New drug cocktail shows promise for slowing kidney disease
NCT ID NCT05856760
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding sparsentan to a standard SGLT2 inhibitor can better protect kidneys in people with IgA nephropathy, a disease that can lead to kidney failure. 48 adults who were already on stable doses of both a blood pressure drug and an SGLT2 inhibitor took sparsentan for 28 weeks. Researchers measured changes in urine protein levels to see if kidney damage slowed down.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sparsentan (also called Filspari) combined with an SGLT2 inhibitor (a type of diabetes drug that also protects kidneys)
- What this could lead to
- If it works, this combination could offer a new way to slow kidney damage and delay kidney failure in people with IgA nephropathy.
- What could go wrong
- This is a small, early-phase study with no placebo group, so results may not be definitive. The combination may not prove more effective than existing treatments.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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48 people
The number who actually took part.
- Started
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May 2023
- Finished
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Oct 2024
- 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: * Aged ≥18 years at the time of signing the informed consent. * Biopsy-proven IgAN. The biopsy may have been performed at any time in the past. * UA/C ≥0.3 g/g at screening * An eGFR value of ≥25 mL/min/1.73m\^2 at screening. * On a stable dose of an SGLT2 inhibitor for at least 12 weeks prior to screening. * On a stable dose of ACEI and/or ARB therapy for at least 12 weeks prior to screening that is: * The participant's maximum tolerated dose (MTD), and * at least one half of the maximum labeled dose (MLD) * Systolic BP must be ≤160 mmHg, and diastolic BP must be ≤110 mmHg at screening. * For participants receiving chronic low dose systemic corticosteroids (defined as ≤10 mg/day prednisone or equivalent), or an enteric formulation of budesonide and/or a mineralocorticoid receptor antagonist (MRA), the dosage must be stable for ≥12 weeks prior to screening. Exclusion Criteria: * IgAN secondary to another condition or immunoglobulin A (IgA) vasculitis. * Undergone any organ transplant, with the exception of corneal transplants. * Documented history of heart failure. * Taking high dose (defined as \>10 mg/day prednisone) or other any systemic immunosuppressive medications within 12 weeks of prior to screening. * Has clinically significant cerebrovascular disease (transient ischemic attack or stroke) and/or coronary artery disease (hospitalization for myocardial infarction unstable angina, new onset of angina with positive functional tests, coronary angiogram revealing stenosis, or a coronary revascularization procedure) within 3 months prior to screening. * Has jaundice, hepatitis, or known hepatobiliary disease (excluding asymptomatic cholelithiasis), or ALT and/or AST \>2 times the ULN range at screening. * Has a history of malignancy other than adequately treated basal cell or squamous cell skin cancer or cervical carcinoma within the past 2 years. * Has a history of serious side effect or allergic response to any AngII antagonist, ERA or sparsentan, or has a hypersensitivity to any of the excipients in the study intervention. * Requires any of the prohibited concomitant medications. * Treatment with sparsentan within 12 weeks prior to screening * Has participated in a study of another investigational product within 28 days prior to screening or plans to participate in such a study during the course of this study. * Has a screening hematocrit value \<27% (0.27 Volume/Volume) or hemoglobin value \<9 g/dL (90 g/L). * Has a screening potassium value of \>5.5 mEq/L (5.5 mmol/L). * Is pregnant, plans to become pregnant during the course of the study, or is breastfeeding. * The participant, in the opinion of the Investigator, is unable to adhere to the requirements of the study, including the ability to swallow the study intervention capsules whole.
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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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Travere Investigation Site
Clifton Park, New York, 12065, United States
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Travere Investigational Site
Birmingham, Alabama, 35233, United States
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Travere Investigational Site
Chula Vista, California, 91910, United States
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Travere Investigational Site
Garden Grove, California, 92844, United States
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Travere Investigational Site
Glendale, California, 91206, United States
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Travere Investigational Site
Denver, Colorado, 80230, United States
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Travere Investigational Site
Boise, Idaho, 83706, United States
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Travere Investigational Site
Chubbuck, Idaho, 83202, United States
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Travere Investigational Site
Idaho Falls, Idaho, 83404, United States
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Travere Investigational Site
Chicago, Illinois, 60611, United States
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Travere Investigational Site
Evergreen Park, Illinois, 60805, United States
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Travere Investigational Site
Fort Wayne, Indiana, 46804, United States
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Travere Investigational Site
Kansas City, Kansas, 66160, United States
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Travere Investigational Site
Louisville, Kentucky, 40205, United States
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Travere Investigational Site
Shreveport, Louisiana, 71101, United States
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Travere Investigational Site
Albuquerque, New Mexico, 87109, United States
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Travere Investigational Site
Fresh Meadows, New York, 11365, United States
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Travere Investigational Site
New York, New York, 10013, United States
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Travere Investigational Site
Jacksonville, North Carolina, 28546, United States
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Travere Investigational Site
New Bern, North Carolina, 28562, United States
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Travere Investigational Site
Columbus, Ohio, 43210, United States
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Travere Investigational Site
Philadelphia, Pennsylvania, 19104, United States
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Travere Investigational Site
Columbia, South Carolina, 29203, United States
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Travere Investigational Site
Dallas, Texas, 75230, United States
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Travere Investigational Site
Dallas, Texas, 75246, United States
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Travere Investigational Site
Hong Kong, Hong Kong
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Travere Investigational Site
Kowloon, Hong Kong
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Travere Investigational Site
Shatin, Hong Kong
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Travere Investigational Site
Sheung Wan, Hong Kong
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Travere Investigational Site
Tsuen Wan, Hong Kong
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New drug aims to plug kidney leaks in multiple diseases
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- New antibody VIS649 tested in humans for first time to fight kidney disease
- New drug shows promise for slowing kidney disease in IgA nephropathy patients