LNP023 for IgA Nephropathy
(APPLAUSE-IgAN Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
The study is designed as a multicenter, randomized, double-blind, placebo controlled study to demonstrate the superiority of iptacopan (LNP023) at a dose of 200 mg b.i.d. compared to placebo on top of maximally tolerated ACEi or ARB on reduction of proteinuria and slowing renal disease progression in primary IgA Nephropathy patients.
Will I have to stop taking my current medications?
The trial requires that you stay on a stable dose of ACE inhibitors or ARBs for about 90 days before starting the study drug. If you're taking other medications for IgA nephropathy, those doses should also be stable for about 90 days before the trial begins.
How is the drug LNP023 different from other treatments for IgA nephropathy?
LNP023 (Iptacopan) is unique because it is an oral drug that specifically targets and inhibits the alternative complement pathway, which plays a key role in the development of IgA nephropathy. This mechanism of action is different from other treatments, such as steroids or tonsillectomy, and has shown promising results in reducing protein levels in urine, indicating improved kidney function.12345
What data supports the effectiveness of the drug LNP023 (Iptacopan) for treating IgA Nephropathy?
In a Phase 2 study, Iptacopan (LNP023) showed a significant reduction in protein levels in urine, which is a sign of kidney damage, in patients with IgA Nephropathy. The drug was well-tolerated and led to a strong inhibition of the alternative complement pathway, suggesting its potential effectiveness for this condition.13456
Who Is on the Research Team?
Novartis Pharmaceuticals
Principal Investigator
Novartis Pharmaceuticals
Are You a Good Fit for This Trial?
Adults with biopsy-confirmed IgA nephropathy, a kidney disease, and certain levels of protein in their urine can join. They must have been on stable doses of specific blood pressure medicines for about 90 days. Vaccinations against certain infections are required before starting the trial.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive iptacopan (LNP023) or placebo to evaluate efficacy and safety in reducing proteinuria and slowing renal disease progression
Follow-up
Participants are monitored for safety and effectiveness after treatment, focusing on long-term efficacy based on eGFR decline
What Are the Treatments Tested in This Trial?
Interventions
- LNP023
LNP023 is already approved in United States, European Union for the following indications:
- Paroxysmal nocturnal hemoglobinuria (PNH)
- Paroxysmal nocturnal hemoglobinuria (PNH)
Find a Clinic Near You
Who Is Running the Clinical Trial?
Novartis Pharmaceuticals
Lead Sponsor
Dr. Vas Narasimhan
Novartis Pharmaceuticals
Chief Executive Officer since 2018
MD from Harvard Medical School
Dr. Shreeram Aradhye
Novartis Pharmaceuticals
Chief Medical Officer since 2021
MD