A Phase 2 Study of Budoprutug in Subjects With Primary Membranous Nephropathy
Purpose
To evaluate the safety and tolerability of three dose regimens of budoprutug in subjects with PMN
Condition
- Primary Membranous Nephropathy
Eligibility
- Eligible Ages
- Between 18 Years and 70 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Confirmed diagnosis of PMN with positive anti-PLA2R antibodies - CD19+ B cell count ≥40 cells/μL - UPCR ≥2.0 g/g - eGFR ≥40 mL/min/1.73 m² - Stable RAAS inhibitor therapy - Blood pressure <150/90 mmHg at baseline - Adequate hematologic, hepatic, and renal function - Willing to use effective contraception (both sexes) - Other inclusion criteria may apply
Exclusion Criteria
- Secondary Membranous Nephropathy - Rapidly progressive glomerulonephritis or other glomerulopathies - Prior B cell-depleting therapy within 24 weeks - Recent use of immunosuppressants - Active or high-risk infections - History of malignancy - Pregnancy or breastfeeding - Recent major surgery or hospitalization - Other exclusion criteria may apply
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
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Experimental Cohort 1: Dose Level A |
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Experimental Cohort 2: Dose Level B |
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Experimental Cohort 3: Dose Level C |
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Recruiting Locations
Denver 5419384, Colorado 5417618 80220
Orlando 4167147, Florida 4155751 32086
Atlanta 4180439, Georgia 4197000 30342
Indianapolis 4259418, Indiana 4921868 46268
Clifton Park 5112961, New York 5128638 12065
El Paso 5520993, Texas 4736286 79932
Sherman 4728328, Texas 4736286 75092
More Details
- Status
- Recruiting
- Sponsor
- Climb Bio, Inc.
Detailed Description
Budoprutug is a humanized, immunoglobulin (Ig) G1 monoclonal antibody that selectively binds to CD19 and is projected to deplete targeted cells through antibody-dependent cellular cytotoxicity (ADCC). This Phase 2, open-label, multicenter study evaluates the safety, pharmacodynamics, and preliminary efficacy of three intravenous dose regimens of budoprutug in adult subjects with primary membranous nephropathy (PMN) who are anti-PLA2R antibody positive and have persistent proteinuria despite optimized RAAS inhibition. Approximately 45 subjects will be enrolled across three sequential dose cohorts, each receiving a single IV dose of budoprutug on Day 1, Day 15, Day 169 and Day 183. Subjects will be followed through Week 48, with extended follow-up for B-cell recovery as needed.