A Trial of Felzartamab in Kidney Transplant Recipients With Late Antibody-Mediated Rejection (AMR)

NCT ID: NCT06685757

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-03

Study Completion Date

2027-06-01

Brief Summary

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The main goal of this trial is to evaluate the efficacy of felzartamab compared to placebo in kidney transplant recipients diagnosed with late active or chronic active AMR.

Detailed Description

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NOTE: Biogen is the Sponsor of study 299AR301.

Conditions

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Antibody-mediated Rejection

Keywords

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AMR Felzartamab Kidney Transplant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
This is a 2-part trial; Part A will be randomized and placebo-controlled, and Part B will be open-label.

Study Groups

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Felzartamab

Group Type EXPERIMENTAL

Felzartamab

Intervention Type DRUG

Participants will receive felzartamab by intravenous infusion.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive 0.9% saline solution by intravenous infusion.

Interventions

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Felzartamab

Participants will receive felzartamab by intravenous infusion.

Intervention Type DRUG

Placebo

Participants will receive 0.9% saline solution by intravenous infusion.

Intervention Type DRUG

Other Intervention Names

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MOR202 MOR03087 TJ202 HIB202 BIIB148

Eligibility Criteria

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Inclusion Criteria

* Active or chronic active AMR (biopsy-confirmed) without TCMR per central reading, as defined by the Banff 2022 criteria.
* Kidney transplant at least 6 months prior to Screening visit (recipients of either living or deceased donors).
* Donor-specific antibody (DSA): Human leukocyte antigen (HLA) Class I and/or II antigen-specific DSA-positive (preformed and/or de novo DSA) as determined by the local laboratory's definition of positivity using singleantigen bead-based assays within 3 months prior to randomization.

Exclusion Criteria

* Transplant: Blood type (ABO)-incompatible transplant.
* History of multiple organ transplants including en bloc and dual kidney transplants.
* Acute, rapid decline in renal function, defined as a participant likely to require renal replacement therapy within the subsequent 30 days as determined by the Investigator.
* Treatment: Prior AMR/TCMR treatment (with the exception of corticosteroids) within 3 months prior to randomization is excluded as listed below. Participants who received any of these treatments between 3 and 6 months prior to randomization must have both a renal biopsy (IC3) and DSA testing at least 6 weeks after completing (or stopping) treatment in order to confirm continuing AMR and to determine eligibility:

1. Intravenous or subcutaneous immunoglobulin (IVIg or subcutaneous immunoglobulin \[SCIg\]) or PLEX.
2. Complement system inhibitors (e.g., eculizumab).
3. Proteasome inhibitors (e.g., bortezomib).
4. Tocilizumab. e. Any other investigational agent within 3 months or 5 half-lives (whichever is longer) of randomization.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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University of Southern California

Los Angeles, California, United States

Site Status RECRUITING

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

UCLA

Los Angeles, California, United States

Site Status RECRUITING

Providence Healthcare

Orange, California, United States

Site Status RECRUITING

Loma Linda

San Bernardino, California, United States

Site Status RECRUITING

California Pacific Medical Center

San Francisco, California, United States

Site Status RECRUITING

University of California, San Francisco

San Francisco, California, United States

Site Status RECRUITING

University of Colorado

Aurora, Colorado, United States

Site Status RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

University of Kansas

Kansas City, Kansas, United States

Site Status RECRUITING

Tulane University Health Sciences Center

New Orleans, Louisiana, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

Washington University

St Louis, Missouri, United States

Site Status RECRUITING

University of Nebraska

Omaha, Nebraska, United States

Site Status RECRUITING

Cooperman Barnabas Medical Center

West Orange, New Jersey, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

The Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Penn Medicine - Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Vanderbilt University

Nashville, Tennessee, United States

Site Status RECRUITING

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Houston Methodist

Houston, Texas, United States

Site Status RECRUITING

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status RECRUITING

University of Washington Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Westmead Hospital

Sydney, New South Wales, Australia

Site Status RECRUITING

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status RECRUITING

Princess Alexandra Hospital

Woolloongabba, , Australia

Site Status RECRUITING

Medical University of Vienna

Spitalgasse, Vienna, Austria

Site Status RECRUITING

Hospital de Base da Faculdade de Medicina de São José do Rio Preto

Vila São José, São José Do Rio Preto, Brazil

Site Status RECRUITING

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Cerqueira César, São Paulo, Brazil

Site Status RECRUITING

Fundação Oswaldo Ramos - Hospital do Rim (HRIM)

Vila Clementino, São Paulo, Brazil

Site Status RECRUITING

University of Alberta

Edmonton, Alberta, Canada

Site Status RECRUITING

Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

The University of British Columbia (UBC)/St. Paul's Hospital part of Providence Health Care

Vancouver, British Columbia, Canada

Site Status RECRUITING

McGill

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

CHU Lyon Hôpital Edouard Herriot

Bordeaux, , France

Site Status RECRUITING

CHU Grenoble Alpes Hôpital Michallon

La Tronche, , France

Site Status RECRUITING

Hospices Civils de Lyon - Hôpital Édouard Herriot

Lyon, , France

Site Status RECRUITING

Centre Hospitalier Universitaire (CHU) de Toulouse - Hôpital de Rangueil

Toulouse, , France

Site Status RECRUITING

Charite University

Berlin, , Germany

Site Status RECRUITING

Universitaetsklinikum Carl Gustav Carus Dresden

Dresden, , Germany

Site Status RECRUITING

Universitatsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status RECRUITING

Auckland City Hospital

Grafton, Auckland, New Zealand

Site Status RECRUITING

Hospital Clinic de Barcelona

Calle Villarroel, Barcelona, Spain

Site Status RECRUITING

Hospital del Mar

Ciutat Vella, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario Vall d'Hebron

Horta-Guinardó, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status RECRUITING

University Hospital Basel

Petersgraben, Basel, Switzerland

Site Status RECRUITING

Universitätsspital Zürich

Zurich, , Switzerland

Site Status RECRUITING

Countries

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United States Australia Austria Brazil Canada France Germany New Zealand Spain Switzerland

Central Contacts

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US Biogen Clinical Trial Center

Role: CONTACT

Phone: 1-866-633-4636

Email: [email protected]

Global Biogen Clinical Trial Center

Role: CONTACT

Email: [email protected]

Facility Contacts

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Other Identifiers

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2024-519095-66-00

Identifier Type: CTIS

Identifier Source: secondary_id

299AR301

Identifier Type: -

Identifier Source: org_study_id