against risks

Monitor

monitor infant for adverse effects

?

pediatric_age

children under 18
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

not indicated for pediatric use; safety and efficacy not established

Monitor

not applicable

✓

geriatric

elderly over 65
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required; monitor for adverse effects

Monitor

routine ophthalmologic monitoring

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required due to minimal systemic absorption

Monitor

routine monitoring

✓

renal_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required due to minimal systemic absorption

Monitor

routine monitoring

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required due to minimal systemic absorption

Monitor

routine monitoring

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution; no formal studies in severe hepatic impairment

Monitor

enhanced monitoring of liver function

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2023

Izervay approved for geographic atrophy secondary to AMD

drug_classFDA
2023

Drug class

Value:Complement C3 inhibitor

Mechanism of action classification

usageFDA
2023

Common uses

Value:Geographic atrophy secondary to age-related macular degeneration

Therapeutic indication

usageFDA
2023

Administration route

Value:Intravitreal injection

Method of administration

Geographic atrophy (GA) secondary to age-related macular degeneration (AMD)

Avacincaptad pegol is a PEGylated RNA aptamer that binds to and inhibits complement protein C5. By preventing C5 cleavage to C5a and C5b, it decreases membrane attack complex (MAC) formation, thereby reducing retinal cell damage.

Administered as an intravitreal injection by a healthcare professional. Potential side effects include conjunctival hemorrhage, endophthalmitis, and increased intraocular pressure. Regular eye examinations are recommended during treatment.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy