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Completed

NCT Number: NCT03369236

A Proof-of-Concept Study of Danicopan for 6 Months of Treatment in Participants With C3 Glomerulopathy (C3G)

The primary purpose of this proof-of-concept clinical study was to evaluate the efficacy and safety of the study drug, ACH-0144471 (also known as danicopan and ALXN2040), in participants with C3G who also had significant proteinuria attributable to C3G.

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Key information

Age range

17 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Clinical Study Site, London, United Kingdom

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Had biopsy-confirmed primary C3G
  • Had clinical evidence of ongoing disease based on significant proteinuria, attributable to C3G disease in the opinion of the Principal Investigator (PI), and present prior to study entry and confirmed during Screening
  • Was willing to comply with vaccination requirements.

Key Exclusion Criteria:

  • Had a history or presence of any clinically relevant co-morbidities that would make the participant inappropriate for the study
  • Had ever received danicopan
  • Had more than 50% fibrosis or more than 50% of glomeruli with cellular crescents on the pre-treatment renal biopsy
  • Had an estimated glomerular filtration rate <30 milliliters/minute/1.73 meters squared at the time of screening or at any time over the preceding 4 weeks
  • Was a renal transplant recipient or receiving renal replacement therapy
  • Had a history of a major organ transplant or hematopoietic stem cell/marrow transplant
  • Had evidence of monoclonal gammopathy of unclear significance, infections, malignancy, autoimmune diseases, or other conditions to which C3G is secondary
  • Had other renal diseases that would interfere with interpretation of the study
  • Had been diagnosed with or showed evidence of hepatobiliary cholestasis
  • Females who were pregnant, nursing, or planning to become pregnant during the study or within 90 days of study drug administration
  • Had a history of febrile illness, a body temperature >38°Celsius, or other evidence of a clinically significant active infection, within 14 days prior to study drug administration
  • Had evidence of human immunodeficiency virus, hepatitis B infection, or active hepatitis C infection at Screening
  • Had laboratory abnormalities at screening that, in the opinion of the PI, would make the participant inappropriate for the study

Treatment and study plan

Danicopan

Drug

Danicopan was administered as an oral tablet.

Other names: ACH-4471, ACH4471, 4471, ACH-0144471 (formerly), ALXN2040

Placebo

Drug

Matching placebo was administered as an oral tablet.

Primary outcomes

  1. Change From Baseline In Composite Biopsy Score At Week 28

    Time frame: Baseline, Week 28

    The composite biopsy score was based on a score incorporating changes in the activity index, glomerular C3c staining, and glomerular macrophage infiltration at the end of 6 months of treatment. The composite renal biopsy index scoring system ranged from 0 to 21, with higher scores indicating worse outcomes.

  2. Participants With Reduction In Proteinuria At Week 28

    Time frame: Week 28

    Proteinuria reduction was defined as ≥ 30% decrease from baseline based on 24-hour urine protein (mg/day).

Secondary outcomes

  1. Change From Baseline In Proteinuria At Week 28

    Time frame: Baseline, Week 28

    Proteinuria was assessed based on 24-hour urine collections at baseline and Week 28.

  2. Percent Change From Baseline In Proteinuria At Week 28

    Time frame: Baseline, Week 28

    Proteinuria was assessed based on 24-hour urine collections at baseline and Week 28.

  3. Slope Of Estimated Glomerular Filtration Rate (eGFR) From Baseline To 6 Months

    Time frame: 6 months

    Slope of eGFR was estimated using a simple linear regression for each participant, including all data values from baseline until the end of the 6-month blinded treatment period, with eGFR as the dependent variable and time as the independent variable.

  4. Slope Of Estimated Glomerular Filtration Rate (eGFR) After Open-label Danicopan Treatment

    Time frame: 12 months

    Slope of eGFR was estimated using a simple linear regression for each participant, including all data values during the open-label extension period with eGFR as the dependent variable and time as the independent variable.

  5. Change From Baseline In eGFR At Week 28

    Time frame: Baseline, Week 28

    Change from baseline in eGFR at Week 28 is presented.

  6. Participants With Significant Improvement In eGFR Relative To Baseline At Week 28

    Time frame: Baseline, Week 28

    Significant improvement relative to baseline was defined as a ≥ 20% increase from baseline in eGFR.

  7. Participants With Significant Improvement In eGFR Relative To Baseline At Week 52

    Time frame: Baseline, Week 52

    Significant improvement relative to baseline was defined as a ≥ 20% increase from baseline in eGFR.

Sponsors and collaborators

Lead sponsor

Alexion Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Phase 2, Proof-of-Concept, Randomized, Double-Blinded, Placebo-Controlled Study of ACH-0144471 Treatment for 6 Months in Patients With C3 Glomerulopathy (C3G), With an Open-label Extension

Important dates

Study start
2018
Primary completion
2019
Study completion
2020
First posted
Dec 11, 2017
Registry last updated
Oct 14, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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