Skip to content

Vascular Endothelial Growth Factor-B (VEGF-B) Blockade With the Monoclonal Antibody CSL346 in Subjects With Diabetic Kidney Disease

A Phase 2a, Double-blind, Randomized, Placebo-controlled, Proof of Concept Study of Vascular Endothelial Growth Factor (VEGF)-B Blockade With the Monoclonal Antibody CSL346 in Subjects With Diabetic Kidney Disease

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04419467
Enrollment
114
Registered
2020-06-05
Start date
2020-09-14
Completion date
2022-10-24
Last updated
2023-12-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Kidney Disease (DKD)

Brief summary

This phase 2a, double-blind, randomized, placebo-controlled study will assess the efficacy, safety, tolerability, and pharmacokinetics (PK), of repeat doses of CSL346 in subjects with diabetic kidney disease (DKD) and albuminuria receiving standard of care treatment.

Interventions

BIOLOGICALCSL346

VEGF-B antagonist monoclonal antibody

DRUGPlacebo

Normal saline

Sponsors

CSL Behring
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
25 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male and female subjects ≥ 25 years of age with a diagnosis of type 2 diabetes mellitus (T2DM) * Urinary ACR ≥ 150 mg/g * eGFR \> 20 mL/min/1.73m2 * Glycosylated HbA1c \< 12%

Exclusion criteria

* Current diagnosis of type 1 diabetes mellitus * History of acute kidney injury or chronic dialysis/renal transplant * Uncontrolled hypertension or class III / IV heart failure * Left ventricular ejection fraction \< 50% by echocardiogram * Troponin-I \> the upper reference limit * b-type natriuretic peptide \> 200 pg/mL * ALT \> 2x the upper limit of normal

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Urinary Albumin-to-creatinine Ratio (ACR)Baseline up to Week 16Data are presented as the geometric mean (GM) of percent change, which is calculated as the geometric mean of the Week 16 ACR to baseline, expressed as percent change from baseline.

Secondary

MeasureTime frameDescription
Percentage of Subjects With TEAEsUp to 24 weeks
Number of Subjects With Adverse Events of Special Interest (AESIs)Up to 24 weeksData are presented for treatment-emergent AESIs.
Percentage of Subjects With AESIsUp to 24 weeksData are presented for treatment-emergent AESIs.
Observed Value and Mean Change From Baseline in Serum CreatinineBaseline up to 24 weeks
Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Baseline up to 24 weeks
Observed Value and Mean Change From Baseline in Systolic Blood PressureBaseline up to 24 weeks
Observed Value and Mean Change From Baseline in Diastolic Blood PressureBaseline up to 24 weeks
Number of Subjects With Treatment-emergent Adverse Events (TEAEs)Up to 24 weeks
Time to Reach Cmax in Serum (Tmax) After IV Loading Dose of CSL346 in Serum SamplesUp to 120 minutes after the IV loading dose for CSL346
Cmax After First Subcutaneous (SC) Dose of CSL346 in Serum SamplesFrom Day 1 to Day 29
Tmax After First SC Dose of CSL346 in Serum SamplesFrom Day 1 to Day 29
Area Under the Concentration-time Curve in First Dosing IntervalFrom Day 1 to Day 29
Trough Concentration After Each Dose29 days after each dose
Number of Subjects Positive for Anti-drug AntibodiesWeeks 4, 8, and 16Data are presented for participants who received treatment with CSL346. Any anti-drug antibodies detected in participants who received treatment with Placebo were considered not specific to CSL346 and of no clinical relevance.
Percentage of Subjects Positive for Anti-drug AntibodiesWeeks 4, 8, and 16Data are presented for participants who received treatment with CSL346. Any anti-drug antibodies detected in participants who received treatment with Placebo were considered not specific to CSL346 and of no clinical relevance.
Maximum Concentration (Cmax) After Intravenous (IV) Loading Dose of CSL346 in Serum SamplesUp to 120 minutes after the IV loading dose for CSL346

Countries

Australia, Canada, Israel, New Zealand, Puerto Rico, United States

Participant flow

Recruitment details

Participants were enrolled at study centers in Australia, Canada, Israel, New Zealand, Puerto Rico and the United States.

