IgA Nephropathy across the Age Spectrum: Urgent Need to Accelerate Pediatric Access to Therapeutic Innovation.
Alexandra Cambier, Lison Lachize-Neanne, Mark Haas
https://pubmed.ncbi.nlm.nih.gov/42384439/Actively Recruiting
Led by Alexion Pharmaceuticals, Inc. · Updated on 2026-07-30
36
Participants Needed
15
Research Sites
72 weeks
Total Duration
Researchers are evaluating the pharmacokinetics, pharmacodynamics, safety, and effectiveness of ravulizumab given by intravenous infusion in children aged 2 to less than 18 years who have primary Immunoglobulin A Nephropathy IgAN or Immunoglobulin A Vasculitis Associated Nephritis IgAVN. This Phase 3, open-label study aims to better understand how the drug behaves in the body and its impact on the condition in pediatric patients. All participants will receive a weight-based loading dose of ravulizumab on Day 1, followed by weight-based maintenance doses on Day 15 and then either every 8 weeks or every 4 weeks depending on their weight. This dosing schedule continues through the study period. The study is designed as a single-group trial where all children receive the investigational drug intravenously. During the study, participants will be closely monitored with assessments including urine protein to creatinine ratio UPCR to measure proteinuria, blood tests to evaluate serum complement levels and drug concentrations, and kidney function tests such as estimated glomerular filtration rate eGFR. Safety monitoring includes tracking adverse events and antibody development against ravulizumab. The primary outcome focuses on changes in proteinuria at Week 34, with ongoing follow-up up to Week 106. The total participation duration spans over two years, ensuring thorough evaluation of treatment effects and safety.
CONDITIONS
Study of Ravulizumab in Pediatric Participants With Primary IgAN
A
Alexion Pharmaceuticals, Inc. (Sponsor)
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Alexion Pharmaceuticals, Inc.
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 | Ravulizumab + Background Therapy | Current Standard of Care (RAASI-Based Therapy) |
|---|---|---|
| What it is | A monoclonal antibody treatment (Ravulizumab) given by intravenous infusion, studied as an add-on to stable, maximally tolerated RAASI and allowed supportive agents in pediatric IgAN/IgAVN. | Maximally tolerated RAASI (ACEI or ARB), with or without additional supportive agents such as SGLT2 inhibitor, DEARA (e.g., sparsentan), MRA, ERA, or GLP-1 agonist, together with general supportive care. No Ravulizumab or complement inhibitor is used in standard practice. |
| Role in trial | Investigational treatment tested for efficacy and safety in eligible pediatric patients with IgAN/IgAVN and persistent proteinuria despite optimized background therapy. | Background therapy and supportive agents reflect standard care. No assignment to Ravulizumab occurs; serves as the external clinical context for comparison. |
| Primary use/purpose | To investigate whether adding Ravulizumab to maximally tolerated RAASI reduces proteinuria and improves kidney outcomes in pediatric IgAN/IgAVN where proteinuria persists despite standard care. | To reduce proteinuria and slow kidney disease progression using maximally tolerated RAASI and supportive agents; therapy is individualized per established guidelines, with escalation guided by proteinuria and kidney function response. |
| How it is given/performed | Ravulizumab is given through periodic intravenous infusions, according to protocol schedule, in addition to ongoing oral background therapy and supportive agents. | Standard care consists of daily oral RAASI (ACEI/ARB), with supportive agents also given orally (when indicated) as part of routine management. No intravenous immunotherapy/complement inhibition used in standard setting. |
| Evidence status / maturity | Efficacy and safety of Ravulizumab in pediatric IgAN/IgAVN is under investigation; no published outcomes from this or other pediatric trials available yet beyond preliminary reports, and its role remains unproven. | The evidence base for RAASI (ACEI/ARB) and supportive agents in reducing proteinuria and delaying progression is well established, with guidelines recommending their use as the current standard for pediatric IgAN/IgAVN with proteinuria. |
| Important limitations | Clinical efficacy and long-term safety in pediatric IgAN/IgAVN are unknown, and trial enrollment is limited to selected patients. There is also limited experience outside controlled research settings, and immunization against encapsulated bacteria is required due to infection risk. | Many children continue to have persistent proteinuria despite fully optimized RAASI-based standard care, and treatment options are limited when standard therapy fails. Need for newer, more effective therapies is recognized in guidelines and reviews. |
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.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 106 weeks
Participants receive weight-based intravenous ravulizumab starting with a loading dose on Day 1, followed by maintenance doses on Day 15 and then every 4 or 8 weeks depending on weight.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Alexandra Cambier, Lison Lachize-Neanne, Mark Haas
https://pubmed.ncbi.nlm.nih.gov/42384439/Alexion Pharmaceuticals, Inc.
Lead Sponsor