BIVV020 (SAR445088) n Prevention and Treatment of Antibody-mediated Rejection (AMR)

NCT ID: NCT05156710

Last Updated: 2026-01-21

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-09

Study Completion Date

2026-10-26

Brief Summary

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Primary Objectives:

* Cohort A: To evaluate the efficacy of BIVV020 in prevention of AMR
* Cohort B: To evaluate the efficacy of BIVV020 in treatment of active AMR

Secondary Objectives:

* To assess the overall efficacy of BIVV020 in prevention or treatment of AMR
* To characterize the safety and tolerability of BIVV020 in kidney transplant participants
* To characterize the pharmacokinetic (PK) profile of BIVV020 in kidney transplant participants
* To evaluate the immunogenicity of BIVV020

Detailed Description

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Up to approximately 2 years

Conditions

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Transplant Rejection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Randomization for Cohort B only

Study Groups

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BIVV020 with Standard of Care (SOC) Cohort A

Eligible participants will receive BIVV020 and SOC immunosuppression including induction therapy, tacrolimus, and mycophenolate.

Group Type EXPERIMENTAL

BIVV020 (SAR445088)

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Antithymocyte globulin (ATG)

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Tacrolimus

Intervention Type DRUG

Pharmaceutical Form: Tablet Route of Administration: Oral

Mycophenolate

Intervention Type DRUG

Pharmaceutical Form: Tablet Route of Administration: Oral

BIVV020 with Standard of Care (SOC) Cohort B

Eligible participants will receive BIVV020 and SOC which includes plasmapheresis, IVIg, corticosteroids, rituximab.

Group Type EXPERIMENTAL

BIVV020 (SAR445088)

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intravenous immunoglobulin (IVIg)

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Rituximab or biosimilar

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Corticosteroids

Intervention Type DRUG

Pharmaceutical Form: Vary Route of Administration: Vary

Standard of Care (SOC) Cohort B

SOC includes plasmapheresis, IVIg, corticosteroids, rituximab.

Group Type OTHER

Intravenous immunoglobulin (IVIg)

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Rituximab or biosimilar

Intervention Type DRUG

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Corticosteroids

Intervention Type DRUG

Pharmaceutical Form: Vary Route of Administration: Vary

Interventions

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BIVV020 (SAR445088)

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intervention Type DRUG

Intravenous immunoglobulin (IVIg)

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intervention Type DRUG

Rituximab or biosimilar

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intervention Type DRUG

Antithymocyte globulin (ATG)

Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

Intervention Type DRUG

Tacrolimus

Pharmaceutical Form: Tablet Route of Administration: Oral

Intervention Type DRUG

Mycophenolate

Pharmaceutical Form: Tablet Route of Administration: Oral

Intervention Type DRUG

Corticosteroids

Pharmaceutical Form: Vary Route of Administration: Vary

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

-Participant intended to receive SOC therapy per Investigator's judgment and local practice.

Cohort A: Participants with chronic kidney disease who will receive a kidney transplant from a living or deceased donor.

Cohort B: Participants who are kidney transplant recipients diagnosed with active AMR.

* BMI ≤ 40 kg/m2.
* Contraceptive use by women during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).
* Contraceptive use by men during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).

Exclusion Criteria

* Participants who are ABO incompatible with their donors.
* Participants with known active ongoing infection as per below:

1. Positive HIV.
2. Positive HBV.
3. HCV with detectable HCV RNA.
4. Within 4 weeks of first study intervention: any serious infection, or any active bacterial infection, or any other infection which is clinically significant in the option of the Investigator, unless it can be confirmed that infection was cleared at least 3 days prior to first study intervention.
* History of active tuberculosis (TB) regardless of treatment.
* Participants with clinical diagnosis of systemic lupus erythematosus (SLE).
* Prior treatment with complement system inhibitor within 5 times the half-life.
* Current enrollment in any other clinical study where the last investigational study treatment administration was within 5 half-lives from study intervention initiation.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cedars-Sinai Medical Center- Site Number : 8400100

Los Angeles, California, United States

Site Status

University of California Los Angeles Medical Center- Site Number : 8400103

Los Angeles, California, United States

Site Status

University of California San Francisco - Parnassus Heights- Site Number : 8400001

San Francisco, California, United States

Site Status

Massachusetts General Hospital- Site Number : 8400007

Boston, Massachusetts, United States

Site Status

Brigham & Women's Hospital- Site Number : 8400004

Boston, Massachusetts, United States

Site Status

NYU Langone Medical Center- Site Number : 8400102

New York, New York, United States

Site Status

University of Wisconsin Hospitals and Clinics- Site Number : 8400003

Madison, Wisconsin, United States

Site Status

Investigational Site Number : 1240101

Vancouver, British Columbia, Canada

Site Status

Investigational Site Number : 1240001

Vancouver, British Columbia, Canada

Site Status

Investigational Site Number : 1240002

London, Ontario, Canada

Site Status

Investigational Site Number : 1240003

Montreal, Quebec, Canada

Site Status

Investigational Site Number : 2500007

Bordeaux, , France

Site Status

Investigational Site Number : 2500002

Créteil, , France

Site Status

Investigational Site Number : 2500001

Paris, , France

Site Status

Investigational Site Number : 2500005

Toulouse, , France

Site Status

Investigational Site Number : 2760002

Berlin, , Germany

Site Status

Investigational Site Number : 2760004

Essen, , Germany

Site Status

Investigational Site Number : 2760001

Munich, , Germany

Site Status

Investigational Site Number : 3800004

Bologna, Emilia-Romagna, Italy

Site Status

Investigational Site Number : 3800002

Rome, Lazio, Italy

Site Status

Investigational Site Number : 3800001

Brescia, Lombardy, Italy

Site Status

Investigational Site Number : 3800003

Milan, Milano, Italy

Site Status

Investigational Site Number : 7240004

Barcelona, Barcelona [Barcelona], Spain

Site Status

Investigational Site Number : 7240003

Madrid, Madrid, Comunidad de, Spain

Site Status

Investigational Site Number : 7240002

Madrid, Madrid, Comunidad de, Spain

Site Status

Investigational Site Number : 7520001

Huddinge, , Sweden

Site Status

Investigational Site Number : 7520002

Uppsala, , Sweden

Site Status

Countries

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United States Canada France Germany Italy Spain Sweden

References

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Karpman D, Bekassy Z, Grunenwald A, Roumenina LT. A role for complement blockade in kidney transplantation. Cell Mol Immunol. 2022 Jul;19(7):755-757. doi: 10.1038/s41423-022-00854-5. Epub 2022 Mar 24. No abstract available.

Reference Type DERIVED
PMID: 35332298 (View on PubMed)

Related Links

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http://www.sanofistudies.com/O9BR/

ACT17012 kidney transplant - antibody-mediated rejection website

Other Identifiers

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U1111-1267-2612

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-509936-25-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-509936-25

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-000010-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ACT17012

Identifier Type: -

Identifier Source: org_study_id

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