Immunoglobulin A Nephropathy Clinical Trial
— PROTECTOfficial title:
A Randomized, Multicenter, Double-blind, Parallel-group, Active-control Study of the Efficacy and Safety of Sparsentan for the Treatment of Immunoglobulin A Nephropathy
Verified date | February 2023 |
Source | Travere Therapeutics, Inc. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
To determine the long-term (approximately 2 years) nephroprotective potential of treatment with sparsentan as compared to an angiotensin receptor blocker in patients with immunoglobulin A nephropathy (IgAN).
Status | Active, not recruiting |
Enrollment | 380 |
Est. completion date | July 2026 |
Est. primary completion date | August 7, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Key Inclusion Criteria for the Double-Blind Period: - Age 18 years or older at screening - Biopsy-proven primary IgAN - Proteinuria of =1 g/day at screening - eGFR =30 mL/min/1.73 m2 at screening - Currently on stable dose of ACEI and/or ARB therapy, for at least 12 weeks prior to screening (maximum tolerated dose and at least one-half of the maximum labeled dose) - Systolic BP =150 mmHg and diastolic BP =100 mmHg at screening - Willing to undergo change in ACEI and/or ARB and anti-hypertensive medications - Agree to contraception Key Exclusion Criteria for the Double-Blind Period: - IgAN secondary to another condition - Presence of cellular glomerular crescents in >25% of glomeruli on renal biopsy (if biopsy available within 6 months of screening) - Chronic kidney disease (CKD) in addition to IgAN - History of organ transplantation, with exception of corneal transplants - Require any prohibited medications - Treatment of systemic immunosuppressive medications (including corticosteroids) for >2 weeks within 3 months of screening - History of heart failure or previous hospitalization for heart failure or unexplained dyspnea, orthopnea, paroxysmal nocturnal dyspnea, ascites, and/or peripheral edema - Clinically significant cerebrovascular disease or coronary artery disease within 6 months of screening - Jaundice, hepatitis, or known hepatobiliary disease or elevations of transaminases (ALT/AST) >2 times upper limit of normal at screening - History of malignancy other than adequately treated basal cell or squamous cell skin cancer or cervical carcinoma within the past 2 years - Hematocrit value <27% (0.27 V/V) or hemoglobin value <9 g/dL (90 g/L) at Screening - Potassium >5.5 mEq/L (5.5 mmol/L) at Screening - History of alcohol of illicit drug use disorder - History of serious side effect or allergic response to any angiotensin II antagonist or endothelin receptor antagonist, including sparsentan or irbesartan, or has a hypersensitivity to any of the excipients in the study medications - For female: Pregnancy, or planning to become pregnant during the course of the study, or breastfeeding - Participation in a study of another investigational product within 28 days of screening Key Inclusion Criteria for the Open-Label Extension Period based on assessments at the Week 110 visit: - Completed participation in the double-blind period, including the Week 114 visit - Did not permanently discontinue study medication during the double-blind period - Agree to contraception Key Exclusion Criteria for the Open-Label Extension Period based on assessments at the Week 110 and Week 114 visits: - Progression to end-stage renal disease (ESRD) requiring renal replacement therapy (RRT) - Development of any criteria for discontinuation of study medication or discontinuation from the study, between Week 110 and Week 114 - Patient was unable to initiate, or developed contraindications to, treatment with RAAS inhibitors between Week 110 and Week 114 - eGFR =20 mL/min/1.73 m2 at Week 110 - Female patient is pregnant or breastfeeding Key Inclusion Criteria for the OLE Sparsentan + SGLT2 Inhibitor Sub study: - Participating in the open-label extension and is willing and able to provide signed informed consent for participation in the open-label extension period Sub study - A urine protein excretion value of =0.3 g/day. - An eGFR of =25 mL/min/1.73m2 - On a stable dose of sparsentan for =8 weeks in the open-label extension period that is the maximum tolerated dose. Key Exclusion Criteria for the OLE Sparsentan + SGLT2 Inhibitor Sub study: - Progressed to ESRD requiring RRT - Initiated or changed dose of a systemic immunosuppressive medication (including systemic steroids) within 12 weeks - Taking an SGLT2 inhibitor within 12 weeks |
