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The purpose of this study is to determine if BHV-1400 is effective and safe in the treatment of IgA Nephropathy. Participants will be randomized in a 2:1 ratio to receive either BHV-1400 or placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BHV-1400 | Experimental | 500mg BHV-1400 is delivered subcutaneously via autoinjector. Participants will be randomized in a 2:1 ratio to receive either BHV-1400 or placebo. |
|
| Placebo | Placebo Comparator | Matching placebo is delivered subcutaneously via autoinjector. Participants will be randomized in a 2:1 ratio to receive either BHV-1400 or placebo. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BHV-1400 | Drug | 500 mg delivered subcutaneously via autoinjector |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in natural log-transformed Urine Protein to Creatinine Ratio (UPCR) at Week 52 | Baseline to Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in GdIgA1 at Week 52 | Baseline to Week 52 | |
| Change from Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 52 | Baseline to Week 52 | |
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Key Inclusion Criteria:
Diagnosis of IgAN as confirmed by renal biopsy conducted within 10 years prior to Screening.
UPCR ≥ 0.75 g/g or UPE ≥ 1.0 g/d determined via 24 hour collection.
eGFR ≥ 30 mL/min/1.73m2 (CKD-EPI equation).
Participants must have been on supportive care including a stable dose regimen of ACEi or ARB (at the locally approved maximal daily dose or the maximally tolerated dose per Investigators' judgment) for at least 90 days prior to Screening. Subjects who are not able to tolerate ACEi or ARB therapy may be eligible for participation in the trial if their overall management including blood pressure control is as per local applicable guidelines. This must be discussed with the medical monitor and documented by the Investigator.
Patients may be on a dual endothelin angiotensin receptor antagonist (DEARA) or endothelin receptor antagonist (ERA) but must be on a stable dose for at least 90 days prior to Screening and they must remain on a stable dose throughout the course of the study. Participants may be on a sodium-glucose cotransporter 2 (SGLT2) inhibitor, mineralocorticoid receptor antagonist (including Finerenone), but must be on a stable dose for 90 days prior to Screening and must remain on a stable dose throughout the course of the study.
Key Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Contact | 203-404-0410 | clinicaltrials@biohavenpharma.com |
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| ID | Term |
|---|---|
| D005922 | Glomerulonephritis, IGA |
| D051436 | Renal Insufficiency, Chronic |
| D007674 | Kidney Diseases |
| D011507 | Proteinuria |
| D009393 | Nephritis |
| D014570 | Urologic Diseases |
| D005921 | Glomerulonephritis |
| ID | Term |
|---|---|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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| Placebo |
| Drug |
Matching placebo delivered subcutaneously via autoinjector |
|
| Time to Gd-IgA1 reduction greater than or equal to 50% during double-blind (DB) treatment phase |
| Up to 52 weeks |
| Time to UPCR reduction greater than or equal to 30% during double-blind (DB) treatment phase | Up to 52 weeks |
| Hematuria resolution at Week 52 (among participants with hematuria at baseline) | Baseline to Week 52 |
| Proportion of study participants reaching a Urinary Protein Excretion (UPE) below 0.5 g/d at Week 52 | Baseline to Week 52 |
| Number of unique participants with SAEs, AEs leading to discontinuation or deaths that are observed during the DB Treatment Phase (up to 52 weeks) | Up to 52 Weeks |
| Number of unique participants with Grade 3 to 4 lab abnormalities that are observed during the DB Treatment Phase (up to 52 weeks) | Up to 52 Weeks |
| Change from baseline difference in the magnitude of the treatment effect (BHV-1400 versus placebo) in eGFR at Week 52. | Assessed by the lower limit of the 1-sided 80% confidence interval change from baseline difference | Baseline to Week 52 |
| Number of participants experiencing any of the following during the DB phase: at least 30% reduction relative to baseline in eGFR for at least 30 days, eGFR <15 mL/min/1.73m2 for at least 30 days, chronic dialysis ≥30 days, kidney transplant, death | Up to 52 Weeks |
| Number of unique participants with SAEs, AEs leading to discontinuation or deaths that are observed through the Open-label Treatment Phase | Up to 104 Weeks |
| Number of unique participants with Grade 3 to 4 lab abnormalities that are observed through the Open-label Treatment Phase | Up to 104 Weeks |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D051437 | Renal Insufficiency |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014555 | Urination Disorders |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |