search
Back to results

Study of Safety and Efficacy of AVB-S6-500 in Patients With IgA Nephropathy

Primary Purpose

IgA Nephropathy

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
AVB-S6-500
Sponsored by
Aravive, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for IgA Nephropathy focused on measuring IgAN, AXL inhibitor, Berger's Disease, Proteinuria, Kidney Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of biopsy-proven IgAN
  • Proteinuria ≥ 1g to 3g/24hr
  • Stable estimated glomerular filtration rate (eGFR) for at least 3 months prior to screening and ≥ 45 mL/min per 1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration formula
  • Systolic BP lesser than or equal to 150 mmHg and diastolic BP lesser than or equal to 100 mmHg
  • Patients who have been on a steady dose of ACE or ARB inhibitors for at least 3 months and throughout screening and who are not expected to have their dose adjusted during the study are allowed on study (patients who are not on ACEi/ARB due to inability to tolerate these therapies are also allowed)
  • If a sexually-active patient, must agree to use a reliable method of birth control from at least 4 weeks prior to first dose of study drug, during the study and for 1 month following completion of therapy.

Exclusion Criteria:

  • Patients with chronic urinary tract infections (UTIs) or taking prophylactic antibiotics to prevent recurrent UTIs
  • Treatment with systemic immunosuppressants, including corticosteroids, within 8 weeks of the first dose of study drug
  • Rapidly progressing nephropathy defined as falling GFR (≥ 15%) over past 3 mos
  • Clinical or biological evidence of diabetes mellitus, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease
  • Hemoglobin < 9.0 g/dL
  • History or clinical evidence of cirrhosis, or liver disease with serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3x upper limit of normal
  • Organ transplant recipient (including bone marrow) or a planned transplant during the study
  • Have a diagnosis of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection, or positive serology at screening
  • Recent active infection requiring hospitalization or i.v. treatment within 30 days prior to the first dose of study drug
  • Received transfusion, plasmapheresis or plasma exchange, IV immunoglobulin (IVIg) within 90 days prior to screening
  • Malignancy within the past 5 years. Exceptions are squamous cell carcinoma of skin, basal cell carcinoma of skin, and cervical carcinoma in situ which have been excised and are considered cured
  • Females who are nursing, pregnant, or intending to become pregnant during the time of the study, or who have a positive pregnancy test at baseline
  • Exposure to an investigational drug or device within 90 days or 5 half-lives (whichever is longer) prior to the first dose of study drug
  • Known sensitivity to any of the products to be administered during dosing
  • Subject will not be available for follow-up assessment
  • Subject has any kind of disorder that compromises the ability of the subject to give written informed consent and/or to comply with study procedures
  • Prior exposure to AVB-S6-500

Sites / Locations

  • Moonshine Clinical Research
  • Institute of Nephrology National Academy of Medical Science Ukraine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment with AVB-S6-500

Arm Description

Patients will receive AVB-S6-500 by intravenous infusion every 2 weeks for total of 6 doses.

Outcomes

Primary Outcome Measures

Incidence of Adverse Events (AEs)
Measured by the number of patients with AEs
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day.
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day in the Subset of Patients With Baseline High Proteinuria.
The Effect of AVB-S6-500 on Proportion of Patients With Urinary Protein Equivalent of < 1 g/24 Hours at End of Treatment
The Effect of AVB-S6-500 on Proportion of Patients Who Had at Least a Decrease of 0.5 g/Day Proteinuria From Baseline to End of Treatment.
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Urine Albumin/Creatinine Ratios (uACRs).
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Estimated Glomerular Filtration Rate (eGFR).

Secondary Outcome Measures

Incidence of Anti-drug Antibody (ADA)
The number of participants with anti-AVB-S6-500 antibodies
Titers of Anti-AVB-S6-500 Antibodies
Apparent Terminal Half-life (t1/2) of AVB-S6-500
Maximum Observed Plasma Concentration of AVB-S6-500 (Cmax)
Area Under Time-concentration Curve (AUC)
Time of Maximum Observed AVB-S6-500 Concentration (Tmax)

