A Study to Assess Effectiveness and Safety of Efgartigimod in Chinese Patients with Primary Membranous Nephropathy (ZL-1103-014)
- Conditions
- Membranous Nephropathy
- Interventions
- Other: placeboBiological: efgartigimod IV
- Registration Number
- NCT05810961
- Lead Sponsor
- argenx
- Brief Summary
To evaluate the efficacy and safety of efgartigimod IV in Chinese patients with primary membranous nephropathy (pMN).
- Detailed Description
To evaluate the efficacy and safety of efgartigimod IV in Chinese patients with primary membranous nephropathy (pMN).The study comprises a maximum 4-week screening period, a 24-week treatment period, and an 8-week follow-up period
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 8
- Aged ≥18 years when signing the informed consent form (ICF)
- Capable of providing signed informed consent and complying with protocol requirements
- Diagnosis of idiopathic (primary) MN confirmed by renal biopsy within 24 months before randomization. A renal biopsy may be taken at any time during the screening period to confirm the diagnosis of MN for participant eligibility, if the most recent biopsy was performed greater than 24 months before randomization
- Receiving stable dose at maximum tolerated or allowed dose of ACEi and/or ARB for at least 12 weeks before randomization
- Agree to use contraceptives consistent with local regulations. Full inclusion criteria can be found in the protocol
- Active or chronic infection requiring treatment
- Diagnostic renal biopsy showing evidence of crescent formation in glomeruli, suggestive of an alternative or additional diagnosis to pMN; evidence on renal biopsy of >50% interstitial fibrosis/tubular atrophy in the cortical area
- History of malignancy unless deemed cured by adequate treatment with no evidence of recurrence for ≥3 years before randomization.
- Any evidence of diabetic glomerulopathy on renal biopsy that is:
Greater than Class I diabetic glomerulopathy, or Class I diabetic glomerulopathy with a history of poor diabetic control (eg, HbA1c ≥9.0%) since time of biopsy
- Currently on renal dialysis or expected to require dialysis during study period
- Previous kidney transplantation or planned transplantation during study period
- Any other known autoimmune disease that, requires systemic immunosuppressive treatments, or in the opinion of the investigator, would interfere with an accurate assessment of clinical symptoms of pMN or put the participant at undue risk
- Clinical evidence of other significant or uncontrolled serious diseases (ie, cardiovascular, pulmonary, hematologic, gastrointestinal, hepatic, renal, neurological), have had a recent major surgery, or have any other condition, that in the opinion of the investigator, could confound the results of the study or put the participant at undue risk
- Use of complementary therapies, including Traditional Chinese Medicine, herbs, or procedures (eg, acupuncture) within 4 weeks before randomization that can potentially interfere with the efficacy and safety of participants as assessed by the investigator
- Received live/live-attenuated vaccine within 28 days before randomization. The receipt of any inactivated, subunit, polysaccharide, or conjugate vaccine at any time before screenings is not considered exclusionary. It is recommended that participants are up to date with vaccination before the first dose of IMP
- Previously participated in a clinical study with efgartigimod
- SARS-CoV-2 positive test at screening. The test is required regardless of whether the participant has been vaccinated
- Known hypersensitivity or contraindication to efgartigimod, or any excipient of the IMP
- In the opinion of the investigator, current or history of (ie, within 12 months of randomization) alcohol, drug, or medication abuse
- Pregnant or lactating females and those who intend to become pregnant during study participation
- Any conditions or circumstances that in the opinion of the investigator may make the participant unsuitable for the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description placebo placebo patients receiving infusions of placebo efgartigimod IV efgartigimod IV patients receiving infusions of efgartigimod
