TheraRadar
Data updated: May 26, 2026

ZILBRYSQ (zilucoplan sodium)

Complement Inhibitors
Orphan Drug
Immunology Approved 2023-10-17

Zilbrysq treats adults with generalized myasthenia gravis who test positive for anti-acetylcholine receptor antibodies. As a complement inhibitor, it helps manage the autoimmune response that characterizes this condition. This therapy provides a targeted approach for patients whose immune systems produce specific antibodies that interfere with nerve and muscle communication.

Source: FDA Label • UCB INC • Complement Inhibitor

How ZILBRYSQ Works

This drug works by binding to the C5 complement protein, which prevents it from breaking down into the components that form the terminal complement complex. This action is thought to reduce the buildup of these complexes at the neuromuscular junction. By limiting this specific immune activity, the medication helps protect the areas where nerves and muscles interact.

1
Indication
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2023-10-17
Patent Cliff
2035

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Routes
SUBCUTANEOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: ZILUCOPLAN SODIUM

ZILBRYSQ Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
18 FDA actions from 2023 to 2026
Jan 2026 SUPPL
Label · Labeling
Feb 2025 SUPPL
Update · REMS
Apr 2024 SUPPL
Label · Labeling

What ZILBRYSQ Treats

1 indications

ZILBRYSQ is approved for 1 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Myasthenia Gravis
Source: FDA Label

ZILBRYSQ Boxed Warning

SERIOUS MENINGOCOCCAL INFECTIONS ZILBRYSQ, a complement inhibitor, increases the risk of serious infections caused by Neisseria meningitidis [see Warnings and Precautions (5.1) ] . Life-threatening and fatal meningococcal infections have occurred in patients treated with complement inhibitors. These infections may become rapidly life-threatening or fatal if not recognized and treated early. Complete or update vaccination for meningococcal bacteria (for serogroups A, C, W, Y, and B) at least 2 we...

ZILBRYSQ Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Key Completed Trials

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ZILBRYSQ FDA Label Details

Indications & Usage

FDA Label (PDF)

ZILBRYSQ is indicated for the treatment of Myasthenia Gravis.

⚠️ BOXED WARNING

WARNING: SERIOUS MENINGOCOCCAL INFECTIONS ZILBRYSQ, a complement inhibitor, increases the risk of serious infections caused by Neisseria meningitidis [see Warnings and Precautions (5.1) ] . Life-threatening and fatal meningococcal infections have occurred in patients treated with complement inhibito...

View full patent landscape →
9 OB patents · 2 families · 175 international docs across 32 countries

ZILBRYSQ Patents & Exclusivity

Latest Patent: Jun 2035
Exclusivity: Oct 2030

Patents (9 active)

US11752190 Expires Jun 12, 2035
US11014965 Expires Jun 12, 2035
US10435438 Expires Jun 12, 2035
US10208089 Expires Jun 12, 2035
US10106579 Expires Jun 12, 2035
US10835574 Expires Jun 12, 2035
US11965040 Expires Jun 12, 2035
US11535650 Expires Jun 12, 2035
US10562934 Expires Jun 12, 2035

Exclusivity

NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
NCE Until Oct 2028
ODE-446 Until Oct 2030
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2035
  • 81 active patents

Trial Analysis

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Competitive Landscape

  • 5 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.