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NCT02384317

Open-Label Study to Evaluate Safety and Efficacy of CCX168 in Subjects With IGA Nephropathy on Stable RAAS Blockade

Completed Phase 2 Results posted Last updated 13 March 2025
What this trial tests

Phase 2 trial testing CCX168 in Immunoglobulin A Nephropathy in 7 participants. Completed in 1 June 2018.

Timeline
27 March 2015
Primary endpoint
13 September 2015
1 June 2018

Quick facts

Lead sponsorAmgen
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment7
Start date27 March 2015
Primary completion13 September 2015
Estimated completion1 June 2018
Sites6 locations across Sweden, United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

18 and older, any sex, with Immunoglobulin A Nephropathy. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Slope of First Morning Urinary PCR From the 8-week RAAS Blocker run-in Period to the 12-week CCX168 Treatment Period Primary · Week -8 to -1 (Run-in period) and Week 1 to 12 (treatment period)

The mean change in the slope of the urinary protein:creatinine ratio (UPCR, in mg/g/week) between the 8-week run-in period and the 12-week treatment period

GroupValue95% CI
CCX168-2.4-133.6 – 128.7
8-week Run-in Period15.3-87.3 – 117.9
12-week Treatment Period-23.9-195.0 – 147.2
Number of Participants With AE's Primary · Day 0 - Day 169 (throughout the trial)

Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's)

Subjects who had any AE
GroupValue95% CI
Safety Population7
Subjects who had an SAE
GroupValue95% CI
Safety Population1
Subjects who had an AE possibly related
GroupValue95% CI
Safety Population5
Proportion of Subjects Achieving Renal Response From Baseline to Day 85 Secondary · Baseline and Day 85

Renal Response defined as an improvement in proteinuria based on a decrease from baseline to Day 85 in proteinuria to a level \<300 mg/g creatinine and maintaining eGFR within 15% of baseline.

Patients with a renal response by Day 85
GroupValue95% CI
CCX1680
Patients with no renal response by Day 85
GroupValue95% CI
CCX1681
Proportion of Subjects Achieving a Partial Renal Response From Baseline to Day 85 Secondary · Baseline and Day 85

A partial renal response, defined as an improvement in proteinuria based on a decrease from baseline to Day 85 in proteinuria to a level \<1 g/g creatinine and maintaining eGFR within 15% of baseline.

Patients with a partial renal response at day 85
GroupValue95% CI
CCX1680.29
Patients with no partial renal response at day 85
GroupValue95% CI
CCX1680.71
Change From Baseline to Day 85 in Vital Signs Secondary · Baseline to day 85
GroupValue95% CI
Safety Population1.3± 8.56
Severity of Adverse Events (AE's) Primary · Day 0 - Day 169 (throughout the trial)

Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's)

AE leading to interruption of treatment
GroupValue95% CI
Safety Population1
AE leading to permanent discontinuation of study
GroupValue95% CI
Safety Population0
Withdrawals due to AE
GroupValue95% CI
Safety Population0
Deaths
GroupValue95% CI
Safety Population0
AE of grade 3 ≥
GroupValue95% CI
Safety Population1
Related AE grade 3≥
GroupValue95% CI
Safety Population0
Change in Systolic Blood Pressure From Baseline to Day 85 Secondary · Baseline to day 85
GroupValue95% CI
Safety Population-1.4± 12.11
Change in Diastolic Blood Pressure From Baseline to Day 85 Secondary · Baseline to day 85
GroupValue95% CI
Safety Population2.1± 8.45
Change in Temperature From Baseline to Day 85 Secondary · Baseline to day 85
GroupValue95% CI
Safety Population0.2± 0.68
Change in Weight From Baseline to Day 85 Secondary · Baseline to day 85
GroupValue95% CI
Safety Population-0.6± 2.39

Adverse events — posted to ClinicalTrials.gov

Time frame: From Baseline up to 169 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Safety Population
Serious: 1/7 (14%)
Deaths: 0/7

Serious adverse events (1 terms)

ReactionSystemSafety Population
Angina unstableCardiac disorders
Other adverse events (39 terms — click to expand)

ReactionSystemSafety Population
HeadacheNervous system disorders
NasopharyngitisInfections and infestations
Peripheral swellingGeneral disorders
Aspartate aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
DiarrheaGastrointestinal disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Abdominal pain upperGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Blood thyroid stimulating hormone increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
DysuriaRenal and urinary disorders
Eosinophil count increasedInvestigations
FallInjury, poisoning and procedural complications
FatigueGeneral disorders
Hair growth abnormalSkin and subcutaneous tissue disorders
Inguinal herniaGastrointestinal disorders
Localized oedemaGeneral disorders
MigraineNervous system disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
ParotitisInfections and infestations
PolyuriaRenal and urinary disorders
PyrexiaGeneral disorders
Rhinovirus infectionInfections and infestations
Skin swellingSkin and subcutaneous tissue disorders
Upper respiratory tract infectionInfections and infestations
VertigoEar and labyrinth disorders
VomitingGastrointestinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
WoundInjury, poisoning and procedural complications

Most-reported serious reactions: Angina unstable.

Data from ClinicalTrials.gov NCT02384317 adverse events section.

Sponsor's own description

The primary safety objective of this study is to evaluate the safety and tolerability of CCX168 in subjects with IgAN on background supportive therapy with a maximally tolerated dose of RAAS blockade. The primary efficacy objective is to evaluate the efficacy of CCX168 based on an improvement in proteinuria.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. New insights into the immune functions of complement.
    Reis ES, Mastellos DC, Hajishengallis G, Lambris JD. · · 2019 · cited 357× · PMID 31048789 · DOI 10.1038/s41577-019-0168-x
  2. The renaissance of complement therapeutics.
    Ricklin D, Mastellos DC, Reis ES, Lambris JD. · · 2018 · cited 305× · PMID 29199277 · DOI 10.1038/nrneph.2017.156
  3. IgA Nephropathy: An Interesting Autoimmune Kidney Disease.
    Rajasekaran A, Julian BA, Rizk DV. · · 2021 · cited 164× · PMID 33309134 · DOI 10.1016/j.amjms.2020.10.003
  4. The Emerging Role of Complement Proteins as a Target for Therapy of IgA Nephropathy.
    Rizk DV, Maillard N, Julian BA, Knoppova B, et al · · 2019 · cited 136× · PMID 30941137 · DOI 10.3389/fimmu.2019.00504
  5. Oxidative Stress: A Culprit in the Progression of Diabetic Kidney Disease.
    Wang N, Zhang C. · · 2024 · cited 95× · PMID 38671903 · DOI 10.3390/antiox13040455
  6. Complement Inhibitors in Clinical Trials for Glomerular Diseases.
    Zipfel PF, Wiech T, Rudnick R, Afonso S, et al · · 2019 · cited 89× · PMID 31611870 · DOI 10.3389/fimmu.2019.02166
  7. Inflammaging and Complement System: A Link Between Acute Kidney Injury and Chronic Graft Damage.
    Franzin R, Stasi A, Fiorentino M, Stallone G, et al · · 2020 · cited 74× · PMID 32457738 · DOI 10.3389/fimmu.2020.00734
  8. New milestones ahead in complement-targeted therapy.
    Ricklin D, Lambris JD. · · 2016 · cited 73× · PMID 27321574 · DOI 10.1016/j.smim.2016.06.001

Verify or expand the search:

Other trials of CCX168

Trials testing the same drug.

Other recruiting trials for Immunoglobulin A Nephropathy

Currently open trials in the same condition.

Other Amgen trials

Trials by the same sponsor.

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Data sources for this page

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