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CTRI Number  CTRI/2025/12/099642 [Registered on: 22/12/2025] Trial Registered Prospectively
Last Modified On: 17/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study of Felzartamab Infusions in Adults With Primary Membranous Nephropathy (PMN) 
Scientific Title of Study   An Open-label, Multicenter, Randomized Phase 3 Study Evaluating the Efficacy and Safety of Felzartamab in Participants with Primary Membranous Nephropathy (PMN) [PROMINENT] 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
2024-519232-16-00  Other 
299PN301_Protocol Version 1.0 dated 24 January 2025  Protocol Number 
NCT06962800  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rashmi Chitgupi 
Designation  Country Head- Clinical Management 
Affiliation  PPD Pharmaceutical Development India Private Limited 
Address  102-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East 101-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East

Mumbai
MAHARASHTRA
400099
India 
Phone  02266022900  
Fax    
Email  rashmi.chitgupi@thermofisher.com  
 
Details of Contact Person
Scientific Query
 
Name  Rashmi Chitgupi 
Designation  Country Head- Clinical Management 
Affiliation  PPD Pharmaceutical Development India Private Limited 
Address  102-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East 101-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East


MAHARASHTRA
400099
India 
Phone  02266022900  
Fax    
Email  rashmi.chitgupi@thermofisher.com  
 
Details of Contact Person
Public Query
 
Name  Rashmi Chitgupi 
Designation  Country Head- Clinical Management 
Affiliation  PPD Pharmaceutical Development India Private Limited 
Address  102-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East 101-A Wing Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East


MAHARASHTRA
400099
India 
Phone  02266022900  
Fax    
Email  rashmi.chitgupi@thermofisher.com  
 
Source of Monetary or Material Support  
Biogen Idec Research Limited, 5 Foundation Park Roxborough Way Maidenhead, Berkshire SL6 3UD United Kingdom 
 
Primary Sponsor  
Name  Biogen Idec Research Limited  
Address  5 Foundation Park Roxborough Way Maidenhead, Berkshire SL6 3UD United Kingdom 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
PPD Pharmaceutical Development India Private Limited  102, A Wing, Fulcrum, Hiranandani Business Park, Sahar Road, Andheri East, Mumbai, Maharashtra, 400099, India  
 
Countries of Recruitment     India
United States of America  
Sites of Study  
No of Sites = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dhananjay Kumar Sinha  Galaxy Life Care Servies Pvt. Ltd  Department of Nephrology, Plot No. 4-7, Dayal Enclave, Mahmoorganj, 221010
Varanasi
UTTAR PRADESH 
9415304564

dksinha15@gmail.com 
Dr Shivendra Singh  Institute of Medical Sciences (IMS) Banaras Hindu University (BHU)  Department of Nephrology, Lanka, 221005
Varanasi
UTTAR PRADESH 
9415224504

ssshivendrabhu@gmail.com 
Dr Mahesh Eswarappa   M S Ramaiah Medical College and Hospitals   Department of Nephrology, Ground Floor, Room number 10, Ramaiah Memorial Hospital, M S Ramaiah Nagar, MSRIT Post, 560054
Bangalore
KARNATAKA 
8023608888

manasnephro2002@yahoo.co.in 
Dr Vishwanath S  Manipal Hospital  Department of Nephrology, 98, Old Airport Road, 560017
Bangalore
KARNATAKA 
9845174866

siddinivishwanath@hotmail.com 
Dr Dinesh Khullar  Max Super Speciality Hospital, Saket (West Block) (A unit of Max Healthcare Institute Limited)  Department of Nephrology, 1, Press Enclave Road, Saket, 110017
New Delhi
DELHI 
9810124066

drdineshkhullar@gmail.com 
Dr Sree Bhushan Raju Devaraju  Nizams Institute of Medical Sciences  Department of Nephrology, Punjagutta, 500082
Hyderabad
TELANGANA 
9848492951

sreebhushan@hotmail.com 
Dr Avinash Ignatius  Noble Hospital Pvt. Ltd.  1st Floor, Nephrology OPD, Noble Annex, 153, Magarpatta City Road, Hadapsar, 411013
Pune
MAHARASHTRA 
02043285000

abc@gmail.com 
Dr Pinaki Mukhopadhyay  NRS Medical College And Hospital  Department of Nephrology, 138, A.J.C. Bose. 700014
Kolkata
WEST BENGAL 
9231978078

drpinaki71@yahoo.com 
Dr Manisha Sahay  Osmania General Hospital  Department of Nephrology, QQDC Building, 3rd Floor, Afzalgunj, 500012
Hyderabad
TELANGANA 
9849097507

drmanishasahay@gmail.com 
Dr Raja Ramachandran   Postgraduate Institute of Medical Education & Research (PGIMER)   Department of Nephrology, Ground Floor, C-Block, Nehru Hospital, Sector 12, 160012
Chandigarh
CHANDIGARH 
9216958874

