ClinicalTrials.gg
RecruitingNCT07773727VerdantUpdated Oct 27, 2026

A Study to Evaluate the Effect of ARGX-121 on the Change in Proteinuria in Adult Participants With IgAN

A Phase 2 interventional study of ARGX-121 and Placebo in Immunoglobulin A Nephropathy (IgAN), sponsored by argenx. Recruiting at 11 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by argenx · Phase 2, Interventional, and Treatment

Updated Oct 27, 2026Now RecruitingFirst site in Japan+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study will assess how ARGX-121 affects immunoglobulin A nephropathy (IgAN) disease outcomes, such as renal function, how it is distributed and eliminated from the body, and how the immune system responds in adults with IgAN.

While in the study, participants will continue to receive their usual medical care and medications for IgA nephropathy, unless the study doctor confirms otherwise.

The study will include a double blinded period, followed by an active drug period, and conclude with a follow up period. The total study duration for participants will be approximately 72 weeks, with a maximum of 52 weeks on ARGX-121.

02

Conditions studied

  • Immunoglobulin A Nephropathy (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 120 is above the median of 62 across 221 interventional studies indexed under Glomerulonephritis, IGA.

Browse Glomerulonephritis, IGA studies →

Lead sponsor

argenx is the lead sponsor of 87 studies on the registry; 29 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 16 (73%) 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

  • Males and females (not pregnant)
  • At least 18 years old
  • Clinically diagnosed with IgAN with confirmation

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of another disease or known medical condition that would interfere with accurate assessment of clinical systems of IgAN
  • Has secondary form of IgAN leading to IgA deposits
  • History of
  • Active infection of concern
  • Recent Major surgery or organ transplant
Terms in these criteria, in plain language(3)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    ARGX-121

    Participants will receive ARGX-121 in subcutaneous injections during the double blinded treatment period and active only treatment periods (Total of 52 weeks)

    Biological: ARGX-121

  • Placebo comparator
    Placebo followed by ARGX-121

    Participants receive placebo for the double-blinded period of 24 weeks, followed by subcutaneous injections of ARGX-121 during the active only treatment period of 28 weeks.

    Biological: ARGX-121 · Biological: Placebo

Interventions

  • BiologicalARGX-121

    Subcutaneous Injection of ARGX-121

  • BiologicalPlacebo

    Subcutaneous Injection of Placebo

06

What researchers measure

Primary outcomes

  1. Change in proteinuria from baseline to week 24 as measured by the log-transformed urine protein-to-creatinine ratio (UPCR) derived from 24-h urine collection.

    UPCR is urine protein-to-creatinine ratio

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Total annualized rate of change (slope) in the estimated glomerular filtration rate (eGFR) at week 52

    Time frame: 52 weeks

  2. Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Up to 68 weeks

  3. Cmax (ARGX-121 maximum observed concentration) in serum

    Time frame: Up to 68 weeks

  4. Percentage change in total IgA from baseline over time in serum

    Time frame: Up to 68 weeks

  5. Percentage change in Gd-IgA1 from baseline over time in serum

    Gd-IgA1 means galactose-deficient immunoglobulin A1

    Time frame: Up to 68 weeks

  6. Percentage change in total IgG from baseline over time in serum

    Time frame: Up to 68 weeks

  7. Incidence of antidrug antibodies (ADA) against ARGX-121 in serum

    Time frame: Up to 68 weeks

07

Study locations

10 of 11 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Oct 2029, 35 months later.

