200 Participants Needed

Atacicept for Nephrotic Syndrome

VT
Overseen ByVera Therapeutics, Inc. Clinical Trials Information
Age: Any Age
Sex: Any
Trial Phase: Phase 2
Sponsor: Vera Therapeutics, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the safety and effectiveness of atacicept, a treatment for individuals with certain kidney problems that cause excessive protein in urine and affect kidney function. The study divides participants into groups based on specific kidney issues: IgAN or IgAVN, pMN, and primary nephrotic syndrome (such as MCD or FSGS). Suitable candidates have biopsy-proven kidney conditions, experience protein in their urine, and have not responded to standard treatments. Participants will help researchers determine how atacicept can reduce protein levels and preserve kidney function. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group.

Do I have to stop taking my current medications for the trial?

The trial requires participants to be on a stable prescribed standard of care treatment regimen, so you may not need to stop your current medications. However, the protocol does not specify any changes, so it's best to discuss your specific situation with the trial coordinators.

Is there any evidence suggesting that atacicept is likely to be safe for humans?

Previous studies have shown that atacicept is safe for long-term use. Research indicates that people tolerated it well over 96 weeks, with no major safety issues. These findings suggest that atacicept may be safe for humans, although individual experiences can vary.12345

Why do researchers think this study treatment might be promising for nephrotic syndrome?

Researchers are excited about atacicept because it offers a unique approach to treating nephrotic syndrome. Unlike traditional treatments like corticosteroids and immunosuppressants, which broadly dampen the immune system, atacicept specifically targets and reduces the activity of B-cells and plasma cells involved in producing harmful antibodies. This targeted action could lead to fewer side effects and improved effectiveness, especially in patients with conditions like IgAN, IgAVN, pMN, and primary nephrotic syndrome linked to specific antibodies. Additionally, atacicept's mechanism might provide hope for those not responding well to existing therapies.

What evidence suggests that atacicept might be an effective treatment for nephrotic syndrome?

This trial will evaluate the effectiveness of atacicept in treating different types of nephrotic syndrome. Research has shown that atacicept may help treat conditions such as IgA Nephropathy (IgAN) and IgA Vasculitis Nephropathy (IgAVN), which are included in one of the trial arms. In earlier studies, patients taking atacicept had less protein in their urine, an important indicator of kidney health. Another arm of this trial will focus on Primary Membranous Nephropathy (pMN), where atacicept treatment significantly lowered the protein-to-creatinine ratio in urine. This suggests it might help reduce high protein levels in urine, a common issue in kidney diseases. The trial will also include an arm for primary nephrotic syndrome cases like Minimal Change Disease (MCD) and Focal Segmental Glomerulosclerosis (FSGS), where atacicept was found to be safe and helped maintain kidney function over time. These findings suggest that atacicept could effectively manage symptoms and protect kidney health in these conditions.36789

Who Is on the Research Team?

PW

Pam Winterberg

Principal Investigator

Vera Therapeutics

Are You a Good Fit for This Trial?

This trial is for individuals at least 10 years old, weighing over 40 kg, with certain kidney conditions like IgA Nephropathy or Focal Segmental Glomerulosclerosis. They should have a minimum eGFR of 20 mL/min/1.73m2 and be on stable standard treatments. It's not suitable for those who don't meet the specific disease requirements.

Inclusion Criteria

I am 10 years old or older.
I am on a stable treatment plan as per local health guidelines.
I have been diagnosed with a specific kidney disease.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive weekly subcutaneous injections of atacicept

52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

26 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Atacicept
Trial Overview The study tests Atacicept's safety and its ability to reduce protein in urine (proteinuria) and help maintain kidney function in patients with various glomerular diseases.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: pMNExperimental Treatment1 Intervention
Group II: Primary Nephrotic Syndrome (MCD/FSGS)Experimental Treatment1 Intervention
Group III: IgAN or IgAVNExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Vera Therapeutics, Inc.

Lead Sponsor

Trials
4
Recruited
1,200+

Citations

A phase 2b, randomized, double-blind, placebo-controlled, ...In the ORIGIN phase 2b study in patients with IgAN, atacicept improved kidney endpoints with a reduction of proteinuria and stabilization of ...
Clinical Trial A phase 2b, randomized, double-blind ...For atacicept 150 and 75 mg, mean reductions from baseline in IgG were 37% and 32%, in IgA were 63% and 54%, and in IgM were 73% and 70%, respectively. These ...
Long-Term Results from an Open-Label Extension Study of...This study evaluated the long-term efficacy and safety of atacicept in patients with IgA nephropathy over 96 weeks.
A narrative review of potential drug treatments for nephritis ...Atacicept has been trialled in IgAN in a phase II study (JANUS, NCT02808429), with results demonstrating dose-dependent reductions in IgA, IgG, ...
Vera Therapeutics Announces 96-week eGFR Stabilization ...Over 96 weeks, participants treated with atacicept demonstrated a -66% reduction in galactose-deficient IgA1 (Gd-IgA1), resolution of hematuria ...
A Phase 3 Trial of Atacicept in Patients with IgA NephropathyIn this prespecified interim analysis, treatment with atacicept resulted in a significantly greater reduction in proteinuria than placebo at ...
News ReleaseAtacicept treatment also led to improvements in secondary endpoints: Gd-IgA1 was reduced by 68% and hematuria was resolved in 81% of ...
Atacicept in Multiple Glomerular DiseasesThe purpose of this study is to evaluate the safety and tolerability of atacicept in adult and adolescent participants and to measure the effect ...
Atacicept significantly reduced proteinuria in patients with ...Treatment with atacicept also significantly reduced hematuria and galactose-deficient IgA1 compared with placebo, with a favorable safety ...
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