Pre-assignment details

A total of 327 participants were screened, of which 114 participants met the eligibility criteria, completed the Lead-in Period and were randomized to receive CSL346 (low dose), CSL346 (high dose), or Placebo.

Participants by arm

ArmCount
CSL346 (Low Dose)
Administered as a single intravenous (IV) loading dose followed by subcutaneous (SC) infusions CSL346: VEGF-B antagonist monoclonal antibody
29
CSL346 (High Dose)
Administered as a single intravenous (IV) loading dose followed by subcutaneous (SC) infusions CSL346: VEGF-B antagonist monoclonal antibody
29
Placebo
Administered as a single IV loading dose followed by SC infusions Placebo: Normal saline
56
Total114

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event020
Overall StudyDeath100
Overall StudyLost to Follow-up012
Overall StudyNot treated with IP002
Overall StudyPandemic related001
Overall StudyReason not known100
Overall StudyWithdrawal by Subject004

Baseline characteristics

CharacteristicTotalPlaceboCSL346 (High Dose)CSL346 (Low Dose)
Age, Continuous62.0 Years63.0 Years61.0 Years62.0 Years
Ethnicity (NIH/OMB)
Hispanic or Latino
36 Participants19 Participants9 Participants8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
78 Participants37 Participants20 Participants21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
8 Participants5 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Black or African American
12 Participants6 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Multiple
2 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
8 Participants2 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Other
12 Participants8 Participants2 Participants2 Participants
Race/Ethnicity, Customized
White
72 Participants35 Participants19 Participants18 Participants
Region of Enrollment
Australia
13 participants6 participants4 participants3 participants
Region of Enrollment
Canada
4 participants3 participants1 participants0 participants
Region of Enrollment
Israel
1 participants0 participants0 participants1 participants
Region of Enrollment
New Zealand
23 participants10 participants5 participants8 participants
Region of Enrollment
Puerto Rico
9 participants5 participants1 participants3 participants
Region of Enrollment
United States
64 participants32 participants18 participants14 participants
Sex: Female, Male
Female
28 Participants11 Participants7 Participants10 Participants
Sex: Female, Male
Male
86 Participants45 Participants22 Participants19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 291 / 290 / 54
other
Total, other adverse events
17 / 2911 / 2918 / 54
serious
Total, serious adverse events
3 / 296 / 295 / 54

Outcome results

Primary

Percent Change From Baseline in Urinary Albumin-to-creatinine Ratio (ACR)

Data are presented as the geometric mean (GM) of percent change, which is calculated as the geometric mean of the Week 16 ACR to baseline, expressed as percent change from baseline.

Time frame: Baseline up to Week 16

Population: Intent to Treat Analysis Set

ArmMeasureValue (GEOMETRIC_MEAN)
CSL346 (Low Dose)Percent Change From Baseline in Urinary Albumin-to-creatinine Ratio (ACR)3.2 Geometric Mean of Percent Change
CSL346 (High Dose)Percent Change From Baseline in Urinary Albumin-to-creatinine Ratio (ACR)17.7 Geometric Mean of Percent Change
PlaceboPercent Change From Baseline in Urinary Albumin-to-creatinine Ratio (ACR)5.4 Geometric Mean of Percent Change
p-value: 0.48580% CI: [-14.8, 16.3]Mixed Models Repeated Measures Analysis
p-value: 0.7580% CI: [-7.2, 27.2]Mixed Models Repeated Measures Analysis
Secondary

Area Under the Concentration-time Curve in First Dosing Interval

Time frame: From Day 1 to Day 29

Population: PK Analysis Set

ArmMeasureValue (MEAN)Dispersion
CSL346 (Low Dose)Area Under the Concentration-time Curve in First Dosing Interval19374.474 Hours*ug/mLStandard Deviation 5560.5651
CSL346 (High Dose)Area Under the Concentration-time Curve in First Dosing Interval37225.571 Hours*ug/mLStandard Deviation 13026.798
Secondary