drraja_1980@yahoo.co.in 
Dr Deepak Dewan  Regency Health Super Specialty Hospital   Department of Nephrology, Room no. 10, Basement, Tedhi Pulia Ring Road, Khurram Nagar, 226022
Lucknow
UTTAR PRADESH 
9936507362

drdeepakdewan@rediffmail.com 
Dr Narayan Prasad  Sanjay Gandhi Postgraduate Institute of Medical Sciences   Department of Nephrology, Second Floor, Research Room, Raebareli Road, 226014
Lucknow
UTTAR PRADESH 
8884122456

narayan.nephro@gmail.com 
Dr Anurag Gupta  Sir Ganga Ram Hospital  Department of Nephrology, Clinical Research room, 5th floor, Near doctor forum, Sir Ganga Ram Hospital Marg, Rajinder Nagar, 110060
New Delhi
DELHI 
8800260446

dranuragg1@yahoo.com 
Dr Dhananjai Agrawal  SMS Superspeciality Hospital  Room No 507, 5th floor, Department of Nephrology, Attached to SMS Medical College, Vivekanand Marg, C-Scheme, 302001
Jaipur
RAJASTHAN 
9887870552

dhananjaynephro@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Ethics Committee of Manipal Hospitals  Submittted/Under Review 
Ethics Committee, M.S. Ramaiah Medical College and Hospitals   Approved 
Galaxy Hospiital Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee NRS Medical College and Hospital  Submittted/Under Review 
Institutional Ethics Committee Regency Hospital  Approved 
Institutional Ethics Committee, PGIMER  Submittted/Under Review 
Institutional Ethics Committee, Sanjay Gandhi Postgraduate Institute of Medical Sciences   Submittted/Under Review 
Institutional Ethics Committee, SMS Medical College & Attached Hospital, Office of Ethics Committee  Submittted/Under Review 
Max Healthcare Ethics Committee (MHEC)  Approved 
NIMS Institutional Ethics Committee  Submittted/Under Review 
Noble Hospital Institutional Ethics Committee  Submittted/Under Review 
Osmania Medical College Institutional ethics committee  Approved 
Sir Ganga Ram Hospital Ethics Committee  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N062||Isolated proteinuria with diffusemembranous glomerulonephritis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Felzartamab   Felzartamab dose will vary from 650mg to 1625 mg per daily infusion, depending upon body weight category to match the exposures associated with 16 mg/kg; administered intravenously (IV) for up to Week 72 
Comparator Agent  Standard of Care IST  0.05 mg/kg BID, orally for 52 weeks followed by a 12 week taper up to Week 64 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Diagnosed with PMN in need of IST according to the Investigators clinical judgment. The diagnosis of PMN must be documented with the presence of nephrotic syndrome, and hypoalbuminemia, and confirmed with a kidney biopsy either during Screening or within 5 years of signing the informed consent form (ICF) (see kidney biopsy exception below for participants positive for anti-PLA2R antibodies). For these participants, the biopsy report with redacted protected health information must be available to be reviewed by the Sponsor or an independent nephropathologist. If the participant requires a kidney biopsy during Screening, medical monitor approval must be obtained and all other eligibility criteria should be reviewed to ensure that the participant is otherwise eligible prior to performing the kidney biopsy.
a. Kidney biopsy exception for anti-PLA2R antibody positive participants: Participants who are positive for anti-PLA2R antibodies and have not had a kidney biopsy performed within 5 years of signing the ICF, may be eligible for the study without undergoing a kidney biopsy based on medical monitor review confirming normal estimated glomerular filtration rate (eGFR), presence of nephrotic syndrome, hypoalbuminemia, positive anti-PLA2R antibody test (defined as an anti-PLA2R antibody titer greater than 20 RU per mL), and documentation provided by the Investigator that the work-up for secondary causes of membranous nephropathy (MN) was negative with no identifiable secondary causes.
2. Meets one of the following
a. Newly diagnosed PMN, defined as having never received IST for PMN in the past.
b. Relapsed PMN defined as documented achievement of CR or partial remission (PR) after treatment with an IST for PMN followed by reappearance of nephrotic range proteinuria (urine protein to creatinine ratio (UPCR) greater than or equal to 3.0 gram per gram from a 24 hour urine collection or proteinuria greater than or equal to 3.5 gram per 24 hour).
3. Participants must be on the maximally approved dose or maximally tolerated dose of angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) for at least 3 months prior to Screening. Participants not on the maximally approved dose of renin angiotensin aldosterone system inhibition may be enrolled provided there is documented intolerance to maximal RAAS inhibition (e.g. angioedema or development of postural hypotension or lightheadedness or hyperkalemia etc)
4. A UPCR of greater than or equal to 3.0 gram per gram (as determined by a 24-hour urine collection) or total proteinuria greater than or equal to 3.5 gram per 24 hour (as determined by a 24-hour urine collection) at Screening after best supportive care for at least 3 months prior to signing the ICF.
 
