About this trial
The primary objective of this study to evaluate the efficacy of inebilizumab on primary membranous nephropathy (PMN) disease activity as measured by complete remission in participants with PMN.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged ≥18 years and <80 years.
Able and willing to provide written informed consent.
Primary membranous nephropathy (PMN) confirmed by renal biopsy (performed during screening or within 5 years before screening), or biopsy exemption for participants with anti-PLA2R antibody ≥20 RU/mL at screening.
Participants with diabetes Hemoglobin A1c (HbA1c) <7.5% require a renal biopsy report within 2 years before screening (or biopsy during screening) demonstrating PMN without diabetic nephropathy.
Disqualifiers
Secondary membranous nephropathy (e.g., due to autoimmune disease, infection, malignancy, or medications).
Estimated glomerular filtration rate (eGFR) <40 mL/min/1.73 m² , ≥30% decline in eGFR during the previous 24 weeks, need for dialysis, kidney replacement therapy, kidney transplant, or planned transplant during the study.
Recent thromboembolic event (within 3 months).
Active HIV, hepatitis B infection, Hepatitis B surface antigen (HBsAg) positive, active hepatitis C infection, uncontrolled diabetes (HbA1c ≥7.5%), active or inadequately treated tuberculosis, recurrent herpes zoster or opportunistic infections, clinically significant active infection, recurrent serious infections, or immunodeficiency disorders.
Trial design
Parallel
Treatments tested in this trial
Inebilizumab
DrugInebilizumab will be administered via IV infusion.
Tacrolimus
DrugTacrolimus will be administered orally
Treatment groups
Trial outcomes
Primary outcomes
Percentage of Participants Achieving Complete Remission at Week 104
Secondary outcomes
Percentage of Participants Achieving Complete Remission or Partial Remission at Week 104
Percentage of Participants Achieving Complete Remission or Partial Remission at Week 78
Percentage of Participants Achieving Complete Remission at Week 78
Time to First Complete Remission by Week 104