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Enrolling by Invitation

NCT Number: NCT06126380

Long-Term Safety and Efficacy of Tegoprubart in Kidney Transplant Recipients

This study will evaluate the long term safety and efficacy of AT-1501 (tegoprubart) compared with tacrolimus in patients undergoing kidney transplantation.

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Key information

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Royal Adelaide Hospital, Adelaide, South Australia, Australia

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About this study

This is a multicenter, open-label, active control extension study to assess the long-term safety and efficacy of AT-1501 (tegoprubart) compared with tacrolimus in the preservation of allograft function after kidney transplantation.

The number of patients enrolled for OLE study will depend on the enrollment in the Parent studies. To be eligible for participation in this study, participants must have completed a designated Parent study.

Participants in this study will continue the treatment regimen they were receiving in the Parent study. Dose regimens will include either AT-1501 (tegoprubart) or tacrolimus.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Successfully completed qualifying Parent study, where entry into the OLE was offered;
  • Continue to be able to understand the key components of the study as described in the written ICF, and is willing and able to provide written informed consent;
  • Agree not to participate in another interventional study while on treatment;
  • If female, is surgically sterile or 2 years postmenopausal. Women of childbearing potential may be enrolled if a pregnancy test is negative at baseline. Women of childbearing potential and men with partners that are of childbearing potential must agree to use highly effective methods of contraception from baseline, through 90 days after the last administration of the study drug. Examples of acceptable methods of contraception are described in Table 6.
  • If male, agree to use a medically accepted highly effective method of contraception and agree to use this method for 90 days after last administration of the study drug and agree to not donate sperm for 90 days after last administration of the study drug.

Exclusion criteria

  • Unwilling or unlikely to comply with the study requirements, in the opinion of the Investigator;
  • Met any of the stopping criteria or discontinued study drug in the Parent study;
  • Pregnant or breastfeeding.

Treatment and study plan

AT-1501

Drug

AT-1501 20 mg/kg administered every 3 weeks IV + MMF 1000 mg PO twice daily (BID) or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO once daily (QD) or equivalent

Other names: Tegoprubart

Tacrolimus

Drug

Tacrolimus dosed PO BID with the dose titrated to maintain a trough concentration of 6-8 ng/mL+ MMF 1000 mg PO BID or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO QD or equivalent

Primary outcomes

  1. Safety and Tolerability - Incidence of Treatment Emergent Adverse Events

    Time frame: Assessed from date of enrollment through Month 48

    Incidence of treatment-emergent serious adverse events (TESAEs), treatment-emergent adverse events (TEAEs), and treatment-emergent AEs of special interest (TEAEoSI).

  2. Safety and Tolerability - Kidney Transplant Medication Side Effects

    Time frame: Assessed from date of enrollment through Month 48

    Kidney transplant medication side effects using the Modified Transplant Symptom Occurrence and Symptom Distress Scale-59 (MTSOSD) at baseline and 12, 24, 36, and 48 months.

Secondary outcomes

  1. The proportion of patient and graft survival at 12, 24, 36, and 48 months

    Time frame: Assessed from date of enrollment through Month 48

    A participant is considered to have graft functional impairment if they have an eGFR <60 mL/min/1.73m^2.

  2. The proportion of participants with Graft function impairment at 12, 24, 36, and 48 months

    Time frame: Assessed from date of enrollment through Month 48

    A participant is considered to have graft functional impairment if they have an eGFR <60 mL/min/1.73m^2.

  3. Proportion of participants with BPAR at 12, 24, 36, and 48 months

    Time frame: Assessed from date of enrollment through Month 48

    The Proportion of participants with BPAR at 12, 24, 36, and 48 months.

  4. Proportion of composite endpoint (graft failure, BPAR, or death) at 12, 24, 36, and 48 months

    Time frame: Assessed from date of enrollment through Month 48

    The Proportion of participants with composite endpoint (graft failure, BPAR, or death) at 12, 24, 36, and 48 months.

Sponsors and collaborators

Lead sponsor

Eledon Pharmaceuticals

Industry

Registry information

Official study title

AT-1501-K209: BESTOW-EXTENSION: A Phase 2, Multicenter, Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Tegoprubart in Kidney Transplant Recipients

Important dates

Study start
2023
Primary completion
2029
Study completion
2029
First posted
Nov 13, 2023
Registry last updated
Dec 10, 2025

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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