- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05647811
Study of NM8074 in Adult C3 Glomerulopathy Patients
January 31, 2024 updated by: NovelMed Therapeutics
A Phase Ib, Open Label, Dose Escalation Study of NM8074 in Subjects With C3 Glomerulopathy (C3G)
This is a Phase Ib, open-label, dose-escalation study designed to evaluate the safety, efficacy, and immunogenicity of NM8074 administered intravenously to patients with C3 Glomerulopathy.
Study Overview
Detailed Description
The proposed study, NM8074-C3G-101, will enroll a planned number of 18 patients, with the potential to enroll more patients.
There will be 3 cohorts with 6 patients each dosed at 5, 10, or 20 mg/kg depending on which cohort they are assigned to.
Enrollment in the subsequent higher dose level cohort will occur after the previous cohort has been evaluated for safety.
Study Type
Interventional
Enrollment (Estimated)
18
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Rekha Bansal
- Phone Number: 216-440-2696
- Email: clinicalsae@novelmed.com
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patients ≥ 18 and ≤ 65 years at the time of consent
- Diagnosis of C3 Glomerulopathy as confirmed by C3 nephropathy in biopsy within 12 months prior to enrollment
- Reduced serum C3 levels (defined as less than 0.85 x lower limit of the central laboratory normal range) at Screening
- Patients with confirmed proteinuria
- Willing and able to understand and complete informed consent procedures, including signing and dating the informed consent form (ICF), and comply with the study visit schedule
- Women of child-bearing potential (WOCBP), defined as all women physiologically capable of becoming pregnant, must have a negative pregnancy test at screening and must agree to use highly effective methods of contraception during dosing and for 1 week after stopping of investigational drug
- Males must agree to use contraceptives and refrain from donating sperm for the duration of the study
- Patients must have documentation of previous vaccination or be willing to be vaccinated prior to dosing with NM8074. All patients will be vaccinated against Neisseria meningitidis, Streptococcus pneumoniae and Haemophilus influenzae according to the most current Advisory Committee on Immunization Practices (ACIP) recommendations.
- Estimated glomerular filtration (eGFR) rate of ≤ 60 ml/min but ≥ 20 ml/min
Exclusion Criteria:
- Use of other investigational drugs at the time of enrollment
- Patients with other renal diseases that would interfere with interpretation of the study
- Estimated glomerular filtration rate of ≤ 20 mL/min/1.73m2 based on Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) at Screening
- Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 times the upper limit of normal (xULN)
- Has a known history of meningococcal disease or N. meningitidis
- Currently active systemic infection or suspicion of active bacterial, viral, or fungal infection that requires antibiotic, antifungal, antiparasitic, or antiviral mediations
- Temperature > 38°C for more than two weeks prior to screening
- History of renal organ transplantation
- Pregnant, planning to become pregnant, or nursing female subjects
- C3G patients currently under complement blocker treatments
- Participation in any experimental small molecule or non-antibody therapy within 60 days prior to dosing on Day 1 (participation in observational studies and/or registry studies is permitted)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cohort 1
6 subjects will receive NM8074 at 5 mg/kg weekly.
|
NM8074 will be administered as an intravenous infusion.
Multiple dosing duration will range from 5 to 9 weeks.
|
Experimental: Cohort 2
6 subjects will receive NM8074 at 10 mg/kg every 2 weeks.
|
NM8074 will be administered as an intravenous infusion.
Multiple dosing duration will range from 5 to 9 weeks.
|
Experimental: Cohort 3
6 subjects will receive NM8074 at 20 mg/kg every 2 weeks.
|
NM8074 will be administered as an intravenous infusion.
Multiple dosing duration will range from 5 to 9 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Monitoring for incidence of Adverse Events (AEs)/Serious Adverse Events (SAEs)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Urine Protein to Creatine Concentration Ratio (UPCR)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Urine Albumin to Creatinine Concentration Ratio (UACR)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Ratio to Baseline of UPCR and UACR
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Derived from 24h urine collection
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Change from Baseline or Percent Change from Baseline in Estimated Glomerular Filtration Rate (eGFR)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent Change from Baseline in Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Classical Pathway (CP) of Complement Activity as Measured by Percent Change in Levels of Membrane Attack Complex (MAC)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Percent Change from Baseline in Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Classical Pathway (CP) of Complement Activity as Measured by Percent Change in Levels of Complement Component C3b
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Serum C3 Levels
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Glomerular Inflammation
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Measured by change from baseline or percent change from baseline in the C3G Histologic Index for Disease Activity - Combined C5b-9 Strata.
Scores range from 0-21 where a decrease in score indicates improvement.
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Assessed via the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale, Version 4.
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
The FACIT-fatigue scale is a 13-item patient-reported measure of fatigue with a 7-day recall period.
Items are scored on a 0 - 4 response scale ranging from "Not at all" to "Very much so".
All items are summed to create a single fatigue score with a range from 0 to 52 with a better quality of life indicated by a higher score.
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Assessed via the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 Scale (QLQ- C30), Version 3.0
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
All EORTC QLQ-C30 scales and single-item measures range from 0 to 100.
This includes 3 symptom scales (fatigue, pain, nausea and vomiting), 5 functional scales (physical, role, cognitive, emotional, and social), single-item questions addressing symptoms like insomnia, dyspnea, loss of appetite, and others that are commonly reported by cancer patients, and the perceived financial impact of the disease.
A higher score is associated with a greater quality of life for global health status.