Cmax After First Subcutaneous (SC) Dose of CSL346 in Serum Samples

Time frame: From Day 1 to Day 29

Population: PK Analysis Set

ArmMeasureValue (MEAN)Dispersion
CSL346 (Low Dose)Cmax After First Subcutaneous (SC) Dose of CSL346 in Serum Samples34.70 ug/mLStandard Deviation 11.405
CSL346 (High Dose)Cmax After First Subcutaneous (SC) Dose of CSL346 in Serum Samples67.88 ug/mLStandard Deviation 29.565
Secondary

Maximum Concentration (Cmax) After Intravenous (IV) Loading Dose of CSL346 in Serum Samples

Time frame: Up to 120 minutes after the IV loading dose for CSL346

Population: Pharmacokinetic (PK) Analysis Set

ArmMeasureValue (MEAN)Dispersion
CSL346 (Low Dose)Maximum Concentration (Cmax) After Intravenous (IV) Loading Dose of CSL346 in Serum Samples234.26 ug/mLStandard Deviation 671.392
CSL346 (High Dose)Maximum Concentration (Cmax) After Intravenous (IV) Loading Dose of CSL346 in Serum Samples182.32 ug/mLStandard Deviation 140.886
Secondary

Number of Subjects Positive for Anti-drug Antibodies

Data are presented for participants who received treatment with CSL346. Any anti-drug antibodies detected in participants who received treatment with Placebo were considered not specific to CSL346 and of no clinical relevance.

Time frame: Weeks 4, 8, and 16

Population: Safety Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
CSL346 (Low Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 44 Participants
CSL346 (Low Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 84 Participants
CSL346 (Low Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 165 Participants
CSL346 (High Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 40 Participants
CSL346 (High Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 80 Participants
CSL346 (High Dose)Number of Subjects Positive for Anti-drug AntibodiesWeek 160 Participants
Secondary

Number of Subjects With Adverse Events of Special Interest (AESIs)

Data are presented for treatment-emergent AESIs.

Time frame: Up to 24 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CSL346 (Low Dose)Number of Subjects With Adverse Events of Special Interest (AESIs)10 Participants
CSL346 (High Dose)Number of Subjects With Adverse Events of Special Interest (AESIs)6 Participants
PlaceboNumber of Subjects With Adverse Events of Special Interest (AESIs)13 Participants
Secondary

Number of Subjects With Treatment-emergent Adverse Events (TEAEs)

Time frame: Up to 24 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CSL346 (Low Dose)Number of Subjects With Treatment-emergent Adverse Events (TEAEs)22 Participants
CSL346 (High Dose)Number of Subjects With Treatment-emergent Adverse Events (TEAEs)23 Participants
PlaceboNumber of Subjects With Treatment-emergent Adverse Events (TEAEs)32 Participants
Secondary

