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Phase 2 N=54 Randomized Quadruple-blind Treatment

Clinical Trial to Assess Efficacy and Safety of the Human Anti-CD38 Antibody Felzartamab (MOR202) in IgA Nephropathy

Immunoglobulin A (IgA) Nephropathy

Enrolled (actual)
54
Serious AEs
5.6%
Results posted
Apr 2026
Primary outcome: Primary: Part 1: Relative Change From Baseline in Urine Protein to Creatinine Ratio (UPCR) in 24-hour Urine at Month 9 — -24.7; -16.5; -30.6; -38.5 gram per gram (g/g) — p=0.6837

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Felzartamab (Drug); Placebo (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
HI-Bio, A Biogen Company
Primary completion
Feb 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Part 1: Relative Change From Baseline in Urine Protein to Creatinine Ratio (UPCR) in 24-hour Urine at Month 9
-24.7; -16.5; -30.6; -38.5 0.6837
SECONDARY
Integrative Analysis of Several Endpoints: Percent Change From Baseline in Immunoglobulin A (IgA) Concentration by Predose Serum Concentration (Ctrough) Group
-6.12; -14.1; -19.7; -26.1
SECONDARY
Integrative Analysis of Several Endpoints: Maximum Serum Concentrations (Cmax) as Per the Infusion-Related Reactions (IRRs) After the First Dose
445; 367
SECONDARY
Part 1: Relative Change From Baseline in UPCR in 24-hour Urine at Months 3, 6, 12, 18 and 24
-18.0; -7.5; -35.1; -35.5; -12.8; -29.3
SECONDARY
Part 1: Number of Participants With Complete Response (CR) at Months 3, 6, 9, 12, 18 and 24
0; 0; 0; 1; 0; 1
SECONDARY
Part 1: Percentage of Participants With Response at Months 3, 6, 9, 12, 18 and 24
8.3; 9.1; 0; 44.4; 0; 9.1
SECONDARY
Part 1: Albumin-Creatinine Ratio (ACR) at Months 6, 9, 12, 18 and 24
1.278; 0.802; 0.841; 0.723; 1.053; 0.830
SECONDARY
Part 1: Duration of Response
250; 140; 451; 188
SECONDARY
Part 1: Time to Response
767; NA; NA; 176
SECONDARY
Change From Baseline in eGFR Over Time
-1.985; 2.058; 8.100; 4.224; 1.011; -8.163
SECONDARY
Number of Participants With Treatment Emergent Adverse Event (TEAE) and Treatment Emergent Serious Adverse Event (TESAE)
6; 10; 9; 11; 3; 0
SECONDARY
Serum Concentrations of Felzartamab Over Time
67.9; 54.6; 50.0; 50.0; 204326.5; 320616.0
SECONDARY
Percentage of Participants With Anti- Felzartamab Antibodies
1; 6; 3; 3; 1; 11

Summary

Randomized, placebo-controlled, multi-center, double-blind, proof of concept phase IIa trial and dose evaluation trial of felzartamab in IgAN

Eligibility Criteria

Key Inclusion Criteria

  • Patients ≥ 18 to ≤ 80 years (at date of signing the informed consent form [ICF]), but at least of legal age in the given country
  • Biopsy confirmed diagnosis of IgAN within the past 8 years prior to signature of the ICF
  • Proteinuria at screening visit ≥ 1.0 g/d.
  • Treatment with an angiotensin-converting enzyme inhibitor (ACEi) and/or angiotensin receptor blocker (ARB) at maximum doses or maximally tolerated doses for ≥ 3 months prior to date of informed consent and adequate blood pressure (BP) control.
  • A female of childbearing potential (FCBP), is only eligible to participate if she is not pregnant, not breast feeding, and agrees to follow the contraceptive guidance during the treatment period and for at least 3 months after the last dose of IMP

Key Exclusion Criteria

  • Hemoglobin 1.5 x ULN, alkaline phosphatase >3.0 x ULN
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05065970). 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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