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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-003402-33 | EudraCT Number |
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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.
Study acquired by Amgen and all disclosures were done by previous sponsor ChemoCentryx.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CCX168 (Avacopan) | Experimental | CCX168 (Avacopan) plus stable dose of RAAS blocker |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CCX168 | Drug | CCX168 30 mg, twice daily (b.i.d.) orally for 84 days (12 weeks). The CCX168 dose was taken in the morning, optimally within one hour after breakfast, and in the evening, optimally within one hour after dinner. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Slope of First Morning Urinary PCR From the 8-week RAAS Blocker run-in Period to the 12-week CCX168 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 | Week -8 to -1 (Run-in period) and Week 1 to 12 (treatment period) |
| Number of Participants With AE's | Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's) | Day 0 - Day 169 (throughout the trial) |
| Severity of Adverse Events (AE's) | Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's) | Day 0 - Day 169 (throughout the trial) |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Subjects Achieving Renal Response From Baseline to 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. | Baseline and Day 85 |
| Proportion of Subjects Achieving a Partial Renal Response From Baseline to Day 85 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Palo Alto | California | United States | ||||
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
Screening took place for 14 days. Screening was following by a combined renin-angiotensin-aldosterone system (RAAS) titration (up to 4 weeks) plus run-in period (8 weeks) with an additional up to 7-day eligibility confirmation.
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| ID | Title | Description |
|---|---|---|
| FG000 | CCX168 | Modified Intent-to-Treatment (mITT) Population included all subjects who received at least one dose of study drug and who had at least one post baseline urinary PCR assessment. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Study | Safety Population included of all subjects who received at least one dose of study drug. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Slope of First Morning Urinary PCR From the 8-week RAAS Blocker run-in Period to the 12-week CCX168 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 | Posted | Mean | 95% Confidence Interval | mg/g/week | Week -8 to -1 (Run-in period) and Week 1 to 12 (treatment period) |
|
From Baseline up to 169 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Safety Population | Safety population included all subjects who received any CCX168 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina unstable | Cardiac disorders | MedDRA (17.1) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA (17.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | ChemoCentryx | 650-210-2900 | medinfo@amgen.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 17, 2015 | Jun 30, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 3, 2016 | Jun 15, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D005922 | Glomerulonephritis, IGA |
| ID | Term |
|---|---|
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| ID | Term |
|---|---|
| C000620232 | avacopan |
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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. |
| Baseline and Day 85 |
| Change From Baseline to Day 85 in Vital Signs | Baseline to day 85 |
| Change in Systolic Blood Pressure From Baseline to Day 85 | Baseline to day 85 |
| Change in Diastolic Blood Pressure From Baseline to Day 85 | Baseline to day 85 |
| Change in Temperature From Baseline to Day 85 | Baseline to day 85 |
| Change in Weight From Baseline to Day 85 | Baseline to day 85 |
| San Francisco |
| California |
| United States |
| Reno | Nevada | United States |
| Chapel Hill | North Carolina | United States |
| Columbus | Ohio | United States |
| Stockholm | Sweden |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| BMI | BMI = Body Mass Index | Mean | Standard Deviation | kg/m² |
|
| Mean time since diagnosis of IgAN | IgAN = IgA Nephropathy | Mean | Full Range | month |
|
| PCR | Urinary PCR = protein:creatinine ratio | Mean | Full Range | mg/g |
|
| ACR | Urinary ACR = Albumin to Creatinine Ratio | Mean | Full Range | mg/g |
|
| eGFR | eGFR = estimated Glomerular Filtration Rate | Mean | Full Range | mL/min/1.73m² |
|
| MCP-1 to Creatinine ratio | MCP-1 = Monocyte Chemoattractant Protein-1 | Mean | Full Range | pg/mg crea |
|
| OG002 | 12-week Treatment Period | 12-week CCX168 treatment period |
|
|
|
| Primary | Number of Participants With AE's | Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's) | Posted | Count of Participants | Participants | Day 0 - Day 169 (throughout the trial) |
|
|
|
| Secondary | Proportion of Subjects Achieving Renal Response From Baseline to 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. | Posted | Number | proportion of participants | Baseline and Day 85 |
|
|
|
| Secondary | Proportion of Subjects Achieving a Partial Renal Response From Baseline to 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. | Posted | Number | proportion of participants | Baseline and Day 85 |
|
|
|
| Secondary | Change From Baseline to Day 85 in Vital Signs | Posted | Mean | Standard Deviation | beats per minute | Baseline to day 85 |
|
|
|
| Primary | Severity of Adverse Events (AE's) | Acronyms use: Adverse Events (AE's) Serious Adverse Events (SAE's) | Posted | Number | Number of AEs | Day 0 - Day 169 (throughout the trial) |
|
|
|
| Secondary | Change in Systolic Blood Pressure From Baseline to Day 85 | Posted | Mean | Standard Deviation | mmHg | Baseline to day 85 |
|
|
|
| Secondary | Change in Diastolic Blood Pressure From Baseline to Day 85 | Posted | Mean | Standard Deviation | mmHg | Baseline to day 85 |
|
|
|
| Secondary | Change in Temperature From Baseline to Day 85 | Posted | Mean | Standard Deviation | C | Baseline to day 85 |
|
|
|
| Secondary | Change in Weight From Baseline to Day 85 | Posted | Mean | Standard Deviation | kg | Baseline to day 85 |
|
|
|
| 0 |
| 7 |
| 1 |
| 7 |
| 7 |
| 7 |
| Nasopharyngitis | Infections and infestations | MedDRA (17.1) | Systematic Assessment |
|
| Peripheral swelling | General disorders | MedDRA (17.1) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (17.1) | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Blood thyroid stimulating hormone increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Dysuria | Renal and urinary disorders | MedDRA (17.1) | Systematic Assessment |
|
| Eosinophil count increased | Investigations | MedDRA (17.1) | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA (17.1) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (17.1) | Systematic Assessment |
|
| Hair growth abnormal | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Inguinal hernia | Gastrointestinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Localized oedema | General disorders | MedDRA (17.1) | Systematic Assessment |
|
| Migraine | Nervous system disorders | MedDRA (17.1) | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA (17.1) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Parotitis | Infections and infestations | MedDRA (17.1) | Systematic Assessment |
|
| Polyuria | Renal and urinary disorders | MedDRA (17.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.1) | Systematic Assessment |
|
| Rhinovirus infection | Infections and infestations | MedDRA (17.1) | Systematic Assessment |
|
| Skin swelling | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (17.1) | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA (17.1) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Systematic Assessment |
|
| Wound | Injury, poisoning and procedural complications | MedDRA (17.1) | Systematic Assessment |
|
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| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
|
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| Deaths |
|
| AE of grade 3 ≥ |
|
| Related AE grade 3≥ |
|