Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis
Phase 2, Randomized, Double-Blind, Placebo-controlled, Parallel-Group, Multicenter Study to Evaluate the Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis (I TRANSCEND)
3 other identifiers
interventional
75
14 countries
78
Brief Summary
The primary objective of this study is to evaluate the safety and tolerability of tarperprumig in participants with newly diagnosed or relapsing anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2025
78 active sites
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
July 21, 2025
CompletedFirst Posted
Study publicly available on registry
September 8, 2025
CompletedStudy Start
First participant enrolled
November 26, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 11, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 14, 2028
March 27, 2026
March 1, 2026
1.9 years
July 21, 2025
March 26, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline through Week 70
Secondary Outcomes (12)
Number of Participants Achieving Disease Remission at Week 26
Week 26
Number of Participants Achieving Sustained Remission at Week 52
Week 52
Number of Participants Achieving a Birmingham Vasculitis Activity Score (BVAS) of 0
Baseline through Week 52
Number of Participants Experiencing a Relapse After Previously Achieving Disease Remission at Week 26
Week 26 through Week 70
Time to First Relapse After Having Achieved Disease Remission at Week 26
Week 26 through Week 70
- +7 more secondary outcomes
Study Arms (3)
Tarperprumig Group 1
EXPERIMENTALParticipants will be administered tarperprumig dose regimen #1 or dose regimen #2.
Tarperprumig Group 2
EXPERIMENTALParticipants will be administered tarperprumig dose regimen #1 or dose regimen #2.
Placebo Group 3
EXPERIMENTALParticipants will be administered placebo.
Interventions
Participants will receive tarperprumig.
Eligibility Criteria
You may qualify if:
- Newly diagnosed or relapsing ANCA-associated vasculitis, GPA and MPA subtypes consistent with the 2022 ACR/EULAR classification criteria for GPA and MPA for whom treatment with rituximab or cyclophosphamide is considered.
- Positive test for antibodies to either PR3-ANCA or MPO-ANCA at Screening or in the past by a quantitative assay (for example, ELISA, bead assay).
- At least one major item, or at least 3 minor items, or at least 2 renal items in the BVAS.
You may not qualify if:
- Other systemic diseases that, in the judgment of the Investigator, constitute the primary illness, including but not limited to: eosinophilic granulomatosis with polyangiitis (EGPA), systemic lupus erythematosus, IgA nephropathy and/or IgA associated vasculitis with or without Henoch-Schonlein purpura, rheumatoid vasculitis, Sjogren's syndrome, anti-GBM disease, cryoglobulinemic vasculitis, autoimmune hemolytic anemia, or mixed connective tissue disease.
- Alveolar hemorrhage requiring invasive pulmonary ventilation support at Screening.
- Any diseases or conditions that, in the judgment of the Investigator, present a substantial clinical risk to participate in this study.
- For patients with a previous diagnosis of CKD, patients known to have a stable eGFR for greater than 3 months prior to Screening and a decline less than 25% of previous eGFR at Screening will be excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (78)
Research Site
Ciudad de Buenos Aires, C1015ABO, Argentina
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Ciudad de Buenos Aires, C1181ACH, Argentina
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La Plata, B1900AXI, Argentina
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Rosario, S2000DEJ, Argentina
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San Juan Bautista, 1888, Argentina
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Santa Fe, S3000, Argentina
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Clayton, 3168, Australia
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Heidelberg, 3084, Australia
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Nedlands, 6009, Australia
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Wollongong, 2500, Australia
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Barretos, 14784-057, Brazil
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Belo Horizonte, 30130-100, Brazil
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Porto Alegre, 90035-903, Brazil
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Recife, 50670-420, Brazil
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São Paulo, 01323-001, Brazil
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São Paulo, 04038-031, Brazil
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São Paulo, 05430-010, Brazil
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Calgary, Alberta, T2N 1N4, Canada
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Edmonton, Alberta, T6G 2X8, Canada
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Etobicoke, Ontario, M9W 6V1, Canada
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Hamilton, Ontario, L8N 4A6, Canada
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Toronto, Ontario, M5T 3L9, Canada
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Montreal, Quebec, H4J 1C5, Canada
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Baotou, 014010, China
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Beijing, 100034, China
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Beijing, 100730, China
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Guangzhou, 510080, China
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Hangzhou, 310003, China
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Nanchang, 330006, China
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Shenzhen, 518036, China
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Marseille, 13385, France
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Paris, 75014, France
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Paris, 75015, France
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Strasbourg, 67091, France
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Toulouse, 31059, France
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Berlin, 10117, Germany
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Essen, 45147, Germany
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Göttingen, 37075, Germany
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Ludwigshafen, 67063, Germany
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München, 81377, Germany
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Brescia, 25123, Italy
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Padua, 35128, Italy
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Pavia, 27100, Italy
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Pisa, 56126, Italy
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Gdansk, 80-214, Poland
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Krakow, 30-688, Poland
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Poznan, 60-355, Poland
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Warsaw, 04-141, Poland
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Daegu, 41944, South Korea
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Daegu, 42472, South Korea
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Daejeon, 35015, South Korea
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Seoul, 03080, South Korea
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Seoul, 03722, South Korea
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Seoul, 04763, South Korea
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Seoul, 08308, South Korea
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Seoul, 135-710, South Korea
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Wŏnju, 26426, South Korea
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Barcelona, 08036, Spain
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Pamplona, 31008, Spain
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San Sebastián de los Reyes, 28702, Spain
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Santander, 39008, Spain
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Seville, 41013, Spain
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Kaohsiung City, 81362, Taiwan
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Taichung, 40705, Taiwan
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Taipei, 114, Taiwan
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Taoyuan District, 333, Taiwan
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Altındağ, 06230, Turkey (Türkiye)
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Ankara, 5000, Turkey (Türkiye)
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Center, 23200, Turkey (Türkiye)
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Istanbul, 34098, Turkey (Türkiye)
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Istanbul, Turkey (Türkiye)
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Kocaeli, 41380, Turkey (Türkiye)
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Birmingham, B15 2GW, United Kingdom
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Cambridge, CB2 0QQ, United Kingdom
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Leicester, LE5 4PW, United Kingdom
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London, NW3 2QG, United Kingdom
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London, W12 0HS, United Kingdom
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Manchester, M13 9WL, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
July 21, 2025
First Posted
September 8, 2025
Study Start
November 26, 2025
Primary Completion (Estimated)
October 11, 2027
Study Completion (Estimated)
February 14, 2028
Last Updated
March 27, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.