- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07606352
Safety and Efficacy of STL303 In Patients With Primary Immunoglobulin A (IgA) Nephropathy
A Multicenter, Randomised, Double-Blinded, Placebo-Controlled Study to Evaluate the Safety and Efficacy of STL303 In Patients With Primary Immunoglobulin A (IgA) Nephropathy
Tutkimuksen yleiskatsaus
Yksityiskohtainen kuvaus
This is a multicenter, randomized, double-blind, placebo-controlled study in approximately 15 patients with primary IgA nephropathy (IgAN).
Participants receiving background therapy will be randomized in a 1:1:1 ratio to receive STL303 capsules dose 1, dose 2, or placebo, administered orally once daily.
The study aims to evaluate the efficacy and safety of STL303 in patients with primary IgAN and to identify the optimal clinical dose.
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 2
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Clinical Operations Manager
- Puhelinnumero: +61 421 585707
- Sähköposti: studies@sitala.com
Opiskelupaikat
-
-
Queensland
-
Woolloongabba, Queensland, Australia, 4102
- Research Site
-
-
Victoria
-
Clayton, Victoria, Australia, 3168
- Research Site
-
Saint Albans, Victoria, Australia, 3021
- Research Site
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Inclusion Criteria:
- Male and female patients aged 18 years and older, with primary IgAN confirmed by renal biopsy:
- eGFR (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) greater than or equal to 30 mL/min/1.73 m2 at screening and after completion of run-in.
- UPCR greater than or equal to 0.75 g/g at screening and after completion of run-in.
- Vaccinated against Neisseria meningitidis and Streptococcus pneumoniae before the first dose.
- Have received stable treatment with RASis (ACEi or ARB) at the maximum recommended dose or MTD for at least 90 days prior to the first dose.
- If the patient has been treated with SGLT2i, diuretics, other antihypertensive treatments, ERA, and/or hydroxychloroquine for IgAN prior to the first dose, the drug should also be used stably for at least 90 days.
Exclusion Criteria:
- Secondary IgAN or unclear exclusion of secondary causes.
- Rapidly progressive IgAN (eGFR decline greater than or equal to 50% in 3 months, or less than 50% but at high risk).
- Other systemic diseases causing proteinuria/CKD or severe urinary obstruction.
- Known or suspected immunodeficiency or hereditary complement deficiency.
- Any organ transplant recipients except corneal.
- Poorly controlled blood pressure (SBP greater than 150 or DBP great than 90).
- Use of immunosuppressive drugs within 90 days or 5 half-lives.
- Prior oral budesonide (Nefecon/Tarpeyo/Kinpeygo) within 6 months.
- Prior complement inhibitors within 30 days, 5 half-lives, or residual effect period.
- Major systemic diseases preventing participation (e.g., NYHA IV, severe pulmonary disease).
- Significantly abnormal liver function (greater than 3× ULN enzymes or greater than 2× ULN bilirubin).
- QTcF greater than 500 ms.
- History of malignancy within 5 years (exceptions apply).
- History of meningococcal, pneumococcal, or Hib infection.
- Chronic/recurrent infections in past year (e.g., liver abscess, pyelonephritis).
- Active systemic infections within 2 weeks or fever greater than 38°C within 7 days.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Placebo Comparator: Plasebo
Osallistujat saavat lumelääkettä
|
Placebo arm participants will receive placebo capsules
|
|
Kokeellinen: STL303 dose level 1
Participants will receive STL303 dose level 1
|
STL303 arm participants will receive a specific dose of STL303
|
|
Kokeellinen: STL303 Dose Level 2
Participants will receive STL303 dose level 2
|
STL303 arm participants will receive a specific dose of STL303
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Treatment emergent adverse events (TEAEs), adverse events (AEs) and serious adverse events (SAEs)
Aikaikkuna: Adverse events will be closely monitored, and participants will report to the clinic on Days 7, 14, 30, 45, 60, 90, 135 and at end of treatment on Day 180. On Day 210 an End of study safety follow up will also be conducted.
|
All participants will be observed for any AE during the clinical study, including abnormalities in clinical symptoms and vital signs, physical examination, laboratory tests, and 12-lead ECG.
Incidence, severity, and relationship of TEAEs and serious adverse events (SAEs) to STL303.
Possible adverse events include: palpitations, nausea, vomiting, dizziness, sore throat, upper respiratory infection, loss of appetite, high temperature, chest discomfort, weakness, rash, headache, lethargy (feeling tired and low on energy) and urinary tract infection.
|
Adverse events will be closely monitored, and participants will report to the clinic on Days 7, 14, 30, 45, 60, 90, 135 and at end of treatment on Day 180. On Day 210 an End of study safety follow up will also be conducted.