- Primary Outcome Measures
Name Time Method Change from baseline to week 24 in urine protein creatinine ratio (UPCR) in anti- PLA2R antibody (Ab) seropositive population up to 24 weeks
- Secondary Outcome Measures
Name Time Method changes from baseline in levels of total IgG up to 32 weeks Treatment failure rate during treatment period in overall population and anti-PLA2R Ab seropositive population up to 32 weeks Change from baseline to week 24 in urine protein creatinine ratio (UPCR) in overall population up to 24 weeks Change from baseline in EQ5D-5L score in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Proportion of participants achieving complete remission (CR), defined as proteinuria ≤0.3g/24-hour and serum albumin ≥3.5g/dL, at week 24 in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Time to complete remission (CR) in overall population and anti-PLA2R Ab seropositive population up to 32 weeks Time to partial remission (PR) in overall population and anti-PLA2R Ab seropositive population up to 32 weeks Change from baseline to week 24 in anti-PLA2R Ab in anti-PLA2R Ab seropositive population up to 24 weeks Incidence of antidrug antibodies (ADA) against efgartigimod in overall population and anti-PLA2R Ab seropositive population up to 32 weeks Change from baseline in PROMIS Short form v1.0 Fatigue-4a questionnaire in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Efgartigimod serum concentration-time profile in overall population and anti-PLA2R Ab seropositive population up to 32 weeks Proportion of participants achieving partial remission (PR), defined as ≥50% reduction in proteinuria from baseline AND final proteinuria between 0.3 to 3.5g/24-hour, at week 24 in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Change from baseline to week 24 in serum albumin in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Change from baseline to week 24 in estimated glomerular filtration rate (eGFR) in overall population and anti-PLA2R Ab seropositive population up to 24 weeks Incidence of relapse, defined as the development of nephrotic range proteinuria following CR or PR, ie, >3.5g/24-hour throughout the study in overall population and anti-PLA2R Ab seropositive population up to 32 weeks
Trial Locations
- Locations (31)
Fujian Medical University Union Hospital
🇨🇳Fujian, China
Fuyang People's Hospital
🇨🇳Fuyang, China
Peking University People's Hospital
🇨🇳Beijing, China
Hunan Provincial People's Hospital
🇨🇳Changsha, China
The Second Affiliated Hospital of Chongqing Medical University
🇨🇳Chongqing, China
Guangdong Provincial People's Hospital
🇨🇳Guangzhou, China
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
🇨🇳Guangzhou, China
The First Affiliated Hospital, Sun Yat-sen University
🇨🇳Guanzhou, China
The First Affiliated Hospital, Zhejiang University
🇨🇳Hanzhou, China
The Second Hospital of Anhui Medical University
🇨🇳Hefei, China
The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University
🇨🇳Huai'an, China
Shandong Provincial Hospital Affiliated to Shandong First Medical University
🇨🇳Jinan, China
Liu Zhou Works Hospital
🇨🇳Liuzhou, China
The First Affiliated Hospital of Nanchang University
🇨🇳Nanchang, China
Jiangsu Province Hospital
🇨🇳Nanjing, China
Zhongda Hospital Southeast University
🇨🇳Nanjing, China
The People's Hospital of Guangxi Zhuang Autonomous Region
🇨🇳Nanning, China
Pingxiang People's Hospital
🇨🇳Pingxiang, China
Huashan Hospital Fudan University
🇨🇳Shanghai, China
Renji Hospital Shanghai Jiaotong University School of Medicine
🇨🇳Shanghai, China
ShengJing Hospital of China Medical University
🇨🇳Shenyang, China
Shenzhen People's Hospital
🇨🇳Shenzhen, China
The First Hospital of Hebei Medical University
🇨🇳Shijia Zhuang, China
The Second Hospital of Tianjin Medical University
🇨🇳Tianjin, China
Renmin Hospital of Wuhan University
🇨🇳Wuhan, China
Wuxi People's Hospital
🇨🇳Wuxi, China
Shaanxi Provincial Hospital of Chinese Medicine
🇨🇳Xi'an, China
The First Affiliated Hospital of Xiamen University
🇨🇳Xiamen, China
Xiamen Fifth Hospital
🇨🇳Xiamen, China
Henan Provincial People's Hospital
🇨🇳Zhengzhou, China
Zhuhai People's Hospital
🇨🇳Zhuhai, China