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NCT Number: NCT05907096

ARGX-117 in Deceased Donor Kidney Transplant Recipients at Risk for Delayed Graft Function

The main purpose of this study is to evaluate the safety, efficacy and tolerability of ARGX-117 in Deceased Donor Kidney Transplant Recipients at Risk for Delayed Graft Function.

The study consists of 2 parts: part A comprises the main study period, and part B comprises the long-term observational follow-up period. During part A, after the screening period, eligible participants will be randomized to receive either ARGX-117 or placebo, entering the treatment and evaluation period (duration of up to 52 weeks). After the treatment period, participants will enter a follow-up period of up to 12 weeks.

The total study duration varies from approximately 64 weeks up to 5 years post-transplant depending on whether a participant enrols in part B of the study.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Royal Adelaide Hospital, Adelaide, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Is at least the local legal age of consent for clinical studies and at least aged 18 years and less than 70 years
  • Agree to use contraceptive measures consistent with local regulations
  • Are diagnosed with ESRD and have been stable on chronic dialysis for at least 3 months
  • Are recipients of de novo or second-time, single kidney transplant from a deceased donor, either DCD (donation after cardiac/circulatory death) or DBD ( (donation after brain death)
  • Are ABO compatible with donor allograft, except for type A2 donor to type B recipient kidneys
  • Have a negative cross match
  • Have received pretransplant vaccinations for: Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae, or are willing to receive the vaccinations approximately 3 to 4 months posttransplant

Exclusion criteria

  • Any history of prothrombotic disorder or history of thrombosis or hypercoagulable state, excluding vascular access clotting
  • Any known history of complement deficiency
  • Evidence of peritonitis in participants on peritoneal dialysis
  • Received any solid organ, bone marrow, or hematopoietic stem cell transplant, with the exception of prior first kidney transplant
  • High risk within the study period for recurrence of underlying renal disease in the opinion of the investigator
  • Clinically significant comorbidity, recent major surgery (within 3 months of screening), history of any treatment nonadherence, or intention to have surgery during the study other than kidney transplantation; or any other medical condition that, in the investigator's opinion, would confound the results of the study or put the participant at undue risk
  • Clinically significant active bacterial, viral, or fungal infection
  • History of malignancy unless considered cured by adequate treatment, with no evidence of recurrence for 5 years or more before first study drug administration. Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer; Carcinoma in situ of the cervix; Carcinoma in situ of the breast; Incidental histological finding of prostate cancer
  • History of current alcohol, drug, or medication abuse as assessed by the investigator
  • Pregnant or lactating state or intention to become pregnant during the study

The full list of criteria can be found in the protocol.

Treatment and study plan

ARGX-117

Biological

Intravenous administration of ARGX-117

Placebo

Other

Intravenous administration of placebo

Primary outcomes

  1. eGFR at 24 weeks posttransplant

    Time frame: Up to 24 weeks

    Estimated glomerular filtration rate

Secondary outcomes

  1. Proportion of participants with Delayed Graft Function (DGF)

    Time frame: Up to 52 weeks

  2. Proportion of participants with fDGF

    Time frame: Up to 52 weeks

    Functional Delayed Graft Function

  3. Duration of dialysis treatment for DGF within the first 30 days posttransplant

    Time frame: up to 30 days

  4. Proportion of participants who have ongoing dialysis requirement at study day 31

    Time frame: Up to 31 days

  5. CRR at 72 hours posttransplant and on study day 8

    Time frame: up to 8 days

    Creatinine reduction ratio

  6. iBox score at 52 weeks posttransplant

    Time frame: up to 52 weeks

  7. Dialysis-free participant survival through 52 weeks posttransplant

    Time frame: up to 52 weeks

  8. (Death-censored) allograft survival through 52 weeks posttransplant

    Time frame: Up to 52 weeks

  9. eGFR at 52 weeks posttransplant

    Time frame: up to 52 weeks

    Estimated glomerular filtration rate

  10. Incidence of PNF

    Time frame: up to 12 weeks

    Primary Nonfunction

  11. Serum concentrations for ARGX 117

    Time frame: up to 64 weeks

  12. Changes from baseline in free C2, total C2, and CH50

    Time frame: up to 64 weeks

  13. Incidence of anti-drug antibodies (ADA) against ARGX-117

    Time frame: up to 64 weeks

Sponsors and collaborators

Lead sponsor

argenx

Industry

Registry information

Official study title

A Phase 2, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Study to Assess the Safety, Efficacy, and Tolerability of ARGX-117 in Improving Allograft Function in Recipients of a Deceased Donor Renal Allograft at Risk for Delayed Graft Function

Acronym: VARVARA

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Jun 18, 2023
Registry last updated
Mar 18, 2026

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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