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临床试验/NCT06126380
NCT06126380Enrolling By Invitation2 期

AT-1501-K209: BESTOW-EXTENSION: A Phase 2, Multicenter, Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of Tegoprubart in Kidney Transplant Recipients

Eledon Pharmaceuticals43 个研究点 分布在 8 个国家目标入组 132 人开始时间: 2023年10月25日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
Enrolling By Invitation
入组人数
132
试验地点
43
主要终点
Safety and Tolerability - Incidence of Treatment Emergent Adverse Events

研究概览

简要总结

This study will evaluate the long term safety and efficacy of AT-1501 (tegoprubart) compared with tacrolimus in patients undergoing kidney transplantation.

详细描述

This is a multicenter, open-label, active control extension study to assess the long-term safety and efficacy of AT-1501 (tegoprubart) compared with tacrolimus in the preservation of allograft function after kidney transplantation.

The number of patients enrolled for OLE study will depend on the enrollment in the Parent studies. To be eligible for participation in this study, participants must have completed a designated Parent study.

Participants in this study will continue the treatment regimen they were receiving in the Parent study. Dose regimens will include either AT-1501 (tegoprubart) or tacrolimus.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 100 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Successfully completed qualifying Parent study, where entry into the OLE was offered;
  • Continue to be able to understand the key components of the study as described in the written ICF, and is willing and able to provide written informed consent;
  • Agree not to participate in another interventional study while on treatment;
  • If female, is surgically sterile or 2 years postmenopausal. Women of childbearing potential may be enrolled if a pregnancy test is negative at baseline. Women of childbearing potential and men with partners that are of childbearing potential must agree to use highly effective methods of contraception from baseline, through 90 days after the last administration of the study drug. Examples of acceptable methods of contraception are described in Table
  • If male, agree to use a medically accepted highly effective method of contraception and agree to use this method for 90 days after last administration of the study drug and agree to not donate sperm for 90 days after last administration of the study drug.

排除标准

  • Unwilling or unlikely to comply with the study requirements, in the opinion of the Investigator;
  • Met any of the stopping criteria or discontinued study drug in the Parent study;
  • Pregnant or breastfeeding.

研究组 & 干预措施

AT-1501

Experimental

AT-1501 20 mg/kg administered every 3 weeks IV + MMF 1000 mg per os (orally) (PO) twice daily (BID) or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO once daily (QD) or equivalent

干预措施: AT-1501 (Drug)

Tacrolimus

Active Comparator

Tacrolimus dosed PO BID with the dose titrated to maintain a trough concentration of 6-8 ng/mL+ MMF 1000 mg PO BID or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO QD or equivalent

干预措施: Tacrolimus (Drug)

结局指标

主要结局

Safety and Tolerability - Incidence of Treatment Emergent Adverse Events

时间窗: Assessed from date of enrollment through Month 48

Incidence of treatment-emergent serious adverse events (TESAEs), treatment-emergent adverse events (TEAEs), and treatment-emergent AEs of special interest (TEAEoSI).

Safety and Tolerability - Kidney Transplant Medication Side Effects

时间窗: Assessed from date of enrollment through Month 48

Kidney transplant medication side effects using the Modified Transplant Symptom Occurrence and Symptom Distress Scale-59 (MTSOSD) at baseline and 12, 24, 36, and 48 months.

次要结局

  • Proportion of composite endpoint (graft failure, BPAR, or death) at 12, 24, 36, and 48 months(Assessed from date of enrollment through Month 48)
  • The proportion of patient and graft survival at 12, 24, 36, and 48 months(Assessed from date of enrollment through Month 48)
  • The proportion of participants with Graft function impairment at 12, 24, 36, and 48 months(Assessed from date of enrollment through Month 48)
  • Proportion of participants with BPAR at 12, 24, 36, and 48 months(Assessed from date of enrollment through Month 48)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (43)

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相关资讯

Eledon Pharmaceuticals Completes Enrollment in Phase 2 BESTOW Trial of Tegoprubart for Kidney Transplant Rejection- Eledon Pharmaceuticals completed enrollment for its Phase 2 BESTOW trial of tegoprubart, an immunosuppression therapy, four months ahead of schedule. - The BESTOW trial assesses tegoprubart's safety and efficacy in preventing organ rejection in kidney transplant recipients, compared to tacrolimus. - The primary endpoint is graft function at 12 months post-transplant, measured by estimated glomerular filtration rate (eGFR). - Top-line results from the BESTOW trial are anticipated in the fourth quarter of 2025, marking a potential advancement in immunosuppression therapy.2 years agoEledon's Tegoprubart Shows Superior Kidney Function Preservation in Phase 1b Transplant Trial- Eledon Pharmaceuticals reported updated Phase 1b trial data for tegoprubart, an anti-CD40L antibody, showing superior kidney function preservation with mean eGFR of 70.5 mL/min/1.73m² compared to standard care's 50 mL/min/1.73m². - The immunosuppressive therapy demonstrated favorable safety profile with no cases of hyperglycemia, diabetes, or tremor commonly associated with calcineurin inhibitors, though three patients discontinued due to adverse events. - Two patients completing 12 months of treatment maintained excellent kidney function with eGFRs above 90 mL/min/1.73m², supporting tegoprubart's potential as next-generation immunosuppression for kidney transplant recipients. - The company continues enrollment in Phase 2 BESTOW trial with completion anticipated by year-end, positioning tegoprubart to potentially replace current standard-of-care calcineurin inhibitors.2 years ago