Observed Value and Mean Change From Baseline in Diastolic Blood Pressure

Time frame: Baseline up to 24 weeks

Population: Intent-to-Treat Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 1574.7 mmHgStandard Deviation 7.34
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureBaseline75.5 mmHgStandard Deviation 8.55
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study77.0 mmHgStandard Deviation 8.06
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 11375.7 mmHgStandard Deviation 7.2
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 876.1 mmHgStandard Deviation 8.22
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 8574.2 mmHgStandard Deviation 6.57
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 5776.1 mmHgStandard Deviation 7.07
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 2977.2 mmHgStandard Deviation 6.49
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 80.6 mmHgStandard Deviation 8.95
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 15-0.9 mmHgStandard Deviation 7.36
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 291.7 mmHgStandard Deviation 5.84
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 570.2 mmHgStandard Deviation 6.9
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 85-1.7 mmHgStandard Deviation 7.56
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 113-0.2 mmHgStandard Deviation 6.4
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study0.8 mmHgStandard Deviation 7.83
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study76.0 mmHgStandard Deviation 11
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 11377.8 mmHgStandard Deviation 9.94
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 875.4 mmHgStandard Deviation 11
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureBaseline73.4 mmHgStandard Deviation 11.22
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 5776.8 mmHgStandard Deviation 9.74
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 2978.0 mmHgStandard Deviation 8.58
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 1577.2 mmHgStandard Deviation 10.75
PlaceboObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 8577.3 mmHgStandard Deviation 11
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 853.1 mmHgStandard Deviation 7.67
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 294.5 mmHgStandard Deviation 8.36
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 573.3 mmHgStandard Deviation 9.36
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 82.0 mmHgStandard Deviation 5.75
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study2.1 mmHgStandard Deviation 8.78
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 153.5 mmHgStandard Deviation 6.52
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 1133.6 mmHgStandard Deviation 7.01
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 1574.4 mmHgStandard Deviation 8.99
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 2975.0 mmHgStandard Deviation 9.01
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study73.7 mmHgStandard Deviation 10.88
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 5772.6 mmHgStandard Deviation 9.96
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 8573.3 mmHgStandard Deviation 10.19
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureBaseline75.5 mmHgStandard Deviation 8.88
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 11373.3 mmHgStandard Deviation 9.75
Placebo - ObservedObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 875.3 mmHgStandard Deviation 9.73
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 29-0.6 mmHgStandard Deviation 8.17
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 8-0.3 mmHgStandard Deviation 7.94
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 15-1.0 mmHgStandard Deviation 6.84
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 113-1.4 mmHgStandard Deviation 7.33
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 57-2.5 mmHgStandard Deviation 7.58
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 85-1.5 mmHgStandard Deviation 7.88
Placebo - ChangeObserved Value and Mean Change From Baseline in Diastolic Blood PressureDay 169, End of Study-1.0 mmHgStandard Deviation 8.19
Secondary

Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)

Time frame: Baseline up to 24 weeks

Population: Intent-to-Treat Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 2965.74 mL/min/1.73 m^2Standard Deviation 27.747
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 1563.02 mL/min/1.73 m^2Standard Deviation 25.313
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 863.62 mL/min/1.73 m^2Standard Deviation 26.433
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study66.05 mL/min/1.73 m^2Standard Deviation 28.012
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 11366.80 mL/min/1.73 m^2Standard Deviation 26.168
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Baseline65.38 mL/min/1.73 m^2Standard Deviation 25.691
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 8564.33 mL/min/1.73 m^2Standard Deviation 24.94
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 5766.57 mL/min/1.73 m^2Standard Deviation 27.555
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 1130.72 mL/min/1.73 m^2Standard Deviation 10.277
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 8-1.77 mL/min/1.73 m^2Standard Deviation 9.218
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 15-2.36 mL/min/1.73 m^2Standard Deviation 8.119
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 290.35 mL/min/1.73 m^2Standard Deviation 10.433
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 57-0.26 mL/min/1.73 m^2Standard Deviation 7.962
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 85-1.75 mL/min/1.73 m^2Standard Deviation 9.425
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study-0.56 mL/min/1.73 m^2Standard Deviation 11.079
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 5767.55 mL/min/1.73 m^2Standard Deviation 28.026
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 11369.77 mL/min/1.73 m^2Standard Deviation 27.114
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 1569.15 mL/min/1.73 m^2Standard Deviation 28.175
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 2966.12 mL/min/1.73 m^2Standard Deviation 28.001
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Baseline64.94 mL/min/1.73 m^2Standard Deviation 27.96
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 866.31 mL/min/1.73 m^2Standard Deviation 27.442
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 8568.44 mL/min/1.73 m^2Standard Deviation 25.535
PlaceboObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study67.89 mL/min/1.73 m^2Standard Deviation 28.783
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study2.19 mL/min/1.73 m^2Standard Deviation 6.456
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 291.18 mL/min/1.73 m^2Standard Deviation 7.296
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 81.37 mL/min/1.73 m^2Standard Deviation 7.4
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 1132.34 mL/min/1.73 m^2Standard Deviation 6.13
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 851.00 mL/min/1.73 m^2Standard Deviation 7.818
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 572.61 mL/min/1.73 m^2Standard Deviation 5.496
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 153.09 mL/min/1.73 m^2Standard Deviation 9.005
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 11369.91 mL/min/1.73 m^2Standard Deviation 28.493
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 1570.47 mL/min/1.73 m^2Standard Deviation 28.419
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 872.57 mL/min/1.73 m^2Standard Deviation 28.443
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 5771.98 mL/min/1.73 m^2Standard Deviation 28.075
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study67.70 mL/min/1.73 m^2Standard Deviation 28.158
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 8569.87 mL/min/1.73 m^2Standard Deviation 29.764
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Baseline71.95 mL/min/1.73 m^2Standard Deviation 28.186
Placebo - ObservedObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 2971.19 mL/min/1.73 m^2Standard Deviation 28.935
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 15-0.68 mL/min/1.73 m^2Standard Deviation 7.23
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 29-0.26 mL/min/1.73 m^2Standard Deviation 5.992
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 57-0.56 mL/min/1.73 m^2Standard Deviation 7.175
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 85-0.87 mL/min/1.73 m^2Standard Deviation 6.522
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 113-0.32 mL/min/1.73 m^2Standard Deviation 6.673
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 169, End of Study-1.67 mL/min/1.73 m^2Standard Deviation 6.474
Placebo - ChangeObserved Value and Mean Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)Day 81.13 mL/min/1.73 m^2Standard Deviation 5.947
Secondary