Country | Name | City | State |
---|---|---|---|
Australia | Travere Investigational Site | Adelaide | South Australia |
Australia | Travere Investigational Site | Birtinya | Queensland |
Australia | Travere Investigational Site | Concord | New South Wales |
Australia | Travere Investigational Site | Gosford | New South Wales |
Australia | Travere Investigational Site | Kingswood | New South Wales |
Australia | Travere Investigational Site | Nedlands | Western Australia |
Australia | Travere Investigational Site | New Lambton Heights | New South Wales |
Australia | Travere Investigational Site | Randwick | New South Wales |
Australia | Travere Investigational Site | Reservoir | Victoria |
Australia | Travere Investigational Site | St Leonards | New South Wales |
Belgium | Travere Investigational Site | Bonheiden | |
Belgium | Travere Investigational Site | Brugge | |
Belgium | Travere Investigational Site | Gent | |
Belgium | Travere Investigational Site | Kortrijk | |
Belgium | Travere Investigational Site | Liège | |
Belgium | Travere Investigational Site | Roeselare | |
Croatia | Travere Investigational Site | Osijek | |
Croatia | Travere Investigational Site | Zagreb | |
Czechia | Travere Investigational Site | Praha 10 | |
Czechia | Travere Investigational Site | Praha 2 | |
Estonia | Travere Investigational Site | Tallinn | |
Estonia | Travere Investigational Site | Tallinn | |
Estonia | Travere Investigational Site | Tartu | |
France | Travere Investigational Site | Clermont Ferrand Cedex | Puy De Dome |
France | Travere Investigational Site | Créteil | |
France | Travere Investigational Site | Grenoble Cedex 9 | Isere |
France | Travere Investigational Site | Marseille | Bouches-du-Rhone |
France | Travere Investigational Site | Montpellier Cedex 5 | Herault |
France | Travere Investigational Site | Paris | |
France | Travere Investigational Site | Paris Cedex 15 | Paris |
France | Travere Investigational Site | Saint-Priest-en-Jarez | Loire |
Germany | Travere Investigational Site | Aachen | North Rhine Westphalia |
Germany | Travere Investigational Site | Berlin | |
Germany | Travere Investigational Site | Duesseldorf | Nordrhein Westfalen |
Germany | Travere Investigational Site | Hanover | Lower Saxony |
Germany | Travere Investigational Site | Jena | Thueringen |
Germany | Travere Investigational Site | Kaiserslautern | Rheinland Palatinate |
Germany | Travere Investigational Site | Kiel | Schleswig Holstein |
Germany | Travere Investigational Site | Kiel | Schleswig-Holstein |
Germany | Travere Investigational Site | Trier | Rheinland Palatinate |
Germany | Travere Investigational Site | Villingen-Schwenningen | Baden Wuerttemberg |
Hong Kong | Travere Investigational Site | Hong Kong | |
Hong Kong | Travere Investigational Site | Kwun Tong | Kowloon |
Hong Kong | Travere Investigational Site | Lai Chi Kok | Kowloon |
Hong Kong | Travere Investigational Site | Shatin | New Territories |
Hong Kong | Travere Investigational Site | Tsuen Wan | New Territories |
Italy | Travere Investigational Site | Bari | |
Italy | Travere Investigational Site | Catania | |
Italy | Travere Investigational Site | Catanzaro | |
Italy | Travere Investigational Site | Lecco | |
Italy | Travere Investigational Site | Milan | Lombardia |
Italy | Travere Investigational Site | Modena | |
Italy | Travere Investigational Site | Pavia | |
Italy | Travere Investigational Site | Ranica | Bergamo |
Italy | Travere Investigational Site | Roma | |
Italy | Travere Investigational Site | Torino | |
Korea, Republic of | Travere Investigational Site | Anyang-Si | |
Korea, Republic of | Travere Investigational Site | Busan | |
Korea, Republic of | Travere Investigational Site | Incheon | |
Korea, Republic of | Travere Investigational Site | Seongnam-si | Gyeonggi-do |
