New drug shows promise for kidney disease in early trial
NCT ID NCT03945318
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug called BION-1301 in 103 healthy volunteers and adults with IgA nephropathy, a kidney disease. The main goal was to check the drug's safety and how the body processes it. Researchers measured side effects, blood pressure, and kidney function over time.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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103 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Jun 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for Healthy Volunteers: 1. Healthy male or female volunteers, 18 to 55 years old 2. Females must be of non-childbearing potential 3. Males must agree to follow the protocol-specified contraception guidance 4. Body mass index (BMI) between 18 and 35 kg/m\^2, with a weight of at least 50 kg 5. Non-smoker, defined as an individual who has not smoked previously and/or who has discontinued smoking or the use of nicotine/nicotine-containing products at least 3 months before Screening 6. Able to provide signed informed consent Exclusion Criteria for Healthy Volunteers: 1. Regular consumption of alcohol within 6 months prior to Screening, or use of soft drugs (such as marijuana) within 3 months prior to Screening, or hard drugs (such as cocaine and phencyclidine) within 1 year prior to Screening and/or positive blood or urine test results for drugs of abuse or alcohol at Screening or Admission 2. Donated blood in the 3 months prior to the first dose of study drug, plasma in the 7 days prior to the first dose of study drug, or platelets in the 6 weeks prior to the first dose of study drug 3. History or evidence of a clinically significant disorder, condition, or disease that could pose a risk to participant safety or interfere with the study, or would make the participant unsuitable for participation, eg, respiratory, renal, hepatic, gastrointestinal, hematological, lymphatic, neurological, cardiovascular, or psychiatric disease 4. Female who is breastfeeding or who has a positive serum pregnancy test at Screening or a positive urine pregnancy test on Day -1 Inclusion Criteria for Adults with IgAN: 1. Male or female ≥18 years old at Screening 2. Women of child-bearing potential (WOCBP; per CTFG 2014) must agree to follow the protocol-specified contraception guidance throughout the study (from Screening through approximately 6 months after the final dose of study drug) 3. Males must agree to follow the protocol-specified contraception guidance throughout the study (from Screening through approximately 6 months after the final dose of study drug) 4. BMI between 18 and 40 kg/m\^2, inclusive, at Screening with a weight of at least 50 kg 5. Diagnosis of IgAN verified by biopsy taken within the past 10 years 6. Urine protein ≥ 0.5 g/24h; OR UPCR ≥ 0.5 g/g (or ≥ 50 mg/mmol) 7. eGFR (per Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\] formula) or measured GFR ≥ 30 mL/min per 1.73 m\^2 8. Stable on an optimized dose of angiotensin converting enzyme (ACE) inhibitors and/or angiotensin-receptor blockers (ARBs) for at least 3 months prior to Screening or intolerant to ACE/ARB Exclusion Criteria for Participant with IgAN: 1. Known or suspected allergy or hypersensitivity to any component of BION-1301, or history of severe hypersensitivity reaction to any monoclonal antibody 2. Donated blood in the 3 months prior to the first dose of study drug; plasma in the 7 days prior to the first dose of study drug; or platelets in the 6 weeks prior to the first dose of study drug 3. Participated in any other study in which receipt of an investigational new drug, or investigational device occurred within 28 days, or 5 half-lives (whichever is longer) of first dose of study drug in the present study 4. Secondary forms of IgAN as defined by the treating physician (eg, IgA vasculitis and those with associated alcoholic cirrhosis) 5. Received systemic corticosteroid therapy (\> 10 mg/day of prednisone or equivalent) or any other form of immunosuppressive therapy within 3 months prior to the first dose of study drug PART 4 Eligibility Criteria for Re-treatment Due to Evidence of Disease Progression (Option 1) Inclusion Criteria for Re-treatment Due to Evidence of Disease Progression 1. Completed Part 3 of the study through Week 124 and entered the 52-week follow-up period. 