The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT03608033




Registration number
NCT03608033
Ethics application status
Date submitted
21/06/2018
Date registered
31/07/2018

Titles & IDs
Public title
Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy
Scientific title
A Randomized, Double-blind, Placebo-controlled, Phase 3 Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy (ARTEMIS - IGAN)
Secondary ID [1] 0 0
OMS721-IGA-001
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
IgA Nephropathy 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Kidney disease
Inflammatory and Immune System 0 0 0 0
Autoimmune diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - OMS721
Other interventions - Vehicle (D5W or saline)

Experimental: OMS721 - Administration of OMS721

Placebo comparator: Placebo - Administration of Vehicle (D5W or Saline Solution)


Treatment: Other: OMS721
Biological: OMS721

Other interventions: Vehicle (D5W or saline)
5% Dextrose in water or normal saline solution

Intervention code [1] 0 0
Treatment: Other
Intervention code [2] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change from baseline in 24-hour UPE in IgA nephropathy (IgAN) patients assessed at 36 weeks from baseline
Timepoint [1] 0 0
36 Weeks
Secondary outcome [1] 0 0
Renal function as determined by the rate of change in eGFR at up to 96 weeks from baseline.
Timepoint [1] 0 0
96 Weeks
Secondary outcome [2] 0 0
Time-averaged change from baseline in the log-transformed 24-hour UPE between 36 weeks and 48 weeks
Timepoint [2] 0 0
36 and 48 Weeks
Secondary outcome [3] 0 0
Time-averaged change from baseline in the log-transformed 24-hour UPE between 36 and 72 weeks
Timepoint [3] 0 0
36 and 72 Weeks
Secondary outcome [4] 0 0
Safety and tolerability of narsoplimab for the treatment of IgAN
Timepoint [4] 0 0
Week 112
Secondary outcome [5] 0 0
Pharmacokinetics of narsoplimab intravenous infusion
Timepoint [5] 0 0
Week 12
Secondary outcome [6] 0 0
Assessment of pharmacokinetics of narsoplimab intravenous infusion
Timepoint [6] 0 0
Week 12
Secondary outcome [7] 0 0
Pharmacokinetics of narsoplimab intravenous infusion
Timepoint [7] 0 0
Week 12
Secondary outcome [8] 0 0
Assessment of pharmacodynamics of narsoplimab intravenous infusion
Timepoint [8] 0 0
Week 12
Secondary outcome [9] 0 0
Assessment of pharmacodynamics of narsoplimab intravenous infusion with presence of positive anti-drug antibodies
Timepoint [9] 0 0
Week 12
Secondary outcome [10] 0 0
Assessment of percentage of participants with presence of neutralizing antibodies
Timepoint [10] 0 0
Week 12
Secondary outcome [11] 0 0
Change from baseline in log-transformed 24-hour uPCR through 36 weeks.
Timepoint [11] 0 0
Week 36

Eligibility
Key inclusion criteria
* Age 18 years or older at the onset of Screening
* Biopsy confirmed diagnosis of IgAN within 8 years prior to Screening
* Proteinuria of > 1 g/day within 6 months prior to Screening or uPCR > 0.75 by spot urine at Screening
* Mean of two proteinuria measurements > 1 g/day at baseline
* Estimated glomerular filtration rate of = 30 mL/min/1.73 m² at Screening and baseline
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Treatment with immunosuppressants (e.g., azathioprine or cyclophosphamide), or cytotoxic drugs, for IgA within 8 weeks prior to Screening. Treatment with immunosuppressants or cytotoxic drugs for IgAN is not allowed during the Run-In Period. Treatment with immunosuppressants are allowed if such treatment is for indications other than IgAN.
* Treatment with eculizumab within 8 weeks prior to Screening. Treatment with eculizumab is not allowed during the Run-In Period.
* Treatment with systemic corticosteroids within 8 weeks prior to Screening. Treatment with systemic corticosteroids is not allowed during the Run-In Period.
* Uncontrolled BP, a systolic BP of > 150 mmHg and a diastolic BP of > 100 mmHg at rest despite the combination of two or more anti-hypertensives including ACEIs, ARBs, or direct renin inhibitors at Screening and baseline
* Female patients who are pregnant, breast feeding, or planning to become pregnant up through 12 weeks after the last dose of study drug, including possible retreatments. Males who are planning to father children up through 12 weeks after the last dose of study drug, including possible retreatments
* Clinical or biological evidence of Type 1 diabetes mellitus (DM), or poorly controlled DM with hemoglobin A1c > 7.5 or with evidence of diabetic nephropathy on biopsy, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease during Screening and Run-In
* History of renal transplantation
* Have a known hypersensitivity to any constituent of the investigational product
* Rapidly progressive glomerulonephritis
* Significant abnormalities in clinical laboratory values
* History of human immunodeficiency virus (HIV), evidence of immune suppression, active HCV infection (patients with positive anti-HCV antibody but a non-detected HCV RNA PCR can enroll), HBV infection (patients with positive HBsAg are excluded. For patients with isolated positive anti-HBc antibody, HBV DNA test by PCR must be non-detectable to enroll).
* Diagnosis of a malignancy except for adequately treated and cured basal or squamous cell skin cancer, curatively treated in situ disease, or other cancer from which the patient has been disease-free for = 5 years
* Have received any other investigational drug or device or experimental procedures and/or treatments within 30 days of the Screening Visit (SV)
* Initiation or change in dosing of sodium glucose co-transporter 2 inhibitors (SGLT2i) during Screening and Run-In Periods. However, a stable dose regimen established at least 8 weeks prior to screening is acceptable
* Treatment with Tarpeyoâ„¢ (budesonide) or other approved treatments for IgAN within 6 months prior to screening. Treatment with Tarpeyo is not allowed during Screening and Run-In Periods
* Treatment with Kerendia® (finerenone) within 6 months prior to screening. Treatment with Kerendia is not allowed during Screening and Run-In Periods
* Initiation of treatment with Filspariâ„¢ (sparsentan), a dual Endothelin Angiotensin Receptor Antagonist (dEARA) or similar medication within three months prior to screening. A stable dose initiated at minimum 3 months before screening is acceptable and will take the place of ACEi/ARB as background therapy

