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Not yet recruitingNCT07835581LEGACYUpdated Sep 30, 2026

Study of Tegoprubart Efficacy and Safety Compared With Tacrolimus in Kidney Transplantation

A Phase 3 interventional study of Tegoprubart and Tacrolimus in Kidney Transplant Rejection, sponsored by Eledon Pharmaceuticals. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Eledon Pharmaceuticals · Phase 3, Interventional, and Treatment

Updated Sep 30, 2026Title changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
620
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of tegoprubart compared with tacrolimus in adult participants undergoing first kidney transplantation.

Read the detailed description

This is a multicenter, randomized, active-controlled, open-label study to assess the efficacy and safety of tegoprubart compared with tacrolimus as part of an immunosuppressive regimen in adult participants undergoing first kidney transplantation. Dose regimens will include either tegoprubart (AT-1501) or tacrolimus.

02

Conditions studied

  • Kidney Transplant Rejection

Keywords

  • AT-1501
  • Kidney Transplant
  • Renal Allograft Rejection
  • Prophylaxis
  • CD40L Inhibitor
  • Humanized blocking antibody to CD40L
  • monoclonal antibody
  • renal
  • transplant
  • ESRD
  • tegoprubart
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's planned enrollment of 620 is above the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Eledon Pharmaceuticals is the lead sponsor of 6 studies on the registry; 3 are open to participants now.

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

  • Undergoing kidney transplant with a living or deceased donor kidney
  • Adult participants that have reached the age of consent and are ≥18 years of age
  • Written prior to any study assessment

Exclusion criteria

Exclusion Criteria:

  • Conditions or circumstances that, in the investigator's judgment or according to protocol-defined criteria, would make participation unsafe, interfere with study assessments, or compromise protocol compliance.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
620 participants (estimated)

Study arms

  • Experimental
    Investigative Arm

    Tegoprubart

    Drug: Tegoprubart

  • Active comparator
    Comparator Arm

    Tacrolimus

    Drug: Tacrolimus

Interventions

  • Tegoprubart administered via IV infusion

    Also known as: AT-1501

  • Tacrolimus administered orally

06

What researchers measure

Primary outcomes

  1. Efficacy failure rate at 12 months post-transplant, defined as the first occurrence of biopsy proven acute rejection, graft loss, or death

    Time frame: 12 months post-transplant

Secondary outcomes

  1. Proportion of participants with for-cause biopsy proven acute rejection, graft loss, or death

    Time frame: 12 months post-transplant

  2. Participant and graft survival

    Time frame: 12 months post-transplant

  3. iBox score at 12 months post-transplant survival

    iBox is the validated tool for predicting the risk of kidney transplant loss based on artificial intelligence. Range of score is 0%-100%, higher score indicates better kidney survival.

    Time frame: 12 months post-transplant

  4. Mean Renal graft function as assessed by estimated glomerular filtration rate

    Time frame: 12 months post-transplant

  5. Incidence of new-onset diabetes after transplantation

    Time frame: 12 months post-transplant

  6. Incidence of new or worsening hypertension

    Time frame: 12 months post-transplant

  7. Incidence of new or worsening hyperlipidemia

    Time frame: 12 months post-transplant

  8. Proportion of participants experiencing deterioration on Patient Reported Outcomes

    Time frame: 12 months post-transplant

  9. Incidence of delayed graft function

    Time frame: Initial post-transplant period

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Composite risk-prediction score for kidney allograft survivalNow iBox score at 12 months post-transplant survivalTime frame: 12 months post-transplant
Sep 30, 2026
Title
Phase 3 Randomized Study of Tegoprubart Efficacy and Safety Compared With Tacrolimus in Kidney Transplantation
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Secondary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Composite risk-prediction score for kidney allograft survivalNow iBox score at 12 months post-transplant survivalTime frame: 12 months post-transplant
    Title Phase 3 Randomized Study of Tegoprubart Efficacy and Safety Compared With Tacrolimus in Kidney Transplantation

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
NCT07835581
Lead sponsor
Eledon Pharmaceuticals
Responsible party
Sponsor
First posted
Sep 23, 2026
Start date
Oct 2026 (estimated)
Primary completion
Mar 2029 (estimated)
Completion
Mar 2033 (estimated)
Last update
Sep 30, 2026

Study contacts

Eledon Main Contact
Contact
clinicaltrials@eledon.com
949-238-8090

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 Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Tegoprubart

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