Observed Value and Mean Change From Baseline in Serum Creatinine

Time frame: Baseline up to 24 weeks

Population: Intent-to-Treat Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 291.316 mg/dLStandard Deviation 0.6564
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 151.306 mg/dLStandard Deviation 0.5229
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineBaseline1.273 mg/dLStandard Deviation 0.5502
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 81.306 mg/dLStandard Deviation 0.5374
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study1.295 mg/dLStandard Deviation 0.6468
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 1131.243 mg/dLStandard Deviation 0.5404
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 851.285 mg/dLStandard Deviation 0.5621
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 571.292 mg/dLStandard Deviation 0.6252
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 113-0.017 mg/dLStandard Deviation 0.1859
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 80.032 mg/dLStandard Deviation 0.19
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 150.032 mg/dLStandard Deviation 0.1634
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 290.043 mg/dLStandard Deviation 0.3106
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 570.034 mg/dLStandard Deviation 0.1377
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 850.025 mg/dLStandard Deviation 0.1725
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study0.043 mg/dLStandard Deviation 0.2242
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 571.265 mg/dLStandard Deviation 0.5514
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study1.284 mg/dLStandard Deviation 0.5878
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 151.218 mg/dLStandard Deviation 0.4838
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 291.290 mg/dLStandard Deviation 0.5247
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 1131.226 mg/dLStandard Deviation 0.5367
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineBaseline1.321 mg/dLStandard Deviation 0.5592
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 851.226 mg/dLStandard Deviation 0.4711
PlaceboObserved Value and Mean Change From Baseline in Serum CreatinineDay 81.269 mg/dLStandard Deviation 0.5049
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study-0.032 mg/dLStandard Deviation 0.1839
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 29-0.030 mg/dLStandard Deviation 0.1956
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 113-0.051 mg/dLStandard Deviation 0.0985
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 85-0.050 mg/dLStandard Deviation 0.2002
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 57-0.056 mg/dLStandard Deviation 0.1096
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 8-0.052 mg/dLStandard Deviation 0.1687
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 15-0.079 mg/dLStandard Deviation 0.1838
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 1131.243 mg/dLStandard Deviation 0.5169
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 151.234 mg/dLStandard Deviation 0.5318
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 81.203 mg/dLStandard Deviation 0.5163
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 571.200 mg/dLStandard Deviation 0.4977
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study1.280 mg/dLStandard Deviation 0.5169
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 851.251 mg/dLStandard Deviation 0.5409
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineBaseline1.207 mg/dLStandard Deviation 0.5184
Placebo - ObservedObserved Value and Mean Change From Baseline in Serum CreatinineDay 291.229 mg/dLStandard Deviation 0.5427
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 150.013 mg/dLStandard Deviation 0.108
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 290.014 mg/dLStandard Deviation 0.106
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 570.017 mg/dLStandard Deviation 0.1516
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 850.030 mg/dLStandard Deviation 0.1371
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 1130.019 mg/dLStandard Deviation 0.1361
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 169, End of Study0.026 mg/dLStandard Deviation 0.137
Placebo - ChangeObserved Value and Mean Change From Baseline in Serum CreatinineDay 8-0.012 mg/dLStandard Deviation 0.1057
Secondary

