Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05654506

Daratumumab for Treatment of Proliferative Glomerulonephritis With Monoclonal Immune Deposits

Led by Mayo Clinic · Updated on 2025-09-16

40

Participants Needed

4

Research Sites

154 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this research is to study the safety and efficacy of daratumumab in inducing complete or partial remission in people with proliferative glomerulonephritis with monoclonal immunoglobulin deposits (PGNMID).

CONDITIONS

Official Title

Daratumumab for Treatment of Proliferative Glomerulonephritis With Monoclonal Immune Deposits

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of PGNMID confirmed by renal biopsy at Mayo Clinic
  • Proteinuria of 1000 mg or more over 24 hours
  • Creatinine clearance of 20 mL/min/SA or higher
  • Able and willing to provide informed consent
  • Female participants of childbearing potential must commit to abstinence or use two reliable birth control methods during treatment and for 3 months after last dose
  • Female participants must have two negative pregnancy tests before dosing
  • Female participants must agree not to donate eggs during the study and for 3 months after last dose
  • Male participants of reproductive potential who are sexually active with females must use condoms during the study and for 3 months after last dose
  • Male participants must not donate sperm during the study and for 3 months after last dose
  • Signed informed consent form or legally acceptable representative consent
Not Eligible

You will not qualify if you...

  • Pregnant or planning to become pregnant
  • HIV positive
  • Hepatitis C positive unless aviremic for at least 12 weeks after antiviral treatment
  • Hepatitis B positive including resolved infection markers except vaccinated individuals without active infection
  • Multiple myeloma with >10% plasma cells on bone marrow biopsy and M-spike >3 g/dL with myeloma defining events, or plasma cells >60%, or abnormal free light chain ratio
  • Severe anemia (Hgb < 8.0 g/dL), thrombocytopenia (platelets < 75,000), leukopenia (WBC < 3.5), or neutropenia (ANC < 1000)
  • Liver enzymes AST/ALT > 2.5 times upper limit of normal, bilirubin > 2 times upper limit
  • COPD with FEV1 < 50% predicted
  • Moderate or severe persistent asthma in past 2 years or uncontrolled asthma
  • Significant cardiac disease including recent myocardial infarction, unstable angina, congestive heart failure NYHA III-IV, or uncontrolled arrhythmia
  • Prior exposure to daratumumab or anti-CD-38 therapies (unless re-treatment study)
  • Recent investigational drug or invasive device exposure within 4 weeks or 5 half-lives
  • Recent focal radiation therapy within 14 days except palliative
  • Other diseases or conditions that may interfere with treatment or study interpretation
  • Unable to provide consent
  • Recent use of oral prednisone or glucocorticoids in last 4 weeks unless low dose for unrelated conditions
  • Recent use of certain immunosuppressive therapies in last 3 months unless discontinued for at least 7 days with no proteinuria improvement
  • Prior cyclophosphamide or bortezomib only if no response
  • Prior rituximab with low CD20 count at enrollment
  • Live attenuated vaccine within 4 weeks before study drug
  • History of malignancy except certain skin cancers or in situ lesions treated and disease-free for at least 2 years

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Mayo Clinic

Jacksonville, Florida, United States, 32224

Actively Recruiting

2

Mayo Clinic

Rochester, Minnesota, United States, 55905

Actively Recruiting

3

University North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

4

Oregon Health and Science University

Portland, Oregon, United States, 97239

Not Yet Recruiting

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Research Team

C

Corbyn Bendtsen

CONTACT

N

Nicholas Geroux

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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