A Trial of HRS-5965 Tablets in Primary IgA Nephropathy

NCT ID: NCT06137768

Last Updated: 2025-04-30

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: PHASE2
• Total Enrollment: 123 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-19
• Study Completion Date: 2025-08-31

Brief Summary

The study is being conducted to evaluate the efficacy, and safety of HRS-5965 tablets for primary IgA nephropathy. To explore the effective dosage of HRS-5965 tablets for primary IgA nephropathy.

Conditions

Primary IgA Nephropathy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

Treatment group A: HRS-5965; high dose

Group Type: EXPERIMENTAL

HRS-5965

Intervention Type: DRUG

HRS-5965

Treatment group B: HRS-5965; medium dose

Group Type: EXPERIMENTAL

HRS-5965

Intervention Type: DRUG

HRS-5965

Treatment group C: HRS-5965; low dose

Group Type: EXPERIMENTAL

HRS-5965

Intervention Type: DRUG

HRS-5965

Treatment group D: Placebo.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Placebo.

Treatment group E

Group Type: EXPERIMENTAL

HRS-5965

Intervention Type: DRUG

HRS-5965

Interventions

HRS-5965

HRS-5965

Intervention Type: DRUG

Placebo

Placebo.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Able and willing to provide a written informed consent；

2. Weight ≥35 kg, Body mass index (BMI) < 37.5kg /m2;

3. Primary IgA nephropathy was confirmed by renal biopsy within 5 years;

4. 24-UPE≥ 0.75g /24h, or UPCR≥ 0.8g/g at screening and prior to randomization;

5. eGFR≥30 ml/min/1.73m2 at screening and prior to randomization; (CKD-EPI formula)

6. A fertile female subject or a male subject whose partner is a fertile female, who has not had a fertility, sperm/egg donation plan from the signing of the informed consent to 1 month after the last dose, and voluntarily takes effective contraceptive measures (including the partner);

7. Receiving optimal supportive therapy including RAS blockers for 12 weeks and stabilizing the dose for at least 4 weeks after reaching the maximum recommended dose or the maximum tolerated dose prior to randomization;

Exclusion Criteria

1. Allergic to any RAS blockers, investigational products, or components as evaluated by the investigator;

2. Patients with secondary IgA nephropathy as determined by the investigator;

3. IgA nephropathy with rapid decline of renal function; Kidney pathology indicated that more than 50% of the glomerulus had large crescent body formation, which may affect the study results; Tubule atrophy - interstitial fibrosis of more than 50%;

4. Patients with a history of immunodeficiency disease; Or in combination with other systemic diseases likely to cause proteinuria;

5. Have any organ transplant;

6. Patients with chronic recurrent infections within 1 year prior to screening, such as liver abscess and pyelonephritis; Or subjects with active infection who requiring intravenous antibiotic therapy within 2 weeks prior to randomization;

7. Patients with a history of malignant neoplasms;

8. Patients with a history of severe trauma or major surgery within 12 weeks prior to screening, or who plan to undergo surgery during the study period;

9. Patients with a history of blood donation or a history of severe blood loss (≥400 mL blood loss) within 12 weeks prior to screening, or who have received blood transfusions within 12 weeks prior to screening;

10. The presence of a disease or medical condition determined by the investigator might affect drug absorption, distribution, metabolism, and excretion;

11. As determined by the investigator, the subject has any of the following: progression or recovery of a disease;

12. Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), or total bilirubin exceeding 3 times the upper limit of normal (ULN) at screening;

13. Participants who have participated in a clinical trial of any drug or medical device within 12 weeks prior to randomization and are expected to have residual effects of the investigational treatment (as determined by the investigator), or who were within the follow-up period of a clinical study, or within 5 half-lives of the investigational drug, or within 30 days (whichever is older) before screening;

14. Women who are pregnant or breastfeeding;

15. A history of drug abuse;

16. Any physical or mental illness or condition that, as determined by the investigator, is likely to increase the risk of the study, affect the subject's adherence to the protocol, or prevent the subject from completing the study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chengdu Suncadia Medicine Co., Ltd.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Beijing University First Hospital

Beijing, Beijing Municipality, China

Countries

China

References

Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3.

Reference Type: DERIVED

PMID: 38299639 (View on PubMed)

Other Identifiers

HRS-5965-201

Identifier Type: -

Identifier Source: org_study_id