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Stopped early
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
ACT,, WodenSaint AlbansSA,VIC
Recruitment hospital [1] 0 0
Omeros Investigational Site - Garran
Recruitment hospital [2] 0 0
Omeros Investigational Site - Footscray
Recruitment hospital [3] 0 0
Omeros Investigational Site - Adelaide
Recruitment hospital [4] 0 0
Omeros Investigational Site - Clayton
Recruitment postcode(s) [1] 0 0
2606 - Garran
Recruitment postcode(s) [2] 0 0
3021 - Footscray
Recruitment postcode(s) [3] 0 0
5000 - Adelaide
Recruitment postcode(s) [4] 0 0
3168 - Clayton
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Colorado
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Georgia
Country [7] 0 0
United States of America
State/province [7] 0 0
Illinois
Country [8] 0 0
United States of America
State/province [8] 0 0
Iowa
Country [9] 0 0
United States of America
State/province [9] 0 0
Massachusetts
Country [10] 0 0
United States of America
State/province [10] 0 0
Minnesota
Country [11] 0 0
United States of America
State/province [11] 0 0
Missouri
Country [12] 0 0
United States of America
State/province [12] 0 0
New York
Country [13] 0 0
United States of America
State/province [13] 0 0
Ohio
Country [14] 0 0
United States of America
State/province [14] 0 0
Pennsylvania
Country [15] 0 0
United States of America
State/province [15] 0 0
South Carolina
Country [16] 0 0
United States of America
State/province [16] 0 0
Tennessee
Country [17] 0 0
United States of America
State/province [17] 0 0
Texas
Country [18] 0 0
United States of America
State/province [18] 0 0
Wisconsin
Country [19] 0 0
Argentina
State/province [19] 0 0
Misiones
Country [20] 0 0
Argentina
State/province [20] 0 0
Buenos Aires
Country [21] 0 0
Argentina
State/province [21] 0 0
Cordoba
Country [22] 0 0
Argentina
State/province [22] 0 0
Salta
Country [23] 0 0
Belgium
State/province [23] 0 0
Gent
Country [24] 0 0
Belgium
State/province [24] 0 0
Leuven
Country [25] 0 0
Belgium
State/province [25] 0 0
Liège
Country [26] 0 0
Bulgaria
State/province [26] 0 0
Plovdiv
Country [27] 0 0
Bulgaria
State/province [27] 0 0
Sofia
Country [28] 0 0
Canada
State/province [28] 0 0
British Columbia
Country [29] 0 0
Canada
State/province [29] 0 0
Ontario
Country [30] 0 0
Czechia
State/province [30] 0 0
Praha
Country [31] 0 0
Germany
State/province [31] 0 0
Baden-Wrttemberg
Country [32] 0 0
Germany
State/province [32] 0 0
Bayern
Country [33] 0 0
Germany
State/province [33] 0 0
Nordrhein-Westfalen
Country [34] 0 0
Germany
State/province [34] 0 0
Göttingen
Country [35] 0 0
Germany
State/province [35] 0 0
Villingen-Schwenningen
Country [36] 0 0
Greece
State/province [36] 0 0
Pilea-Chortiatis
Country [37] 0 0
Greece
State/province [37] 0 0
Athens
Country [38] 0 0
Greece
State/province [38] 0 0
Heraklion
Country [39] 0 0
Greece
State/province [39] 0 0
Iraklio
Country [40] 0 0
Greece
State/province [40] 0 0
Patra
Country [41] 0 0
Hungary
State/province [41] 0 0
Baja
Country [42] 0 0
Hungary
State/province [42] 0 0
Budapest
Country [43] 0 0
Hungary
State/province [43] 0 0
Gyor
Country [44] 0 0
Hungary
State/province [44] 0 0
Pecs
Country [45] 0 0
Hungary
State/province [45] 0 0
Szeged
Country [46] 0 0
India
State/province [46] 0 0
Ameerpet
Country [47] 0 0
India
State/province [47] 0 0
Gujarat
Country [48] 0 0
India
State/province [48] 0 0
Karnataka
Country [49] 0 0
India
State/province [49] 0 0
Kerala
Country [50] 0 0
India
State/province [50] 0 0
New India
Country [51] 0 0
India
