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NCT Number: NCT05156710

BIVV020 (SAR445088) in Prevention and Treatment of Antibody-mediated Rejection (AMR)

Primary Objectives:

* Cohort A: To evaluate the efficacy of BIVV020 in prevention of AMR * Cohort B: To evaluate the efficacy of BIVV020 in treatment of active AMR

Secondary Objectives:

* To assess the overall efficacy of BIVV020 in prevention or treatment of AMR * To characterize the safety and tolerability of BIVV020 in kidney transplant participants * To characterize the pharmacokinetic (PK) profile of BIVV020 in kidney transplant participants * To evaluate the immunogenicity of BIVV020

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Investigational Site Number : 1240001, Vancouver, British Columbia, Canada

Loading trial locations.

About this study

Up to approximately 2 years

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

-Participant intended to receive SOC therapy per Investigator's judgment and local practice.

Cohort A: Participants with chronic kidney disease who will receive a kidney transplant from a living or deceased donor.

Cohort B: Participants who are kidney transplant recipients diagnosed with active AMR.

  • BMI ≤ 40 kg/m2.
  • Contraceptive use by women during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).
  • Contraceptive use by men during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).

Exclusion criteria

  • Participants who are ABO incompatible with their donors.
  • Participants with known active ongoing infection as per below:
  • Positive HIV.
  • Positive HBV.
  • HCV with detectable HCV RNA.
  • Within 4 weeks of first study intervention: any serious infection, or any active bacterial infection, or any other infection which is clinically significant in the option of the Investigator, unless it can be confirmed that infection was cleared at least 3 days prior to first study intervention.
  • History of active tuberculosis (TB) regardless of treatment.
  • Participants with clinical diagnosis of systemic lupus erythematosus (SLE).
  • Prior treatment with complement system inhibitor within 5 times the half-life.
  • Current enrollment in any other clinical study where the last investigational study treatment administration was within 5 half-lives from study intervention initiation.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

BIVV020 (SAR445088)

Drug

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intravenous immunoglobulin (IVIG)

Drug

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Rituximab or biosimilar

Drug

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Antithymocyte globulin (ATG)

Drug

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Tacrolimus

Drug

Pharmaceutical Form: Tablet Route of Administration: Oral

Mycophenolate

Drug

Pharmaceutical Form: Tablet Route of Administration: Oral

Corticosteroids

Drug

Pharmaceutical Form: Vary Route of Administration: Vary

Primary outcomes

  1. Cohort A: Treatment failure rate

    Time frame: Up to Week 49

    Defined as the proportion of participants meeting at least one of the following criteria:

    • Biopsy-proven active AMR as per Banff Criteria 2019 as per central pathology assessment,
    • Graft loss.
  2. Cohort B: AMR resolution rate

    Time frame: Up to Week 49

    Defined as the proportion of participants with post-treatment biopsy not fulfilling active AMR diagnosis criteria as per Banff Criteria 2019 as per central pathology assessment.

Secondary outcomes

  1. Cohort A: Treatment failure rate per local assessment using Banff criteria 2019

    Time frame: Up to Week 49

  2. Cohort B: AMR resolution rate per local assessment using Banff criteria 2019

    Time frame: Up to Week 49

  3. Change in renal function from baseline per central laboratory assessment of estimated glomerular filtration rate (eGFR) from serum creatinine using Modification of Diet in Renal Disease equation (MDRD)

    Time frame: Up to 22 weeks after end of treatment period

  4. Change in renal function from baseline per central laboratory assessment using protein: creatinine ratio

    Time frame: Up to 22 weeks after end of treatment period

  5. Change in allograft histopathology Banff score

    Time frame: Up to Week 49

  6. Graft survival as predicted by iBOX

    Time frame: Up to Week 49

  7. Assessment of adverse events (AEs)

    Time frame: Up to end of study, up to approximately 2 years

    Number of participants with treatment emergent adverse events (TEAEs)/ serious adverse events (SAES), laboratory abnormalities

  8. Change in systemic lupus erythematosus (SLE) panel

    Time frame: Up to 22 weeks after end of treatment period

  9. Plasma exposure of BIVV020 assessing pharmacokinetic parameter Cmin

    Time frame: Up to 22 weeks after end of treatment period

    Cmin is defined as the minimum concentration after injection

  10. Plasma exposure of BIVV020 assessing pharmacokinetic parameter AUC

    Time frame: Up to 22 weeks after end of treatment period

    AUC is defined as the area under plasma concentration versus time curve

  11. Number of participants with anti-BIVV020 antibodies

    Time frame: Up to 22 weeks after end of treatment period

    Number of participants developed drug-induced ADAs

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Multi-cohort, Randomized, Phase 2, Open-label Study to Assess the Preliminary Efficacy, Safety, and Pharmacokinetics of BIVV020 for Prevention and Treatment of Antibody-mediated Rejection in Adult Kidney Transplant Recipients.

Important dates

Study start
2022
Primary completion
2025
Study completion
2026
First posted
Dec 14, 2021
Registry last updated
Feb 24, 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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