ClinicalTrials.gg
TerminatedNCT04042623Updated Feb 10, 2022Results posted

Study of Safety and Efficacy of AVB-S6-500 in Patients With IgA Nephropathy

A Phase 2 interventional study of AVB-S6-500 in IgA Nephropathy, sponsored by Aravive, Inc.. Terminated at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-10.

Sponsored by Aravive, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Business reasons
Phase
Phase 2
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is an open-label Phase 2a clinical study designed to evaluate the safety and efficacy of AVB-S6-500 in patients with IgA Nephropathy (IgAN). Approximately 24 patients will be enrolled. Several dose levels of AVB-S6-500 may be evaluated.

02

Conditions studied

  • IgA Nephropathy

Keywords

  • IgAN
  • AXL inhibitor
  • Berger's Disease
  • Proteinuria
  • Kidney Disease
03

In context

Glomerulonephritis, IGA

275 studies on the registry are indexed under Glomerulonephritis, IGA; 107 are open to participants now.

This study's enrollment of 1 is below the median of 62 across 221 interventional studies indexed under Glomerulonephritis, IGA.

Browse Glomerulonephritis, IGA studies →

Lead sponsor

Aravive, Inc. is the lead sponsor of 6 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of -proven IgAN
  • Proteinuria ≥ 1g to 3g/24hr
  • Stable estimated (eGFR) for at least 3 months prior to screening and ≥ 45 mL/min per 1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration formula
  • Systolic BP lesser than or equal to 150 mmHg and diastolic BP lesser than or equal to 100 mmHg
  • Patients who have been on a steady dose of ACE or ARB inhibitors for at least 3 months and throughout screening and who are not expected to have their dose adjusted during the study are allowed on study (patients who are not on ACEi/ARB due to inability to tolerate these therapies are also allowed)
  • If a sexually-active patient, must agree to use a reliable method of from at least 4 weeks prior to first dose of study drug, during the study and for 1 month following completion of therapy.

Exclusion criteria

Exclusion Criteria:

  • Patients with chronic urinary tract infections (UTIs) or taking prophylactic antibiotics to prevent recurrent UTIs
  • Treatment with systemic , including , within 8 weeks of the first dose of study drug
  • Rapidly progressing nephropathy defined as falling (≥ 15%) over past 3 mos
  • Clinical or biological evidence of diabetes mellitus, systemic lupus erythematosus, IgA vasculitis (Henoch-Schonlein purpura), secondary IgAN, or other renal disease
  • \< 9.0 g/dL
  • History or clinical evidence of cirrhosis, or liver disease with serum (ALT) or aspartate aminotransferase (AST) > 3x
  • Organ transplant recipient (including bone marrow) or a planned transplant during the study
  • Have a diagnosis of (HIV), , or infection, or positive serology at screening
  • Recent active infection requiring hospitalization or i.v. treatment within 30 days prior to the first dose of study drug
  • Received transfusion, plasmapheresis or plasma exchange, IV immunoglobulin (IVIg) within 90 days prior to screening
  • within the past 5 years. Exceptions are squamous cell carcinoma of skin, basal cell carcinoma of skin, and cervical carcinoma in situ which have been excised and are considered cured
  • Females who are nursing, pregnant, or intending to become pregnant during the time of the study, or who have a positive pregnancy test at baseline
  • Exposure to an drug or device within 90 days or 5 half-lives (whichever is longer) prior to the first dose of study drug
  • Known sensitivity to any of the products to be administered during dosing
  • Subject will not be available for follow-up assessment
  • Subject has any kind of disorder that compromises the ability of the subject to give written and/or to comply with study procedures
  • Prior exposure to AVB-S6-500
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    Treatment with AVB-S6-500

    Patients will receive AVB-S6-500 by intravenous infusion every 2 weeks for total of 6 doses.

    Drug: AVB-S6-500

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events (AEs)

    Measured by the number of patients with AEs

    Time frame: 14 weeks

  2. The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day.

    Time frame: 12 weeks

  3. The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day in the Subset of Patients With Baseline High Proteinuria.

    Time frame: 12 weeks

  4. The Effect of AVB-S6-500 on Proportion of Patients With Urinary Protein Equivalent of < 1 g/24 Hours at End of Treatment

    Time frame: 12 weeks

  5. The Effect of AVB-S6-500 on Proportion of Patients Who Had at Least a Decrease of 0.5 g/Day Proteinuria From Baseline to End of Treatment.

