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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
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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)
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Secondary ID [1]
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OMS721-IGA-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
IgA Nephropathy
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Inflammatory and Immune System
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0
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Autoimmune diseases
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Intervention/exposure
Study type
Interventional
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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
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from baseline in 24-hour UPE in IgA nephropathy (IgAN) patients assessed at 36 weeks from baseline
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Assessment method [1]
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Timepoint [1]
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36 Weeks
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Secondary outcome [1]
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Renal function as determined by the rate of change in eGFR at up to 96 weeks from baseline.
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Assessment method [1]
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Timepoint [1]
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96 Weeks
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Secondary outcome [2]
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Time-averaged change from baseline in the log-transformed 24-hour UPE between 36 weeks and 48 weeks
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Assessment method [2]
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Timepoint [2]
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36 and 48 Weeks
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Secondary outcome [3]
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Time-averaged change from baseline in the log-transformed 24-hour UPE between 36 and 72 weeks
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Assessment method [3]
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0
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Timepoint [3]
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36 and 72 Weeks
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Secondary outcome [4]
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Safety and tolerability of narsoplimab for the treatment of IgAN
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Assessment method [4]
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As assessed by the incidence of adverse events through study completion (Week 112) in the patient group with baseline 24-hour UPE = 2 g and in the all-patients population
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Timepoint [4]
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Week 112
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Secondary outcome [5]
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Pharmacokinetics of narsoplimab intravenous infusion
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Assessment method [5]
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By evaluating the maximum concentration (Cmax) parameters at baseline and study days, T1, T4, T8, T10, T12 population (24-hour UPE \> 1 g/day)
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Timepoint [5]
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Week 12
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Secondary outcome [6]
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Assessment of pharmacokinetics of narsoplimab intravenous infusion
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Assessment method [6]
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By evaluating the area under the concentration-time curve from dosing time (AUC) at baseline and study days, T1, T4, T8, T10,T12
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Timepoint [6]
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Week 12
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Secondary outcome [7]
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Pharmacokinetics of narsoplimab intravenous infusion
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Assessment method [7]
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Pharmacokinetics of narsoplimab intravenous infusion by evaluating the maximum concentration Cmax parameters at baseline and study days, T1 Weeks 1, T4 Week 2-11, T8 Week 2-11, T10 Week 2-11, T12 Week 12 ±2 days measurement of anti-drug antibodies and neutralizing antibodies at baseline and study days T1, T4, T8, T10, T12
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Timepoint [7]
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Week 12
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Secondary outcome [8]
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Assessment of pharmacodynamics of narsoplimab intravenous infusion
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Assessment method [8]
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Assessment of pharmacokinetics of narsoplimab intravenous infusion by evaluating the area under the concentration-time curve from dosing time AUC at baseline and study days, T1 Weeks 1, T4 Week 2-11, T8 Week 2-11, T10 Week 2-11, T12 Week 12 ±2 days
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Timepoint [8]
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Week 12
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Secondary outcome [9]
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Assessment of pharmacodynamics of narsoplimab intravenous infusion with presence of positive anti-drug antibodies
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Assessment method [9]
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Assessment of percentage of participants with presence of positive anti-drug antibodies following intravenous infusion of narsoplimab at baseline and study days T1 Weeks 1, T4 Week 2-11, T8 Week 2-11, T10 Week 2-11, T12 Week 12 ±2 days.
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Timepoint [9]
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Week 12
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Secondary outcome [10]
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Assessment of percentage of participants with presence of neutralizing antibodies
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Assessment method [10]
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Assessment of percentage of participants with presence of neutralizing antibodies following intravenous infusion of narsoplimab at baseline and study days T1 Weeks 1, T4 Week 2-11, T8 Week 2-11, T10 Week 2-11, T12 Week 12 ±2 days.
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Timepoint [10]
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Week 12
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Secondary outcome [11]
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Change from baseline in log-transformed 24-hour uPCR through 36 weeks.
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Assessment method [11]
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Timepoint [11]
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Week 36
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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
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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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
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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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
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
16/02/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/10/2023
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Sample size
Target
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Accrual to date
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Final
356
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Recruitment in Australia
Recruitment state(s)
ACT,, WodenSaint AlbansSA,VIC
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Recruitment hospital [1]
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Omeros Investigational Site - Garran
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Omeros Investigational Site - Footscray
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Omeros Investigational Site - Adelaide
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Omeros Investigational Site - Clayton
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Recruitment postcode(s) [1]
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2606 - Garran
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Recruitment postcode(s) [2]
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3021 - Footscray
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment outside Australia
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Evington
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Country [103]
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United Kingdom
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State/province [103]
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Cambridge
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Country [104]
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United Kingdom
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Cardiff
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United Kingdom
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Dartford
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Omeros Corporation
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to evaluate the effect of OMS721 on 24-hour urine protein excretion (UPE) in IgA nephropathy (IgAN) patients with high baseline proteinuria (high-risk proteinuria group; 24-hour UPE = 2 g/day) assessed at 36 weeks from baseline.
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Trial website
https://clinicaltrials.gov/study/NCT03608033
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Trial related presentations / publications
Reich HN, Floege J. How I Treat IgA Nephropathy. Clin J Am Soc Nephrol. 2022 Aug;17(8):1243-1246. doi: 10.2215/CJN.02710322. Epub 2022 Jun 8. No abstract available.
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Public notes
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Contacts
Principal investigator
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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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.
Results not provided in
https://clinicaltrials.gov/study/NCT03608033