Eculizumab in Primary MPGN

NCT ID: NCT02093533

Last Updated: 2018-01-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2017-12-31

Brief Summary

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Membranoproliferative glomerulonephritis (MPGN) is the third or fourth leading cause of end stage renal disease among the primary glomerulonephritis. Hyperactivation of the alternative complement pathway and familial forms for all types of MPGN have been reported suggesting that genetic abnormalities may play a predisposing role to the disease. In recent case reports Eculizumab, a monoclonal antibody that binds to C5 to prevent formation of the membrane attack complex ,is a safe and effective therapy.

Detailed Description

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Conditions

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Membranoproliferative Glomerulonephritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Eculizumab

Patient Body weight ≥40 kg: initial phase 900 mg weekly x 4 and maintenance phase 1200 mg at week 5; then 1200 mg every 2 weeks Patient Body weight 30 - \<40 kg : initial phase 600 mg weekly x 2 and maintenance phase 900 mg at week 3; then 900 mg every 2 weeks

Group Type EXPERIMENTAL

Eculizumab

Intervention Type DRUG

Interventions

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Eculizumab

Intervention Type DRUG

Other Intervention Names

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Soliris

Eligibility Criteria

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Inclusion Criteria

* Biopsy-proven primary MPGN
* Creatinine clearance \>20 ml/min per 1.73m2
* 24-hour proteinuria persistently exceeding 3,5g in adults or exceeding 40mg/h/m2 in children (or exceeding 2mg protein/mg creatinine in children spot urine samples)
* Persistently low C3 levels in at least two consecutive evaluations
* Persistently high sC5b9 levels (\>1000 ng/ml) in at least two previous consecutive evaluations
* Written informed consent (by parents or tutors if underage)

Exclusion Criteria

* Age ≥75 years
* Secondary MPGN (evidence of infection, immunological disease including vasculitis, systemic diseases and proliferative disorders)
* Evidence at kidney biopsy evaluation of severe chronic histological changes that very unlikely could benefit of eculizumab therapy
* Concomitant steroid or immunosuppressive therapy for immuno-mediated disease
* Pregnancy or lactating
* Childbearing potential without effective contraception
* Any clinically relevant condition that might affect completion of the study participation and/or confound study results
* Inability to understand the potential risks and benefits of the study
* Legal incapacity
Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexion Pharma Italy s.r.l.

UNKNOWN

Sponsor Role collaborator

Mario Negri Institute for Pharmacological Research

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ospedale Pediatrico "Giovanni XXIII" - U:O Nefrologia

Bari, BA, Italy

Site Status

A.O. Papa Giovanni XXIII - U.O. Nefrologia e Dialisi/IRCCS IRFMN - Centro di Ricerche Cliniche per le Malattie Rare Aldo e Cele Daccò

Bergamo, BG, Italy

Site Status

Policlinico Sant'Orsola -Malpighi - U.O.S. Nefrologia e dialisi pediatrica

Bologna, BO, Italy

Site Status

Policlinico "G.Martino" - U.O. Nefrologia e Dialisi

Messina, ME, Italy

Site Status

Policlinico Universitario di Padova - U.O. Nefrologia Pediatrica

Padua, PD, Italy

Site Status

Ospedale Centrale

Bolzano, , Italy

Site Status

Policlinico "Federico II" - U.O. Nefrologia

Napoli, , Italy

Site Status

Ospedale degli Infermi - U.O. Nefrologia e Dialisi

Rimini, , Italy

Site Status

C.I. Columbus-Università Cattolica del S.Cuore - UOC Nefrologia e Dialisi

Roma, , Italy

Site Status

Ospedale Pediatrico "Bambin Gesù" - U.O. Nefrologia

Roma, , Italy

Site Status

Presidio Ospedaliero O.I.R.M. "Sant'Anna" - U.O. Nefrologia

Torino, , Italy

Site Status

Ospedale "Santa Chiara" - U.O. Nefrologia

Trento, , Italy

Site Status

Ospedale Cà Foncello - U.O. Nefrologia

Treviso, , Italy

Site Status

Countries

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Italy

Other Identifiers

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2013-003826-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EAGLE

Identifier Type: -

Identifier Source: org_study_id

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