2. UPCR ≥ 0.5 g/g AND ≥ 30% increase from EOT (Week 124). Both proteinuria criteria must be met by a 24-hour urine assessment during the 52-week follow-up period. In addition to the scheduled assessments, investigators may order periodic FMV assessments (for example monthly) to follow a participant more closely. Based on an off-schedule FMV result, or other laboratory or clinical evidence, investigators may order an off-schedule 24-urine collection to confirm disease progression. Exclusion Criteria for Re-treatment Due to Evidence of Disease Progression 1. Based on the Investigator's judgment, the participant would not benefit from resuming treatment with BION-1301 or there is a safety concern for the individual participant which outweighs the expected benefit from resuming treatment. 2. Received systemic corticosteroid therapy, including budesonide, for \>14 days within 3 months prior to the first dose of Part 4 for the treatment of IgAN 3. Received any other form of immunosuppressive therapy such as, but not limited to mycophenolate mofetil, azathioprine, cyclosporine, tacrolimus, rituximab, cyclophosphamide, etc) within 3 months prior to the first dose of Part 4 study drug 4. Received investigational products for the treatment of IgAN, other than BIO-1301 5. Received newly approved immunosuppressive or immunomodulatory therapy for the treatment of IgAN including but not limited to other anti-APRIL therapies and iptacopan Eligibility Criteria for Optional Re-treatment (Option 2) Inclusion Criteria for Optional Re-treatment 1\. Completed Part 3 of the study through Week 124 and completed of the 52-week follow-up period. Exclusion Criteria for Optional Re-treatment 1. Based on the Investigator's judgment, the participant would not benefit from resuming treatment with BION-1301 or there is a safety concern for the individual participant which outweighs the expected benefit from resuming treatment. 2. Received systemic corticosteroid therapy, including budesonide, for \>14 days within 3 months prior to the first dose in Part 4 for the treatment of IgAN 3. Received any other form of immunosuppressive therapy (such as, but not limited to mycophenolate mofetil, azathioprine, cyclosporine, tacrolimus, rituximab, cyclophosphamide, etc) within 3 months prior to the first dose of Part 4 study drug 4. Received investigational products for the treatment of IgAN, other than BIO-1301 5. Received newly approved immunosuppressive or immunomodulatory therapy for the treatment of IgAN including but not limited to other anti-APRIL therapies and iptacopan
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Amicis Research Center
Northridge, California, 91324, United States
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Chris Sholer, P.C.
Oklahoma City, Oklahoma, 73116, United States
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Colorado Kidney Care, P.C.
Denver, Colorado, 80230, United States
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Elixia Tampa, LLC
Tampa, Florida, 33618, United States
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Hallym University Sacred Heart Hospital
Anyang-si, Gyeonggi-do, 14068, South Korea
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Hanyang University Guri Hostpital
Guri-si, Gyeonggi-do, 11923, South Korea
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Liberty Research Center
Arlington, Texas, 76012, United States
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Liberty Research Center
Dallas, Texas, 75230, United States
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Liverpool University Hospital NHS Foundation Trust
Liverpool, England, L7 8XP, United Kingdom
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National Health Insurance Service Ilsan Hospital
Goyang-si, Gyeonggi-do, 10444, South Korea
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Nephrology Associates of Central Florida
Orlando, Florida, 32806, United States
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New York Nephrology
Clifton Park, New York, 12065, United States
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PAREXEL Early Phase Clinical Unit
London, HA1 3UJ, United Kingdom
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Prolato Clinical Research Center
Houston, Texas, 77054, United States
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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Soon Chun Hyang University Hospital Cheonan
Cheonan, Chungcheongnam-do, 31151, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 10,000 kidneys under the microscope: registry maps IgA Nephropathy's course
- Microbes in the mouth and gut may hold clues to a common kidney disease
- Can a transplant drug tame stubborn kidney disease?
- Blood marker may foretell kidney disease severity
- Can a massive kidney database unlock IgA Nephropathy's secrets?
- Can a new injection slow kidney disease in children?