State/province [51] 0 0
Rajasthan
Country [52] 0 0
India
State/province [52] 0 0
Telangana
Country [53] 0 0
India
State/province [53] 0 0
Chandigarh
Country [54] 0 0
Italy
State/province [54] 0 0
Bari
Country [55] 0 0
Italy
State/province [55] 0 0
Bergamo
Country [56] 0 0
Italy
State/province [56] 0 0
Eboli
Country [57] 0 0
Italy
State/province [57] 0 0
Messina
Country [58] 0 0
Italy
State/province [58] 0 0
Milano
Country [59] 0 0
Italy
State/province [59] 0 0
Modena
Country [60] 0 0
Italy
State/province [60] 0 0
Parma
Country [61] 0 0
Italy
State/province [61] 0 0
Piacenza
Country [62] 0 0
Korea, Republic of
State/province [62] 0 0
Geyonggi-do
Country [63] 0 0
Korea, Republic of
State/province [63] 0 0
Gyeonggi-do
Country [64] 0 0
Korea, Republic of
State/province [64] 0 0
Busan
Country [65] 0 0
Korea, Republic of
State/province [65] 0 0
Incheon
Country [66] 0 0
Korea, Republic of
State/province [66] 0 0
Seoul
Country [67] 0 0
Lithuania
State/province [67] 0 0
Kaunas
Country [68] 0 0
Lithuania
State/province [68] 0 0
Vilnius
Country [69] 0 0
Poland
State/province [69] 0 0
Todzi
Country [70] 0 0
Poland
State/province [70] 0 0
Krakow
Country [71] 0 0
Poland
State/province [71] 0 0
Olsztyn
Country [72] 0 0
Poland
State/province [72] 0 0
Warszawa
Country [73] 0 0
Singapore
State/province [73] 0 0
Singapore
Country [74] 0 0
Slovakia
State/province [74] 0 0
Banská Bystrica
Country [75] 0 0
Slovakia
State/province [75] 0 0
Kosice
Country [76] 0 0
Spain
State/province [76] 0 0
San Sebastian De Lost Reyes
Country [77] 0 0
Spain
State/province [77] 0 0
Almeria
Country [78] 0 0
Spain
State/province [78] 0 0
Barcelona
Country [79] 0 0
Spain
State/province [79] 0 0
Cordoba
Country [80] 0 0
Spain
State/province [80] 0 0
Lleida
Country [81] 0 0
Spain
State/province [81] 0 0
Madrid
Country [82] 0 0
Spain
State/province [82] 0 0
Valencia
Country [83] 0 0
Spain
State/province [83] 0 0
Zaragoza
Country [84] 0 0
Sweden
State/province [84] 0 0
Stockholm
Country [85] 0 0
Taiwan
State/province [85] 0 0
Changhua City
Country [86] 0 0
Taiwan
State/province [86] 0 0
Hualien City
Country [87] 0 0
Taiwan
State/province [87] 0 0
Kaohsiung City
Country [88] 0 0
Taiwan
State/province [88] 0 0
New Taipei City
Country [89] 0 0
Taiwan
State/province [89] 0 0
Taichung City
Country [90] 0 0
Taiwan
State/province [90] 0 0
Taoyuan City
Country [91] 0 0
Thailand
State/province [91] 0 0
Bangkok
Country [92] 0 0
Thailand
State/province [92] 0 0
Chiang Mai
Country [93] 0 0
Thailand
State/province [93] 0 0
Dusit
Country [94] 0 0
Thailand
State/province [94] 0 0
Khon Kaen
Country [95] 0 0
Thailand
State/province [95] 0 0
Songkla
Country [96] 0 0
Turkey
State/province [96] 0 0
Ankara
Country [97] 0 0
Turkey
State/province [97] 0 0
Bursa
Country [98] 0 0
Turkey
State/province [98] 0 0
Edirne
Country [99] 0 0
Turkey
State/province [99] 0 0
Istanbul
Country [100] 0 0
Turkey
State/province [100] 0 0
Kocaeli
Country [101] 0 0
Turkey
State/province [101] 0 0
Malatya
Country [102] 0 0
United Kingdom
State/province [102] 0 0
Evington
Country [103] 0 0
United Kingdom
State/province [103] 0 0
Cambridge
Country [104] 0 0
United Kingdom
State/province [104] 0 0
Cardiff
Country [105] 0 0
United Kingdom
State/province [105] 0 0
Dartford
Country [106] 0 0
United Kingdom
State/province [106] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Omeros Corporation
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
No/undecided IPD sharing reason/comment


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.