A Study to Assess the Effect of Surovatamig in Adult Participants With Antibody-mediated Kidney Disease
CLEAR-AbKD
A Phase 2, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of Surovatamig in Adults With Antibody-mediated Kidney Disease
1 other identifier
interventional
43
8 countries
21
Brief Summary
The purpose of this study is to assess the safety, tolerability, pharmacokinetic, and efficacy of surovatamig administered by subcutaneous injection in adult participants with primary membranous nephropathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Mar 2026
Typical duration for phase_2
21 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2026
CompletedStudy Start
First participant enrolled
March 28, 2026
CompletedFirst Posted
Study publicly available on registry
May 6, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 24, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 15, 2029
May 6, 2026
April 1, 2026
2.1 years
March 19, 2026
April 30, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Number of participants with adverse events.
To assess the safety and tolerability of surovatamig on adverse events, including Adverse events, Serious adverse events, Adverse event of special interests, and Adverse events leading to discontinuation of surovatamig.
Through study completion, an average of 2 years
Change from baseline in UPCR (from 24-hour urine collection or the intended 24-hour urine collection)
To assess the effect of surovatamig on proteinuria
At 6 months
Secondary Outcomes (12)
Percentage of participants achieving complete or partial remission of pMN
At 24 months
Percentage of participants achieving complete remission of pMN
At 24 months
Percentage of participants achieving partial remission of pMN
At 24 months
Change from baseline in UPCR (from 24-hour urine collection or the intended 24-hour urine collection)
At 24 months
Change from baseline in anti-PLA2R antibody titer
At 24 months
- +7 more secondary outcomes
Study Arms (1)
Surovatamig Arm
EXPERIMENTALParticipants will receive Surovatamig
Interventions
Eligibility Criteria
You may qualify if:
- Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 75 years of age inclusive, at the time of signing the informed consent.
- Diagnosis of anti-PLA2R antibody-positive pMN.
- All participants must have received SoC therapy with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers for ≥ 4 weeks, with exceptions in case of intolerance, contraindications, or low blood pressure, before the screening period.
- Positive for anti-PLA2R.
- Up to date with required vaccinations as per institutional guidelines (eg, influenza, pneumococcal, and severe acute respiratory syndrome coronavirus 2) prior to study entry.
- Male and/or female assigned at birth, inclusive of all gender identities. Contraceptive use by participants or participant partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Capable of giving signed informed consent
You may not qualify if:
- Receipt of B cell-depleting therapy including CD19- or CD20-directed monoclonal antibodies \< 9 months before screening.
- Immunomodulatory therapy \<3 months before screening.
- Secondary causes of membranous nephropathy
- Diabetes mellitus with haemoglobin A1C \> 8.5% tested at screening visit.
- Malignancies
- History of HLH/MAS. 7 Significant CNS co-morbidity
- \. History of chronic significant respiratory disease. 9. Significant opportunistic infection in the medical history deemed relevant by the Investigator.
- \. Abnormal vital sign after 10 minutes sitting at rest. 11. Administration of corticosteroids such as prednisolone at doses exceeding 20 mg or an equivalent agent \< 2 months before screening.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (21)
Research Site
Los Angeles, California, 90095, United States
Research Site
Iowa City, Iowa, 52242, United States
Research Site
Bethesda, Maryland, 20889, United States
Research Site
New York, New York, 10016, United States
Research Site
Houston, Texas, 77027, United States
Research Site
Houston, Texas, 77030, United States
Research Site
Ieper, 8900, Belgium
Research Site
Bordeaux, 33076, France
Research Site
Créteil, 94010, France
Research Site
Lyon, 69009, France
Research Site
Nantes, 44093, France
Research Site
Nîmes, 30029, France
Research Site
Düsseldorf, 40225, Germany
Research Site
Brescia, 25123, Italy
Research Site
Rozzano, 20089, Italy
Research Site
Torino, 10154, Italy
Research Site
Verona, 37126, Italy
Research Site
Lodz, 92-213, Poland
Research Site
Barcelona, 08025, Spain
Research Site
Madrid, 28041, Spain
Research Site
Manchester, M13 9WL, United Kingdom
Central Study Contacts
AstraZeneca Clinical Study Information Center
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 19, 2026
First Posted
May 6, 2026
Study Start
March 28, 2026
Primary Completion (Estimated)
April 24, 2028
Study Completion (Estimated)
October 15, 2029
Last Updated
May 6, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
- Access Criteria
- When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.