Safety and Tolerability of BION-1301 in Healthy Volunteers and Adults With IgA Nephropathy (IgAN)
IgA Nephropathy
About this trial
This is an interventional treatment trial for IgA Nephropathy
Eligibility Criteria
Inclusion Criteria for Healthy Volunteers:
- Healthy male or female volunteers, 18 to 55 years old
- Females must be of non-childbearing potential
- Males must agree to follow the protocol-specified contraception guidance
- Body mass index (BMI) between 18 and 35 kg/m^2, with a weight of at least 50 kg
- Non-smoker, defined as an individual who has not smoked previously and/or who has discontinued smoking or the use of nicotine/nicotine-containing products at least 3 months before Screening
- Able to provide signed informed consent
Exclusion Criteria for Healthy Volunteers:
- Regular consumption of alcohol within 6 months prior to Screening, or use of soft drugs (such as marijuana) within 3 months prior to Screening, or hard drugs (such as cocaine and phencyclidine) within 1 year prior to Screening and/or positive blood or urine test results for drugs of abuse or alcohol at Screening or Admission
- Donated blood in the 3 months prior to the first dose of study drug, plasma in the 7 days prior to the first dose of study drug, or platelets in the 6 weeks prior to the first dose of study drug
- History or evidence of a clinically significant disorder, condition, or disease that could pose a risk to subject safety or interfere with the study, or would make the subject unsuitable for participation, eg, respiratory, renal, hepatic, gastrointestinal, hematological, lymphatic, neurological, cardiovascular, or psychiatric disease
- Female who is breastfeeding or who has a positive serum pregnancy test at Screening or a positive urine pregnancy test on Day -1
Inclusion Criteria for Adults with IgAN:
- Male or female ≥18 years old at Screening
- Women of child-bearing potential (WOCBP; per CTFG 2014) must agree to follow the protocol-specified contraception guidance throughout the study (from Screening through approximately 6 months after the final dose of study drug)
- Males must agree to follow the protocol-specified contraception guidance throughout the study (from Screening through approximately 6 months after the final dose of study drug)
- BMI between 18 and 40 kg/m^2, inclusive, at Screening with a weight of at least 50 kg
- Diagnosis of IgAN verified by biopsy taken within the past 10 years
- Urine protein ≥ 0.5 g/24h; OR UPCR ≥ 0.5 g/g (or ≥ 50 mg/mmol)
- eGFR (per Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) or measured GFR ≥ 30 mL/min per 1.73 m^2
- Stable on an optimized dose of angiotensin converting enzyme (ACE) inhibitors and/or angiotensin-receptor blockers (ARBs) for at least 3 months prior to Screening or intolerant to ACE/ARB
Exclusion Criteria for Adults with IgAN:
- Known or suspected allergy or hypersensitivity to any component of BION-1301, or history of severe hypersensitivity reaction to any monoclonal antibody
- Donated blood in the 3 months prior to the first dose of study drug; plasma in the 7 days prior to the first dose of study drug; or platelets in the 6 weeks prior to the first dose of study drug
- Participated in any other study in which receipt of an investigational new drug, or investigational device occurred within 28 days, or 5 half-lives (whichever is longer) of first dose of study drug in the present study
- Secondary forms of IgAN as defined by the treating physician (eg, Henoch-Schönlein purpura patients and those with associated alcoholic cirrhosis)
- Received systemic corticosteroid therapy (> 10 mg/day of prednisone or equivalent) or any other form of immunosuppressive therapy within 3 months prior to the first dose of study drug
Sites / Locations
- National Institute of Clinical Research Phase One
- Amicis Research Center
- California Research Foundation
- Nephrology Educational Services and Research
- Colorado Kidney Care, P.C.
- Elixia Tampa, LLC
- Nephrology Associates of Central Florida
- New York Nephrology
- Chris Sholer, P.C.
- Liberty Research Center
- Liberty Research Center
- Texas Research Institute
- Prolato Clinical Research Center
- Soon Chun Hyang University Hospital Cheonan
- Hallym University Sacred Heart Hospital
- National Health Insurance Service Ilsan Hospital
- Hanyang University Guri Hostpital
- Seoul National University Bundang Hospital
- Liverpool University Hospital NHS Foundation Trust
- PAREXEL Early Phase Clinical Unit
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Part 1: BION-1301
Part 1: Placebo
Part 2: BION-1301
Part 2: Placebo
Part 3: BION-1301
Up to 5 cohorts with single ascending doses of BION-1301 administered by intravenous (IV) infusion.
Subjects will receive a single dose of placebo administered by IV infusion.
Up to 4 cohorts with multiple doses of BION-1301 administered by intravenous (IV) infusion.
Subjects will receive placebo by IV infusion.
Two cohorts of subjects will receive multiple doses of BION-1301 by IV infusion (Cohort 1) or SC injection (Cohort 2) at 600mg/biweekly.