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 75 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 ≥35 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 |
|---|---|---|
|
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, Colorado 80220
Orlando, Florida 32086
Atlanta, Georgia 30342
Indianapolis, Indiana 46268
Clifton Park, New York 12065
El Paso, Texas 79932
Sherman, Texas 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.