Real-World Effectiveness and Safety of Pegcetacoplan in Patients With C3 Glomerulopathy (C3G) or Primary Immune Complex Membranoproliferative Glomerulonephritis (IC-MPGN): A Multi-Country Study
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 发起方
- 入组人数
- 150
- 试验地点
- 104
- 主要终点
- Achieving urine protein-to-creatinine ratio (UPCR) of <1 g/g
研究概览
简要总结
The purpose of this study is to evaluate the effectiveness and safety of Pegcetacoplan in patients with C3G and primary IC-MPGN in the real-world setting. This study will also assess biomarkers not routinely measured in clinical practice. Results will support the long-term evaluation of the benefit-risk profile of pegcetacoplan in a broad patient population, informing clinical decision-making.
详细描述
The purpose of this study is to evaluate the effectiveness and safety of pegcetacoplan in patients with C3G and primary IC-MPGN in the real-world setting post-approval, as well as to characterise relevant biomarkers and their association with pegcetacoplan treatment. This will provide new information that was not evaluated in the clinical programme and help with understanding the long-term benefit-risk of pegcetacoplan in a broad patient population. This study will evaluate patient data prior to, during and after the use of pegcetacoplan to assess how the real-world use of pegcetacoplan impacts clinical outcomes and health care resource utilisation. This knowledge will contribute to informed clinical decision-making and provide guidance for effective disease management of patients with C3G or primary IC-MPGN.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have received or plan to receive pegcetacoplan for the treatment of C3G or primary IC-MPGN.
- •Provided signed and dated informed consent. For participants under the legal age signed and dated informed consent is provided by the participant's legally authorised representative. Assent will also be obtained from paediatric participants as required by local regulations.
排除标准
- •Receiving an investigational treatment for C3G or primary IC-MPGN at the time of pegcetacoplan initiation.
- •Initiated treatment with pegcetacoplan in an interventional study.
研究组 & 干预措施
Single arm
干预措施: Pegcetacoplan (Drug)
结局指标
主要结局
Achieving urine protein-to-creatinine ratio (UPCR) of <1 g/g
时间窗: at 6 months after starting pegcetacoplan treatment
To describe the real-world clinical effectiveness of pegcetacoplan in participants with C3G or primary IC-MPGN
次要结局
- Participant demographics (age, sex, race)(Day 1 of treatment/Baseline.)
- Clinical characteristics of renal disease (UPCR)(Prior to and - Day 1 of treatment/Baseline.)
- Clinical characteristics of renal disease (eGFR)(Prior to and - Day 1 of treatment/Baseline.)
- Prior and concomitant C3G and primary IC-MPGN treatment information(Day 1 of treatment/Baseline.)
- ≥50% proteinuria reduction(At 1, 3, 6, 12 months and then every 6 months through the last dose received during the study, up to 5.5 years.)
- <1 g/g UPCR(At 1, 3, 6, 12 months and then every 6 months through the last dose received during the study, up to 5.5 years.)
- <0.5 g/g UPCR among participants aged 18 years or older(At 1, 3, 6, 12 months and then every 6 months through the last dose received during the study, up to 5.5 years.)
- <0.2 g/g UPCR among participants less than 18 years of age(Whenever the event occurs for the first time during pegcetacoplan treatment, up to 5.5 years.)
- Resolution of nephrotic syndrome in those with nephrotic syndrome(Whenever the event occurs for the first time during pegcetacoplan treatment, up to 5.5 years.)
- Sustained doubling of serum creatinine(Whenever the event occurs for the first time during pegcetacoplan treatment, up to 5.5 years.)
- Progression to Chronic Kidney Disease Stage 5 or ESRD(At occurrence, prior to and during pegcetacoplan treatment, up to 5.5 years.)
- Receipt of new kidney transplant(At occurrence, prior to and during pegcetacoplan treatment, up to 5.5 years.)
- New onset of maintenance dialysis (i.e., for at least 4 weeks)(At occurrence, prior to and during pegcetacoplan treatment, up to 5.5 years.)
- Death from kidney failure(At occurrence, prior to and during pegcetacoplan treatment, up to 5.5 years.)
- Change in urine protein-to-creatinine ratio (UPCR) from the most recent diagnostic test results(Prior to start of pegcetacoplan treatment, at 1, 3, 6, 12 months, and then every 6 months through the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Achieving UPCR of <1 g/g(At 1, 3, 6, 12 months and then every 6 months through the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Change in eGFR derived from the most recent diagnostic test results of creatinine and height (if applicable)(Prior to start of pegcetacoplan treatment to eGFR derived at 1, 3, 6, 12 months and then until the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Proportion of participants with annualised eGFR decline ≤5 mL/min/1.73 m2(Yearly during pegcetacoplan treatment up to the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Change in kidney biopsy findings(At occurrence, during pegcetacoplan treatment, through the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Summary of pegcetacoplan treatment information(Throughout the whole study duration whenever pegcetacoplan is administered per standard of care, up to 5.5 years.)
- Exposure-adjusted incidence rate of SAEs(Ongoing from the start of pegcetacoplan treatment to study end, or 8 weeks post last dose of pegcetacoplan, whichever occurs earlier.)
- Exposure-adjusted incidence rate of AESIs(Ongoing from the start of pegcetacoplan treatment to study end, or 8 weeks post last dose of pegcetacoplan, whichever occurs earlier.)
- Summary scores of FACIT-Fatigue and WPAI(At the start of pegcetacoplan treatment, as available; at study enrolment; and every 6 months during treatment, through the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Summary of TSQM among adult participants(At the start of pegcetacoplan treatment, as available, at study enrolment, and every 6 months during treatment through the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised number of C3G and primary IC-MPGN-related inpatient or outpatient hospital visits(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised C3G-related length of hospital stays(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised primary IC-MPGN-related length of hospital stays(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised number of C3G-related length of ICU admissions(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised number of primary IC-MPGN-related ICU admissions(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised C3G-related length of ICU stay(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised primary IC-MPGN-related length of ICU stay(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised number of C3G-related emergency department visits(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
- Annualised number of primary IC-MPGN-related emergency department visits(Prior to, during treatment and after the last pegcetacoplan dose or up to 2 years after the enrolment date of the last participant.)
