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Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy

Primary Purpose

IgA Nephropathy

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
OMS721
Vehicle (D5W or saline)
Sponsored by
Omeros Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for IgA Nephropathy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 years or older at the onset of Screening
  • Biopsy confirmed diagnosis of IgAN within 8 years prior to Screening
  • Proteinuria of > 1 g/day within 6 months prior to Screening or uPCR > 0.75 by spot urine at Screening
  • Mean of two proteinuria measurements > 1 g/day at baseline
  • Estimated glomerular filtration rate of ≥ 30 mL/min/1.73 m2 at Screening and baseline

Exclusion Criteria:

  • Treatment with immunosuppressants (e.g., azathioprine or cyclophosphamide), or cytotoxic drugs, for IgA within 8 weeks prior to Screening. Treatment with immunosuppressants or cytotoxic drugs for IgAN is not allowed during the Run-In Period. Treatment with immunosuppressants are allowed if such treatment is for indications other than IgAN.
  • Treatment with eculizumab within 8 weeks prior to Screening. Treatment with eculizumab is not allowed during the Run-In Period.
  • Treatment with systemic corticosteroids within 8 weeks prior to Screening. Treatment with systemic corticosteroids is not allowed during the Run-In Period.
  • Uncontrolled BP, a systolic BP of > 150 mmHg and a diastolic BP of > 100 mmHg at rest despite the combination of two or more anti-hypertensives including ACEIs, ARBs, or direct renin inhibitors at Screening and baseline
  • Female patients who are pregnant, breast feeding, or planning to become pregnant up through 12 weeks after the last dose of study drug, including possible retreatments
  • Clinical or biological evidence of Type 1 diabetes mellitus (DM), or poorly controlled DM with hemoglobin A1c > 7.5 or with evidence of diabetic nephropathy on biopsy, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease during Screening and Run-In
  • History of renal transplantation
  • Have a known hypersensitivity to any constituent of the investigational product
  • Rapidly progressive glomerulonephritis
  • Significant abnormalities in clinical laboratory values
  • History of human immunodeficiency virus (HIV), evidence of immune suppression, active HCV infection (patients with positive anti-HCV antibody but a non-detected HCV RNA PCR can enroll), HBV infection (patients with positive HBsAg are excluded. For patients with isolated positive anti-HBc antibody, HBV DNA test by PCR must be non-detectable to enroll).
  • Diagnosis of a malignancy except for adequately treated and cured basal or squamous cell skin cancer, curatively treated in situ disease, or other cancer from which the patient has been disease-free for ≥ 5 years
  • Have received any other investigational drug or device or experimental procedures within 30 days of the Screening Visit (SV)

Sites / Locations

  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
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  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • University of MinnesotaRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting
  • Omeros Investigational SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

OMS721

Placebo

Arm Description

Administration of OMS721

Administration of Vehicle (D5W or Saline Solution)

Outcomes

Primary Outcome Measures

Change from baseline in 24-hour urine protein excretion (UPE) in g/day at 36 weeks from beginning of treatment

Secondary Outcome Measures

Number of patients with treatment related Adverse Events as assessed by CTCAE v 4.0
Change from baseline in renal function as determined by the rate of change in estimated glomerular filtration rate (eGFR) up to 144 weeks from beginning of treatment
Change from baseline in 24-hour urine protein excretion (UPE) in g/day at 36 weeks from beginning of treatment in the subset of patients with baseline high proteinuria (defined as 24-hour UPE ≥ 2 g/day)
Time-averaged change in urine protein/creatinine ratio (uPCR) through 36 weeks.

