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Completed

NCT Number: NCT04342325

The Clinical Trial of ADR-001 for IgA Nephropathy

The purpose of this study is to evaluate the safety and the tolerability of ADR-001 in Immunoglobulin A (IgA) Nephropathy patients. In addition, the investigators will evaluate the efficacy of ADR-001 for IgA Nephropathy patients.

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Kasugai Municipal Hospital, Kasugai, Aichi-ken, Japan

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • IgA nephropathy diagnosed by renal biopsy.
  • Meet any of the following criteria.

i. Urinary protein at screening is 0.5 g / gCr or more and eGFR is 60 mL / min / 1.73m^2 or more even if corticosteroids are used for 6 months or more before screening.

ii. Urine protein of 1.0 g / gCr or more and eGFR of 30 mL / min / 1.73 m^2 or more and less than 60 mL / min / 1.73 m^2 at screening even if corticosteroids are used for 6 months or more before screening.

iii. Urine protein of 0.5 g / gCr or more and less than 1.0 g / gCr at screening and eGFR of 20 mL / min / 1.73m^2 or more and 60 mL / min / 1.73m^2 or urine protein of 1.0 g / gCr or more at screening And eGFR is 20 mL / min / 1.73m^2 or more and less than 30 mL / min / 1.73m^2.

  • Over 20 years old.
  • Able to provide informed consent.

However, in the first cohort, only 2) -i is applied in the selection criteria 2), and in the second cohort, 2) -i, ii, and iii are applied.

Exclusion criteria

  • Nephropathy other than IgA nephropathy, and primary and secondary nephrotic syndrome.
  • Start or increase drug therapy for IgA nephropathy with corticosteroids, immunosuppressants, renin angiotensin system (RAS ) inhibitors, antiplatelet drugs, anticoagulants (warfarin), and n-3 fatty acids (fish oil) within 3 months . Palatal tonsillectomy within 6 months.
  • Treatment with other cells.
  • Participated within 3 months or participating in other clinical trials .
  • Penal transplantation within 3 years or scheduled.
  • Diabetics not well controlled.
  • Malignant neoplasm or history of malignant neoplasm within 5 years, or judged possibility of malignant tumor.
  • Suspected of active infection.
  • Positive for hepatitis B (HB), hepatitis C virus (HCV),human Immunodeficiency virus (HIV), human T-cell leukemia virus 1 (HTLV-1) or syphilis.
  • History of severe hypersensitivity or anaphylactic reaction.
  • Allergic to penicillin antibiotics, aminoglycoside antibiotics or dimethyl sulfoxide (DMSO).
  • Serious complications not related to IgA nephropathy.
  • Bleeding or may bleed, shallow days after surgery or trauma to the central nervous system, history of hypersensitivity to components of heparin preparations, history of heparin-induced thrombocytopenia Previous patient.
  • During pregnancy, lactation, may be pregnant or both men and women who do not agree to give birth control under the guidance of the investigator or investigator during the study period.

Treatment and study plan

infusion of ADR-001 (Mesenchymal stem cell)

Biological

Once or twice with two week interval at a dose of 100 x 10 ^ 6 cells.

Primary outcomes

  1. Incidence of adverse events

    Time frame: until 6 weeks after first administration

    Any adverse events are summarized.

Secondary outcomes

  1. Clinical remission (proteinuria, hematuria)

    Time frame: at 2, 4, 6, 12, 26, 38 and 52 weeks after first administration

    Ratio and time frame to achieve remission are summarized.

  2. Proteinuria

    Time frame: at 2, 4, 6, 12, 26, 38 and 52 weeks after first administration

    Change from baseline value and ratio to achieve threshold are summarized.

  3. Hematuria

    Time frame: at 2, 4, 6, 12, 26, 38 and 52 weeks after first administration

    Change from baseline value and ratio to achieve threshold are summarized.

  4. Estimated glomerular filtration rate (eGFR)

    Time frame: at 2, 4, 6, 12, 26, 38 and 52 weeks after first administration

    Change from baseline value are summarized.

Sponsors and collaborators

Lead sponsor

Nagoya University

Other

Collaborators

  • Rohto Pharmaceutical Co., Ltd.

Registry information

Official study title

Open-label, Multiple-center, Dose-Escalation Study to Evaluate the Safety and Tolerability of ADR-001 for the Treatment for Immunoglobulin A (IgA) Nephropathy

Important dates

Study start
2020
Primary completion
2022
Study completion
2023
First posted
Apr 13, 2020
Registry last updated
May 1, 2023

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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