Safety and Efficacy Study of Fostamatinib to Treat Immunoglobin A (IgA) Nephropathy

NCT ID: NCT02112838

Last Updated: 2019-06-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2018-11-12

Brief Summary

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The purpose of this study is to determine whether fostamatinib is safe and effective in the treatment of IgA Nephropathy

Detailed Description

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Conditions

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IGA Nephropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fostamatinib 150 mg

Fostamatinib 150 milligram (mg) tablet twice daily by mouth, over the course of 24 weeks

Group Type ACTIVE_COMPARATOR

Fostamatinib 150 mg

Intervention Type DRUG

Fostamatinib 150 milligram (mg) tablet twice daily by mouth, over the course of 24 weeks

Fostamatinib 100 mg

Fostamatinib 100 mg tablet twice daily by mouth, over the course of 24 weeks

Group Type ACTIVE_COMPARATOR

Fostamatinib 100 mg

Intervention Type DRUG

Fostamatinib 100 mg tablet twice daily by mouth, over the course of 24 weeks

Placebo

Placebo tablet twice daily by mouth, over the course of 24 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet twice daily by mouth, over the course of 24 weeks

Interventions

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Fostamatinib 150 mg

Fostamatinib 150 milligram (mg) tablet twice daily by mouth, over the course of 24 weeks

Intervention Type DRUG

Fostamatinib 100 mg

Fostamatinib 100 mg tablet twice daily by mouth, over the course of 24 weeks

Intervention Type DRUG

Placebo

Placebo tablet twice daily by mouth, over the course of 24 weeks

Intervention Type DRUG

Other Intervention Names

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R935788 R788 R935788 R788

Eligibility Criteria

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Inclusion Criteria

* Renal biopsy findings consistent with IgA nephropathy
* Treatment with an Angiotensin Converting Enzyme inhibitor (ACEi) and/or an Angiotensin II Receptor Blocker (ARB) for at least 90 days at the maximum approved (or tolerated) dose
* Proteinuria \> 1 gm/day at diagnosis of IgA nephropathy and Proteinuria \> 0.50 gm/day at the second Screening Visit
* Blood pressure controlled to ≤ 130/80 with angiotensin blockade with or without other anti-hypertensive agents

Exclusion Criteria

* Recent use of cyclophosphamide, mycophenolate mofetil, azathioprine, or Rituximab.
* Use of \> 15 mg/day prednisone (or other corticosteroid equivalent).
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rigel Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rigel Pharmaceuticals, Inc.

Role: STUDY_DIRECTOR

Rigel Pharmaceuticals,Inc.

Locations

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Stanford University Medical

Palo Alto, California, United States

Site Status

Nephrology Associates PC, University Hospital, Professional Center 1

Augusta, Georgia, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Southeast Renal Research Institute

Chattanooga, Tennessee, United States

Site Status

Medical University of Graz

Graz, Styria, Austria

Site Status

Medical University Vienna, Nephrology

Vienna, , Austria

Site Status

Medical University of Heidelberg

Heidelberg, Baden-Wurtemberberg, Germany

Site Status

Klinikum der Universität München

Munich, Bavaria, Germany

Site Status

Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden

Dresden, Saxony, Germany

Site Status

Medical University of Jena

Jena, Thuringia, Germany

Site Status

Prince of Wales Hospital

Hong Kong, Sha Tin, Hong Kong

Site Status

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

School of Medicine, Chang Gung University, Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Site Status

Addenbrookes Hospital

Cambridge, , United Kingdom

Site Status

Cardiff University

Cardiff, , United Kingdom

Site Status

Leicester General Hospital

Leicester, , United Kingdom

Site Status

Royal Free Hospital

London, , United Kingdom

Site Status

Hammersmith Hospital

London, , United Kingdom

Site Status

Freeman Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Austria Germany Hong Kong Taiwan United Kingdom

References

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Prendecki M, Gulati K, Turner-Stokes T, Bhangal G, Chiappo D, Woollard K, Cook HT, Tam FW, Roufosse C, Pusey CD, McAdoo SP. Characterisation of an enhanced preclinical model of experimental MPO-ANCA autoimmune vasculitis. J Pathol. 2021 Oct;255(2):107-119. doi: 10.1002/path.5746. Epub 2021 Jul 23.

Reference Type DERIVED
PMID: 34124781 (View on PubMed)

McAdoo S, Tam FWK. Role of the Spleen Tyrosine Kinase Pathway in Driving Inflammation in IgA Nephropathy. Semin Nephrol. 2018 Sep;38(5):496-503. doi: 10.1016/j.semnephrol.2018.05.019.

Reference Type DERIVED
PMID: 30177021 (View on PubMed)

Yeo SC, Liew A, Barratt J. Emerging therapies in immunoglobulin A nephropathy. Nephrology (Carlton). 2015 Nov;20(11):788-800. doi: 10.1111/nep.12527.

Reference Type DERIVED
PMID: 26032537 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2014-000331-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C-935788-050

Identifier Type: -

Identifier Source: org_study_id

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