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Keep this study
Lead
Alpine Immune Sciences, Inc.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Part A:
Biopsy-confirmed autoantibody-associated glomerular disease: immunoglobulin A nephropathy (IgAN), primary membranous nephropathy (pMN), or lupus nephritis (LN)
On maximal dose or the maximally tolerated dose ACEis/ARBs for ≥12 weeks prior to study Day 1
Indication-specific criteria:
1. IgAN
* Biopsy-confirmed diagnosis less than or equal to (≤)10 years prior to the start of screening AND Screening UPCR greater than or equal to (≥)0.5 g/g.
* No background immunosuppression therapies.
2. pMN
* A historical biopsy-confirmed diagnosis with positive anti-PLA2R1 antibodies or anti-THSD7A antibodies at screening AND Screening UPCR ≥1 g/g
* Inadequate reduction of proteinuria determined by the Principal Investigator (PI) despite optimal supportive care for at least 12 weeks.
* No background immunosuppression therapies except for optional calcineurin inhibitors.
3. LN
* A Biopsy-confirmed diagnosis of active, proliferative Class III, IV, (with or without Class V) LN ≤6 months prior to the start of screening AND Screening UPCR ≥1 g/g,
* Anti-dsDNA at screening. Anti-dsDNA testing is required but the result need not be positive.
* On stable background immunosuppression ≥ 8 weeks prior to Day 1
4. AAV
* Past diagnosis of renal AAV, defined as either of the following:
* History of renal biopsy consistent with renal AAV.
* History of clinically diagnosed renal AAV.
* Myeloperoxidase (MPO)-ANCA or proteinase 3 (PR3)-ANCA positive by enzyme-linked immunosorbent assay at screening.
* At least 4 weeks since initiation of AAV induction therapy, if applicable.
Part B:
Participants meet at least 1 of the following criteria:
* Completed investigational product (IP) treatment and 24 weeks of follow-up in Part A, or
* Had IP interruption(s) in Part A, but did not permanently discontinue IP, and completed study visits up to the last scheduled visit of the follow-up period of Part A.
You may not be if
Part A:
Prior diagnosis of, or fulfills diagnostic criteria for, another renal disease
eGFR \<30 milliliter per minute per square meter (mL/min/1.73m\^2) or rapidly progressive glomerulonephritis
Recent serious or ongoing infection; risk or history of serious infection
Receipt of B cell depleting therapies or anti-BAFF and/or APRIL therapies within protocol specified timeframes
Part B:
History of poor compliance with IP and/or procedures in Part A, as deemed by the investigator or Sponsor
History of any AEs or clinical conditions during Part A or emerging thereafter that may pose a safety concern for participation in Part B as deemed by investigator or Sponsor.
Clareo Health | An Open-label Study of Povetacicept in Autoantibody-Associated Glomerular Diseases