Clinical trial • Phase II • Nephrology|Rare Disease

ATACICEPT for IgA nephropathy (IgAN) | Berger disease

Phase II trial of ATACICEPT for IgA nephropathy (IgAN) | Berger disease.

Overview

Trial Therapeutic Area
Nephrology|Rare Disease
Trial Disease
IgA nephropathy (IgAN) | Berger disease
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
05-06-2025
First CTIS Authorization Date
24-09-2025

Trial design

Randomised, open-label, atacicept administered in 5 treatment arms (atacicept 00 (cci) administered (cci) sc injection) — specific doses and some scheduling details are redacted/cci; dosing regimen described in title as monthly (every 4 weeks).-controlled Phase II trial in Spain, Poland.

Randomised
Yes
Open Label
Yes
Comparator
Atacicept administered in 5 treatment arms (Atacicept 00 (CCI) administered (CCI) SC injection) — specific doses and some scheduling details are redacted/CCI; dosing regimen described in title as monthly (every 4 weeks).
Target Sample Size
63
Trial Duration For Participant
518

Eligibility

Recruits 63 Vulnerable population selected in the CTIS record. Trial enrolment limited to adults (≥18 years) who provide written informed consent. No additional details on assent or specific consent handling for vulnerable groups are provided in the supplied data..

Vulnerable Population
Vulnerable population selected in the CTIS record. Trial enrolment limited to adults (≥18 years) who provide written informed consent. No additional details on assent or specific consent handling for vulnerable groups are provided in the supplied data.

Inclusion criteria

  • {"criterion_text":"- Adult male or female of ≥18 years of age, or as per country specific legally or nationally recognized adult age, who provides written informed consent prior to performing any study assessments"}
  • {"criterion_text":"- Diagnosis of IgAN as demonstrated by renal biopsy with total urine protein excretion ≥0.75 g per 24-hour or UPCR ≥0.75 mg/mg based on a 24-hour urine sample, and eGFR ≥30 ml/min/1.73m2"}
  • {"criterion_text":"- On a stable prescribed SoC regimen according to local practice listed in Section 4 of the protocol"}
  • {"criterion_text":"- Systolic blood pressure ≤160 mmHg and diastolic blood pressure ≤90 mmHg at screening"}

Exclusion criteria

  • {"criterion_text":"- IgAN secondary to another condition or other causes of mesangial IgA deposition including IgA vasculitis, evidence of nephrotic syndrome within 6 months of screening, or concomitant chronic renal disease in addition to IgAN"}
  • {"criterion_text":"- Evidence of rapidly progressive glomerulonephritis (loss of ≥50% of eGFR within 3 months of screening)"}
  • {"criterion_text":"- Active viral, bacterial or mycobacterial infections"}
  • {"criterion_text":"- Existing conditions or clinically significant laboratory abnormalities that may interfere with participation in the study"}
  • {"criterion_text":"- Administration of live and live-attenuated vaccinations within 30 days prior to randomization"}
  • {"criterion_text":"- Known hypersensitivity to atacicept or any component of the formulated atacicept"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Gd-IgA1 levels through Week 24","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Incidence of treatment-emergent adverse events, and changes from baseline in routine laboratory and vital sign parameters","definition_or_measurement_approach":""}
  • {"endpoint_text":"- IgG, IgM, and IgA levels through Week 24","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Serum concentration of atacicept through the end of study","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Anti-drug antibody status through the end of study","definition_or_measurement_approach":""}
  • {"endpoint_text":"- UPCR values through the end of study","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
63
Recruitment Window Months
23
Consent Approach
Written informed consent must be provided by the participant (adult ≥18) prior to any study assessments. Subject information and informed consent forms (L1_SIS and ICF) and informed consent aids are present in the dossier; documents are available in English, Polish and Spanish based on file listings. No paediatric assent procedures (no participants <18) are described in the supplied data.

Methods

  • Innovative Trials Limited (United Kingdom) — Patient Recruitment (contact: lisa.mathews@innovativetrials.com)
  • Q2BI Corp. (United States) — Third party managing EDC vendor (contact: Jaclyn.huang@q2bi.com)
  • Greenphire LLC (United States) — Patient Reimbursement (contact: joseph.baeringer@greenphire.com)

Geography

Total Number Of Sites
11
Total Number Of Participants
63

Spain

Earliest CTIS Part Ii Submission Date
16-09-2025
Latest Decision Or Authorization Date
02-02-2026
Processing Time Days
139
Number Of Sites
7
Number Of Participants
12

