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CompletedNCT02093533EAGLEUpdated Jan 17, 2018

Eculizumab in Primary MPGN

A Phase 2 interventional study of Eculizumab in Membranoproliferative Glomerulonephritis, sponsored by Mario Negri Institute for Pharmacological Research. Completed at 13 sites in Italy. Open to participants aged Up to 75 Years. Per ClinicalTrials.gov, last updated 2018-01-17.

Sponsored by Mario Negri Institute for Pharmacological Research · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
Up to 75 Years
Sex
All
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Study summary

Membranoproliferative glomerulonephritis (MPGN) is the third or fourth leading cause of end stage renal disease among the primary glomerulonephritis. Hyperactivation of the alternative complement pathway and familial forms for all types of MPGN have been reported suggesting that genetic abnormalities may play a predisposing role to the disease. In recent case reports Eculizumab, a monoclonal antibody that binds to C5 to prevent formation of the membrane attack complex ,is a safe and effective therapy.

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Conditions studied

  • Membranoproliferative Glomerulonephritis

Keywords

  • Membranoproliferative glomerulonephritis
  • Nephrotic syndrome
  • Proteinuria
  • Alternative complement pathway
  • Complement inhibition
  • Eculizumab
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In context

Glomerulonephritis

149 studies on the registry are indexed under Glomerulonephritis; 38 are open to participants now.

This study's enrollment of 10 is below the median of 40 across 112 interventional studies indexed under Glomerulonephritis.

Browse Glomerulonephritis studies →

Lead sponsor

Mario Negri Institute for Pharmacological Research is the lead sponsor of 159 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Biopsy-proven primary MPGN
  • Creatinine clearance >20 ml/min per 1.73m2
  • 24-hour proteinuria persistently exceeding 3,5g in adults or exceeding 40mg/h/m2 in children (or exceeding 2mg protein/mg creatinine in children spot urine samples)
  • Persistently low C3 levels in at least two consecutive evaluations
  • Persistently high sC5b9 levels (>1000 ng/ml) in at least two previous consecutive evaluations
  • Written informed consent (by parents or tutors if underage)

Exclusion criteria

Exclusion Criteria:

  • Age ≥75 years
  • Secondary MPGN (evidence of infection, immunological disease including vasculitis, systemic diseases and proliferative disorders)
  • Evidence at kidney biopsy evaluation of severe chronic histological changes that very unlikely could benefit of eculizumab therapy
  • Concomitant steroid or immunosuppressive therapy for immuno-mediated disease
  • Pregnancy or lactating
  • Childbearing potential without effective contraception
  • Any clinically relevant condition that might affect completion of the study participation and/or confound study results
  • Inability to understand the potential risks and benefits of the study
  • Legal incapacity
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Eculizumab

    Patient Body weight ≥40 kg: initial phase 900 mg weekly x 4 and maintenance phase 1200 mg at week 5; then 1200 mg every 2 weeks Patient Body weight 30 - \<40 kg : initial phase 600 mg weekly x 2 and maintenance phase 900 mg at week 3; then 900 mg every 2 weeks

    Drug: Eculizumab

Interventions

  • DrugEculizumab

    Also known as: Soliris

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What researchers measure

Primary outcomes

  1. 24hours proteinuria

    Time frame: Changes from baseline at week 1,12,24,36,48 and 72.

Secondary outcomes

  1. Terminal complement complex (sC5b-9) levels

    Time frame: Changes from baseline at 1,2, 3, 4,12,24,36,48,52,56,60 and 72 week.

  2. Glomerular filtration rate (GFR) measured by iohexol plasma clearance and estimated.

    Time frame: Changes from Baseline at 1,24, 48 and 72 week.

  3. Time to disease progression.

    Time frame: Up 72 week.

Other outcomes

  1. Number of participants with Adverse Events as a measure of safety.

    Time frame: Participants will be followed for the duration of the study, an expected average of 72 weeks

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Study locations

13 sites
  • Ospedale Pediatrico "Giovanni XXIII" - U:O Nefrologia
    Bari, BA, Italy
  • A.O. Papa Giovanni XXIII - U.O. Nefrologia e Dialisi/IRCCS IRFMN - Centro di Ricerche Cliniche per le Malattie Rare Aldo e Cele Daccò
    Bergamo, BG, Italy
  • Policlinico Sant'Orsola -Malpighi - U.O.S. Nefrologia e dialisi pediatrica
    Bologna, BO, Italy
  • Policlinico "G.Martino" - U.O. Nefrologia e Dialisi
    Messina, ME, Italy
  • Policlinico Universitario di Padova - U.O. Nefrologia Pediatrica
    Padova, PD, Italy
  • Ospedale Centrale
    Bolzano, 39100, Italy
  • Policlinico "Federico II" - U.O. Nefrologia
    Napoli, Italy
  • Ospedale degli Infermi - U.O. Nefrologia e Dialisi
    Rimini, Italy
  • C.I. Columbus-Università Cattolica del S.Cuore - UOC Nefrologia e Dialisi
    Roma, Italy
  • Ospedale Pediatrico "Bambin Gesù" - U.O. Nefrologia
    Roma, Italy
  • Presidio Ospedaliero O.I.R.M. "Sant'Anna" - U.O. Nefrologia
    Torino, Italy
  • Ospedale "Santa Chiara" - U.O. Nefrologia
    Trento, Italy
  • Ospedale Cà Foncello - U.O. Nefrologia
    Treviso, Italy
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 17, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02093533
Lead sponsor
Mario Negri Institute for Pharmacological Research
Collaborators
Alexion Pharma Italy s.r.l.
Responsible party
Sponsor
First posted
Mar 21, 2014
Start date
Mar 2014
Primary completion
Dec 2017
Completion
Dec 2017
Last update
Jan 17, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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