A Study of the Effect and Safety of HS-10390 in the Treatment of Patients with Primary IgA Nephropathy
A Randomized, Multicenter, Open-label, Active-control Study of the Efficacy and Safety of HS-10390 for the Treatment of Immunoglobulin a Nephropathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: jicheng Lv, PhD
- Phone Number: +8613161753111
- Email: chenglv@263.net
Study Locations
-
-
-
Beijing, China
- Peking University First Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female, between 18 and 65 years age.
- Biopsy-proven primary IgA nephropathy.
- Currently on stable dose of ACEI and/or ARB therapy, for at least 12 weeks prior to screening (the patient's maximum tolerated dose and is at least one-half of the maximum labeled dose).
- Average 24-hour urine total protein ≥ 0.75 g/24 h at screening.
- Estimated GFR (using the CKD-EPI 2009) ≥ 30 mL/min per 1.73 m^2 at screening.
- Systolic BP between 100 and 150 mmHg and diastolic BP between 60 and 100 mmHg.
Exclusion Criteria:
- IgA nephropathy secondary to another condition
- IgA nephropathy with rapid decline of renal function; Kidney pathology indicated that more than 50% of the glomerulus had large crescent body formation, which may affect the study results; Tubule atrophy - interstitial fibrosis of more than 50%;
- Chronic kidney disease (CKD) in addition to IgAN
- Patients treated with any systemic non-biologic immunosuppressive drugs (including systemic corticosteroids) within 12 weeks prior to randomizing;
- Require any prohibited medications prior to randomizing;
- Exposure to an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to screening
- History of organ transplantation, with exception of corneal transplants
- Platelet< 100×109/L or hemoglobin value < 90 g/L) or Hematocrit value < 27% (0.27 V/V) at Screening
- Elevations of transaminases (ALT and/or AST) >2 times upper limit of normal or total bilirubin and/or direct bilirubin exceeding 1.5 times the upper limit of normal (ULN) at screening
- Potassium >5.5 mmol/L at Screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HS-10390; high dose
|
HS-10390 will be administered daily
|
|
Experimental: HS-10390; low dose
|
HS-10390 will be administered daily
|
|
Active Comparator: irbesartan
Irbesartan will be administered daily as a 150-mg oral tablet.
For patients who tolerate the initial dose of 150 mg after 2 weeks will increase their dose to 300 mg
|
Irbesartan will be administered daily as a 150-mg oral tablet.
For patients who tolerate the initial dose of 150 mg after 2 weeks will increase their dose to 300 mg
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in 24-hour urine protein at Week 12
Time Frame: up to week 12
|
The change in urine protein: creatinine ratio (UPCR) from baseline to Week 12
|
up to week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in 24-hour urine protein (UPCR)
Time Frame: up to Week 12
|
The change in urine protein: creatinine ratio (UPCR) from baseline
|
up to Week 12
|
|
Change from baseline in 24-hour urine protein(UACR)
Time Frame: up to Week 12
|
The change in urine albumin: creatinine ratio (UACR) from baseline
|
up to Week 12
|
|
Change from baseline in 24-hour urine protein
Time Frame: up to Week 12
|
The change in urine protein excretion from baseline
|
up to Week 12
|
|
Proportion Change from baseline in 24-hour urine protein
Time Frame: up to Week 12
|
The proportion of patients with urinary protein equivalent of < 0.3 g/24 hours
|
up to Week 12
|
|
change from baseline in Estimated Glomerular Filtration Rate
Time Frame: up to Week 12
|
change from baseline in Estimated Glomerular Filtration Rate (eGFR)
|
up to Week 12
|
|
Number of subjects with adverse events (AEs)
Time Frame: up to Week 12
|
Type, incidence, severity, seriousness, and relatedness of AEs will be collected
|
up to Week 12
|
|
Plasma Concentration of HS-10390
Time Frame: up to Week 12
|
Blood samples will be collected for the measurement of plasma concentrations of HS-10390
|
up to Week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Autoimmune Diseases
- Urologic Diseases
- Nephritis
- Glomerulonephritis
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Glomerulonephritis, IGA
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Irbesartan
Other Study ID Numbers
Other Study ID Numbers
- HS-10390-201
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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