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A Phase 2, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Ravulizumab in Adult Participants With Proliferative Lupus Nephritis (LN) or Immunoglobulin A Nephropathy (IgAN)


Description

The objectives of this study are to evaluate the safety and efficacy of ravulizumab administered by intravenous (IV) infusion compared to placebo and demonstrate proof-of-concept of the efficacy of terminal complement inhibition in participants with LN (LN Cohort) or IgAN (IgAN Cohort).This study consists of a 6-week Screening Period, 26-week Initial Evaluation Period, a 24-week Extension Period, and a 36-week post-treatment Follow-up Period.

Trial Eligibility

Inclusion Criteria: Common to both disease cohorts: * Proteinuria ≥1 (gram \[g\]/day or g/g) * Vaccinated against meningococcal infection * Vaccinated for Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae according to national/local regulatory requirements For LN cohort: * Diagnosis of active focal or diffuse proliferative LN Class III or IV * Clinically active LN, requiring/receiving immunosuppression induction treatment For IgAN cohort: * Diagnosis of primary IgAN * Compliance with stable and optimal dose of renin-angiotensin system inhibitor treatment for ≥ 3 months Exclusion Criteria: Common to both disease cohorts: * eGFR \< 30 milliliters/minute/1.73 meters squared * Previously received a complement inhibitor (for example, eculizumab) * Concomitant significant renal disease other than LN or IgAN * History of other solid organ or bone marrow transplant * Uncontrolled hypertension For IgAN cohort: * Diagnosis of rapid progressive glomerulonephritis * Prednisone or prednisone equivalent \> 20 milligram (mg) per day for \> 14 consecutive days or any other immunosuppression within 6 months

Study Info

Organization

Alexion Pharmaceuticals, Inc.


Primary Outcome

Both Cohorts: Percentage Change In Proteinuria From Baseline To Week 26 Assessed Using 24-hour Urine Collections


Outcome Timeframe Baseline, Week 26

NCTID NCT04564339

Phases PHASE2

Primary Purpose TREATMENT

Start Date 2021-01-19

Completion Date 2025-04-15

Enrollment Target 120

Interventions

DRUG Ravulizumab

DRUG Placebo

OTHER Background Therapy

Locations Recruiting

Research Site

United States, California, Los Angeles


Research Site

United States, California, S. Gate


Research Site

United States, California, San Dimas


Research Site

United States, California, Santa Monica


Research Site

United States, California, Stanford


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