Korea, Republic of | Travere Investigational Site | Seoul | |
Korea, Republic of | Travere Investigational Site | Seoul | |
Korea, Republic of | Travere Investigational Site | Seoul | |
Korea, Republic of | Travere Investigational Site | Seoul | |
Korea, Republic of | Travere Investigational Site | Seoul | |
Korea, Republic of | Travere Investigational Site | Seoul | |
Lithuania | Travere Investigational Site | Kaunas | |
Lithuania | Travere Investigational Site | Vilnius | |
New Zealand | Travere Investigational Site | Grafton | Auckland |
New Zealand | Travere Investigational Site | Hamilton | |
New Zealand | Travere Investigational Site | Hastings | |
New Zealand | Travere Investigational Site | New Plymouth | |
Poland | Travere Investigational Site | Kraków | |
Poland | Travere Investigational Site | Lódz | |
Poland | Travere Investigational Site | Olsztyn | |
Poland | Travere Investigational Site | Olsztyn | |
Poland | Travere Investigational Site | Warszawa | |
Poland | Travere Investigational Site | Wroclaw | |
Portugal | Travere Investigational Site | Coimbra | |
Portugal | Travere Investigational Site | Lisboa | |
Portugal | Travere Investigational Site | Lisboa | |
Portugal | Travere Investigational Site | Loures | |
Portugal | Travere Investigational Site | Setúbal | |
Portugal | Travere Investigational Site | Vila Nova De Gaia | |
Spain | Travere Investigational Site | Barcelona | |
Spain | Travere Investigational Site | Barcelona | |
Spain | Travere Investigational Site | Barcelona | |
Spain | Travere Investigational Site | Barcelona | |
Spain | Travere Investigational Site | Madrid | |
Spain | Travere Investigational Site | Madrid | |
Spain | Travere Investigational Site | Madrid | |
Spain | Travere Investigational Site | Palma De Mallorca | Baleares |
Spain | Travere Investigational Site | Sagunto | Valencia |
Spain | Travere Investigational Site | Sevilla | |
Spain | Travere Investigational Site | Valencia | |
Spain | Travere Investigational Site | Valencia | |
Spain | Travere Investigational Site | Zaragoza | |
Taiwan | Travere Investigational Site | Hualien City | |
Taiwan | Travere Investigational Site | Kaohsiung | |
Taiwan | Travere Investigational Site | Kaohsiung | |
Taiwan | Travere Investigational Site | New Taipei City | |
Taiwan | Travere Investigational Site | Taichung | |
United Kingdom | Travere Investigational Site | Birmingham | West Midlands |
United Kingdom | Travere Investigational Site | Brighton | East Sussex |
United Kingdom | Travere Investigational Site | Cambridge | Cambridgeshire |
United Kingdom | Travere Investigational Site | Cardiff | West Glamorgan |
United Kingdom | Travere Investigational Site | Carshalton | Surrey |
United Kingdom | Travere Investigational Site | Derby | Derbyshire |
United Kingdom | Travere Investigational Site | Edinburgh | Scotland |
United Kingdom | Travere Investigational Site | Glasgow | Strathclyde |
United Kingdom | Travere Investigational Site | Leicester | Leicestershire |
United Kingdom | Travere Investigational Site | Liverpool | |
United Kingdom | Travere Investigational Site | London | |
United Kingdom | Travere Investigational Site | London | |
United Kingdom | Travere Investigational Site | London | Greater London |
United Kingdom | Travere Investigational Site | London | Greater London |
United Kingdom | Travere Investigational Site | Manchester | Greater Manchester |
United Kingdom | Travere Investigational Site | Middlesbrough | Cleveland |
United Kingdom | Travere Investigational Site | Preston | Lancashire |
United Kingdom | Travere Investigational Site | Reading | Berkshire |
United Kingdom | Travere Investigational Site | Salford | Greater Manchester |
United Kingdom | Travere Investigational Site | Stoke-on-Trent | Staffordshire |
United States | Travere Investigational Site | Birmingham | Alabama |
United States | Travere Investigational Site | Boston | Massachusetts |
United States | Travere Investigational Site | Cleveland | Ohio |
United States | Travere Investigational Site | Columbia | South Carolina |
United States | Travere Investigational Site | Columbus | Ohio |
United States | Travere Investigational Site | Coral Springs | Florida |
