Clinical trial • Phase III • Nephrology
POVETACICEPT for Immunoglobulin A nephropathy (IgAN)
Phase III trial of POVETACICEPT for Immunoglobulin A nephropathy (IgAN).
Overview
- Trial Therapeutic Area
- Nephrology
- Trial Disease
- Immunoglobulin A nephropathy (IgAN)
- Trial Stage
- Phase III
- Drug Modality
- Peptide/protein/enzyme
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 26-07-2024
- First CTIS Authorization Date
- 11-11-2024
Trial design
Randomised, placebo (test imp without active substance; test imp alpn-303 pre-filled syringe without active substance) versus alpn-303 (povetacicept). dose and schedule not specified in the available record.-controlled Phase III trial.
- Randomised
- Yes
- Comparator
- Placebo (Test IMP without active substance; Test IMP ALPN-303 pre-filled syringe without active substance) versus ALPN-303 (povetacicept). Dose and schedule not specified in the available record.
- Target Sample Size
- 346
- Trial Duration For Participant
- 728
Eligibility
Recruits 346 adults.
Inclusion criteria
- {"criterion_text":"- 1. Diagnosed IgAN, with biopsy confirmation"}
- {"criterion_text":"- 2. 24 hour proteinuria excretion greater than or equal to (≥)1.0 gram per day (g/day) or 24-hour uPCR ≥0.75 gram per gram (g/g)."}
- {"criterion_text":"- 3. Estimated glomerular filtration rate (eGFR) - ≥ 30 mL/min/1.73m2."}
- {"criterion_text":"- 4. Stable angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARBs) as per protocol specification."}
Exclusion criteria
- {"criterion_text":"- 1. Have received any immunosuppressive treatment or procedures (including corticosteroids, oral immunosuppressive agents, B cell or plasma cell targeted therapies, complement targeted therapies, herbal medicines per protocol, and tonsillectomy) within a wash-out period per protocol."}
- {"criterion_text":"- 2. Rapidly progressive glomerulonephritis with eGFR reduction >50% within 12 weeks of the start of screening."}
- {"criterion_text":"- 3. Other protocol defined Inclusion/Exclusion criteria may apply."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36 [Time Frame: From Baseline at Week 36].","definition_or_measurement_approach":"Change from baseline in 24-hour urine protein-to-creatinine ratio (uPCR) measured at Week 36 compared with baseline (24-hour urine collection)."}
- {"endpoint_text":"- 2. Total Estimated Glomerular Filtration Rate (eGFR) Slope Through Week 104 [Time Frame: From Baseline Through Week 104].","definition_or_measurement_approach":"Slope of estimated glomerular filtration rate (eGFR) over time from baseline through Week 104 (rate of change in eGFR)."}
Secondary endpoints
- {"endpoint_text":"- 3. Change From Baseline in eGFR at Week 104 [Time Frame: From Baseline at Week 104].","definition_or_measurement_approach":"Change from baseline in eGFR measured at Week 104 compared with baseline."}
- {"endpoint_text":"- 4. Time to Kidney Disease Progression Through Week 104 Kidney disease progression defined as greater than or equal to (≥) 30% decline in eGFR, end stage kidney disease, or non-accidental death. [Time Frame: From Baseline Through Week 104].","definition_or_measurement_approach":"Time from baseline to first occurrence of kidney disease progression, defined as ≥30% decline in eGFR, onset of end-stage kidney disease, or non-accidental death, assessed through Week 104."}
- {"endpoint_text":"- 1. Change from baseline in serum Gd-IgA1 at Week 36","definition_or_measurement_approach":"Change from baseline in serum galactose-deficient IgA1 (Gd-IgA1) measured at Week 36."}
- {"endpoint_text":"- 2. Proportion of subjects to achieve hematuria resolution at Week 36 (among subjects with hematuria at baseline)","definition_or_measurement_approach":"Proportion of baseline-hematuria subjects who achieve hematuria resolution by Week 36."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 346
- Recruitment Window Months
- 45
- Consent Approach
- Informed consent obtained from adult participants using subject information sheets (L1 SIS) and L1 ICF (main informed consent form). Pregnancy-specific information/ICF materials are provided where applicable. Consent documents and participant-facing materials are available in multiple languages (English, French, German, Dutch, Spanish, Italian, Hungarian, Lithuanian and others) as per the submitted document list.
