Trial Outcomes & Findings for Study to Evaluate the Safety, Tolerability of BCX9930 in Participants With Either Complement 3 Glomerulopathy (C3G), Immunoglobulin A Nephropathy (IgAN), or Primary Membranous Nephropathy (PMN) (NCT NCT05162066)

NCT ID: NCT05162066

Last Updated: 2024-05-02

Results Overview

Urinary protein/creatinine ratio (mg/mmol) =urine protein concentration (mg/dL)/ urine creatinine concentration (mmol/dL). Decrease of urinary protein/creatinine ratio means improvement of renal disease.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

2 participants

Primary outcome timeframe

Baseline, Week 12

Results posted on

2024-05-02

Participant Flow

Participants with either complement 3 glomerulopathy (C3G), immunoglobulin A nephropathy (IgAN), or primary membranous nephropathy (PMN) were planned to be enrolled in the study.

At the time the study was discontinued, only participants with historical C3G were enrolled.

Participant milestones

Participant milestones
Measure
BCX9930 - C3G Cohort
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - IgAN Cohort
Participants with complement IgAN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - PMN Cohort
Participants with complement PMN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
Overall Study
STARTED
2
0
0
Overall Study
COMPLETED
0
0
0
Overall Study
NOT COMPLETED
2
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
BCX9930 - C3G Cohort
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - IgAN Cohort
Participants with complement IgAN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - PMN Cohort
Participants with complement PMN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
Overall Study
Adverse Event
1
0
0
Overall Study
Perceived lack of efficacy
1
0
0

Baseline Characteristics

Study to Evaluate the Safety, Tolerability of BCX9930 in Participants With Either Complement 3 Glomerulopathy (C3G), Immunoglobulin A Nephropathy (IgAN), or Primary Membranous Nephropathy (PMN)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BCX9930 - C3G Cohort
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - IgAN Cohort
Participants with complement IgAN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
BCX9930 - PMN Cohort
Participants with complement PMN were to receive BCX9930 tablet orally for up to Day 186 (Week 26).
Total
n=2 Participants
Total of all reporting groups
Age, Continuous
35.5 years
STANDARD_DEVIATION 16.26 • n=93 Participants
35.5 years
STANDARD_DEVIATION 16.26 • n=483 Participants
Sex: Female, Male
Female
1 Participants
n=93 Participants
1 Participants
n=483 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants
1 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
2 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
White
2 Participants
n=93 Participants
2 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=483 Participants
24-hour Urine Protein-to-creatinine Ratio (uPCR)
380.5 milligram per millimole
STANDARD_DEVIATION 137.89 • n=93 Participants
380.5 milligram per millimole
STANDARD_DEVIATION 137.89 • n=483 Participants

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: Safety population with available data was analyzed

Urinary protein/creatinine ratio (mg/mmol) =urine protein concentration (mg/dL)/ urine creatinine concentration (mmol/dL). Decrease of urinary protein/creatinine ratio means improvement of renal disease.

Outcome measures

Outcome measures
Measure
BCX9930
n=1 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Percent Change From Baseline in 24-hour uPCR at Week 12
-33.2 percent change
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed

PRIMARY outcome

Timeframe: Baseline, Week 24

Population: Safety population with available data was analyzed

Urinary protein/creatinine ratio (mg/mmol) =urine protein concentration (mg/dL)/ urine creatinine concentration (mmol/dL). Decrease of urinary protein/creatinine ratio means improvement of renal disease.

Outcome measures

Outcome measures
Measure
BCX9930
n=1 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Percent Change From Baseline in 24-hour uPCR at Week 24
-8.8 percent change
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed

SECONDARY outcome

Timeframe: Baseline, Weeks 12, 24,

Population: Safety population with available data was analyzed

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Percent Change From Baseline in 24-hour Urinary Protein Excretion
Percent Change at Week 12
-40.9 percent change
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed
Percent Change From Baseline in 24-hour Urinary Protein Excretion
Percent Change at Week 24
-25.8 percent change
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed

SECONDARY outcome

Timeframe: Baseline, Weeks 12, 24

Population: Safety population with available data was analyzed

eGFR was calculated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula for participants ≥ 18 years old and by the bedside Schwartz formula for participants ≤ 18 years old. eGFR was reported in milliliter per minute per 1.73 per square meter (mL/min/1.73m\^2).

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Change From Baseline in Estimated Glomerular Filtration Rate
Change at Week 12
-6.0 mL/min/1.73m^2
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed
Change From Baseline in Estimated Glomerular Filtration Rate
Change at Week 24
-5.0 mL/min/1.73m^2
Standard Deviation NA
Standard deviation was not calculated as only one participant was analyzed

SECONDARY outcome

Timeframe: From first dose up to safety follow-up period (Week 28)

Population: Safety population

An Adverse event (AE) was any untoward medical occurrence in a clinical study participant. TEAEs were defined, within a dosing group, as AEs that started on or after the first dose of study treatment through 30 days after the last dose of study drug.

