ClinicalTrials.gg
Enrolling by invitationNCT05248659Updated May 5, 2026

Trial of Sibeprenlimab in the Treatment of Immunoglobulin A Nephropathy (IgAN)

A Phase 2/3 interventional study of Sibeprenlimab 400 mg s.c. Q4weeks in Immunoglobulin A Nephropathy, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Enrolling by invitation at 158 sites in 31 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-05.

Sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc. (part of Otsuka Holdings Co., Ltd.) · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
600
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the long-term safety and tolerability of sibeprenlimab in subjects with IgAN

Read the detailed description

This is a phase 2/3, multicenter, open-label trial to evaluate the long-term safety, tolerability, and efficacy of sibeprenlimab administered subcutaneously (SC) to subjects with IgAN.

Eligible subjects will have participated in trials 417-201-00007 or VIS649-201 and, in the investigator's judgement, could benefit from continued treatment with sibeprenlimab.

02

Conditions studied

  • Immunoglobulin A Nephropathy

Keywords

  • Sibeprenlimab
  • VIS649
  • IgAN
03

In context

Glomerulonephritis, IGA

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

This study's planned enrollment of 600 is above the median of 62 across 221 interventional studies indexed under Glomerulonephritis, IGA.

Browse Glomerulonephritis, IGA studies →

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. is the lead sponsor of 295 studies on the registry; 18 are open to participants now.

Of its 106 completed or terminated interventional studies of FDA-regulated products, 71 (67%) 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

  • Subjects who completed Trial 417-201-00007 (at least 20 of the 26 doses over a 2-year duration and the end-of-trial visit) or Trial VIS649-201 (at least 9 of the 12 doses over a 1-year duration and the end-of-trial visit) without safety concerns and who, in the opinion of the investigator, could potentially benefit from treatment with sibeprenlimab for IgAN.
  • Ability to provide written, prior to initiation of any trial-specific procedures, and ability, in the opinion of the principal investigator, to comply with all the requirements of the trial.

Exclusion criteria

Exclusion Criteria:

  • Subjects who have not completed participation in Trials 417-201-00007 or VIS649-201.
  • Subjects with treatment-limiting AEs during Trials 417-201-00007 or VIS649-201 considered related to IMP per investigator judgement.
  • Noncompliance, due to subject's repeated failure to follow trial procedures during the course of their participation in Trials 417-201-00007 and VIS649-201 (eg, subjects deemed to be noncompliant with the visit schedule, trial assessments, or treatment regimen). The medical monitor should be contacted if the investigator is unsure of a subject's eligibility.
  • Subjects who have a positive pregnancy test result prior to receiving IMP.
  • Heterosexually active biological males or subjects of , or their partners, who do not agree to adhere to requirements from the time of consent through the end of the subject's participation in the trial and an additional 90 days (biological male subjects) or 30 days (biological female subjects) thereafter.
  • Biological male subjects who do not agree to avoid donation of sperm from the time of consent through the end of the subject's participation in the trial and an additional 90 days thereafter.
  • Subject has nephrotic syndrome, defined for this purpose as 24-hour urine protein > 3.5 g with concurrent hypoalbuminemia (serum albumin \< 2.5 g/dL), hyperlipidemia (total cholesterol > 350 mg/dL), and edema. Subjects with isolated nephrotic range proteinuria (> 3.5 g/day) will be eligible.
  • Subject has a history or current evidence of a serious and/or unstable cardiovascular, respiratory, gastrointestinal, hematologic, , rheumatologic, blood dyscrasias or other medical disorder, including psychiatric disorders, cirrhosis, or ongoing . History of minor skin cancers (not including melanoma) or surgically treated, limited cervical carcinomas (ie, carcinoma in situ) are not exclusionary.
  • History of a previous or severe allergic reaction with generalized urticaria, angioedema or anaphylaxis to any of the ingredients of the sibeprenlimab SC injection formulation.
  • Subject has a \< 16 kg/m\^2.
  • Subject has received an organ transplant (ie, solid or a bone marrow or hematologic stem cell transplantation).
  • Subject is currently receiving, or has received within 16 weeks prior to enrollment, systemic therapy (ie, such as targeted release budesonide, complement inhibitors, mycophenolate, rituximab). Note: topical, ophthalmic, rectal, intra-articular, inhaled corticosteroids, and short courses of oral/intravenous steroids (\<= 14 days) are allowed.
Terms in these criteria, in plain language(9)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    Sibeprenlimab 400 mg s.c. q 4 weeks

    Drug: Sibeprenlimab 400 mg s.c. Q4weeks

Interventions

06

What researchers measure

Primary outcomes

  1. Adverse Events

    Time frame: From baseline to the end-of-trial visit in Week 112.