 
ExclusionCriteria 
Details  1. Secondary cause of MN (e.g. malignancies or medications or systemic lupus erythematosus (SLE) or hepatitis B or hepatitis C etc).
2. Severe renal impairment defined as an eGFR less than 30 mL per min per 1.73mx2 at Screening or including the need for dialysis or renal replacement therapy.

Note: Other protocol-defined Inclusion/Exclusion criteria may apply.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Percentage of Participants who Achieve Complete Remission (CR) at Week 104  Percentage of Participants who Achieve Complete Remission (CR) at Week 104 
 
Secondary Outcome  
Outcome  TimePoints 
Percentage of Participants who Achieve Overall Remission (OR), Defined as CR or Partial Remission (PR) at Week 104  Week 104 
Percentage of Participants With a Baseline Anti-Phospholipase A2 Receptor (PLA2R) Autoantibody Titer Greater Than 50 Relative Unit per Milliliter (RU/mL) who Achieve an OR at Week 76 and at Week 104  Weeks 76 and 104 
Percentage of Participants who Achieve CR at Week 76  Week 76 
Time to Disease Worsening  From Baseline to Week 156 
Time to a Sustained Reduction in eGFR of greater than or equal to 30 percent From Baseline  From Baseline to week 104 
Duration of Overall Remission (OR)  From Baseline to week 156 
Absolute Change in Anti-PLA2R Autoantibody Titer in Participants Positive for Anti-PLA2R at Baseline  From Baseline to week 156 
Change From Baseline in the Patient Reported Outcome Measurement Information System (PROMIS) Fatigue Scale at Week 104  Week 104 
Change From Baseline in PROMIS Global Assessment of Physical Health Scale at Week 104  Week 104 
Number of Participants With Treatment Emergent Adverse Event (TEAE), Serious Adverse Event (SAE) and Adverse Events of Special Interest (AESIs)  From first dose of study drug up to end of follow-up (up to week 156) 
Felzartamab Serum Concentrations Over Time  Predose and at multiple timepoints post dose up to week 156 
Number of Participants With Anti-Drug Antibodies (ADAs) Against Felzartamab  Predose and at multiple timepoints post dose up to week 156 
 
Target Sample Size   Total Sample Size="180"
Sample Size from India="32" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   28/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  18/06/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="4"
Months="1"
Days="12" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response (Others) -  We commit to share patient-level data, study-level data, CSRs, and protocols with qualified scientific researchers.

  4. For what types of analyses will this data be available?
    Response (Others) -  For those purposes as explained in the ICF

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [DataSharing@biogen.com].

  6. For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
    Response (Others) -  18 months post-LPO and to Vivli.org

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Transparency in clinical trials
Brief Summary  

In this study, researchers will learn more about the use of felzartamab in participants with primary membranous nephropathy, also known as PMN. In people with PMN, autoantibodies build up in the glomeruli of the kidney. Antibodies are proteins that help the body fight off infection. An autoantibody is a type of antibody that mistakenly targets and attacks the body’s own tissues. Glomeruli are the filters of the kidney that remove waste and extra fluid from the body. In PMN, the build-up of autoantibodies in the glomeruli causes damage to the kidneys.

Kidney damage can lead to too much protein and blood leaking into the urine. High levels of protein in the urine, called proteinuria, are common in people with PMN. Symptoms of PMN can include swelling in the legs and body, tiredness, and high blood pressure. If left untreated, PMN can eventually lead to kidney failure.

In this study, researchers will learn more about how a study drug called felzartamab affects people with PMN. Felzartamab is a monoclonal antibody, which means it is an antibody made in a laboratory. Felzartamab can target immune cells that produce autoantibodies, helping to lower their buildup in the kidneys. The main goal of this study is to compare how felzartamab works compared to a drug called tacrolimus. Tacrolimus is another drug given to people with PMN and kidney disease.

The main question that researchers want to answer is:

- How many participants achieve a complete response after 104 weeks of treatment?

- A complete response means that their urine protein levels decrease to a low level and their kidney function remains stable.

Researchers will also learn about:

- How long it takes before the participants’ disease gets worse

- How long the participants’ urine protein levels stay low

- How many participants develop antibodies against felzartamab in the blood?

- How many participants achieve a complete response after 76 weeks of treatment

- How many participants have medical problems during the study

- How felzartamab is processed by the body

- How felzartamab affects participants’ tiredness and overall physical health

The study will be done as follows:

- Participants will be screened to check if they can join the study. This may take up to 42 days.

- Participants will be randomized to receive either felzartamab as intravenous (IV) infusions or tacrolimus, taken orally as tablets.

- If participants have worsening kidney function or worsening proteinuria, or if their PMN relapses, or if they show no signs of improvement in their PMN, they will have a chance to receive rescue treatment.

- If a participant stops treatment early, there will be follow-up visits every 12 weeks until they reach Week 104.

- In total, participants will have up to 23 study visits. Participants who do not need rescue treatment will stay in the study for up to 104 weeks. Participants who need rescue treatment will stay in the study for up to 156 weeks.

 
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