Full Information

First Posted
July 31, 2019
Last Updated
January 18, 2022
Sponsor
Aravive, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT04042623
Brief Title
Study of Safety and Efficacy of AVB-S6-500 in Patients With IgA Nephropathy
Official Title
An Open-Label Phase 2a Study to Evaluate the Safety and Efficacy of AVB-S6-500 in Patients With IgA Nephropathy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Terminated
Why Stopped
Business reasons
Study Start Date
November 27, 2019 (Actual)
Primary Completion Date
August 1, 2020 (Actual)
Study Completion Date
August 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aravive, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is an open-label Phase 2a clinical study designed to evaluate the safety and efficacy of AVB-S6-500 in patients with IgA Nephropathy (IgAN). Approximately 24 patients will be enrolled. Several dose levels of AVB-S6-500 may be evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
IgA Nephropathy
Keywords
IgAN, AXL inhibitor, Berger's Disease, Proteinuria, Kidney Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment with AVB-S6-500
Arm Type
Experimental
Arm Description
Patients will receive AVB-S6-500 by intravenous infusion every 2 weeks for total of 6 doses.
Intervention Type
Drug
Intervention Name(s)
AVB-S6-500
Intervention Description
AVB-S6-500 is experimental drug
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs)
Description
Measured by the number of patients with AEs
Time Frame
14 weeks
Title
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day.
Time Frame
12 weeks
Title
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day in the Subset of Patients With Baseline High Proteinuria.
Time Frame
12 weeks
Title
The Effect of AVB-S6-500 on Proportion of Patients With Urinary Protein Equivalent of < 1 g/24 Hours at End of Treatment
Time Frame
12 weeks
Title
The Effect of AVB-S6-500 on Proportion of Patients Who Had at Least a Decrease of 0.5 g/Day Proteinuria From Baseline to End of Treatment.
Time Frame
12 weeks
Title
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Urine Albumin/Creatinine Ratios (uACRs).
Time Frame
12 weeks
Title
The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Estimated Glomerular Filtration Rate (eGFR).
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Incidence of Anti-drug Antibody (ADA)
Description
The number of participants with anti-AVB-S6-500 antibodies
Time Frame
14 weeks
Title
Titers of Anti-AVB-S6-500 Antibodies
Time Frame
14 weeks
Title
Apparent Terminal Half-life (t1/2) of AVB-S6-500
Time Frame
12 weeks
Title
Maximum Observed Plasma Concentration of AVB-S6-500 (Cmax)
Time Frame
12 weeks
Title
Area Under Time-concentration Curve (AUC)
Time Frame
12 weeks
Title
Time of Maximum Observed AVB-S6-500 Concentration (Tmax)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of biopsy-proven IgAN Proteinuria ≥ 1g to 3g/24hr Stable estimated glomerular filtration rate (eGFR) for at least 3 months prior to screening and ≥ 45 mL/min per 1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration formula Systolic BP lesser than or equal to 150 mmHg and diastolic BP lesser than or equal to 100 mmHg Patients who have been on a steady dose of ACE or ARB inhibitors for at least 3 months and throughout screening and who are not expected to have their dose adjusted during the study are allowed on study (patients who are not on ACEi/ARB due to inability to tolerate these therapies are also allowed) If a sexually-active patient, must agree to use a reliable method of birth control from at least 4 weeks prior to first dose of study drug, during the study and for 1 month following completion of therapy. Exclusion Criteria: Patients with chronic urinary tract infections (UTIs) or taking prophylactic antibiotics to prevent recurrent UTIs Treatment with systemic immunosuppressants, including corticosteroids, within 8 weeks of the first dose of study drug Rapidly progressing nephropathy defined as falling GFR (≥ 15%) over past 3 mos Clinical or biological evidence of diabetes mellitus, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease Hemoglobin < 9.0 g/dL History or clinical evidence of cirrhosis, or liver disease with serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3x upper limit of normal Organ transplant recipient (including bone marrow) or a planned transplant during the study Have a diagnosis of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection, or positive serology at screening Recent active infection requiring hospitalization or i.v. treatment within 30 days prior to the first dose of study drug Received transfusion, plasmapheresis or plasma exchange, IV immunoglobulin (IVIg) within 90 days prior to screening Malignancy within the past 5 years. Exceptions are squamous cell carcinoma of skin, basal cell carcinoma of skin, and cervical carcinoma in situ which have been excised and are considered cured Females who are nursing, pregnant, or intending to become pregnant during the time of the study, or who have a positive pregnancy test at baseline Exposure to an investigational drug or device within 90 days or 5 half-lives (whichever is longer) prior to the first dose of study drug Known sensitivity to any of the products to be administered during dosing Subject will not be available for follow-up assessment Subject has any kind of disorder that compromises the ability of the subject to give written informed consent and/or to comply with study procedures Prior exposure to AVB-S6-500
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francoise Desir
Organizational Affiliation
Aravive, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Moonshine Clinical Research
City
Doral
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
Institute of Nephrology National Academy of Medical Science Ukraine
City
Kyiv
ZIP/Postal Code
04050
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of Safety and Efficacy of AVB-S6-500 in Patients With IgA Nephropathy

We'll reach out to this number within 24 hrs