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Number of Participants With a Treatment-emergent Adverse Event (TEAE)
2 Participants

SECONDARY outcome

Timeframe: From first dose up to safety follow-up period (Week 28)

Population: Safety population

An AE was any untoward medical occurrence in a clinical study participant. TEAEs were defined, within a dosing group, as AEs that started on or after the first dose of study treatment through 30 days after the last dose of study drug.

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Number of Participants Who Discontinued Due to a TEAE
1 Participants

SECONDARY outcome

Timeframe: From first dose up to safety follow-up period (Week 28)

Population: Safety population

An AE was any untoward medical occurrence in a clinical study participant. TEAEs were defined, within a dosing group, as AEs that started on or after the first dose of study treatment through 30 days after the last dose of study drug. A serious adverse event (SAE) was an adverse event/reaction that results in any of the following outcomes: * Death * Is life-threatening (participant was at immediate risk of death at the time of the event; it does not refer to an event that hypothetically might have caused death if it were more severe) * Requires participant hospitalization (formal admission to a hospital for medical reasons) or prolongation of existing hospitalization * Results in persistent or significant disability/incapacity (ie, there was a substantial disruption of a person's ability to carry out normal life functions) * Is a congenital anomaly/birth defect

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Number of Participants Who Experienced a Treatment-emergent Serious Adverse Event (TESAE)
0 Participants

SECONDARY outcome

Timeframe: From first dose up to safety follow-up period (Week 28)

Population: Safety population

An AE was any untoward medical occurrence has no causal relationship with the study drug or with the clinical study itself. It was an unfavorable \& unintended sign, symptom, syndrome, or illness that developed or worsened during clinical study. TEAEs: AEs that started on or after first dose of treatment through 30 days after the last dose of study drug. All AEs were graded using the CTCAE Grades 1 through 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL) Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL Grade 4: Life-threatening consequences; urgent intervention indicated Grade 5: Death Participants with Grades 3 or 4 AEs were reported

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Number of Participants Who Experienced a Common Terminology Criteria for Adverse Events (CTCAE) Grade 3 or 4 TEAE
1 Participants

SECONDARY outcome

Timeframe: From first dose up to safety follow-up period (Week 28)

Population: Safety population

Treatment-emergent Laboratory Abnormality were defined as an event that started on or after the first dose of study treatment through 30 days after the last dose of study drug. CTCAE Grades for laboratory abnormalities include: Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death Participants with Grades 3 or 4 laboratory abnormality were reported.

Outcome measures

Outcome measures
Measure
BCX9930
n=2 Participants
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Number of Participants Who Experienced a CTCAE Treatment-emergent Grade 3 or 4 Laboratory Abnormality
2 Participants

Adverse Events

BCX9930

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
BCX9930
n=2 participants at risk
Participants with complement C3G received BCX9930 tablet orally for up to Day 186 (Week 26).
Eye disorders
Eyelid oedema
50.0%
1/2 • Number of events 2 • From first dose up to safety follow-up period (Week 28)
Safety population
Gastrointestinal disorders
Abdominal pain
50.0%
1/2 • Number of events 2 • From first dose up to safety follow-up period (Week 28)
Safety population
Gastrointestinal disorders
Vomiting
50.0%
1/2 • Number of events 2 • From first dose up to safety follow-up period (Week 28)
Safety population
Hepatobiliary disorders
Hypertransaminasaemia
50.0%
1/2 • Number of events 5 • From first dose up to safety follow-up period (Week 28)
Safety population
Infections and infestations
Asymptomatic bacteriuria
50.0%
1/2 • Number of events 1 • From first dose up to safety follow-up period (Week 28)
Safety population
Musculoskeletal and connective tissue disorders
Muscle spasms
50.0%
1/2 • Number of events 1 • From first dose up to safety follow-up period (Week 28)
Safety population
Musculoskeletal and connective tissue disorders
Myalgia
50.0%
1/2 • Number of events 1 • From first dose up to safety follow-up period (Week 28)
Safety population
Skin and subcutaneous tissue disorders
Rash
50.0%
1/2 • Number of events 1 • From first dose up to safety follow-up period (Week 28)
Safety population
Vascular disorders
Hypotension
50.0%
1/2 • Number of events 1 • From first dose up to safety follow-up period (Week 28)
Safety population
General disorders
Oedema peripheral
50.0%
1/2 • Number of events 2 • From first dose up to safety follow-up period (Week 28)
Safety population

Additional Information

Study Director

BioCryst Pharmaceuticals Inc

Phone: +1 919-859-1302

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place