Methods
- Brochure/Trifold (participant brochure) — printed recruitment materials provided to potential participants (country-specific versions available).
- Participant flyers — printed handouts for participants (country-specific).
- Participant posters — site posters for visibility at recruiting centres (country-specific).
- HCP-targeted materials: Dear Colleague letters, HCP PowerPoint, HCP flyers and posters to engage referring healthcare professionals.
- Digital adverts and website package for online recruitment (digital advert pack explicitly referenced for Germany).
- Pre-screening checklist and pre-screener packages to identify eligible participants.
- GP letters and site-specific contact information lists to support referrals.
Sponsor
Primary sponsor
- Full Name
- Alpine Immune Sciences Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- PPD Global Central Labs
- Responsibilities
- [{"code":"4"}], laboratory/central lab services
- Name
- PPD Development LP
- Responsibilities
- [{"code":"4"}], development/Central lab or operational support
- Name
- Medpace Finland Oy
- Responsibilities
- [{"code":"1"},{"code":"10"},{"code":"11"},{"code":"2"},{"code":"3"},{"code":"5"},{"code":"6"},{"code":"8"}], CRO operational and study management functions
- Name
- Suvoda LLC
- Responsibilities
- [{"code":"3"}], eClinical/electronic data capture support
Third parties
- {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"[{\"code\":\"4\"}], contact Siteservices.eu@ppdi.com","organisation_type":"Pharmaceutical company"}
- {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"[{\"code\":\"1\"},{\"code\":\"10\"},{\"code\":\"11\"},{\"code\":\"2\"},{\"code\":\"3\"},{\"code\":\"5\"},{\"code\":\"6\"},{\"code\":\"8\"}], contact RS-Advisor-Support@medpace.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"[{\"code\":\"4\"}], contact deborah.ferstl@ppd.com","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Inivata Limited","duties_or_roles":"[{\"code\":\"4\"}], contact inv-uklabteam@neogenomics.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Fisher Clinical Services Inc.","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Drug supply and Depot\"}], contact SharedDistributionMountProspect@thermofisher.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"[{\"code\":\"5\"},{\"code\":\"6\"}], contact CDMS_Support@veeva.com","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"[{\"code\":\"3\"}], contact support@suvoda.com","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"[{\"code\":\"4\"}], contact ingo@bioagilytix.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"[{\"code\":\"5\"}], contact info@scoutclinical.com","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"EPL Pathology Archives LLC","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Long-term storage\"}], contact services@resonantclinical.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Nephropathology Associates PLC","duties_or_roles":"[{\"code\":\"4\"}], contact support@arkanalabs.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"[{\"code\":\"5\"}], contact support@greenphire.com","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"G1 Therapeutics Inc.","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Tracking and documentation of samples\"}], contact support@trulab.com","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ALPN-303 solution for injection
- Active Substance
- POVETACICEPT
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Subcutaneous injection
- Route
- Subcutaneous
- Authorisation Status
- Authorised (EU MP PRD11395570)
- Orphan Designation
- Yes
- Investigational Product Name
- ALPN-303 solution for injection in pre-filled syringe
- Active Substance
- POVETACICEPT
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Subcutaneous injection
- Route
- Subcutaneous
- Authorisation Status
- Authorised (EU MP PRD12198433)
- Orphan Designation
- Yes
- Investigational Product Name
- Test IMP without active substance
- Modality
- Other
- Authorisation Status
- Not applicable
- Investigational Product Name
- Test IMP ALPN-303 pre-filled syringe without active substance
- Modality
- Other
- Authorisation Status
- Not applicable
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