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OpenTrials
Completed

NCT Number: NCT03832114

Study on Efficacy and Safety of LNP023 in C3 Glomerulopathy Patients Transplanted and Not Transplanted

The study is an open-label, two cohort non-randomized study evaluating the efficacy, safety, and pharmacokinetics of LNP023 in patients with C3G (Cohort A) and patients who have undergone kidney transplant and have C3G recurrence (Cohort B).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigative Site, Montpellier, France

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

for Cohort A and B:

  • Written informed consent must be obtained before any assessment is performed
  • Male and female patients between the ages of 18 to 65 (inclusive) at screening
  • C3G patients wit proteinuria
  • Able to communicate well with the investigator, to understand and comply with the requirements of the study
  • At screening and baseline visits, patients must weigh at least 35 kg
  • Supine vital signs should be within the following ranges :

oral body temperature between 35.0-37.5 °C systolic blood pressure, 80-170 mm Hg diastolic blood pressure, 50-105 mm Hg pulse rate, 45 - 100 bpm

.

Inclusion criteria

for Cohort A:

  • Estimated GFR (using the CKD-EPI formula) or measured GFR ≥30 mL/min per 1.73 m2 for patients on a maximum recommended or maximum tolerated dose of an angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB)
  • UPCR ≥ 100 mg/mmol (equivalent to ≥ 1 g/24h total urinary protein excretion)
  • Prior to entry, all patients must have been on supportive care including a maximally tolerated dose of ACEi or ARB for at least 30 days.

Inclusion criteria

for Cohort B:

  • No histological/laboratory/clinical signs of allorejection
  • If applicable, induction treatment after allotransplantation needs to be completed >30 days before inclusion.
  • Transplantation of a kidney allograft >90 days before inclusion
  • Patients need to be on a stable dose of immunosuppressive regimen prior to inclusion. Any approved treatments are allowed for this purpose.

Exclusion criteria

for Cohort A and B:

  • Use of other investigational drugs at the time of enrollment, or within 5 half-lives of randomization, or within 30 days, whichever is longer; or longer if required by local regulations
  • A history of clinically significant ECG abnormalities,
  • Known family history or known presence of long QT syndrome or Torsades de Pointes
  • Use of agents known to prolong the QT interval unless they can be permanently discontinued for the duration of the study
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.
  • Women of child bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 1 week after stopping of investigational drug.
  • History of immunodeficiency diseases, or a positive HIV test result.
  • Chronic infection with Hepatitis B (HBV) or Hepatitis C (HCV).
  • Patients who cannot receive vaccinations against N. meningitidis, S. pneumoniae, or H. influenzae

Treatment and study plan

LNP023

Drug

Increasing doses of LNP023 up to 200 mg.

Primary outcomes

  1. Cohort A: Change From Baseline in Urine Protein to Creatinine Concentration Ratio (UPCR)

    Time frame: Week 12

    Change in proteinuria assessed by ratio to baseline of UPCR derived from 24h urine collection

  2. Cohort B: Change From Baseline in C3 Deposit

    Time frame: Week 12

    Histopathological changes in kidney biopsies as assessed by change from baseline in C3 Deposit Score (based on immunofluorescence microscopy)

Secondary outcomes

  1. Change From Baseline in Urine Protein Creatinine Concentration Ratio (UPCR)

    Time frame: Week 12: Day 84

    Ratio to baseline UPCR derived from 24 hour urine collection

  2. Change From Baseline in Urine Protein (UP) Excretion

    Time frame: Week 12: Day 84

    Ratio to baseline UP excretion derived from 24 hour urine collection

  3. Change From Baseline in Urine Albumin Creatinine Concentration Ratio (UACR) Excretion

    Time frame: Week 12: Day 84

    Ratio to baseline UACR excretion derived from 24 hour urine collection

  4. Change From Baseline Change in Urinary Albumin (UA) Excretion

    Time frame: Week 12: Day 84

    Ratio to baseline UA excretion derived from 24 hour urine collection

  5. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)

    Time frame: Day 84

    Effect of LNP023 on estimated glomerular filtration rate (eGFR)

  6. Change From Baseline in Serum Creatinine

    Time frame: Week 12: Day 84

    The effect of LNP023 on renal function - serum creatinine

  7. Change From Baseline in Creatinine Clearance

    Time frame: Week 12: Day 84

    The effect of LNP023 on renal function - creatinine clearance

  8. Number of Patients With Hematuria

    Time frame: Week 12: Day 84

    The effect of LNP023 on renal function - hematuria

  9. Change From Baseline in Urine Protein to Creatinine Concentration Ratio (UPCR) First Morning Void

    Time frame: Week 9: Day 64

    Ratio to baseline of UPCR reduction derived from total cumulative urinary excretion first morning void

  10. Change From Baseline in Urine Albumin to Creatinine Concentration Ratio (UACR) First Morning Void

    Time frame: Week 9: Day 64

    UACR reduction derived from total cumulative urinary excretion first morning void

  11. Pharmacokinetics of LNP023 Area Under the Plasma-concentration-time Curve AUClast (AUC)

    Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)

    The area under the plasma concentration-time curve calculated from time zero to the last quantifiable concentration point (hr*ng/mL)

  12. Pharmacokinetics of LNP023 Area Under the Plasma-concentration-time Curve AUCtau (AUC)

    Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)

    The area under the plasma concentration-time curve calculated to the end of the dosing interval (hr*ng/mL)

  13. Observed Maximum Concentration After Drug Administration (Cmax)

    Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)

    The observed maximum plasma concentration (ng/mL)

  14. Observed Minimum Concentration After Drug Administration (Ctrough)

    Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)

    The concentration that is just prior to the beginning of, or at the end, of a dosing interval (ng/mL)

  15. Time to Reach the Maximum Plasma Concentration (Tmax)

    Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)

    The time to reach peak or maximum concentration (hr)

  16. Summary of Change From Baseline Complement C3 Biomarker in Serum

    Time frame: Baseline, Day 1, Day 7, Day 14, Day 21, Day 28, Day 36, Day 64, Day 84

    To assess the effect of LNP023 on alternative complement pathway hyperactivity.

  17. Ratio to Baseline Summary of Plasma Bb

    Time frame: Baseline, Day 1, Day 7, Day 14, Day 21, Day 28, Day 36, Day 64, Day 84

    To assess the relationship between LNP023 dose and pharmacodynamic biomarker levels of blood Bb

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

An Open-label, Non-randomized Study on Efficacy, Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of LNP023 in Two Patient Populations With C3 Glomerulopathy

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Feb 6, 2019
Registry last updated
Jan 30, 2024

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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