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A Phase 2a, Multicenter, Open-Label Study to Evaluate the Safety and Efficacy of AT-1501 in Patients with IgA Nephropathy

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SLCTR Registration Number

SLCTR/2022/010


Date of Registration

20 May 2022

The date of last modification

Oct 04, 2024


View original TRDS


Trial Status



Application Summary


Scientific Title of Trial

A Phase 2a, Multicenter, Open-Label Study to Evaluate the Safety and Efficacy of AT-1501 in Patients with IgA Nephropathy


Public Title of Trial

A Phase 2a, Multicenter, Open-Label Study to Evaluate the Safety and Efficacy of AT-1501 in Patients with IgA Nephropathy


Disease or Health Condition(s) Studied

IgA Nephropathy (IgAN)


Scientific Acronym

AT-1501-N205


Public Acronym

AT-1501-N205


Brief title

Safety and Efficacy of AT-1501 in Patients With IgA Nephropathy (IgAN)


Universal Trial Number

U1111-1269-7356


Any other number(s) assigned to the trial and issuing authority

Clinicaltrials.gov. Identifier: NCT05125068 EudraCT Number: 2021-004795-34


Trial Details


What is the research question being addressed?

What is the safety and efficacy of AT-1501 in Patients with IgA Nephropathy?


Type of study

Interventional


Study design

Allocation

Non-randomized controlled trial


Masking

Masking not used


Control

Active


Assignment

Sequential


Purpose

Treatment


Study Phase

Phase 2


Intervention(s) planned

Study setting: Sri Jayewardenepura General Hospital, National Hospital of Sri Lanka, The National Institute of Nephrology, Dialysis and Transplantation and Colombo North Teaching Hospital.

Study drug - AT-1501 for injection is lyophilized at 20 mg/mL in 25 mM histidine-HCl, pH 6.5, 225 mM sucrose, 0.02% (w/v) polysorbate 20, and appears as a white to off-white cake. Unit strength is 190 mg / vial. Globally, up to 42 eligible patients will receive AT-1501 and be treated in a 2-stage design to evaluate 2 independent dose cohorts of 21 patients each at 5 and 10 mg/kg. The cohorts will be dosed sequentially with the 10 mg/kg cohort being dosed first. In Cohort 1, 21 patients will receive AT-1501 10 mg/kg every 3 weeks for up to 93 weeks for a total of 32 infusions. The treatment period is defined as Day1 through Week 96, with the last infusion being administered on Week 93 and a 3-week follow-up visit at Week 96. After enrolment to Cohort 1 has been completed, enrolment to Cohort 2, 5 mg/kg, will be initiated. Cohort 2 will follow the same dosing regimen and assessment schedule as Cohort 1


Inclusion criteria

  1. Male or female >18 years of age
  2. Biopsy proven IgAN
  3. Urine protein > 0.75g/24 hours at Screening despite optimization with ACE inhibitors or angiotensin receptor blockers (ARB)
  4. eGFR >45 mL/min per 1.73 m2 or eGFR < 45 mL/min per 1.73 m2 and >30 mL/min per 1.73 m2 with a kidney biopsy within 2 years of Screening showing < 50% tubulointerstitial fibrosis
  5. Agree to comply with contraception requirements during and for 90 days after study completion.

Exclusion criteria

  1. Any secondary IgAN as defined by the investigator
  2. Patients who have undergone a kidney transplant
  3. Any history of kidney disease other than IgAN
  4. Any history of diabetes (Type 1 or Type 2)
  5. Seated blood pressure > 140 mmHg (systolic) or > 90 mmHg (diastolic) at the Screening Visit. Patients must be on a stable dose and regimen of an ACE inhibitor or ARB for at least 90 days
  6. Significant liver disease,;
  7. Pregnancy or breastfeeding;
  8. Concurrent participation in another interventional study or treatment with an investigational drug


Primary outcome(s)

1.

Efficacy: Change in 24 hour urine protein to creatinine ratio (UPCR) participants

[

Time Frame: Up to 24 weeks

]
2.

Safety: Number of participants with treatment related serious adverse events, treatment emergent adverse events (TEAE’s) and AE’s of special interest (AEoSI) which include: • Anaphylaxis • Any thromboembolic (TE) event • Bleeding • Fungal and opportunistic infections • Malignancy

[

Time Frame: Through study completion, an average of 100 weeks

]
3.

Safety: Changes in vital signs, electrocardiogram changes (ECG) and clinical laboratory measures

[

Time Frame: Through study completion, an average of 100 weeks

]
4.
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5.
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Secondary outcome(s)

1.

Change in eGFR slope

[

Time Frame: Baseline- 96 weeks

]
2.

Change in urine protein excretion (mg/mg)

[

Time Frame: Up to 96 weeks

]
3.

Development of Anti drug Antibodies (ADAs)

[

Time Frame: Up to 96 weeks

]
4.
[]
5.
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Target number/sample size

Total of 42 in two 21 dose cohorts; Global: 42, Sri Lanka: 4


Countries of recruitment

Australia, China, Croatia, Malaysia, New Zealand, Philippines, Poland, Spain, Sri Lanka, Thailand, United Kingdom, United States


Anticipated start date

2022-05-25


Anticipated end date

2025-04-15


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Eledon Pharmaceuticals, Inc. 19900 MacArthur Blvd., Suite 550 Irvine, California 92612, USA


Regulatory approvals

National Medicine Regulatory Authority (NMRA) Sri Lanka- Approval Pending



State of Ethics Review Approval


Status

Approved


Date of Approval

2022-03-08


Approval number

P/04/01/2022


Details of Ethics Review Committee

Name: Ethics Review Committee Faculty of Medicine University of Kelaniya
Institutional Address:Ethics Review Committee University of Kelaniya, P.O Box 6, Thalagolla Road, Ragama, Sri Lanka
Telephone:+94 11 2961267
Email: ercmed@kln.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Chula Herath
Consultant Nephrologist
Department of Nephrology, Sri Jayawardanepura General Hospital, Thalapathpitiya, Nugegoda, Sri Lanka, 10250.
+94 0112778610
chulaherath@gmail.com


Contact Person for Public Queries

Dr. Chula Herath
Consultant Nephrologist
Department of Nephrology, Sri Jayawardanepura General Hospital, Thalapathpitiya, Nugegoda, Sri Lanka, 10250.
+94 77 301 7075
chulaherath@gmail.com



Primary study sponsor/organization

Eledon Pharmaceuticals, Inc

19900 MacArthur Blvd., Suite 550 Irvine, California 92612, USA



Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description

N/A


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results