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NCT Number: NCT07160608

Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis

The primary objective of this study is to evaluate the safety and tolerability of tarperprumig in participants with newly diagnosed or relapsing anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis.

Recruiting

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Research Site, Ciudad de Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Newly diagnosed or relapsing ANCA-associated vasculitis, GPA and MPA subtypes consistent with the 2022 ACR/EULAR classification criteria for GPA and MPA for whom treatment with rituximab or cyclophosphamide is considered.
  • Positive test for antibodies to either PR3-ANCA or MPO-ANCA at Screening or in the past by a quantitative assay (for example, ELISA, bead assay).
  • At least one major item, or at least 3 minor items, or at least 2 renal items in the BVAS.

Exclusion criteria

  • Other systemic diseases that, in the judgment of the Investigator, constitute the primary illness, including but not limited to: eosinophilic granulomatosis with polyangiitis (EGPA), systemic lupus erythematosus, IgA nephropathy and/or IgA associated vasculitis with or without Henoch-Schonlein purpura, rheumatoid vasculitis, Sjogren's syndrome, anti-GBM disease, cryoglobulinemic vasculitis, autoimmune hemolytic anemia, or mixed connective tissue disease.
  • Alveolar hemorrhage requiring invasive pulmonary ventilation support at Screening.
  • Any diseases or conditions that, in the judgment of the Investigator, present a substantial clinical risk to participate in this study.
  • For patients with a previous diagnosis of CKD, patients known to have a stable eGFR for greater than 3 months prior to Screening and a decline less than 25% of previous eGFR at Screening will be excluded.

Treatment and study plan

Placebo

Drug

Participants will receive placebo.

Tarperprumig

Drug

Participants will receive tarperprumig.

Other names: ALXN1820

Primary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: Baseline through Week 70

Secondary outcomes

  1. Number of Participants Achieving Disease Remission at Week 26

    Time frame: Week 26

  2. Number of Participants Achieving Sustained Remission at Week 52

    Time frame: Week 52

  3. Number of Participants Achieving a Birmingham Vasculitis Activity Score (BVAS) of 0

    Time frame: Baseline through Week 52

  4. Number of Participants Experiencing a Relapse After Previously Achieving Disease Remission at Week 26

    Time frame: Week 26 through Week 70

  5. Time to First Relapse After Having Achieved Disease Remission at Week 26

    Time frame: Week 26 through Week 70

  6. Change from Baseline in Vasculitis Damage Index

    Time frame: Baseline, Weeks 26, and 52

  7. Time to First Occurrence of BVAS of 0

    Time frame: Baseline through Week 52

  8. Change from Baseline in BVAS

    Time frame: Baseline, Weeks 26, and 52

  9. Change from Baseline in Estimated Glomerular Filtration Rate

    Time frame: Baseline, Weeks 26, and 52

  10. Change from Baseline in Proteinuria Based on Spot Urine Protein-Creatinine Ratio

    Time frame: Baseline, Weeks 26, and 52

  11. Change from Baseline in Proteinuria Based on Spot Urine Albumin-Creatinine Ratio

    Time frame: Baseline, Weeks 26, and 52

  12. Change from Baseline in Hematuria

    Time frame: Baseline, Weeks 26, and 52

Study contacts

Contact information is provided by the study sponsor or research team.

Alexion Pharmaceuticals, Inc. (Sponsor)

CONTACT

[email protected]

1-855-752-2356

Sponsors and collaborators

Lead sponsor

Alexion Pharmaceuticals, Inc.

Industry

Registry information

Official study title

Phase 2, Randomized, Double-Blind, Placebo-controlled, Parallel-Group, Multicenter Study to Evaluate the Safety and Efficacy of Tarperprumig in Adult Participants With Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis (I TRANSCEND)

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Sep 8, 2025
Registry last updated
Jun 16, 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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