The study is an open-label, two cohort non-randomized study evaluating the efficacy, safety, and pharmacokinetics of LNP023 in patients with C3G (Cohort A) and patients who have undergone kidney transplant and have C3G recurrence (Cohort B).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
27
Increasing doses of LNP023 up to 200 mg.
Novartis Investigative Site
Iowa City, Iowa, United States
Novartis Investigative Site
Montpellier, France
Novartis Investigative Site
Paris, France
Novartis Investigative Site
Essen, Germany
Cohort A: Change From Baseline in Urine Protein to Creatinine Concentration Ratio (UPCR)
Change in proteinuria assessed by ratio to baseline of UPCR derived from 24h urine collection
Time frame: Week 12
Cohort B: Change From Baseline in C3 Deposit
Histopathological changes in kidney biopsies as assessed by change from baseline in C3 Deposit Score (based on immunofluorescence microscopy)
Time frame: Week 12
Change From Baseline in Urine Protein Creatinine Concentration Ratio (UPCR)
Ratio to baseline UPCR derived from 24 hour urine collection
Time frame: Week 12: Day 84
Change From Baseline in Urine Protein (UP) Excretion
Ratio to baseline UP excretion derived from 24 hour urine collection
Time frame: Week 12: Day 84
Change From Baseline in Urine Albumin Creatinine Concentration Ratio (UACR) Excretion
Ratio to baseline UACR excretion derived from 24 hour urine collection
Time frame: Week 12: Day 84
Change From Baseline Change in Urinary Albumin (UA) Excretion
Ratio to baseline UA excretion derived from 24 hour urine collection
Time frame: Week 12: Day 84
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
Effect of LNP023 on estimated glomerular filtration rate (eGFR)
Time frame: Day 84
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Novartis Investigative Site
Ranica, BG, Italy
Novartis Investigative Site
Barcelona, Catalonia, Spain
Novartis Investigative Site
Madrid, Spain
Novartis Investigative Site
London, United Kingdom
Novartis Investigative Site
Newcastle upon Tyne, United Kingdom
Change From Baseline in Serum Creatinine
The effect of LNP023 on renal function - serum creatinine
Time frame: Week 12: Day 84
Change From Baseline in Creatinine Clearance
The effect of LNP023 on renal function - creatinine clearance
Time frame: Week 12: Day 84
Number of Patients With Hematuria
The effect of LNP023 on renal function - hematuria
Time frame: Week 12: Day 84
Change From Baseline in Urine Protein to Creatinine Concentration Ratio (UPCR) First Morning Void
Ratio to baseline of UPCR reduction derived from total cumulative urinary excretion first morning void
Time frame: Week 9: Day 64
Change From Baseline in Urine Albumin to Creatinine Concentration Ratio (UACR) First Morning Void
UACR reduction derived from total cumulative urinary excretion first morning void
Time frame: Week 9: Day 64
Pharmacokinetics of LNP023 Area Under the Plasma-concentration-time Curve AUClast (AUC)
The area under the plasma concentration-time curve calculated from time zero to the last quantifiable concentration point (hr\*ng/mL)
Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)
Pharmacokinetics of LNP023 Area Under the Plasma-concentration-time Curve AUCtau (AUC)
The area under the plasma concentration-time curve calculated to the end of the dosing interval (hr\*ng/mL)
Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)
Observed Maximum Concentration After Drug Administration (Cmax)
The observed maximum plasma concentration (ng/mL)
Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)
Observed Minimum Concentration After Drug Administration (Ctrough)
The concentration that is just prior to the beginning of, or at the end, of a dosing interval (ng/mL)
Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)
Time to Reach the Maximum Plasma Concentration (Tmax)
The time to reach peak or maximum concentration (hr)
Time frame: Day 7, Day 14, Day 21, Day 28 (pre-dose, 0.5h, 1h, 2h, 4h, 6h, 8h post dose) and Day 36, Day 64 and Day 84 (pre-dose)
Summary of Change From Baseline Complement C3 Biomarker in Serum
To assess the effect of LNP023 on alternative complement pathway hyperactivity.
Time frame: Baseline, Day 1, Day 7, Day 14, Day 21, Day 28, Day 36, Day 64, Day 84
Ratio to Baseline Summary of Plasma Bb
To assess the relationship between LNP023 dose and pharmacodynamic biomarker levels of blood Bb
Time frame: Baseline, Day 1, Day 7, Day 14, Day 21, Day 28, Day 36, Day 64, Day 84