Secondary outcomes

  1. Annualized slope of Estimated Glomerular Filtration Rate (eGFR)

    Time frame: Over 12 and 24 months

  2. Urine protein/creatinine ratio (uPCR) in a 24-hour collection

    Time frame: At 12 and 24 months

  3. Proportion of Subjects with Clinical Remission as defined in the protocol

    Time frame: At 12 and 24 months

  4. Time to Progression of Chronic Kidney Disease, as defined in the protocol

    Time frame: Over 24 months

07

Study locations

158 sites
  • Clinical Research Site #336
    Birmingham, Alabama 35233, United States
  • Clinical Research Site #325
    Los Angeles, California 90027, United States
  • Clinical Research Site #370
    Palo Alto, California 94304, United States
  • Clinical Research Site #330
    Denver, Colorado 80220, United States
  • Clinical Research Site #323
    Lauderdale Lakes, Florida 33313, United States
  • Clinical Research Site #373
    Atlanta, Georgia 30342, United States
  • Clinical Research Site #356
    Lawrenceville, Georgia 30046, United States
  • Clinical Research Site #369
    Boston, Massachusetts 02114, United States
  • Clinical Research Site #331
    Worcester, Massachusetts 01655, United States
  • Clinical Research Site #320
    Shelby, Michigan 48315, United States
  • Clinical Research Site #346
    Great Neck, New York 11021, United States
  • Clinical Research Site #350
    Columbus, Ohio 43210, United States
  • Clinical Research Site #374
    Dakota Dunes, South Dakota 57029, United States
  • Clinical Research Site #324
    Houston, Texas 77030, United States
  • Clinical Research Site #361
    Milwaukee, Wisconsin 53213, United States
  • Clinical Research Site #800
    Buenos Aires, C1280AEB, Argentina
  • Clinical Research Site #802
    Buenos Aires, C1425, Argentina
  • Clinical Research Site #801
    Córdoba, X5016LIG, Argentina
  • Clinical Research Site #003
    Garran, Australian Capital Territory 2605, Australia
  • Clinical Research Site #013
    Concord, New South Wales 2139, Australia
  • Clinical Research Site #014
    Kogarah, New South Wales 2217, Australia
  • Clinical Research Site
    New Lambton Heights, New South Wales 2305, Australia
  • Clinical Research Site #006
    Saint Leonards, New South Wales 2065, Australia
  • Clinical Research Site #012
    Adelaide, South Australia 5000, Australia
  • Clinical Research Site #001
    Fitzroy, Victoria 3065, Australia
  • Clinical Research Site #010
    St Albans, Victoria 3021, Australia
  • Clinical Research Site #011
    Liverpool, 2170, Australia
  • Clinical Research Site #401
    Genk, 3600, Belgium
  • Clinical Research Site #405
    Genk, 3600, Belgium
  • Clinical Research Site #820
    Recife, Pernambuco 50670-901, Brazil
  • Clinical Research Site #824
    Porto Alegre, Rio Grande do Sul 90020-090, Brazil
  • Clinical Research Site #821
    Joinville, Santa Catarina 89227-680, Brazil
  • Clinical Research Site #822
    São José do Rio Preto, So Paulo 15090-000, Brazil
  • Clinical Research Site #831
    Rio de Janeiro, 20550-010, Brazil
  • Clinical Research Site #823
    São Paulo, 01246-903, Brazil
  • Clinical Research Site #300
    Calgary, Alberta T2R 0X7, Canada
  • Clinical Research Site #305
    Scarborough Village, Ontario M1H 3G4, Canada
  • CISSS de la Monteregie centre-Centre de recherche Hopital Charles Lemoyne
    Greenfield Park, Quebec J4V 2H1, Canada
  • Clinical Research Site #036
    Beijing, Beijing Municipality 100029, China
  • Clinical Research Site #020
    Beijing, Beijing Municipality 100034, China
  • Clinical Research Site #028
    Guangzhou, Guangdong 510120, China
  • Clinical Research Site #044
    Changsha, Hunan 410011, China
  • Clinical Research Site #030
    Wuxi, Jiangsu 214023, China
  • Clinical Research Site #022
    Nanchang, Jiangxi 330006, China
  • Clinical Research Site #026
    Jinan, Shandong 250013, China
  • Clinical Research Site #038
    Chengdu, Sichuan 610072, China
  • Clinical Research Site #025
    Yibin, Sichuan 644002, China
  • Clinical Research Site #413
    Split, 21000, Croatia
  • Clinical Research Site #414
    Zagreb, 10000, Croatia
  • Vseobecna fakultni nemocnice v Praze
    Prague, 12808, Czechia
  • Clinical Research Site #433
    Grenoble, Auvergne-Rhône-Alpes 38043, France
  • Clinical Research Site #430
