Multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of BION-1301 in healthy volunteers and adults with IgA Nephropathy (IgAN).
This is a Phase 1/2 study of BION-1301, a first-in-class humanized IgG4 anti-a proliferation-inducing ligand (APRIL) monoclonal antibody. The study was conducted in four parts. Part 1: double-blind, randomized, placebo-controlled, single ascending dose (SAD) in healthy volunteers (HVs). Part 2: double-blind, randomized, placebo-controlled multiple ascending dose (MAD) in HVs. Part 3: Open-label, multiple dose (MD) in participants with IgAN. Part 4: Retreatment period The study planned to enroll up to 40 participants with IgAN.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
103
A single IV infusion infusion of BION-1301 at doses ranging from 10 to 1350 mg, administered once
A single IV infusion of placebo
Part 2: Multiple IV infusions of BION 1301 administered every 2 weeks (Q2W) at doses of 50 mg, 150 mg or 450 mg for up to 3 doses. Part 3: Repeated dosing of BION 1301: 450 mg IV Q2W for ≥24 weeks followed by 600 mg SC Q2W, or 600 mg SC Q2W throughout.
Amicis Research Center
Northridge, California, United States
Colorado Kidney Care, P.C.
Denver, Colorado, United States
Number of participants with Treatment Emergent Adverse Events (TEAEs) and treatment-emergent serious adverse events (SAEs)
TEAEs and SAEs are assessed throughout each participant's study participation according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: Up to 276 weeks
Change from baseline in systolic and diastolic blood pressure
Change from baseline in systolic and diastolic blood pressure
Time frame: Baseline and up to 276 weeks.
Change from baseline in estimated glomerular filtration rate (eGFR)
Change from baseline in estimated glomerular filtration rate (eGFR)
Time frame: Baseline and up to 276 weeks
Cmax
Maximum observed concentration
Time frame: Up to Day 85
Tmax
Time corresponding to occurrence of Cmax
Time frame: Up to Day 85
T½
Apparent terminal elimination half life
Time frame: Up to Day 85
AUC
Area under the concentration-time curve (AUC)
Time frame: Up to Day 85
Incidence of ADA and neutralizing antibodies (Nabs)
Incidence of anti-drug antibodies (ADA) and neutralizing antibodies (Nabs)
Time frame: Up to 276 weeks
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Multiple IV infusions of placebo administered every 2 weeks for up to 3 doses
600 mg SC injection every 2 weeks (Q2W) for retreatment, administered via vials or pre-filled syringes (PFS)
Nephrology Associates of Central Florida
Orlando, Florida, United States
Elixia Tampa, LLC
Tampa, Florida, United States
New York Nephrology
Clifton Park, New York, United States
Chris Sholer, P.C.
Oklahoma City, Oklahoma, United States
Liberty Research Center
Arlington, Texas, United States
Liberty Research Center
Dallas, Texas, United States
Prolato Clinical Research Center
Houston, Texas, United States
Soon Chun Hyang University Hospital Cheonan
Cheonan, Chungcheongnam-do, South Korea
...and 6 more locations
Change from baseline in immunoglobulin levels
Change from baseline in immunoglobulin levels (IgA, IgG, IgM)
Time frame: Baseline and up to 276 weeks
Change from baseline in UPCR
Change from baseline in urinary protein/creatinine ratio (UPCR) based on 24-hour urine collection
Time frame: Up to 276 weeks
Change from baseline in urinary protein excretion
Change from baseline in urinary protein excretion based on 24-hour urine collection
Time frame: Up to 276 weeks