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Pegcetacoplan in C3 Glomerulopathy and Immune-Complex MPGN
Letter/Communication

Pegcetacoplan in C3 Glomerulopathy and Immune-Complex MPGN

Sevcan A. Bakkaloglu, Emre Leventoglu, Fadi Fakhouri and Carla M. Nester
The New England journal of medicine, Vol.394(11), pp.1139-1140
03/12/2026
DOI: 10.1056/NEJMc2600540
PMID: 41812204

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Abstract

To the Editor: The results of the VALIANT trial reported by Fakhouri et al. (Dec. 4 issue)1 provide compelling evidence that proximal C3 inhibition with pegcetacoplan can substantially reduce the degree of proteinuria and stabilize kidney function in patients with C3 glomerulopathy or primary immune-complex membranoproliferative glomerulonephritis (MPGN). These results represent a major therapeutic advance for patients with disorders historically associated with poor renal prognosis and limited treatment options.2-5 Beyond its therapeutic implications, the trial reinforces the indispensable role of kidney biopsy in establishing a definitive diagnosis. In contemporary pediatric practice, genetic testing is increasingly being performed before biopsy; however, . . .
General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology

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