    Nîmes, Gard 30900, France
  • Clinical Research Site #432
    Nantes, Loire-Atlantique 44093, France
  • Clinical Research Site #439
    Limoges, New Aquitaine 87000, France
  • Clinical Research Site #434
    Sr Priest En Jarez, Pays de la Loire Region 42270, France
  • Clinical Research Site #455
    Mainz, Rhineland-Palatinate 55131, Germany
  • Universitaetsklinikum Carl Gustav Carus
    Dresden, Saxony 1307, Germany
  • Clinical Research Site #472
    Heraklion, 71110, Greece
  • Clinical Research Site #064
    Hong Kong, New Territories, Hong Kong
  • Clinical Research Site #060
    Hong Kong, 999077, Hong Kong
  • Clinical Research Site #061
    Hong Kong, 999077, Hong Kong
  • Clinical Research Site #062
    Kowloon, 999077, Hong Kong
  • Clinical Research Site #063
    Shatin, 999077, Hong Kong
  • Clinical Research Site #482
    Pécs, Baranya 7624, Hungary
  • Clinical Research Site #081
    Hyderabad, Deccan 500082, India
  • Clinical Research Site #073
    Ahmedabad, Gujarat 382421, India
  • Clinical Research Site #070
    Nadiād, Gujarat 387001, India
  • Clinical Research Site #087
    Bengaluru, Karnataka 560099, India
  • Clinical Research Site #079
    Manipal, Karnataka 576104, India
  • Clinical Research Site #071
    Kozhikode, Kerala 673008, India
  • Clinical Research Site #074
    Thiruvananthapuram, Kerala 695011, India
  • Clinical Research Site #084
    Pune, Maharashtra 411057, India
  • Clinical Research Site #075
    New Delhi, National Capital Territory of Delhi 1100060, India
  • Clinical Research Site #077
    Chandigarh, Punjab 160012, India
  • Clinical Research Site #080
    Rajipet, Tamil Nadu 632517, India
  • Clinical Research Site #078
    Afzalganj, Telangana 500012, India
  • Clinical Research Site #076
    Lucknow, Uttar Pradesh 226014, India
  • Clinical Research Site #494
    Ashkelon, 7830604, Israel
  • Tel Aviv University Sackler School of Medicine - Meir Medical Center (MMC) (Meir Hospital)
    Kfar Saba, 44281, Israel
  • Clinical Research Site #495
    Nahariya, 22100, Israel
  • Clinical Research Site #493
    Petach Tiqwa, 49100, Israel
  • Clinical Research Site #512
    Bologna, 40138, Italy
  • Clinica Nefrologica, Dialisi e Trapianto, IRCCS Ospedale Policlinico San Martino
    Genova, 16132, Italy
  • Clinical Research Site #509
    Pavia, 27100, Italy
  • Clinical Research Site #507
    Piacenza, 29121, Italy
  • Clinical Research Site #705
    Nagoya, Aichi-ken 466-8560, Japan
  • Clinical Research Site #709
    Toyoake-shi, Aichi-ken 470-1192, Japan
  • Clinical Research Site #700
    Chiba, Chiba 260-8712, Japan
  • Clinical Research Site #707
    Urayasu-shi, Chiba 279-002, Japan
  • Clinical Research Site #724
    Kobe, Hyōgo 650-0017, Japan
  • Clinical Research Site #708
    Tsukuba, Ibaraki 305-8576, Japan
  • Clinical Research Site #714
    Kawasaki-shi, Kanagawa 213-8587, Japan
  • Clinical Research Site #713
    Kashihara, Nara 634-8522, Japan
  • Clinical Research Site #717
    Yufu, Oita Prefecture 879-5593, Japan
  • Clinical Research Site #715
    Bunkyo, Tokyo 113-8431, Japan
  • Clinical Research Site #727
    Nerima-ku, Tokyo 177-8521, Japan
  • Clinical Research Site #703
    Fukuoka, 812-8582, Japan
  • Clinical Research Site #712
    Minatoku, 105-8471, Japan
  • Clinical Research Site #716
    Miyazaki, 889-1692, Japan
  • Clinical Research Site #726
    Tochigi, 326-0843, Japan

Showing the first 100 of 158 sites across 31 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be available after marketing approval in global markets, or beginning 1-3 years following article publication. There is no end date to the availability of the data.

Access criteria: Otsuka will share data on the Vivli data sharing platform which can be found here: https://vivli.org/ourmember/Otsuka/

Data sharing details ↗ · clinical-trials.otsuka.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05248659
Responsible party
Sponsor
First posted
Feb 21, 2022
Start date
Apr 5, 2022
Primary completion
Dec 28, 2028 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
May 5, 2026

Oversight

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

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Studies of the drug tested here: Sibeprenlimab

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