IgA Nephropathy
Conditions
Keywords
Blisibimod, IgA nephropathy, BAFF, BLyS
Brief summary
The purpose of this study is to compare the effect of blisibimod plus standard of care versus placebo plus standard of care alone on the proportion of subjects achieving improvement in renal disease parameters.
Interventions
Blisibimod administered subcutaneously
Placebo administered subcutaneously
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older. * Biopsy-proven IgA nephropathy * Proteinuria ≥ 2g/24hr or equivalent * Receiving physician-directed optimized standard of care that includes ACEI and/or ARB. * Estimated glomerular filtration rate (eGFR) \>40mL/min/1.73m2
Exclusion criteria
* Clinical or histologic evidence of non-IgA-related glomerulonephritis * IgA nephropathy with greater than 50% glomerulosclerosis or cortical scarring * Meets eGFR criteria * Malignancy within past 5 years * Known to be positive for HIV and/or positive at the screening visit for hepatitis B, or hepatitis C * Liver disease * Neutropenia * Active infection requiring hospitalization or treatment with parenteral antibiotics within the past 60 days or history of repeated herpetic viral infections * History of active tuberculosis or a history of tuberculosis infection * Pregnant or nursing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of subjects to achieve the proteinuria threshold | Week 24 |
| The proportion of subjects who progress to end-stage renal disease | approximately 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in serum creatinine | Week 24 |
| Change from baseline in serum immunoglobulins IgA, IgG and IgM, plasma cells and B cell subsets | Week 24 |
| The proportion of subjects requiring the addition of corticosteroid or other therapy | Week 24 |
| Change from baseline in eGFR | Week 24 |
| Number of Participants with Adverse Events | Week 24 |