Trial of Sibeprenlimab in Children and Adolescents With Immunoglobulin A Nephropathy (IgAN)

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age2-17
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.

About this trial

This Phase 3, open-label study will evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of sibeprenlimab administered subcutaneously every 4 weeks in pediatric participants aged 2 to 17 years with IgA nephropathy (IgAN). Sibeprenlimab will be administered as an add-on to standard of care therapy consisting of angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Source-verified, biopsy-confirmed IgA nephropathy (IgAN).

Receiving a stable and maximally tolerated dose of authorized angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs) for at least 12 weeks.

Participants receiving a stable dose of sodium-glucose cotransporter-2 inhibitor (SGLT2i) therapy for IgAN, if available, in addition to ACEIs and/or ARBs, must have initiated SGLT2i treatment for at least 12 weeks.

Participants must have a urine protein/creatinine ratio (uPCR) ≥ 0.75 grams per gram (g/g), as measured from the geometric mean of 3 first void spot urine samples (collected within the screening window prior to Dose 1).

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • Sibeprenlimab

    Drug

    Sibeprenlimab is administered subcutaneously once every 4 weeks for 48 weeks at a weight-based dose

  • Standard of care

    Drug

    Standard of care therapy consists of angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs)

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: SibeprenlimabExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Ratio of Urine Protein-to-Creatinine Ratio (uPCR) at Week 40 Compared With Baseline Using First-void Spot Urine Samples

Time frame
Baseline, Week 40
2

Serum Concentration of Sibeprenlimab Through Week 52

Time frame
Baseline through Week 52
3

Change From Baseline in Serum Immunoglobulin A (IgA) Through Week 52

Time frame
Baseline through Week 52

Secondary outcomes

1

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Study Discontinuations Due to Adverse Events Through Week 60

Time frame
Baseline through Week 60
2

Number of Participants With Clinically Significant Changes in Vital Signs Through Week 60

Time frame
Baseline through Week 60
3

Number of Participants With Clinically Significant Changes in Physical Examination Findings Through Week 60

Time frame
Baseline through Week 60
4

Number of Participants With Clinically Significant Changes in Laboratory Assessments Through Week 60

Laboratory assessments include hematology, serum chemistry, and urine laboratory parameters.

Time frame
Baseline through Week 60

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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