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Changes in plasma concentration of NM8074
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Maximum plasma concentration (Cmax)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Time corresponding to Cmax (tmax)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Area under the drug concentration-time curves (AUC0-t)
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Levels of Complement Component C3b via Alternative Pathway (AP) of Complement Activity
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
|
Change from Baseline or Percent Change from Baseline in Levels of Membrane Attack Complex (MAC) via Alternative Pathway (AP) of Complement Activity
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change from Baseline or Percent Change from Baseline in Levels of Complement Component C3b via Classical Pathway (CP) of Complement Activity.
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Change from Baseline or Percent Change from Baseline in Levels of Membrane Attack Complex (MAC) via Classical Pathway (CP) of Complement Activity.
Time Frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
November 1, 2024
Primary Completion (Estimated)
February 1, 2026
Study Completion (Estimated)
July 1, 2026
Study Registration Dates
First Submitted
November 18, 2022
First Submitted That Met QC Criteria
December 3, 2022
First Posted (Actual)
December 13, 2022
Study Record Updates
Last Update Posted (Estimated)
February 2, 2024
Last Update Submitted That Met QC Criteria
January 31, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- NM8074-C3G-101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on C3 Glomerulopathy
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Novartis PharmaceuticalsRecruitingC3 GlomerulopathySpain, France, Germany, Switzerland, United States, Japan, Turkey, China, United Kingdom, Italy, Argentina, Brazil, Greece, Israel, Netherlands
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ChemoCentryxMedpace, Inc.CompletedC3 Glomerulopathy (C3G)United States, Spain, France, Netherlands, Belgium, Canada, Denmark, Germany, Ireland, Italy, United Kingdom
-
Alexion PharmaceuticalsCompletedC3 Glomerulopathy | C3 Glomerulonephritis | Dense Deposit DiseaseUnited Kingdom, United States
-
Apellis Pharmaceuticals, Inc.Active, not recruitingC3G | IC-MPGN | C3 Glomerulopathy | C3 Glomerulonephritis | Complement 3 Glomerulopathy | Complement 3 Glomerulopathy (C3G) | Complement 3 Glomerulonephritis | Dense Deposit Disease | DDD | Membranoproliferative Glomerulonephritis | Membranoproliferative Glomerulonephritis (MPGN) | Immune Complex Membranoproliferative...United States, Spain, France, Germany, United Kingdom, Netherlands, Brazil, Israel, Japan, Australia, Austria, Italy, Switzerland, Korea, Republic of, Czechia, Belgium, Argentina, Canada, Poland
-
Apellis Pharmaceuticals, Inc.Active, not recruitingC3G | IC-MPGN | C3 Glomerulopathy | C3 Glomerulonephritis | Complement 3 Glomerulopathy | Complement 3 Glomerulopathy (C3G) | Complement 3 Glomerulonephritis | Dense Deposit Disease | DDD | Membranoproliferative Glomerulonephritis | Membranoproliferative Glomerulonephritis (MPGN) | Immune Complex Membranoproliferative...United States, Australia, Brazil, Czechia, France, Italy, Korea, Republic of, Netherlands, Spain, Switzerland, United Kingdom
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Apellis Pharmaceuticals, Inc.AvailableC3G | IC-MPGN | C3 Glomerulopathy | C3 Glomerulonephritis | Complement 3 Glomerulopathy | Complement 3 Glomerulopathy (C3G) | Complement 3 Glomerulonephritis | Dense Deposit Disease | DDD | Membranoproliferative Glomerulonephritis | Membranoproliferative Glomerulonephritis (MPGN) | Immune Complex Membranoproliferative...United States
-
Mario Negri Institute for Pharmacological ResearchAlexion PharmaceuticalsCompletedIC-MPGN | C3 Glomerulopathy | C3 Glomerulonephritis | Dense Deposit Disease | Immune Complex Membranoproliferative GlomerulonephritisItaly
-
Region SkaneRecruitingC3 Glomerulopathy | C3 Glomerulonephritis | Dense Deposit Disease | Membranoproliferative Glomerulonephritis | Complement AbnormalitySweden
-
Alexion PharmaceuticalsAchillion, a wholly owned subsidiary of AlexionCompletedC3 Glomerulopathy | C3 Glomerulonephritis | Dense Deposit Disease | Immune Complex Mediated Membranoproliferative Glomerulonephritis | Membranoproliferative Glomerulonephritis Types I, II, and IIINetherlands, Australia, Belgium
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Apellis Pharmaceuticals, Inc.Active, not recruitingRenal Transplant | C3G | IC-MPGN | C3 Glomerulopathy | C3 Glomerulonephritis | Complement 3 Glomerulopathy | Complement 3 Glomerulopathy (C3G) | Complement 3 Glomerulonephritis | Membranoproliferative Glomerulonephritis | Membranoproliferative Glomerulonephritis (MPGN) | Immune Complex Membranoproliferative... and other conditionsUnited States, Australia, Austria, United Kingdom, Brazil, Argentina, France, Italy, Netherlands, Spain, Switzerland
Clinical Trials on NM8074
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NovelMed TherapeuticsNot yet recruitingaHUS - Atypical Hemolytic Uremic Syndrome
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NovelMed TherapeuticsNot yet recruitingParoxysmal Nocturnal Hemoglobinuria
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NovelMed TherapeuticsLabcorp Drug Development IncCompleted
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NovelMed TherapeuticsNot yet recruitingParoxysmal Nocturnal Hemoglobinuria