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Not yet recruitingNCT07770815Updated Oct 15, 2026

Trial of Sibeprenlimab in Children and Adolescents With Immunoglobulin A Nephropathy (IgAN)

A Phase 3 interventional study of Sibeprenlimab and Standard of care in IgA Nephropathy, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Not yet recruiting. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

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

Updated Oct 15, 2026Start date movedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
2 Years to 17 Years
Sex
All
01

Study summary

This Phase 3, open-label study will evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of sibeprenlimab administered subcutaneously every 4 weeks in pediatric participants aged 2 to 17 years with IgA nephropathy (IgAN). Sibeprenlimab will be administered as an add-on to standard of care therapy consisting of angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs).

02

Conditions studied

  • IgA Nephropathy
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 24 is below 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
2 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  1. Source-verified, -confirmed IgA nephropathy (IgAN).
  2. Receiving a stable and maximally tolerated dose of authorized angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs) for at least 12 weeks.
  3. Participants receiving a stable dose of sodium-glucose cotransporter-2 inhibitor (SGLT2i) therapy for IgAN, if available, in addition to ACEIs and/or ARBs, must have initiated SGLT2i treatment for at least 12 weeks.
  4. Participants must have a urine protein/creatinine ratio (uPCR) ≥ 0.75 grams per gram (g/g), as measured from the geometric mean of 3 first void spot urine samples (collected within the screening window prior to Dose 1).
  5. Estimated (eGFR) ≥ 30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2).
  6. No evidence of coexisting chronic kidney disease other than IgAN.
  7. Serum immunoglobulin G (IgG) ≥ 600 mg/dL at screening.
  8. Kidney biopsy findings not demonstrating additional pathological features inconsistent with IgAN.
Terms in these criteria, in plain language(2)

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.

05

Study design

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

Study arms

  • Experimental
    Sibeprenlimab

    Sibeprenlimab is administered subcutaneously once every 4 weeks for 48 weeks as an add-on to standard of care treatment at a weight-based dose.

    Drug: Sibeprenlimab · Drug: Standard of care

Interventions

  • Sibeprenlimab is administered subcutaneously once every 4 weeks for 48 weeks at a weight-based dose

  • DrugStandard of care

    Standard of care therapy consists of angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs)

06

What researchers measure

Primary outcomes

  1. Ratio of Urine Protein-to-Creatinine Ratio (uPCR) at Week 40 Compared With Baseline Using First-void Spot Urine Samples

    Time frame: Baseline, Week 40

  2. Serum Concentration of Sibeprenlimab Through Week 52

    Time frame: Baseline through Week 52

  3. Change From Baseline in Serum Immunoglobulin A (IgA) Through Week 52

    Time frame: Baseline through Week 52

Secondary outcomes

  1. Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Study Discontinuations Due to Adverse Events Through Week 60

    Time frame: Baseline through Week 60

  2. Number of Participants With Clinically Significant Changes in Vital Signs Through Week 60

    Time frame: Baseline through Week 60

  3. Number of Participants With Clinically Significant Changes in Physical Examination Findings Through Week 60

    Time frame: Baseline through Week 60

  4. Number of Participants With Clinically Significant Changes in Laboratory Assessments Through Week 60

    Laboratory assessments include hematology, serum chemistry, and urine laboratory parameters.

    Time frame: Baseline through Week 60

  5. Number of Injection Site Reactions Through Week 52

    Time frame: Baseline through Week 52

  6. Number of Participants With Anti-Drug Antibody (ADA) From Baseline Through Week 60

    Time frame: Baseline through Week 60

07

Study locations

No study locations are listed for this record.

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, Clinical study report

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: https://vivli.org/ourmember/Otsuka/

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

09

Updates

1 registry update since Sep 25, 2026
Start date
Sep 30, 2026→Oct 30, 2026
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    Start date Sep 30, 2026→Oct 30, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07770815
Responsible party
Sponsor
First posted
Aug 18, 2026
Start date
Oct 30, 2026 (estimated)
Primary completion
Dec 29, 2029 (estimated)
Completion
Feb 23, 2030 (estimated)
Last update
Oct 15, 2026

Study contacts

Otsuka Call Center
Contact
Otsuka-ProfessionalServices@otsuka-us.com
844-687-3522

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Sibeprenlimab

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