Targeting B Cells and Plasma Cells in Glomerular Disease.
Syeda Behjat Ahmad, J Ashley Jefferson
https://pubmed.ncbi.nlm.nih.gov/40465397/Actively Recruiting
Led by Takeda · Updated on 2026-07-31
347
Participants Needed
175
Research Sites
70 weeks
Total Duration
This research aims to evaluate mezagitamab for adults with primary Immunoglobulin A nephropathy IgAN, a kidney disease caused by immune protein buildup leading to inflammation and potential kidney damage. The study will compare how mezagitamab affects protein levels in urine proteinuria against a placebo, focusing on safety, tolerability, and maintenance of kidney function over time. Participants will be randomly assigned to either receive mezagitamab or a placebo injection subcutaneously over approximately 22 weeks in the main group, with a 21 ratio favoring mezagitamab. An open-label group includes participants with specific proteinuria or kidney filtration levels, including those from a prior related study, all receiving mezagitamab in the same manner. After treatment, participants will be observed for about 1.5 years with regular check-ups. During the study, participants will attend multiple clinic visits for treatment and monitoring. Researchers will measure changes in proteinuria at Week 36 as the primary outcome, as well as kidney filtration rates over one and two years. Safety and long-term kidney function will be closely monitored throughout the 2-year participation period.
CONDITIONS
A Study of Mezagitamab in Adults With Kidney Condition Called IgA Nephropathy
T
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Takeda
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Mezagitamab (plus background therapy) | Placebo (plus background therapy) | Guideline‑recommended standard care |
|---|---|---|---|
| What it is | Subcutaneous anti‑CD38 monoclonal antibody given with existing background therapy | Subcutaneous placebo injections alongside background therapy | Optimized supportive care including renin‑angiotensin inhibitors; may include SGLT2 inhibitors or sparsentan per latest guidelines |
| Role in trial | Investigational treatment arm | Control arm receiving placebo | Not a trial arm; reflects treatment outside trial |
| Primary use | Test whether mezagitamab reduces proteinuria and preserves kidney function compared to placebo | Provide control comparison for efficacy and safety assessment | Guide usual management of proteinuria and kidney protection in IgAN |
| How it is given or performed | Subcutaneous injections given for ~22 weeks followed by continued monthly monitoring up to 104 weeks | Matching subcutaneous placebo injections on same schedule | Daily oral RAAS inhibitors, possibly with SGLT2 inhibitors or sparsentan as tolerated |
| Evidence status | Phase 1b data showed stable eGFR and sustained proteinuria reduction up to Week 96 after treatment | No efficacy beyond background therapy; serves as control | RAAS blockers reduce proteinuria and slow progression; SGLT2 inhibitors and sparsentan add further renal protection |
| Important risks | Safety evaluated in trial; Phase 1b reported no serious adverse events or opportunistic infections through Week 96 | Risks related to placebo minimal; background therapy risks apply | Known risks from RAAS inhibitors and newer agents must be managed clinically |
| Important limitations | Phase 3 efficacy and long‑term safety still unproven; results pending | Placebo offers no intrinsic therapeutic benefit; cannot inform about comparative effectiveness beyond supportive care | Mechanistic benefits of newer agents vary; not evaluated head‑to‑head with mezagitamab |
| Patient impact | Potential to reduce proteinuria and stabilize kidney function beyond background therapy | Continues standard background care without investigational effect | Established to slow progression and reduce proteinuria with known regimens |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Multiple visits during screening period
Duration - Approximately 22 weeks
Participants receive mezagitamab or placebo injections subcutaneously over approximately 22 weeks.
Regular clinic visits for injections and assessments
Duration - About 1.5 years
Participants are observed with monthly check-ups to monitor kidney function and safety for about 1.5 years after treatment ends.
Monthly visits for monitoring
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Syeda Behjat Ahmad, J Ashley Jefferson
https://pubmed.ncbi.nlm.nih.gov/40465397/Takeda
Lead Sponsor