SLN12140 in Adult Participants With IgA Nephropathy in China

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorLinno Pharmaceuticals, Inc.

About this trial

This study is a randomized, parallel, double-blind, placebo-controlled, subcutaneous administration Phase II dose-exploration clinical trial aimed at evaluating the efficacy, safety, PK, PD, and immunogenicity characteristics of SLN12140 at different doses in IgA nephropathy subjects who have previously received standard treatment (the standard treatment drugs allowed in this study include: angiotensin-converting enzyme inhibitors \[ACEi\], angiotensin II receptor blockers \[ARB\], and sodium-glucose co-transporter 2 inhibitors \[SGLT2i\]) but have poor control.

The study is divided into four stages, including a screening period of up to 8 weeks, an introduction period of up to 12 weeks, a 40-week double-blind period (including a 36-week treatment period and a 4-week safety follow-up period; all subjects in the three dose groups who are willing to continue treatment and are judged by the investigator to potentially benefit from subsequent treatment will enter the open-label extension period for continued treatment after completing the double-blind period), and a 56-week open-label extension period (all subjects in the three dose groups who are willing to continue treatment and are judged by the investigator to potentially benefit from subsequent treatment will continue SLN12140 at the same dose group \[the optimal dose\], including a 52-week open treatment period and a 4-week safety follow-up period).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The subject has fully understood the purpose, nature, methods and potential adverse reactions of this trial, volunteers to participate as a subject, is able to communicate effectively with the investigators, understands and complies with all requirements of this study, and voluntarily signs the Informed Consent Form (ICF) prior to initiation of any study procedures.

Male and female subjects aged 18 to 80 years (inclusive) at the time of signing the ICF, with body weight ≥ 50 kg for males and ≥ 45 kg for females; body mass index (BMI) 18.0-35.0 kg/m² (inclusive).

Patients with IgA nephropathy confirmed by biopsy within the past 3 years before screening, with renal tubulointerstitial fibrosis < 50%.

Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73 m² during the screening period, calculated using the 2021 creatinine-based Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.

Disqualifiers

A known history of hypersensitivity, allergy, or anaphylactic reaction to any component of the investigational product, including hypersensitivity to human, humanized, or murine monoclonal antibodies, or known hypersensitivity to any ingredient of the product.

Secondary IgA nephropathy as determined by the investigator, such as that caused by Henoch-Schönlein purpura, systemic lupus erythematosus, hepatitis, ankylosing spondylitis, infection, or other etiologies.

Diagnosis of IgA vasculitis.

Current presence or history of nephrotic syndrome.

Trial design

Design model

Parallel

Treatments tested in this trial

  • SLN12140

    Drug

    SLN12140 by subcutaneous (sc) injection:100mg QW for 36 weeks in blind treatment period; SLN12140 by subcutaneous (sc) injection:200mg QW for 36 weeks in blind treatment period; SLN12140 by subcutaneous (sc) injection:600mg Q4W for 36 weeks in blind treatment period; after 36 weeks of blind treatment period, all of subjects will receive SLN12140 treatment for 52 weeks as open-label extension period with one optimal dosage.

  • Placebo

    Other intervention

    Placebo (0.9% sodium chloride solution) will be provided as an injectable solution without active ingredient for 36 weeks in blind treatment period.

Treatment groups

48 Participants
are divided into 2 treatment groups
Group A: SLN12140Experimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Mean change from baseline in urine protein-to-creatinine ratio (UPCR)at Week 36

Change from baseline in Urine protein-to-creatinine ratio (UPCR) by visit.

Time frame
Week 36

Secondary outcomes

1

Mean change from baseline in urine protein-to-creatinine ratio (UPCR)at Week 24

Change from baseline in Urine protein-to-creatinine ratio (UPCR) by visit.

Time frame
Week 24
2

Mean change from baseline in urine albumin-to-creatinine ratio (UACR) at Weeks 24, 36;

Change from baseline in Urine albumin-to-creatinine ratio (UACR) by visit.

Time frame
Weeks 24, 36
3

Mean change from baseline in estimated glomerular filtration rate (eGFR) at Weeks 12, 24, 36

Change from baseline in eGFR by visit

Time frame
Weeks 12, 24, 36
4

Mean changes from baseline in 24-hour urinary protein excretion (24h-UPE) at weeks 24 and 36.

Time frame
Weeks 24 and 36

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

This trial is not recruiting at the moment. You can still explore other options: