Can a longer course of TARPEYO tame kidney disease?
NCT ID NCT06712407
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether taking TARPEYO (budesonide) for a longer period helps adults with IgA nephropathy, a kidney disease. Participants have already taken the drug for 9 months and will now take it for another 15 months. The main goal is to see if protein levels in urine stay lower, which would suggest less kidney damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- budesonide (delayed-release capsules)
- What this could lead to
- If successful, this could show that taking TARPEYO for a longer period helps control kidney damage in IgA nephropathy, potentially reducing the need for more aggressive treatments.
- What could go wrong
- This is a small, early-phase 4 study with only 60 participants, so results may not apply to everyone. The drug may not provide additional benefit beyond the initial 9 months, and side effects from long-term steroid use are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- 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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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: 1. Diagnosed IgAN with biopsy verification 2. Female or male participants ≥18 years of age 3. Completion of a single, initial 9 months of treatment with TARPEYO® 16 mg QD at the Baseline visit 4. Access to retrospective local laboratory assessment data on UPCR and serum creatinine. Available retrospective data should include at least 1 assessment timepoint within 3 months prior to the first dose of TARPEYO® commercial treatment. 5. On stable treatment with renin-angiotensin system (RAS) inhibitor therapy or sparsentan for at least 8 weeks prior to the Baseline visit. A stable dose is defined as a dose within 25% of the dose at Baseline. 6. If on current treatment with sodium-glucose cotransporter-2 (SGLT2) inhibitor, the treatment should have been stable for at least 8 weeks prior to the Baseline visit. A stable dose is defined as a dose within 25% of the dose at Baseline. Exclusion Criteria: 1. Participants who have been treated with systemic immunosuppressive medications including glucocorticosteroids (GCS) other than TARPEYO® during the TARPEYO® commercial treatment period. Topical or inhalation products containing GCS or immunosuppressants are allowed. 2. Presence of other glomerulopathies (e.g., C3 glomerulopathy, diabetes nephropathy and/or hypertensive nephropathy). 3. Presence of nephrotic syndrome (i.e., proteinuria \>3.5 g per day and serum albumin \<3.0 g/dL, with or without edema). 4. Presence of medical condition excluding continued TARPEYO® treatment, as assessed by the Investigator. 5. On current or planned dialysis. 6. Undergone kidney transplant. 7. Poorly controlled diabetes mellitus or hypertension, as assessed by the Investigator. 8. Participants with known osteoporosis in the medium- or high-risk category according to the 2010 American College of Rheumatology recommendations. 9. Any medical or social circumstance making trial participation and/or TARPEYO® treatment unsuitable, as assessed by the Investigator. 10. Participants with clinically significant infections that put the participant at risk, at the discretion of the Investigator. 11. Participants unwilling or unable to meet the requirements of the protocol. 12. Intake of another investigational drug during trial, or during the preceding 9-monthcommercial TARPEYO® treatment period. 13. Females who are pregnant, breastfeeding, or plan to become pregnant in the trial period. 14. Participants taking potent inhibitors of cytochrome P450 (CYP) 3A4
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Get notified about this study
Sign up to get updates when this study changes or when new studies for IgA nephropathy are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
38 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Advanced Renal Care Institute
RECRUITINGMayagüez, 00680, Puerto Rico
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Arizona Kidney Disease & Hypertension Centers (AKDHC)
RECRUITINGGlendale, Arizona, 85306, United States
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Boston Medical Center; Boston University Chobanian & Avedisian School of Medicine
RECRUITINGBoston, Massachusetts, 02118, United States
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Central Florida Kidney Specialists
RECRUITINGOrlando, Florida, 32819, United States
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Chinatown Kidney Care, PLLC
RECRUITINGNew York, New York, 10013, United States
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Cobb Nephrology Hypertension Associates, PC
RECRUITINGAustell, Georgia, 30106, United States
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Dallas Nephrology Associates McKinney
RECRUITINGMcKinney, Texas, 75069, United States
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Dallas Renal Group
RECRUITINGDallas, Texas, 75230, United States
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Florida Kidney Physicians
RECRUITINGBoca Raton, Florida, 33431, United States
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Georgia Nephrology
RECRUITINGLawrenceville, Georgia, 30046, United States
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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Loma Linda University
RECRUITINGSan Bernardino, California, 92408, United States
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MedResearch Inc
RECRUITINGEl Paso, Texas, 79902, United States
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Memorial Hermann Houston
RECRUITINGHouston, Texas, 77054, United States
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New York Nephrology Vasculitis and Glomerular Center
RECRUITINGClifton Park, New York, 12065, United States
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North Carolina Nephrology, P.A
RECRUITINGRaleigh, North Carolina, 27609, United States
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Ochsner Health, New Orleans
RECRUITINGNew Orleans, Louisiana, 70121, United States
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Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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Oregon Health & Science University (OHSU) - Nephrology and Hypertension Clinic
RECRUITINGPortland, Oregon, 97239, United States
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Permian Basin Kidney Center
RECRUITINGOdessa, Texas, 79761, United States
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Prolato Clinical Research Center
RECRUITINGHouston, Texas, 77054, United States
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Renal Medical Associates
RECRUITINGAlbuquerque, New Mexico, 87109, United States
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Southeastern Clinical Research Institute, LLC
RECRUITINGAugusta, Georgia, 30904, United States
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Stanford University
RECRUITINGStanford, California, 94305, United States
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The Kidney Institute/Houston
RECRUITINGHouston, Texas, 77090, United States
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The Medical Research Group, Inc.
RECRUITINGFresno, California, 93720, United States
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The University of Texas Medical Branch UTMB
RECRUITINGGalveston, Texas, 77555, United States
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UCI Health-UCI Medical Center
RECRUITINGOrange, California, 92868, United States
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UCSF Health-UCSF Medical Center-Parnassus - Nephrology and Hypertension Faculty Practice
RECRUITINGSan Francisco, California, 94143, United States
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Univ of Alabama/Birmingham
RECRUITINGBirmingham, Alabama, 35297, United States
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University of Colorado Hospital (UCH) - Kidney Disease and Hypertension Clinic - Anschutz Medical Campus Location
RECRUITINGAurora, Colorado, 80045, United States
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University of Louisville
RECRUITINGLouisville, Kentucky, 40208, United States
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University of Maryland Division of Nephrology
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Minnesota Health Fairview
RECRUITINGMinneapolis, Minnesota, 55455, United States
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University of New Mexico
RECRUITINGAlbuquerque, New Mexico, 87106, United States
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University of Pennsylvania Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Washington University in St. Louis
RECRUITINGSt Louis, Missouri, 63130, United States
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Yale University Nephrology Clinical Trials Program
RECRUITINGNew Haven, Connecticut, 06510, United States
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?