This is a Phase Ib, open-label, dose-escalation study designed to evaluate the safety, efficacy, and immunogenicity of NM8074 administered intravenously to patients with C3 Glomerulopathy.
The proposed study, NM8074-C3G-101, will enroll a planned number of 18 patients, with the potential to enroll more patients. There will be 3 cohorts with 6 patients each dosed at 5, 10, or 20 mg/kg depending on which cohort they are assigned to. Enrollment in the subsequent higher dose level cohort will occur after the previous cohort has been evaluated for safety.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
18
NM8074 will be administered as an intravenous infusion. Multiple dosing duration will range from 5 to 9 weeks.
Monitoring for incidence of Adverse Events (AEs)/Serious Adverse Events (SAEs)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Urine Protein to Creatine Concentration Ratio (UPCR)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Urine Albumin to Creatinine Concentration Ratio (UACR)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Ratio to Baseline of UPCR and UACR
Derived from 24h urine collection
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Estimated Glomerular Filtration Rate (eGFR)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Percent Change from Baseline in Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Classical Pathway (CP) of Complement Activity as Measured by Percent Change in Levels of Membrane Attack Complex (MAC)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Percent Change from Baseline in Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Classical Pathway (CP) of Complement Activity as Measured by Percent Change in Levels of Complement Component C3b
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
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Change from Baseline or Percent Change from Baseline in Serum C3 Levels
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Glomerular Inflammation
Measured by change from baseline or percent change from baseline in the C3G Histologic Index for Disease Activity - Combined C5b-9 Strata. Scores range from 0-21 where a decrease in score indicates improvement.
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Assessed via the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale, Version 4.
The FACIT-fatigue scale is a 13-item patient-reported measure of fatigue with a 7-day recall period. Items are scored on a 0 - 4 response scale ranging from "Not at all" to "Very much so". All items are summed to create a single fatigue score with a range from 0 to 52 with a better quality of life indicated by a higher score.
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Assessed via the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 Scale (QLQ- C30), Version 3.0
All EORTC QLQ-C30 scales and single-item measures range from 0 to 100. This includes 3 symptom scales (fatigue, pain, nausea and vomiting), 5 functional scales (physical, role, cognitive, emotional, and social), single-item questions addressing symptoms like insomnia, dyspnea, loss of appetite, and others that are commonly reported by cancer patients, and the perceived financial impact of the disease. A higher score is associated with a greater quality of life for global health status.
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Changes in plasma concentration of NM8074
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Maximum plasma concentration (Cmax)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Time corresponding to Cmax (tmax)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Area under the drug concentration-time curves (AUC0-t)
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Levels of Complement Component C3b via Alternative Pathway (AP) of Complement Activity
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3
Change from Baseline or Percent Change from Baseline in Levels of Membrane Attack Complex (MAC) via Alternative Pathway (AP) of Complement Activity
Time frame: Up to Study Day 50 for Cohort 1 and up to study day 84 for Cohort 2 and 3