Observed Value and Mean Change From Baseline in Systolic Blood Pressure

Time frame: Baseline up to 24 weeks

Population: Intent-to-Treat Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 8135.1 mmHgStandard Deviation 14.21
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 15134.4 mmHgStandard Deviation 16.25
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study141.0 mmHgStandard Deviation 12
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureBaseline133.4 mmHgStandard Deviation 10.61
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 57135.1 mmHgStandard Deviation 12.75
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 85131.5 mmHgStandard Deviation 13.88
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 113136.2 mmHgStandard Deviation 15.13
CSL346 (Low Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 29135.7 mmHgStandard Deviation 11.16
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 151.0 mmHgStandard Deviation 11.53
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 1132.3 mmHgStandard Deviation 12.23
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study6.4 mmHgStandard Deviation 10.55
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 85-2.6 mmHgStandard Deviation 12.93
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 81.7 mmHgStandard Deviation 12.58
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 571.0 mmHgStandard Deviation 12
CSL346 (High Dose)Observed Value and Mean Change From Baseline in Systolic Blood PressureDay 292.2 mmHgStandard Deviation 9.02
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 8133.9 mmHgStandard Deviation 9.17
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 85134.9 mmHgStandard Deviation 10.69
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 113136.9 mmHgStandard Deviation 8.45
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 15136.5 mmHgStandard Deviation 9.1
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 29137.7 mmHgStandard Deviation 10.99
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureBaseline131.4 mmHgStandard Deviation 8.63
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 57134.7 mmHgStandard Deviation 13.93
PlaceboObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study132.7 mmHgStandard Deviation 13.24
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 154.4 mmHgStandard Deviation 8.41
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 296.3 mmHgStandard Deviation 11.55
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 852.3 mmHgStandard Deviation 10.93
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 1134.3 mmHgStandard Deviation 10.17
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 573.3 mmHgStandard Deviation 12.44
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study1.0 mmHgStandard Deviation 12.2
CSL346 (High Dose) - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 82.6 mmHgStandard Deviation 7.37
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 15135.3 mmHgStandard Deviation 12.6
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 29133.8 mmHgStandard Deviation 12.04
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 57133.1 mmHgStandard Deviation 13.98
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 85135.7 mmHgStandard Deviation 14.99
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 113133.5 mmHgStandard Deviation 12.93
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study134.6 mmHgStandard Deviation 15.17
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureBaseline133.9 mmHgStandard Deviation 11.32
Placebo - ObservedObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 8135.7 mmHgStandard Deviation 11.31
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 29-0.2 mmHgStandard Deviation 12.58
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 81.6 mmHgStandard Deviation 12.03
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 1130.4 mmHgStandard Deviation 12.09
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 851.9 mmHgStandard Deviation 13.15
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 57-0.8 mmHgStandard Deviation 12.6
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 151.0 mmHgStandard Deviation 12.82
Placebo - ChangeObserved Value and Mean Change From Baseline in Systolic Blood PressureDay 169, End of Study1.1 mmHgStandard Deviation 16.51
Secondary

Percentage of Subjects Positive for Anti-drug Antibodies

Data are presented for participants who received treatment with CSL346. Any anti-drug antibodies detected in participants who received treatment with Placebo were considered not specific to CSL346 and of no clinical relevance.

