Study of ALXN1920 in Adult Participants With Primary Membranous Nephropathy (PMN)

NCT ID: NCT07157787

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

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-19

Study Completion Date

2027-02-12

Brief Summary

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The primary objective of this study is to evaluate the efficacy of ALXN1920 compared with placebo in participants with PMN who are at a high risk for disease progression using 24-hour urine protein creatinine ratio (UPCR).

Detailed Description

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Conditions

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Primary Membranous Nephropathy

Keywords

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Primary Membranous Nephropathy PMN ALXN1920

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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ALXN1920

Participants will receive ALXN1920 subcutaneous (SC) and background treatment of ACE/ARB and Rituximab.

Group Type EXPERIMENTAL

ALXN1920

Intervention Type DRUG

Participants will receive ALXN1920 SC infusion.

Placebo

Participants will receive placebo subcutaneous (SC) and background treatment of ACE/ARB and Rituximab.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Participants will receive Placebo SC infusion.

Interventions

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ALXN1920

Participants will receive ALXN1920 SC infusion.

Intervention Type DRUG

Placebo

Participants will receive Placebo SC infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants who have a documented diagnosis of PMN, established by positive antiPLA2R antibody level (\> 50 RU/mL) at Screening, which must be confirmed by a central laboratory
* Participants are willing to receive the background Standard of Care (SoC)
* Participants at high risk for disease progression, defined as:

1. Receiving ACE inhibitor or ARB for a minimum of 8 weeks prior to Screening, with the dose titrated to the maximally tolerated level. Participants with less than 8 weeks on ACE inhibitor or ARB before Screening or who have not yet reached maximally tolerated dose will enter the Run-in Period.
2. Participants who are on ACE inhibitor or ARB for a minimum of 8 weeks with Systolic Blood Pressure \< 140 mmHg in ≥ 75% of the readings within last 8 weeks.
3. Having two proteinuria measurements with each \> 3.5 g/day, the second measurement showing ≤50% decrease from the first measurement.
* All participants must receive prophylactic treatment with appropriate antibiotics while receiving Rituximab (RTX), and be willing to be vaccinated against Neisseria meningitidis

Exclusion Criteria

* Estimated glomerular filtration rate (GFR) \< 60 mL/min/1.73 m\^2 during Screening
* Documented rapid deterioration of kidney function
* History of life-threatening Nephrotic Syndrome within 1 year before Screening
* Diagnosis of anti- phospholipase A2 receptor (PLA2R) negative membranous nephropathy (MN) or anti-PLA2R positive MN but Screening serum anti-PLA2R \< 50 RU/mL or kidney disease other than PMN
* History of kidney transplant or planned kidney transplant or dialysis during the Treatment Period
* History of other solid organ (heart, lung, small bowel, pancreas, or liver) or bone marrow transplant; or planned transplant during the Treatment Period
* History or presence of any clinically relevant co-morbidities
* History of intolerance or hypersensitivity to ACEi or ARB
* Use of SGLT2i, MRA, or ERA within 8 weeks prior to randomization and throughout the study period
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Loma Linda, California, United States

Site Status NOT_YET_RECRUITING

Research Site

San Diego, California, United States

Site Status RECRUITING

Research Site

Minneapolis, Minnesota, United States

Site Status RECRUITING

Research Site

Rochester, Minnesota, United States

Site Status NOT_YET_RECRUITING

Research Site

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

Research Site

Buenos Aires, , Argentina

Site Status NOT_YET_RECRUITING

Research Site

CABA, , Argentina

Site Status RECRUITING

Research Site

Ciudad de Buenos Aires, , Argentina

Site Status NOT_YET_RECRUITING

Research Site

Rosario, , Argentina

Site Status NOT_YET_RECRUITING

Research Site

Santa Fe, , Argentina

Site Status WITHDRAWN

Research Site

Santa Fe, , Argentina

Site Status WITHDRAWN

Research Site

Gosford, , Australia

Site Status RECRUITING

Research Site

Parkville, , Australia

Site Status NOT_YET_RECRUITING

Research Site

Southport, , Australia

Site Status RECRUITING

Research Site

Recife, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Salvador, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Baotou, , China

Site Status NOT_YET_RECRUITING

Research Site

Beijing, , China

Site Status NOT_YET_RECRUITING

Research Site

Guangzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Shenzhen, , China

Site Status NOT_YET_RECRUITING

Research Site

Créteil, , France

Site Status NOT_YET_RECRUITING

Research Site

Nice, , France

Site Status NOT_YET_RECRUITING

Research Site

Toulouse, , France

Site Status NOT_YET_RECRUITING

Research Site

Milan, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Ranica, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Torrette, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Seville, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Toledo, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Kaohsiung City, , Taiwan

Site Status RECRUITING

Research Site

Taichung, , Taiwan

Site Status RECRUITING

Research Site

Taoyuan District, , Taiwan

Site Status RECRUITING

Research Site

Cambridge, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Leicester, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Salford, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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United States Argentina Australia Brazil China France Italy Spain Taiwan United Kingdom

Central Contacts

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Alexion Pharmaceuticals, Inc. (Sponsor)

Role: CONTACT

Phone: 1-855-752-2356

Email: [email protected]

Other Identifiers

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ALXN1920-PMN-201

Identifier Type: OTHER

Identifier Source: secondary_id

2025-520780-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D9900C00002

Identifier Type: -

Identifier Source: org_study_id