Of 41 phase 2 interventional studies under Glomerulonephritis, IGA, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 50. This study's planned 35 months is close to that.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Nov 2026, on Oct 27, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2026
First posted
Aug 19, 2026
StartEst.
Nov 5, 2026was Oct 2026
Primary completionEst.
Oct 29, 2029
CompletionEst.
Feb 18, 2030
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 27, 2026
Sites
7 sites added — first site in Japan. 6 sites changed recruiting status (5 now recruiting, 1 now not yet recruiting)
Show 6 sites
  • Bioresearch Partners · Miami, United Statesno status→Recruiting
  • Nephrology Associates of South Miami PA · Miami, United Statesno status→Recruiting
  • Michigan Kidney Consultants · Pontiac, United Statesno status→Recruiting
  • Northwest Houston Arthritis Center - Houston · Houston, United Statesno status→Not yet recruiting
  • Kidney and Hypertension Specialists- Virginia · Manassas, United Statesno status→Recruiting
  • Japanese Red Cross Fukuoka Hospital · Fukuoka, Japanno status→Recruiting
Show 7 added (5 United States, 2 Japan)
  • Michigan Kidney Consultants · Pontiac, United States
  • Japanese Red Cross Fukuoka Hospital · Fukuoka, Japan
  • Amicis Research Center - Valencia · Valencia, United States
  • BioResearch Partner - Pembroke Pines · Pembroke Pines, United States
  • Prolato Clinical Research Center · Houston, United States
  • Utah Kidney Research Institute · Salt Lake City, United States
  • Sapporo City General Hospital · Sapporo, Japan
across 2 updates, Oct 16, 2026 – Oct 27, 2026
Start date
Oct 15, 2026→Nov 5, 2026
Oct 27, 2026
Site contacts
Changed at 6 sites. See the sites
Show 6 sites
  • Bioresearch Partners · Miami, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
  • Nephrology Associates of South Miami PA · Miami, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
  • Michigan Kidney Consultants · Pontiac, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
  • Northwest Houston Arthritis Center - Houston · Houston, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
  • Kidney and Hypertension Specialists- Virginia · Manassas, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
  • Japanese Red Cross Fukuoka Hospital · Fukuoka, JapanContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
Oct 27, 2026
Show all 2 updates
  1. Oct 27, 2026
    Not yet recruiting→Recruiting
    5 sites added. 6 sites changed recruiting status (5 now recruiting, 1 now not yet recruiting)
    Show 6 sites
    • Bioresearch Partners · Miami, United Statesno status→Recruiting
    • Nephrology Associates of South Miami PA · Miami, United Statesno status→Recruiting
    • Michigan Kidney Consultants · Pontiac, United Statesno status→Recruiting
    • Northwest Houston Arthritis Center - Houston · Houston, United Statesno status→Not yet recruiting
    • Kidney and Hypertension Specialists- Virginia · Manassas, United Statesno status→Recruiting
    • Japanese Red Cross Fukuoka Hospital · Fukuoka, Japanno status→Recruiting
    Show 5 added (4 United States, 1 Japan)
    • Amicis Research Center - Valencia · Valencia, United States
    • BioResearch Partner - Pembroke Pines · Pembroke Pines, United States
    • Prolato Clinical Research Center · Houston, United States
    • Utah Kidney Research Institute · Salt Lake City, United States
    • Sapporo City General Hospital · Sapporo, Japan
    Start date Oct 15, 2026→Nov 5, 2026
    Site contacts Changed at 6 sites. See the sites
    Show 6 sites
    • Bioresearch Partners · Miami, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    • Nephrology Associates of South Miami PA · Miami, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    • Michigan Kidney Consultants · Pontiac, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    • Northwest Houston Arthritis Center - Houston · Houston, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    • Kidney and Hypertension Specialists- Virginia · Manassas, United StatesContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    • Japanese Red Cross Fukuoka Hospital · Fukuoka, JapanContact added c•••@argenx.com · •••4834Contact added (no phone or email listed)
    + 1 other change: verification date
  2. Oct 16, 2026
    2 sites added — first site in Japan
    Show 2 added (1 United States, 1 Japan)
    • Michigan Kidney Consultants · Pontiac, United States
    • Japanese Red Cross Fukuoka Hospital · Fukuoka, Japan

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
NCT07773727
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Nov 5, 2026 (estimated)
Primary completion
Oct 29, 2029 (estimated)
Completion
Feb 18, 2030 (estimated)
Last update
Oct 27, 2026

Study contacts

Sabine Coppieters, MD
Contact
Clinicaltrials@argenx.com
857-350-4834

Oversight

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

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