| 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
|
|
|
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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Clinical Study Report
- 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.
- For what types of analyses will this data be available?
Response (Others) - For those purposes as explained in the ICF
- By what mechanism will data be made available?
Response - Proposals should be directed to [DataSharing@biogen.com].
- 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
- 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. |