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Nephrology
Principal Investigator Name
Lúis Fernando Quintana Porras
Principal Investigator Email
lfquinta@clinic.cat
Contact Person Name
Lúis Fernando Quintana Porras
Contact Person Email
lfquinta@clinic.cat
Site Name
Clinica Universidad De Navarra
Department Name
Nephrology
Principal Investigator Name
Jose María Mora Gutierrez
Principal Investigator Email
jmora@unav.es
Contact Person Name
Jose María Mora Gutierrez
Contact Person Email
jmora@unav.es
Site Name
Hospital Del Mar
Department Name
Nephrology
Principal Investigator Name
Eva Márquez Mosquera
Principal Investigator Email
eva.marquez.mosquera@psmar.cat
Contact Person Name
Eva Márquez Mosquera
Contact Person Email
eva.marquez.mosquera@psmar.cat
Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Nephrology
Principal Investigator Name
Mercedes Salgueira Lazo
Contact Person Name
Mercedes Salgueira Lazo
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Nephrology
Principal Investigator Name
Cándido Díaz Rodríguez
Principal Investigator Email
candido.diazrodriguez@sergas.es
Contact Person Name
Cándido Díaz Rodríguez
Site Name
Hospital Universitario Torrecardenas
Department Name
Nephrology
Principal Investigator Name
Francisco Javier González Martínez
Principal Investigator Email
fco.gonzalez.sspa@juntadeandalucia.es
Contact Person Name
Francisco Javier González Martínez
Site Name
Hospital Del Mar (duplicate listing resolved in source as separate site entry)
Department Name
Nephrology
Principal Investigator Name
Eva Márquez Mosquera
Principal Investigator Email
eva.marquez.mosquera@psmar.cat
Contact Person Name
Eva Márquez Mosquera
Contact Person Email
eva.marquez.mosquera@psmar.cat

Poland

Earliest CTIS Part Ii Submission Date
08-09-2025
Latest Decision Or Authorization Date
02-02-2026
Processing Time Days
147
Number Of Sites
4
Number Of Participants
15

Sites

Site Name
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Department Name
Klinika Chorób Wewnętrznych, Nefrologii i Transplantologii Klinicznej
Principal Investigator Name
Andrzej Rydzewski
Principal Investigator Email
andrzej.rydzewski@pimmswia.gov.pl
Contact Person Name
Andrzej Rydzewski
Site Name
4 Wojskowy Szpital Kliniczny Z Poliklinika Samodzielny Publiczny Zaklad Opieki Zdrowotnej We Wroclawiu
Department Name
4 Wojskowy Szpital Kliniczny z Polikliniką
Principal Investigator Name
Magdalena Krajewska
Principal Investigator Email
magdalena.krajewska@pwr.edu.pl
Contact Person Name
Magdalena Krajewska
Contact Person Email
magdalena.krajewska@pwr.edu.pl
Site Name
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi
Department Name
Oddzial Kliniczny Nefrologii i Chorób Wewnetrznych
Principal Investigator Name
Ilona Kurnatowska
Principal Investigator Email
ilona.kurnatowska@umed.lodz.pl
Contact Person Name
Ilona Kurnatowska
Contact Person Email
ilona.kurnatowska@umed.lodz.pl
Site Name
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Centralny Szpital Kliniczny Uniwersytetu Medycznego W Lodzi
Department Name
Nephrology Clinic
Principal Investigator Name
Michal Nowicki
Principal Investigator Email
michal.nowicki@umed.lodz.pl
Contact Person Name
Michal Nowicki
Contact Person Email
michal.nowicki@umed.lodz.pl

Sponsor

Primary sponsor

Full Name
Vera Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Innovative Trials Limited
Responsibilities
Patient Recruitment
Name
Worldwide Clinical Trials d.o.o.
Name
Medidata Solutions Inc.
Name
Suvoda LLC
Name
PPD Global Central Labs
Name
Almac Clinical Services Limited
Responsibilities
Functional Secondary Packaging and Labelling; Finished Good Storage; Importation site and QP release site (for UK and EU)
Name
Greenphire LLC
Responsibilities
Patient Reimbursement
Name
Q2BI Corp.
Responsibilities
Third party managing EDC vendor

Third parties

  • {"country":"United Kingdom","full_name":"Innovative Trials Limited","duties_or_roles":"Patient Recruitment","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q2BI Corp.","duties_or_roles":"Third party managing EDC vendor","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"Functional Secondary Packaging and Labelling; Finished Good Storage; Importation site and QP release site (for UK and EU)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Croatia","full_name":"Worldwide Clinical Trials d.o.o.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Atacicept
Active Substance
ATACICEPT
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Authorisation Status
Unapproved product (Phase II study for an unapproved product)
Orphan Designation
Yes
Frequency
Every 4 weeks (monthly)
Maximum Dose
600 mg (max daily); max total 7200 mg

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