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CompletedNCT03723512Updated Nov 26, 2021

Non-contrast Enhanced MRI in Patients With C3 Glomerulopathy (C3G) or Immune-complex Membranoproliferative Glomerulonephritis (IC-MPGN) Enrolled in the ACH471-205 Study

An interventional study of Non contrast-enhanced magnetic resonance imaging in C3 Glomerulonephritis, C3 Glomerulopathy and Immune Complex Membranoproliferative Glomerulonephritis, sponsored by Mario Negri Institute for Pharmacological Research. Completed at 1 site in Italy. Open to participants aged 17 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-11-26.

Sponsored by Mario Negri Institute for Pharmacological Research · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
7
Allocation
Not applicable
Ages
17 Years to 65 Years
Sex
All
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Study summary

Functional and quantitative renal magnetic resonance imaging (MRI) has seen a number of recent advances, and techniques are now available that can generate quantitative imaging biomarkers with the potential to improve the management of kidney disease.

However, there are knowledge gaps that must be addressed before renal MRI methods could be more widely adopted in clinical research and ultimately be transferred to clinical practice, including the biological basis of different MRI biomarkers, and how the application of these biomarkers will improve patient care.

Among renal MRI techniques, renal diffusion weighted MRI (DWI) has been increasingly used in the last decade, showing high potential as a surrogate and monitoring biomarker for interstitial fibrosis in chronic kidney disease (CKD), as well as a surrogate biomarker for the inflammation in acute kidney diseases that may impact patient selection for renal biopsy in acute graft rejection.

Within the ready-to-start ACH471-205 clinical trial, an Open-Label Phase 2 Proof-of-Concept Study in Patients with C3 Glomerulopathy (C3G) or Immune-Complex Membranoproliferative Glomerulonephritis (IC-MPGN) treated with ACH-0144471, aimed at evaluating the efficacy of 12 months of oral ACH-0144471 in patients with C3G or IC-MPGN, patients will undergo baseline and 12-month follow-up renal biopsies, and renal function will be assessed over time by estimated or measured (when available) glomerular filtration rate (GFR). Adding multi-parametric NCE-MRI to the examinations under the ACH471-205 study protocol will give the opportunity to elucidate, in a well-defined cohort of patients, the potential of NCE-MRI as biomarker of renal microstructure and functional change.

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Conditions studied

  • C3 Glomerulonephritis
  • C3 Glomerulopathy
  • Immune Complex Membranoproliferative Glomerulonephritis
  • IC-MPGN
  • Dense Deposit Disease

Keywords

  • Non-contrast enhanced MRI
  • Diffusivity
  • Renal microstructure
  • Renal function
  • C3G
  • IC-MPGN
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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 7 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
17 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of C3G or IC-MPGN;
  • Patients enrolled in the ACH471-205 study at the Bergamo center;
  • No contraindications to perform MRI.

Exclusion criteria

Exclusion Criteria:

  • Ferro-magnetic prosthesis, aneurysm clips, severe claustrophobia or other contraindications or exclusions interfering with the MRI assessment.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    Whole group

    Whole group

    Device: Non contrast-enhanced magnetic resonance imaging

Interventions

  • DeviceNon contrast-enhanced magnetic resonance imaging

    Non contrast-enhanced magnetic resonance imaging

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What researchers measure

Primary outcomes

  1. Median diffusivity (D) in the kidney, renal cortex and medulla.

    Time frame: At baseline (prior to baseline biopsy).

  2. Median diffusivity (D) in the kidney, renal cortex and medulla.

    Time frame: At 12 months (prior to follow-up biopsy).

Secondary outcomes

  1. Renal artery blood flow and renal plasma flow.

    Time frame: At baseline (prior to baseline biopsy).

  2. Renal artery blood flow and renal plasma flow.

    Time frame: At 12 months (prior to follow-up biopsy).

  3. Change in median diffusivity in the kidney, renal cortex and medulla after 12-month treatment with ACH-0144471.

    Time frame: At 12 months follow-up.

  4. Change in renal artery blood flow and renal plasma flow after 12-month treatment with ACH-0144471.

    Time frame: At 12 months follow-up.

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Study locations

1 site
  • Centro di Ricerche Cliniche per le Malattie Rare Aldo e Cele Daccò
    Ranica, BG 24020, Italy
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References and documents

Publications

  • Selby NM, Blankestijn PJ, Boor P, Combe C, Eckardt KU, Eikefjord E, Garcia-Fernandez N, Golay X, Gordon I, Grenier N, Hockings PD, Jensen JD, Joles JA, Kalra PA, Kramer BK, Mark PB, Mendichovszky IA, Nikolic O, Odudu A, Ong ACM, Ortiz A, Pruijm M, Remuzzi G, Rorvik J, de Seigneux S, Simms RJ, Slatinska J, Summers P, Taal MW, Thoeny HC, Vallee JP, Wolf M, Caroli A, Sourbron S. Magnetic resonance imaging biomarkers for chronic kidney disease: a position paper from the European Cooperation in Science and Technology Action PARENCHIMA. Nephrol Dial Transplant. 2018 Sep 1;33(suppl_2):ii4-ii14. doi: 10.1093/ndt/gfy152. PubMed 30137584 ↗
  • Caroli A, Schneider M, Friedli I, Ljimani A, De Seigneux S, Boor P, Gullapudi L, Kazmi I, Mendichovszky IA, Notohamiprodjo M, Selby NM, Thoeny HC, Grenier N, Vallee JP. Diffusion-weighted magnetic resonance imaging to assess diffuse renal pathology: a systematic review and statement paper. Nephrol Dial Transplant. 2018 Sep 1;33(suppl_2):ii29-ii40. doi: 10.1093/ndt/gfy163. PubMed 30137580 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2021, 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
NCT03723512
Lead sponsor
Mario Negri Institute for Pharmacological Research
Collaborators
Alexion Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Oct 29, 2018
Start date
Dec 6, 2018
Primary completion
Feb 17, 2021
Completion
Feb 17, 2021
Last update
Nov 26, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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