Full Information

First Posted
June 21, 2018
Last Updated
May 28, 2019
Sponsor
Omeros Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03608033
Brief Title
Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase 3 Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy (ARTEMIS - IGAN)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Unknown status
Study Start Date
February 16, 2018 (Actual)
Primary Completion Date
August 2020 (Anticipated)
Study Completion Date
April 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Omeros Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and efficacy of OMS721 in patients with IgA nephropathy. The study will assess proteinuria by 24-hour urine protein excretion (UPE) in g/day at 36 weeks from beginning of treatment.
Detailed Description
This is a Phase 3, double-blind, randomized, placebo-controlled, study in patients aged 18 years and above with a biopsy-confirmed diagnosis of IgAN and with 24-hour UPE that is > 1 g/day within 6 months prior to Screening or uPCR > 0.75 by spot urine at Screening. During the study, all patients will continue optimized renin-angiotensin system (RAS) blockade. The study consists of five periods: Screening, Run-In, Initial Treatment (Weeks 1-12), Response Evaluation (Weeks 13-36), and Follow-Up (Weeks 37-144). Patients are assessed for re-treatment based on their response to 24-hour UPE. Additional treatment may be given to patients whose 24-hour UPE is > 1 g/day following the Initial Treatment Period and who relapse during the Response Evaluation and Follow-Up periods. Patients may be qualified for Open-Label Treatment with OMS721 after Week 72. Approximately 450 patients are to enrolled in two groups of 225 patients per arm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
IgA Nephropathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Eligible patients will be randomized 1:1 to receive OMS721 or placebo
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
450 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OMS721
Arm Type
Experimental
Arm Description
Administration of OMS721
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Administration of Vehicle (D5W or Saline Solution)
Intervention Type
Biological
Intervention Name(s)
OMS721
Intervention Description
Biological: OMS721
Intervention Type
Other
Intervention Name(s)
Vehicle (D5W or saline)
Intervention Description
5% Dextrose in water or normal saline solution
Primary Outcome Measure Information:
Title
Change from baseline in 24-hour urine protein excretion (UPE) in g/day at 36 weeks from beginning of treatment
Time Frame
36 Weeks
Secondary Outcome Measure Information:
Title
Number of patients with treatment related Adverse Events as assessed by CTCAE v 4.0
Time Frame
168 Weeks
Title
Change from baseline in renal function as determined by the rate of change in estimated glomerular filtration rate (eGFR) up to 144 weeks from beginning of treatment
Time Frame
144 Weeks
Title
Change from baseline in 24-hour urine protein excretion (UPE) in g/day at 36 weeks from beginning of treatment in the subset of patients with baseline high proteinuria (defined as 24-hour UPE ≥ 2 g/day)
Time Frame
36 Weeks
Title
Time-averaged change in urine protein/creatinine ratio (uPCR) through 36 weeks.
Time Frame
36 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 years or older at the onset of Screening Biopsy confirmed diagnosis of IgAN within 8 years prior to Screening Proteinuria of > 1 g/day within 6 months prior to Screening or uPCR > 0.75 by spot urine at Screening Mean of two proteinuria measurements > 1 g/day at baseline Estimated glomerular filtration rate of ≥ 30 mL/min/1.73 m2 at Screening and baseline Exclusion Criteria: Treatment with immunosuppressants (e.g., azathioprine or cyclophosphamide), or cytotoxic drugs, for IgA within 8 weeks prior to Screening. Treatment with immunosuppressants or cytotoxic drugs for IgAN is not allowed during the Run-In Period. Treatment with immunosuppressants are allowed if such treatment is for indications other than IgAN. Treatment with eculizumab within 8 weeks prior to Screening. Treatment with eculizumab is not allowed during the Run-In Period. Treatment with systemic corticosteroids within 8 weeks prior to Screening. Treatment with systemic corticosteroids is not allowed during the Run-In Period. Uncontrolled BP, a systolic BP of > 150 mmHg and a diastolic BP of > 100 mmHg at rest despite the combination of two or more anti-hypertensives including ACEIs, ARBs, or direct renin inhibitors at Screening and baseline Female patients who are pregnant, breast feeding, or planning to become pregnant up through 12 weeks after the last dose of study drug, including possible retreatments Clinical or biological evidence of Type 1 diabetes mellitus (DM), or poorly controlled DM with hemoglobin A1c > 7.5 or with evidence of diabetic nephropathy on biopsy, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease during Screening and Run-In History of renal transplantation Have a known hypersensitivity to any constituent of the investigational product Rapidly progressive glomerulonephritis Significant abnormalities in clinical laboratory values History of human immunodeficiency virus (HIV), evidence of immune suppression, active HCV infection (patients with positive anti-HCV antibody but a non-detected HCV RNA PCR can enroll), HBV infection (patients with positive HBsAg are excluded. For patients with isolated positive anti-HBc antibody, HBV DNA test by PCR must be non-detectable to enroll). Diagnosis of a malignancy except for adequately treated and cured basal or squamous cell skin cancer, curatively treated in situ disease, or other cancer from which the patient has been disease-free for ≥ 5 years Have received any other investigational drug or device or experimental procedures within 30 days of the Screening Visit (SV)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Laura Haas
Phone
(206) 676-0886
Email
lhaas@omeros.com
First Name & Middle Initial & Last Name or Official Title & Degree
Fay Wang
Phone
(206) 676-0863
Email
fwang@omeros.com
Facility Information:
Facility Name
Omeros Investigational Site
City
Florence
State/Province
Alabama
ZIP/Postal Code
35630
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90022
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Lawrenceville
State/Province
Georgia
ZIP/Postal Code
30046
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Crystal Lake
State/Province
Illinois
ZIP/Postal Code
60012
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55414
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77024
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Saint George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Vienna
ZIP/Postal Code
1220
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Liège
State/Province
Liege
ZIP/Postal Code
4000
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Budapest
ZIP/Postal Code
H-1097
Country
Hungary
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Vilnius
ZIP/Postal Code
LT-08661
Country
Lithuania
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
(206) 676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Warszawa
ZIP/Postal Code
04-749
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Banská Bystrica
ZIP/Postal Code
975-17
Country
Slovakia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com
Facility Name
Omeros Investigational Site
City
Madrid
ZIP/Postal Code
28702
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Haas
Phone
206-676-0886
Email
lhaas@omeros.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
35675911
Citation
Reich HN, Floege J. How I Treat IgA Nephropathy. Clin J Am Soc Nephrol. 2022 Aug;17(8):1243-1246. doi: 10.2215/CJN.02710322. Epub 2022 Jun 8. No abstract available.
Results Reference
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Learn more about this trial

Study of the Safety and Efficacy of OMS721 in Patients With Immunoglobulin A (IgA) Nephropathy

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