Skip to content
The Policy VaultThe Policy Vault

Empaveli (pegcetacoplan)Medica

Immune-complex membranoproliferative glomerulonephritis, primary (IC-MPGN)

Initial criteria

  • age ≥ 12 years
  • Diagnosis confirmed by biopsy
  • Urine protein-to-creatinine ratio ≥ 1.0 g/g
  • Estimated glomerular filtration rate ≥ 30 mL/min/1.73 m²
  • Patient has been on stable doses of at least ONE of the following for ≥ 12 weeks prior to starting Empaveli: angiotensin converting enzyme inhibitor OR angiotensin receptor blocker OR sodium-glucose transporter-2 inhibitor
  • Prescribed by or in consultation with a nephrologist

Approval duration

6 months (initial, continuation criteria not shown in chunk)