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Change in blood creatinine level
Aikaikkuna: Blood sampling pre-dose on Days 1 (baseline), 14, 30, 45, 60, 90 and 180
|
Peripheral blood sampling
|
Blood sampling pre-dose on Days 1 (baseline), 14, 30, 45, 60, 90 and 180
|
|
Change in eGFR slope
Aikaikkuna: Blood sampling pre-dose on Days 1 (baseline), 14, 30, 45, 60, 90 and 180
|
Peripheral blood sampling
|
Blood sampling pre-dose on Days 1 (baseline), 14, 30, 45, 60, 90 and 180
|
|
Maximum Concentration at steady-state (Tmax, ss) of STL303
Aikaikkuna: Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
Measure time to reach maximum concentration at steady-state (Tmax, ss) at steady state.
|
Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
|
Maximum plasma concentration at steady-state (Cmax, ss) of STL303
Aikaikkuna: Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
Measure maximum plasma concentration at steady-state (Cmax, ss) at steady state.
|
Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
|
Trough plasma concentration at steady-state of STL303
Aikaikkuna: Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
Measure trough plasma concentration at steady-state (Cmin, ss /Ctrough, ss),
|
Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
|
Area under plasma concentration-time curve for STL303
Aikaikkuna: Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
Measure the area under the plasma concentration-time curve over one dosing interval at steady state (AUCtau)
|
Pre-dose on Days 1, 7, 14, 60, 90, 135, and 180. On Day 30 pre-dose and at 1 hour (± 5 minutes), 2 hours (± 5 minutes), 4 hours (± 10 minutes), 6 hours (± 10 minutes), 8 hours (± 10 minutes), 12 hours (± 10 minutes), and 24 hours (± 1 hour) after dosing
|
|
Alternative Pathway Activity (Wieslab Assay)
Aikaikkuna: Pre-dose and post-dose on Day 1 and Day 14; pre-dose on Days 7, 60, 90, 135, and 180; intensive time points (pre-dose, 1, 2, 4, 6, 8, 12, and 24 hours post-dose) on Day 30
|
Change from baseline in complement alternative pathway (AP) functional activity as measured by the Wieslab assay in serum
|
Pre-dose and post-dose on Day 1 and Day 14; pre-dose on Days 7, 60, 90, 135, and 180; intensive time points (pre-dose, 1, 2, 4, 6, 8, 12, and 24 hours post-dose) on Day 30
|
|
Urinary Complement Biomarker C3a
Aikaikkuna: Day 1, Day 7 (FMV only), Day 14 (FMV only), Day 30, Day 60, Day 90, Day 135 (FMV only), and Day 180 (all pre-dose)
|
Change from baseline in urinary levels of C3a, measured in first morning void (FMV) and 24-hour urine samples collected midstream first morning void (FMV) Urine sampling
|
Day 1, Day 7 (FMV only), Day 14 (FMV only), Day 30, Day 60, Day 90, Day 135 (FMV only), and Day 180 (all pre-dose)
|
|
Plasma Soluble Terminal Complement Complex (sC5b-9)
Aikaikkuna: Day 1 through Day 180 (pre-dose at scheduled visits)
|
Change from baseline in plasma levels of soluble terminal complement complex (sC5b-9), a marker of terminal complement activation
|
Day 1 through Day 180 (pre-dose at scheduled visits)
|
|
Complement Factor B Cleavage Fragment (Bb)
Aikaikkuna: Day 1 through Day 180 (pre-dose at scheduled visits)
|
Change from baseline in plasma levels of complement factor B cleavage fragment (Bb), a marker of alternative pathway activation
|
Day 1 through Day 180 (pre-dose at scheduled visits)
|
|
Change from baseline urine protein-to-creatinine ratio (UPCR)
Aikaikkuna: 24-hour urine collection pre-dose on Days 1 (baseline), 30, 60, 90 and 180
|
Change in baseline 24-hour urine collection
|
24-hour urine collection pre-dose on Days 1 (baseline), 30, 60, 90 and 180
|
|
Change in UPCR
Aikaikkuna: 24-hour urine collection pre-dose on Days 1 (baseline), 30, 60 and 90
|
Change in baseline 24-hour urine collection
|
24-hour urine collection pre-dose on Days 1 (baseline), 30, 60 and 90
|
|
Change in urine albumin-to-creatinine ratio (UACR)
Aikaikkuna: 24-hour urine collection pre-dose on Days 1 (baseline), 30, 60, 90 and 180
|
Change in baseline 24-hour urine collection
|
24-hour urine collection pre-dose on Days 1 (baseline), 30, 60, 90 and 180
|
|
Change urine protein excretion (UPE),
Aikaikkuna: 24-hour urine collection pre-dose Days 1 (baseline), 30, 60, 90 and 180
|
Change in baseline 24-hour urine collection
|
24-hour urine collection pre-dose Days 1 (baseline), 30, 60, 90 and 180
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Päätutkija: Eugenia Pedagogos, Western Health (Sunshine Hospital)
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muut tutkimustunnusnumerot
- STL303-201
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Yhdysvalloissa valmistettu ja sieltä viety tuote
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .
Kliiniset tutkimukset IgAN
-
Josep M CruzadoWyeth is now a wholly owned subsidiary of PfizerValmisGlomerulonefriitti, IGA | IGA-nefropatia | Nefropatia, IGAEspanja
-
Jiangsu HengRui Medicine Co., Ltd.Valmis
-
The George InstitutePeking University First HospitalValmisIgA glomerulonefriittiKanada, Kiina, Australia, Malesia, Hong Kong, Intia
-
Rigel PharmaceuticalsValmisIGA-nefropatiaYhdysvallat, Yhdistynyt kuningaskunta, Hong Kong, Taiwan, Itävalta, Saksa
-
Uppsala University HospitalHaukeland University Hospital; University Hospital, Linkoeping; Smerud Medical...TuntematonIGA-nefropatiaNorja, Ruotsi
-
Calliditas Therapeutics ABArchimedes Development LtdValmis
-
Sun Yat-sen UniversityTuntematon
-
Guangdong Provincial People's HospitalValmisGlomerulonefriitti | IGA-nefropatiaKiina
-
Nanjing University School of MedicineValmis
-
Rigel PharmaceuticalsPeruutettuIGA-nefropatia