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NCT03955445PHASE3Recruiting

Long-term Efficacy, Safety and Tolerability of Iptacopan in C3G or IC-MPGN

Novartis Pharmaceuticals

Start Date

10/3/2019

Completion Date

5/30/2036

Summary

This is an open-label extension study to evaluate the long-term efficacy, safety and tolerability of iptacopan in subjects with C3 glomerulopathy or idiopathic immune-complex-membranoproliferative glomerulonephritis

Detailed Description

The primary purpose of this extension study is to collect long-term efficacy, safety and tolerability data in eligible participants receiving open-label iptacopan after completing treatment in the C3G Phase 2 proof of concept study CLNP023X2202. The primary (at 9 months) and longer-term (\>9 months) efficacy and safety data of iptacopan collected from CLNP023X2202 participants will be used to support health authority submissions. This umbrella protocol will also allow: * continued access to iptacopan to patients enrolled in the ongoing Phase 3 programs (C3G and IC-MPGN) * C3G study (CLNP023B12301): adults and adolescents * IC-MPGN study (CLNP023B12302): adults and adolescents * provision of additional efficacy and safety information following longer-term treatment in C3G and IC-MPGN populations to support health authority submissions. Efficacy and safety assessments at the 9 month visit of this extension study in combination with data from CLNP023X2202 (baseline plus 3 months of treatment) allowed evaluation of the effects of iptacopan on potential endpoint(s) at 12 months of iptacopan treatment in C3G participants. The enrollment of C3G and IC-MPGN participants (adults and adolescents) from Phase 3 studies, CLNP023B12301 and CLNP023B12302, permits longer-term evaluation of the persistence of effects observed after iptacopan treatment. These longer term efficacy and safety assessments may be compared to historical/concurrent control data available from relevant real world databases in C3G or IC-MPGN patients and used as supportive information for registration purposes. This extension study is expected to continue until the drug product becomes commercially available and accessible (anticipated to be up to approximately 168 months from the first patient first visit date), or the benefit-risk profile is no longer positive, or the program is discontinued for business or strategic reasons. "Baseline" refers to the Day 1 visit (pre-dose) of CLNP023X2202, CLNP023B12301 or CLNP023B12302, whereas the Day 1 visit for this C3G/IC-MPGN extension study (CLNP023B12001B) is identified as "Extension Day 1".

Eligibility Criteria

Age Range: 12 years to 100 years

Inclusion Criteria: \- Patients must have completed the treatment period of the CLNP023X2202, CLNP023B12301 or CLNP023B12302 study on study drug Exclusion Criteria: * Severe concurrent co-morbidities, e.g. advanced cardiac disease (NYHA class IV), severe pulmonary arterial hypertension (WHO class IV), or any illness or medical condition that in the opinion of the investigator and sponsor is likely to prevent the patient from safely tolerating LNP023 or complying with the requirements of the study * Participants with an active systemic bacterial, viral or fungal infection within 14 days prior to screening, or the presence of fever ≥ 38oC (100.4oF) within 7 days prior to screening. * History or current diagnosis of ECG abnormalities indicating significant risk of safety for subjects * History of HIV or any other immunodeficiency disease Other protocol-defined inclusion/exclusion criteria may apply

Interventions

DRUG

LNP023

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Conditions

C3 GlomerulopathyImmune-complex-membranoproliferative Glomerulonephritis

Locations

Childrens Hospital Colorado

Aurora, Colorado 80045

United States

Georgia Nephrology Research Inst

Lawrenceville, Georgia 30046

United States

University of Iowa Health Care

Iowa City, Iowa 52242-1091

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

Col Uni Med Center New York Presby

New York, New York 10032

United States

Novartis Investigative Site

CABA, Buenos Aires C1425AGC

Argentina

Novartis Investigative Site

Buenos Aires, W3400ABH

Argentina

Novartis Investigative Site

Belo Horizonte, Minas Gerais 30150-221

Brazil

Novartis Investigative Site

Recife, Pernambuco 50740-900

Brazil

Novartis Investigative Site

Porto Alegre, Rio Grande do Sul 90035-074

Brazil

Novartis Investigative Site

Botucatu, São Paulo 3880-1001

Brazil

Novartis Investigative Site

São Paulo, São Paulo 04038-002

Brazil

Novartis Investigative Site

Salvador, 40323-010

Brazil

Novartis Investigative Site

Toronto, Ontario M5G 2C4

Canada

Novartis Investigative Site

Beijing, 100034

China

Novartis Investigative Site

Shanghai, 200040

China

Novartis Investigative Site

Prague, 128 08

Czechia

Novartis Investigative Site

Montpellier, 34295

France

Novartis Investigative Site

Paris, 75015

France

Novartis Investigative Site

Paris, 75015

France

Novartis Investigative Site

Toulouse, 31054

France

Novartis Investigative Site

Erlangen, 91054

Germany

Novartis Investigative Site

Essen, 45147

Germany

Novartis Investigative Site

Hamburg, 20246

Germany

Novartis Investigative Site

Heidelberg, 69120

Germany

Novartis Investigative Site

Mainz, 55131

Germany

Novartis Investigative Site

Heraklion Crete., 715 00

Greece

Novartis Investigative Site

Thessaloniki, 546 42

Greece

Novartis Investigative Site

Petah Tikva, 4920235

Israel

Novartis Investigative Site

Petah Tikva, 4941492

Israel

Novartis Investigative Site

Bari, BA 70124

Italy

Novartis Investigative Site

Ranica, BG 24020

Italy

Novartis Investigative Site

Roma, RM 00165

Italy

Novartis Investigative Site

Nagoya, Aichi-ken 4668560

Japan

Novartis Investigative Site

Asahikawa, Hokkaido 0788510

Japan

Novartis Investigative Site

Sapporo, Hokkaido 0608543

Japan

Novartis Investigative Site

Takatsuki, Osaka 5691192

Japan

Novartis Investigative Site

Ohtsu, Shiga 5202192

Japan

Novartis Investigative Site

Hachiōji, Tokyo 193-0998

Japan

Novartis Investigative Site

Niigata, 9518520

Japan

Novartis Investigative Site

Leiden, South Holland 2333 ZA

Netherlands

Novartis Investigative Site

Pamplona, Navarre 31008

Spain

Novartis Investigative Site

Barcelona, 08035

Spain

Novartis Investigative Site

Madrid, 28040

Spain

Novartis Investigative Site

Madrid, 28041

Spain

Novartis Investigative Site

Seville, 41009

Spain

Novartis Investigative Site

Bern, 3010

Switzerland

Novartis Investigative Site

Köseköy, Kocaeli 41380

Turkey (Türkiye)

Novartis Investigative Site

Kayseri, Melikgazi 38039

Turkey (Türkiye)

Novartis Investigative Site

Ankara, Yenimahalle 06500

Turkey (Türkiye)

Novartis Investigative Site

Newcastle upon Tyne, Tyne and Wear NE7 7DN

United Kingdom

Novartis Investigative Site

Cardiff, CF14 4XW

United Kingdom

Novartis Investigative Site

London, W12 0HS

United Kingdom