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Phase 2 N=155 Randomized Quadruple-blind Treatment

Safety and Efficacy Study of VIS649 for IgA Nephropathy

Immunoglobulin A Nephropathy · Glomerular Disease · IgAN

Enrolled (actual)
155
Serious AEs
4.5%
Results posted
Nov 2024
Primary outcome: Primary: Number of Participants With Adverse Events Graded by Severity — 19; 22; 22; 23 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Dose-Placebo (Drug); Low Dose-VIS649 (Drug); Medium Dose-VIS649 (Drug); High Dose-VIS649 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Primary completion
May 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Adverse Events Graded by Severity
19; 22; 22; 23; 7; 9
PRIMARY
Changes From Baseline in Clinical Laboratory Tests
1; 0; 0; 0; 2; 1
PRIMARY
Clinically Meaningful Changes From Baseline in Vital Signs
0; 0; 0; 2
PRIMARY
Clinically Significant Physical Examinations
1; 0; 0; 0
PRIMARY
Change From Baseline in uPCR: Month 12
-0.64; -0.89; -0.97; -0.22
SECONDARY
Change From Baseline in uPCR: Months 9 and 16
-0.70; -0.85; -0.99; -0.17; -0.45; -0.87
SECONDARY
Change in 24-hour Urine Protein Excretion: Months 12 and 16
49.47; 57.80; 65.49; 18.74; 36.24; 55.19
SECONDARY
Participants Achieving a Greater Than or Equal to 30% Decline From Baseline in uPCR at Months 9, 12, and 16
19; 20; 21; 7; 19; 24
SECONDARY
Participants in Each Group Achieving Clinical Remission
4; 5; 7; 1; 3; 5
SECONDARY
Change From Baseline in eGFR at Months 9, 12, and 16
-2.35; 0.64; -1.25; -7.31; -3.63; -0.18
SECONDARY
Percent Change From Baseline in Total Serum IgA, IgG, and IgM Concentrations at Months 12 and 16
48.35; 32.35; 31.07; 102.23; 79.49; 69.62
SECONDARY
Mean Serum PK Parameters at Month 0 and Month 11: Cmax
78.78; 128.88; 245.75; 65.45; 185.63; 939.13
SECONDARY
Median Serum PK Parameters at Month 0 and Month 11: Tmax
0.052; 0.052; 0.125; 0.089; 0.127; 0.123
SECONDARY
Mean Serum PK Parameters at Month 0: AUC0-inf and AUC0-30
544.49; 1189.68; 542.69; 1245.02; 3019.78
SECONDARY
Mean Serum PK Parameters at Month 0 and Month 11: t1/2z
5.78; 10.87; 18.64; 8.82; 10.67; 14.85
SECONDARY
Median Serum PK Parameters at Month 0: CL
257.89; 315.94
SECONDARY
Mean Serum PK Parameters at Month 0: Vz
2056.05; 4075.62
SECONDARY
Mean Serum PK Parameters at Month 11: AUCτ
555.17; 2403.14; 13057.23
SECONDARY
Mean Serum PK Parameters at Month 11: Vss
2998.81; 2670.87; 2517.15
SECONDARY
Mean Serum PK Parameters at Month 11: CLss
227.66; 176.22; 60.55
SECONDARY
Mean Serum PK Parameters at Month 11: Rac[AUC0-30]
1.27; 2.01; 4.41

Summary

The purpose of this study is to evaluate the efficacy and safety of VIS649 in participants with immunoglobulin A (IgA) Nephropathy (IgAN)

Eligibility Criteria

Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

  • Participant is a male or female ≥ 18 years of age at the time of signing the informed consent.
  • Participant must have biopsy-confirmed IgAN.
  • Participant has medical records showing they have been on stable and maximally tolerated doses of either ACEI or ARB, as per local SOC and applicable guidelines, for at least 3 months preceding screening. Participants should optimally be on at least 50% of the maximum recommended dose of these agents; however, if a participant is on their maximally tolerated dose (and this is 8%.
  • Participant has uncontrolled BP (> 140 mm Hg systolic or > 90 mm Hg diastolic)
  • Participant has a history of chronic autoimmune neurodegenerative disorder such as multiple sclerosis.
  • Participant has a known allergy or intolerance to any component of the study intervention.
  • Participant is breastfeeding.
  • Participant has poorly compensated or controlled ischemic heart disease or cardiomyopathy, as judged by the Investigator.
  • Participant has chronic obstructive pulmonary disease (COPD) or asthma that has required systemic steroid therapy during the prior year.
  • Participant has known cirrhosis or liver dysfunction, defined as presence of coagulopathy, platelet count 3× upper limit of normal.
  • Participant has active malignancy or is receiving chemotherapy for malignancy, except for nonmelanoma skin cancers and cervical carcinoma in situ. Participants with prior malignancy who have been documented to be cancer-free for ≥ 5 years may be enrolled.
  • Participant is planning or scheduled to undergo a tonsillectomy. Prior tonsillectomy is acceptable (if greater than 6 months prior to screening).
  • Participant enrolled in another investigational drug or device study within 3 months prior to initial screening.
  • Participant with a pre-existing illness other than those listed above that, in the opinion of the Investigator, would place the participant at increased risk through participation in this study.
  • Participant is unable to comply with study protocol procedures and/or study visit schedules.
  • Participant with known or suspected alcohol or drug abuse that would compromise their safety or study participation of the participant, in the opinion of the Investigator.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04287985). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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