Efficacy and Safety of SM101 in the Treatment of IgA Nephropathy

Immunoglobulin A Nephropathy Clinical Trial

Official title:

A Phase 2 Study to Assess the Efficacy and Safety of Intravenous Infusion With Human Soluble Recombinant Fc-gamma Receptor IIB (SM101/BAX 1810) in Subjects With Immunoglobulin A Nephropathy (IgAN)

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT02605525
• Other study ID #: 181501
• Secondary ID: 2015-002345-64
• Status: Withdrawn
• Phase: Phase 2
• Start date: December 31, 2015
• Est. completion date: November 30, 2016

Study information

• Verified date: April 2021
• Source: Takeda
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to assess the efficacy and safety of SM101 in the treatment of Immunoglobulin A nephropathy (IgAN)

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: November 30, 2016
• Est. primary completion date: November 30, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. 18 years of age or older at the time of screening

2. Participant may be of any race or ethnicity

3. Participant must have a biopsy-proven diagnosis of IgAN.

4. Participant's blood pressure is =130/80 mmHg at Screening

5. Participant is on maximally tolerated dose of an angiotensin-converting enzyme (ACE) inhibitor and/or angiotensin receptor blocker (ARB) for at least 3 months prior to the baseline visit.

6. Participant must present at screening with current proteinuria levels between 1 g/24 h and 3.5 g/24 h, based on spot urine protein-to-creatinine ratio (UPCR)

7. Participant must present at screening with an estimated glomerular filtration rate (eGFR) >40mL/min/1.73m^2

8. If a female of childbearing potential, participant must have a negative pregnancy test at screening, is not currently breastfeeding, and agrees to employ adequate birth control measures for the duration of the study. Male participants with female partners of childbearing potential must agree to use adequate birth control measures for the duration of the study

9. Participant is willing and able to comply with the requirements of this protocol and agrees to sign an informed consent form prior to any study-related activities

Exclusion Criteria:

1. Participant has a history or current evidence of renal disease other than IgAN

2. Participants with evidence of rapidly progressive disease

3. Participant has IgAN with histologic evidence of advanced tubular atrophy and interstitial

4. History or current evidence of other autoimmune disease

5. History or current evidence of any chronic or uncontrolled medical condition which could, in the opinion of the Investigator, affect the participant's safety and ability to adhere to this protocol

6. History or current evidence of a severe acute or chronic infection

7. Use of systemic corticosteroids within 3 months prior to baseline, or anticipated use during the treatment period (Week 1 through Week 4). Note: Corticosteroids administered by inhalation or intranasally, or limited topical use of low-potency topical corticosteroids are allowed throughout the study.

8. Known hypersensitivity or allergic reaction to any E. coli-derived recombinant product, yeast extract, or to the IP or any of its excipients

9. Treatment with any immunomodulatory/immunosuppressive compound or monoclonal antibody for any indication within 6 months (unless otherwise stated) prior to screening (eg, B cell-depleting agents [eg, rituximab, epratuzumab] for =48 weeks; B-cell modifying agents [eg, belimumab, atacicept] for =24 weeks; IV immunoglobulins for =12 weeks and all other immunosuppressive treatments [eg, methotrexate, cyclophosphamide, cyclosporine, tacrolimus, mycophenolate mofetil, azathioprine] for =12 weeks)

10. Clinically significant laboratory abnormalities prior to baseline

11. History of any malignancy within past 5 years prior to screening (except for basal and squamous cell carcinomas of the skin, in situ cervical cancer, and stable prostate cancer that does not require treatment)

12. History of tonsillectomy within 2 months prior to screening

13. Participation in another clinical study involving an IP or investigational device within 30 days prior to screening or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study

14. Participant is a family member or employee of the Investigator

15. A female participant who is pregnant or nursing at the time of screening

Related Conditions & MeSH terms

• Glomerulonephritis, IGA
• Immunoglobulin A Nephropathy
• Kidney Diseases

Intervention

Biological:
• SM101
Human soluble recombinant Fc? Receptor IIB

Other:
• Placebo
L-histidine-buffered saline with mannitol, sucrose, and polysorbate 20

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Baxalta now part of Shire

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percent change in proteinuria from Baseline to Week 24		Baseline and Week 24
Secondary	Number of participants who demonstrate a =30% reduction from Baseline in proteinuria		Baseline, Week 8, Week 12, Week 18, and Week 24
Secondary	Number of participants who reach and maintain proteinuria levels below 1.0 g/24 h		Week 8, Week 12, Week 18, and Week 24
Secondary	Mean change from Baseline in Estimated glomerular filtration rate (eGFR)		Baseline, Week 8, Week 12, Week 18, and Week 24
Secondary	Number of participants who experience any treatment-related serious adverse event (SAE) or severe adverse events (AE) during the course of the treatment period or subsequent follow-up period		Throughout the study period of approximately 19 months
Secondary	Number of participants who experience serious adverse events (SAEs) or adverse events (AEs)		Throughout the study period of approximately 19 months
Secondary	Number of participants who experience temporally-related adverse events (AEs)	Temporally-related AEs - defined as AEs occurring during investigational product (IP) administration or within 72 hours of IP administration, regardless of causality	Baseline through 72 hours of IP administration
Secondary	Number of participants with any clinically significant change in vital signs during investigational product (IP) administration or within 30 minutes following administration		Baseline through 30 minutes following IP administration
Secondary	Number of infusions associated with adverse events (AEs) or serious adverse events (SAEs) , regardless of causality		Throughout the study period of approximately 19 months
Secondary	Number of infusions that had to be slowed, interrupted, or terminated due to adverse events (AEs) or serious adverse events (SAEs)		Throughout the study period of approximately 19 months
Secondary	Number of participants with detectable levels of antidrug antibodies (ADAs)		Baseline, Week 3, Week 4, Week 12, Week 24, or early termination from the study
Secondary	Clinically significant abnormal laboratory assessments		Throughout the study period of approximately 19 months
Secondary	Pharmacokinetics: maximum observed concentration (Cmax)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: time of maximum observed concentration (Cmax)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: area under the concentration-time curve during a dosing interval (AUC(0-tau))		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: terminal half-life (t1/2)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: systemic clearance (CL)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: volume of distribution at the terminal phase (Vz)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.
Secondary	Pharmacokinetics: volume of distribution at steady state (Vss)		Week 1 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 8 or 12, 24, 48 or 72, and 168 hours. Week 4 within 30 minutes pre-infusion, and post-infusion 0.5, 1, 2, 4, 24, and 168 hours.