Time frame: Weeks 4, 8, and 16

Population: Safety Analysis Set

ArmMeasureGroupValue (NUMBER)
CSL346 (Low Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 1617.9 Percentage of participants
CSL346 (Low Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 413.8 Percentage of participants
CSL346 (Low Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 814.3 Percentage of participants
CSL346 (High Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 40 Percentage of participants
CSL346 (High Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 80 Percentage of participants
CSL346 (High Dose)Percentage of Subjects Positive for Anti-drug AntibodiesWeek 160 Percentage of participants
Secondary

Percentage of Subjects With AESIs

Data are presented for treatment-emergent AESIs.

Time frame: Up to 24 weeks

Population: Safety Analysis Set

ArmMeasureValue (NUMBER)
CSL346 (Low Dose)Percentage of Subjects With AESIs34.5 Percentage of participants
CSL346 (High Dose)Percentage of Subjects With AESIs20.7 Percentage of participants
PlaceboPercentage of Subjects With AESIs24.1 Percentage of participants
Secondary

Percentage of Subjects With TEAEs

Time frame: Up to 24 weeks

Population: Safety Analysis Set

ArmMeasureValue (NUMBER)
CSL346 (Low Dose)Percentage of Subjects With TEAEs75.9 Percentage of participants
CSL346 (High Dose)Percentage of Subjects With TEAEs79.3 Percentage of participants
PlaceboPercentage of Subjects With TEAEs59.3 Percentage of participants
Secondary

Time to Reach Cmax in Serum (Tmax) After IV Loading Dose of CSL346 in Serum Samples

Time frame: Up to 120 minutes after the IV loading dose for CSL346

Population: PK Analysis Set

ArmMeasureValue (MEDIAN)
CSL346 (Low Dose)Time to Reach Cmax in Serum (Tmax) After IV Loading Dose of CSL346 in Serum Samples0.52 Hours
CSL346 (High Dose)Time to Reach Cmax in Serum (Tmax) After IV Loading Dose of CSL346 in Serum Samples0.55 Hours
Secondary

Tmax After First SC Dose of CSL346 in Serum Samples

Time frame: From Day 1 to Day 29

Population: PK Analysis Set

ArmMeasureValue (MEDIAN)
CSL346 (Low Dose)Tmax After First SC Dose of CSL346 in Serum Samples168.05 Hours
CSL346 (High Dose)Tmax After First SC Dose of CSL346 in Serum Samples167.58 Hours
Secondary

Trough Concentration After Each Dose

Time frame: 29 days after each dose

Population: PK Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
CSL346 (Low Dose)Trough Concentration After Each DoseAfter first SC dose15.306 ug/mLStandard Deviation 5.9479
CSL346 (Low Dose)Trough Concentration After Each DoseAfter second SC dose16.686 ug/mLStandard Deviation 7.0049
CSL346 (Low Dose)Trough Concentration After Each DoseAfter third SC dose15.959 ug/mLStandard Deviation 8.1791
CSL346 (Low Dose)Trough Concentration After Each DoseAfter fourth SC dose16.225 ug/mLStandard Deviation 6.2157
CSL346 (High Dose)Trough Concentration After Each DoseAfter fourth SC dose30.544 ug/mLStandard Deviation 10.6822
CSL346 (High Dose)Trough Concentration After Each DoseAfter first SC dose28.215 ug/mLStandard Deviation 9.6135
CSL346 (High Dose)Trough Concentration After Each DoseAfter third SC dose31.522 ug/mLStandard Deviation 10.1988
CSL346 (High Dose)Trough Concentration After Each DoseAfter second SC dose31.541 ug/mLStandard Deviation 9.3408

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026