The purpose of this study is to evaluate the efficacy and safety of iptacopan compared to standard of care (SOC) to induce and maintain remission in study participants with active granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA), when used in combination with rituximab (RTX) induction. The trial will also assess the impact of iptacopan on disease relapses, evolution of renal function and proteinuria, GC side effects, patients' immune status, and QoL.
This is a randomized, controlled study to evaluate the efficacy and safety of iptacopan in combination with RTX induction therapy for the treatment of newly diagnosed or relapsed patients with active GPA or MPA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
84
Sustained remission through Week 48 defined as complete remission at Week 24 without major relapse up to Week 48.
To assess the effect of iptacopan in achieving sustained remission compared to standard of care (SOC)
Time frame: At Week 48
B cell counts
To assess participant's immune status
Time frame: At Week 48
Total IgG levels
To assess participant's immune status
Time frame: At Week 48
Complete remission at week 24
Remission is defined as Birmingham Vasculitis Activity Score (BVAS) equal zero. BVAS captures various vasculitis organ manifestations as weighted score describing persistent and new symptoms with higher scores indicating more severe disease.
Time frame: At week 24
Time to reach BVAS=0
To assess time to remission through Week 24
Time frame: At Week 24
Time to major relapse
To assess the effect of iptacopan on disease relapse
Time frame: At Week 48
Estimated glomerular filtration rate (eGFR) using the CKD-EPI formula, urinary protein excretion and hematuria over 48 weeks
To assess the effect of iptacopan on renal function
Time frame: At Week 48
Cumulative dose of glucocorticoid (GC)
To assess the effect of iptacopan on GC sparing
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Arizona Arthritis and Rheumatology Research PLLC
Mesa, Arizona, United States
Mayo Clinic Rochester
Rochester, Minnesota, United States
Novartis Investigative Site
CABA, Buenos Aires, Argentina
Novartis Investigative Site
La Plata, Buenos Aires, Argentina
Novartis Investigative Site
CABA, Argentina
Novartis Investigative Site
Concord, New South Wales, Australia
Novartis Investigative Site
Clayton, Victoria, Australia
Novartis Investigative Site
Innsbruck, Tyrol, Austria
Novartis Investigative Site
Graz, Austria
Novartis Investigative Site
Vienna, Austria
...and 32 more locations
Time frame: At Week 48