NCT04905212

Brief Summary

This is a Phase 2, multi-center, randomized, double-blind, placebo-controlled clinical study with an optional open label extension to evaluate the safety and efficacy of Telitacicept for Injection (RC18) in the treatment of IgA nephropathy.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Nov 2021

Geographic Reach
1 country

8 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 21, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 27, 2021

Completed
5 months until next milestone

Study Start

First participant enrolled

November 4, 2021

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 9, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 9, 2023

Completed
Last Updated

December 6, 2023

Status Verified

November 1, 2023

Enrollment Period

2 years

First QC Date

May 21, 2021

Last Update Submit

November 29, 2023

Conditions

Keywords

Berger DiseaseBerger's DiseaseIGA GlomerulonephritisIGA NephropathyPrimary IGA NephropathyImmunoglobulin A Nephropathy NephritisIGA Type Nephropathy, IGA

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in 24-hour urine protein at Week 24.

    Change from baseline in urine protein over 24 hours to Week 24 will be measured

    Week 24

Secondary Outcomes (3)

  • Change from baseline in estimated glomerular filtration rate (eGFR) at Weeks 4, 8, 12, 16, 20, 24, 32, 36 and 48

    Weeks 4, 8, 12, 16, 20, 24, 32, 36 and 48

  • Change from baseline in urine protein-to-creatinine ratio (UPCR) and urine albumin-to-creatinine ratio (UACR) at Weeks 4, 8, 12, 16, 20, 24, 32, 36, and 48;

    Weeks 4, 8, 12, 16, 20, 24, 32, 36, and 48

  • Change from baseline in immunological parameters (IgA, IgG, IgM, C3, C4, and B lymphocytes) at Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 48, and EOT visit.

    Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 48, and EOT visit.

Other Outcomes (4)

  • The incidence and severity of adverse events

    27 weeks

  • Immunogenicity endpoints

    Week 0, 4, 8, 12, 16, 20, 24 and 27

  • Biomaker endpoints serum concentration

    Week 0, 4, 8, 12, 16, 20, and 24

  • +1 more other outcomes

Study Arms (3)

Telitacicept 160mg

EXPERIMENTAL

Telitacicept 160mg subcutaneous injection once weekly, and a total of 24 doses

Drug: Telitacicept 160mg

Telitacicept 240mg

EXPERIMENTAL

Telitacicept 240mg subcutaneous injection once weekly, and a total of 24 doses

Drug: Telitacicept 240mg

Placebo

PLACEBO COMPARATOR

Placebo subcutaneous injection once weekly, and a total of 24 doses

Drug: Placebo

Interventions

Subcutaneous injection Telitacicept 160mg. The injection site can be at the thigh, abdomen, or upper arm.

Telitacicept 160mg

Subcutaneous injection Telitacicept 240mg. The injection site can be at the thigh, abdomen, or upper arm.

Telitacicept 240mg

Subcutaneous injection placebo. The injection site can be at the thigh, abdomen, or upper arm.

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • IgA nephropathy confirmed by pathological biopsy;
  • Male or female aged ≥ 18 years old;
  • Average 24-hour urine total protein ≥ 0.75 g/24 h
  • Estimated GFR (using the CKD-EPI formula) \> 30 mL/min per 1.73 m\^2;
  • Stabilized AEI/ARB medications, diuretics, or other antihypertensive therapy.

You may not qualify if:

  • Patients with clinically significant abnormal laboratory tests at screening;
  • Evidence of rapid eGFR decrease \> 15 ml/min during screening;
  • Renal or other organ transplantation prior to, or expected during, the study;
  • Patients with secondary IgA nephropathy;
  • Patients with nephrotic syndrome, crescentic nephritis minimal change nephropathy with IgA deposition, or other pathological or clinical types of renal diseases that may confound the study data interpretation;
  • Patients with history of any severe unstable cardiovascular and cerebrovascular events within 12 weeks prior to screening;
  • Immunocompromised individuals.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Remegen Site #5

Los Angeles, California, 90022, United States

Location

Remegen Site #13

Los Angeles, California, 91324, United States

Location

Remegen Site #14

Los Angeles, California, 91324, United States

Location

Remegen Site #10

Sacramento, California, 95687, United States

Location

Remegen Site #8

San Francisco, California, 94080, United States

Location

Remegen Site #16

Fort Lauderdale, Florida, 33071, United States

Location

Remegen Site #17

Augusta, Georgia, 30909, United States

Location

Remegen Site #2

Philadelphia, Pennsylvania, 17033, United States

Location

Related Publications (1)

  • Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3.

MeSH Terms

Conditions

Glomerulonephritis, IGA

Interventions

telitacicept

Condition Hierarchy (Ancestors)

GlomerulonephritisNephritisKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesAutoimmune DiseasesImmune System Diseases

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 21, 2021

First Posted

May 27, 2021

Study Start

November 4, 2021

Primary Completion

November 9, 2023

Study Completion

November 9, 2023

Last Updated

December 6, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will not share

Locations