    Time frame: 12 weeks

  6. The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Urine Albumin/Creatinine Ratios (uACRs).

    Time frame: 12 weeks

  7. The Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Estimated Glomerular Filtration Rate (eGFR).

    Time frame: 12 weeks

Secondary outcomes

  1. Incidence of Anti-drug Antibody (ADA)

    The number of participants with anti-AVB-S6-500 antibodies

    Time frame: 14 weeks

  2. Titers of Anti-AVB-S6-500 Antibodies

    Time frame: 14 weeks

  3. Apparent Terminal Half-life (t1/2) of AVB-S6-500

    Time frame: 12 weeks

  4. Maximum Observed Plasma Concentration of AVB-S6-500 (Cmax)

    Time frame: 12 weeks

  5. Area Under Time-concentration Curve (AUC)

    Time frame: 12 weeks

  6. Time of Maximum Observed AVB-S6-500 Concentration (Tmax)

    Time frame: 12 weeks

07

Results

Posted Feb 10, 2022
Limitations and caveats
After enrollment of one subject, the study was paused due to the COVID-19 pandemic. Subsequently, the sponsor terminated the study due to a change in sponsor priorities.

Participant flow

Participant flow — Overall Study
MilestoneTreatment With AVB-S6-500
Started1
Completed0
Not completed1

Outcome measures

PrimaryIncidence of Adverse Events (AEs)

Measured by the number of patients with AEs

Time frame:
14 weeks
Reported as:
Count of participants · Participants
Incidence of Adverse Events (AEs)
ParticipantsTreatment With AVB-S6-500
Incidence of Adverse Events (AEs)1
PrimaryThe Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day.
Time frame:
12 weeks

No measurements were reported for this outcome.

PrimaryThe Effect of AVB-S6-500 on Change From Baseline to End of Treatment in 24-hour Urine Protein Excretion (UPE) in g/Day in the Subset of Patients With Baseline High Proteinuria.
Time frame:
12 weeks

No measurements were reported for this outcome.

PrimaryThe Effect of AVB-S6-500 on Proportion of Patients With Urinary Protein Equivalent of < 1 g/24 Hours at End of Treatment
Time frame:
12 weeks

No measurements were reported for this outcome.

PrimaryThe Effect of AVB-S6-500 on Proportion of Patients Who Had at Least a Decrease of 0.5 g/Day Proteinuria From Baseline to End of Treatment.
Time frame:
12 weeks

No measurements were reported for this outcome.

PrimaryThe Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Urine Albumin/Creatinine Ratios (uACRs).
Time frame:
12 weeks

No measurements were reported for this outcome.

PrimaryThe Effect of AVB-S6-500 on Change From Baseline to End of Treatment in Estimated Glomerular Filtration Rate (eGFR).
Time frame:
12 weeks

No measurements were reported for this outcome.

SecondaryIncidence of Anti-drug Antibody (ADA)

The number of participants with anti-AVB-S6-500 antibodies

Time frame:
14 weeks

No measurements were reported for this outcome.

SecondaryTiters of Anti-AVB-S6-500 Antibodies
Time frame:
14 weeks

No measurements were reported for this outcome.

SecondaryApparent Terminal Half-life (t1/2) of AVB-S6-500
Time frame:
12 weeks

No measurements were reported for this outcome.

SecondaryMaximum Observed Plasma Concentration of AVB-S6-500 (Cmax)
Time frame:
12 weeks

No measurements were reported for this outcome.

SecondaryArea Under Time-concentration Curve (AUC)
Time frame:
12 weeks

No measurements were reported for this outcome.

SecondaryTime of Maximum Observed AVB-S6-500 Concentration (Tmax)
Time frame:
12 weeks

No measurements were reported for this outcome.

Adverse events

Collected over The adverse events data were collected over 1 month period: the subject consented to participate in this study on 11-Feb-2020. On 12-Mar-2020, AVB-S6-500 10 mg/kg (total dose 670 mg) was administered intravenously . The subject did not receive any subsequent doses of AVB-S6-500, nor did she complete the study. The subject underwent post-treatment assessments through telephone contact, as in-person visits were limited due to COVID. The date of early study discontinuation is noted as 06-Apr-2020.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment With AVB-S6-5000/1 (0%)0/1 (0%)1/1 (100%)
Most frequent other events
Most frequent other events
EventTreatment With AVB-S6-500
Decreased blood pressureVascular disorders1/1
RigorGeneral disorders1/1
Feeling heavy (heaviness) in the backMusculoskeletal and connective tissue disorders1/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment With AVB-S6-500
<=18 years0
Between 18 and 65 years1
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Treatment With AVB-S6-500
Female1
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment With AVB-S6-500
Hispanic or Latino0
Not Hispanic or Latino1
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment With AVB-S6-500
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White1
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Treatment With AVB-S6-500
Ukraine1
08

Study locations

2 sites
  • Moonshine Clinical Research
    Doral, Florida 33166, United States
  • Institute of Nephrology National Academy of Medical Science Ukraine
    Kyiv, 04050, Ukraine
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04042623
Lead sponsor
Aravive, Inc.
Responsible party
Sponsor
First posted
Aug 2, 2019
Start date
Nov 27, 2019
Primary completion
Aug 1, 2020
Completion
Aug 1, 2020
Results posted
Feb 10, 2022
Last update
Feb 10, 2022

Study contacts

Francoise Desir
study director · Aravive, Inc.

Oversight

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

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