United States | Travere Investigational Site | Denver | Colorado |
United States | Travere Investigational Site | El Paso | Texas |
United States | Travere Investigational Site | Fort Worth | Texas |
United States | Travere Investigational Site | Fresh Meadows | New York |
United States | Travere Investigational Site | Glendale | California |
United States | Travere Investigational Site | Hinsdale | Illinois |
United States | Travere Investigational Site | Hollywood | Florida |
United States | Travere Investigational Site | Homewood | Alabama |
United States | Travere Investigational Site | Houston | Texas |
United States | Travere Investigational Site | Kansas City | Kansas |
United States | Travere Investigational Site | Lawrenceville | Georgia |
United States | Travere Investigational Site | Lewisville | Texas |
United States | Travere Investigational Site | Louisville | Kentucky |
United States | Travere Investigational Site | Marshfield | Wisconsin |
United States | Travere Investigational Site | Miami | Florida |
United States | Travere Investigational Site | Miami | Florida |
United States | Travere Investigational Site | Minneapolis | Minnesota |
United States | Travere Investigational Site | Montebello | California |
United States | Travere Investigational Site | Muncie | Indiana |
United States | Travere Investigational Site | Nampa | Idaho |
United States | Travere Investigational Site | New York | New York |
United States | Travere Investigational Site | Northridge | California |
United States | Travere Investigational Site | Philadelphia | Pennsylvania |
United States | Travere Investigational Site | Reno | Nevada |
United States | Travere Investigational Site | Salt Lake City | Utah |
United States | Travere Investigational Site | Salt Lake City | Utah |
United States | Travere Investigational Site | San Antonio | Texas |
United States | Travere Investigational Site | San Diego | California |
United States | Travere Investigational Site | San Diego | California |
United States | Travere Investigational Site | Springfield | Massachusetts |
United States | Travere Investigational Site | Stanford | California |
United States | Travere Investigational Site | Tacoma | Washington |
United States | Travere Investigational Site | Winter Park | Florida |
United States | Travere Investigational Site | Worcester | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Travere Therapeutics, Inc. |
United States, Australia, Belgium, Croatia, Czechia, Estonia, France, Germany, Hong Kong, Italy, Korea, Republic of, Lithuania, New Zealand, Poland, Portugal, Spain, Taiwan, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Urine protein/creatinine ratio (UP/C) at Week 36 | The primary efficacy endpoint is the change from baseline (Day 1) in the UP/C based on a 24-hour urine sample at Week 36. | After the last patient randomized has undergone the Week 36 visit | |
Secondary | eGFR over a 52-week period | The rate of change in estimated glomerular filtration rate (eGFR) over a 52-week period following the initial acute effect of randomized therapy (the initial acute effect of randomized therapy is defined as the first 6 weeks of randomized treatment with study medication; thus, the analysis is from 6 weeks postrandomization to 58 weeks postrandomization eGFR chronic slope at 1 year.) | Week 58 postrandomization | |
Secondary | eGFR over a 104-week period | The rate of change in estimated glomerular filtration rate (eGFR) over a 104-week period following initial acute effect of randomized therapy (the initial acute effect of randomized therapy is defined as the first 6 weeks of randomized treatment with study medication; thus, the analysis is from 6 weeks postrandomization to 110 weeks postrandomization eGFR chronic slope at 2 years.) | Week 110 postrandomization | |
Secondary | eGFR over a 110-week period | The rate of change in eGFR over a 110-week (approximately 2 years) period following the initiation of randomized therapy (thus, the analysis is from Day 1 to 110 weeks postrandomization eGFR total slope at 2 years). | Week 110 postrandomization |
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