Iptacopan in Patients With ANCA Associated Vasculitis

NCT ID: NCT06388941

Last Updated: 2026-01-15

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-05

Study Completion Date

2026-12-30

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of iptacopan compared to standard of care (SOC) to induce and maintain remission in study participants with active granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA), when used in combination with rituximab (RTX) induction. The trial will also assess the impact of iptacopan on disease relapses, evolution of renal function and proteinuria, GC side effects, patients' immune status, and QoL.

Detailed Description

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This is a randomized, controlled study to evaluate the efficacy and safety of iptacopan in combination with RTX induction therapy for the treatment of newly diagnosed or relapsed patients with active GPA or MPA.

Conditions

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Anti-Neutrophil Cytoplasm Antibodies (ANCA) Associated Vasculitis

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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Iptacopan

LNP023 administered orally

Group Type EXPERIMENTAL

Iptacopan

Intervention Type DRUG

LNP023 administered orally

Rituximab

Intervention Type DRUG

Standard of care

Control

Matching placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo administered orally

Rituximab

Intervention Type DRUG

Standard of care

Interventions

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Iptacopan

LNP023 administered orally

Intervention Type DRUG

Placebo

Matching placebo administered orally

Intervention Type DRUG

Rituximab

Standard of care

Intervention Type DRUG

Other Intervention Names

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LNP023

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed or relapsed GPA and MPA (according to the 2022 ACR/EULAR classification criteria for GPA and MPA) requiring treatment with RTX and GC as per investigator's judgement.
* BVAS assessment with ≥1 major item, or ≥3 minor items, or ≥2 renal items at Screening.
* Positive antibody test for anti-proteinase 3 (PR3) or anti-myeloperoxidase (MPO) antibodies at Screening or with history of documented evidence of a positive antibody test.

Exclusion Criteria

* Other systemic disease which constitutes the primary illness, including but not limited to: eosinophilic granulomatosis with polyangiitis (EGPA), moderate to severe systemic lupus erythematosus, IgA vasculitis (Purpura Schönlein-Henoch), rheumatoid vasculitis, Sjögren's syndrome, anti-glomerular basement membrane (GBM) disease, cryoglobulinemic vasculitis, autoimmune hemolytic anemia, autoimmune lymphoproliferative syndrome or mixed connective tissue disease.
* Alveolar hemorrhage requiring invasive pulmonary ventilation support at Screening.
* Severe kidney disease defined as estimated glomerular filtration rate (eGFR) \<15 mL/minute/1.73m2, or kidney failure defined as receiving renal replacement therapy such as hemo(dia)filtration, hemo-/peritoneal dialysis, or having received a kidney transplant.
* Received plasma exchange/-pheresis within 12 weeks prior to Screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Arthritis and Rheumatology Research PLLC

Mesa, Arizona, United States

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UCLA Medical Center

Los Angeles, California, United States

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Mayo Clinic Rochester

Rochester, Minnesota, United States

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Northwell Health

New York, New York, United States

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Novartis Investigative Site

CABA, Buenos Aires, Argentina

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Novartis Investigative Site

La Plata, Buenos Aires, Argentina

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Novartis Investigative Site

CABA, , Argentina

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Novartis Investigative Site

Concord, New South Wales, Australia

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Novartis Investigative Site

Westmead, New South Wales, Australia

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Novartis Investigative Site

Adelaide, South Australia, Australia

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Clayton, Victoria, Australia

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Innsbruck, Tyrol, Austria

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Graz, , Austria

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Vienna, , Austria

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Leuven, Vlaams Brabant, Belgium

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Novartis Investigative Site

Roeselare, West-Vlaanderen, Belgium

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London, Ontario, Canada

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Fleurimont, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Shijiazhuang, Hebei, China

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Zhengzhou, Henan, China

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Beijing, , China

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Shanghai, , China

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Prague, , Czechia

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Aarhus N, , Denmark

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Copenhagen, , Denmark

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Herlev, , Denmark

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Angers, , France

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Brest, , France

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Dijon, , France

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Marseille, , France

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Paris, , France

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Toulouse, , France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Kirchheim unter Teck, Baden-Wurttemberg, Germany

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Munich, Bavaria, Germany

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Berlin, , Germany

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Ludwigshafen, , Germany

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Mainz, , Germany

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Debrecen, Hajdu Bihar Megye, Hungary

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Budapest, , Hungary

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Szeged, , Hungary

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Groningen, , Netherlands

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Plasencia, Caceres, Spain

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Pamplona, Navarre, Spain

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Madrid, , Spain

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Istanbul, Pendik, Turkey (Türkiye)

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Ankara, Sihhiye-Altindag, Turkey (Türkiye)

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Ankara, Yenimahalle, Turkey (Türkiye)

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Novartis Investigative Site

Bradford, West Yorkshire, United Kingdom

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Cambridge, , United Kingdom

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Novartis Investigative Site

Leicester, , United Kingdom

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Novartis Investigative Site

London, , United Kingdom

Site Status

Countries

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United States Argentina Australia Austria Belgium Canada China Czechia Denmark France Germany Hungary Netherlands Spain Turkey (Türkiye) United Kingdom

Other Identifiers

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2023-510525-15-00

Identifier Type: OTHER

Identifier Source: secondary_id

CLNP023R12201

Identifier Type: -

Identifier Source: org_study_id

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