Iptacopan in Patients With ANCA Associated Vasculitis

Last updated: August 7, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Recruiting

Phase

2

Condition

Dermatomyositis (Connective Tissue Disease)

Lupus

Vascular Diseases

Treatment

Rituximab

Iptacopan

Placebo

Clinical Study ID

NCT06388941
CLNP023R12201
  • Ages 18-100
  • All Genders

Study Summary

The purpose of this study is to evaluate the efficacy and safety of iptacopan compared to standard of care (SOC) to induce and maintain remission in study participants with active granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA), when used in combination with rituximab (RTX) induction. The trial will also assess the impact of iptacopan on disease relapses, evolution of renal function and proteinuria, GC side effects, patients' immune status, and QoL.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Newly diagnosed or relapsed GPA and MPA (according to the 2022 ACR/EULARclassification criteria for GPA and MPA) requiring treatment with RTX and GC as perinvestigator's judgement.

  • BVAS assessment with ≥1 major item, or ≥3 minor items, or ≥2 renal items atScreening.

  • Positive antibody test for anti-proteinase 3 (PR3) or anti-myeloperoxidase (MPO)antibodies at Screening or with history of documented evidence of a positiveantibody test.

Exclusion

Exclusion Criteria:

  • Other systemic disease which constitutes the primary illness, including but notlimited to: eosinophilic granulomatosis with polyangiitis (EGPA), moderate to severesystemic lupus erythematosus, IgA vasculitis (Purpura Schönlein-Henoch), rheumatoidvasculitis, Sjögren's syndrome, anti-glomerular basement membrane (GBM) disease,cryoglobulinemic vasculitis, autoimmune hemolytic anemia, autoimmunelymphoproliferative syndrome or mixed connective tissue disease.

  • Alveolar hemorrhage requiring invasive pulmonary ventilation support at Screening.

  • Severe kidney disease defined as estimated glomerular filtration rate (eGFR) <15mL/minute/1.73m2, or kidney failure defined as receiving renal replacement therapysuch as hemo(dia)filtration, hemo-/peritoneal dialysis, or having received a kidneytransplant.

  • Received plasma exchange/-pheresis within 12 weeks prior to Screening.

Study Design

Total Participants: 78
Treatment Group(s): 3
Primary Treatment: Rituximab
Phase: 2
Study Start date:
August 05, 2024
Estimated Completion Date:
October 05, 2027

Study Description

This is a randomized, controlled study to evaluate the efficacy and safety of iptacopan in combination with RTX induction therapy for the treatment of newly diagnosed or relapsed patients with active GPA or MPA.

Connect with a study center

  • Novartis Investigative Site

    Caba, Buenos Aires C1180AAX
    Argentina

    Active - Recruiting

  • Novartis Investigative Site

    La Plata, Buenos Aires B1900AWT
    Argentina

    Active - Recruiting

  • Novartis Investigative Site

    Concord, New South Wales 2139
    Australia

    Active - Recruiting

  • Novartis Investigative Site

    Westmead, New South Wales 2145
    Australia

    Active - Recruiting

  • Novartis Investigative Site

    Adelaide, South Australia 5000
    Australia

    Active - Recruiting

  • Novartis Investigative Site

    Clayton, Victoria 3168
    Australia

    Active - Recruiting

  • Novartis Investigative Site

    Innsbruck, Tyrol 6020
    Austria

    Active - Recruiting

  • Novartis Investigative Site

    Graz, 8036
    Austria

    Active - Recruiting

  • Novartis Investigative Site

    Wien, 1090
    Austria

    Active - Recruiting

  • Novartis Investigative Site

    Leuven, 3000
    Belgium

    Active - Recruiting

  • Novartis Investigative Site

    Roeselare, 8800
    Belgium

    Active - Recruiting

  • Novartis Investigative Site

    London, Ontario N6A 5W9
    Canada

    Active - Recruiting

  • Novartis Investigative Site

    Fleurimont, Quebec J1H 5N4
    Canada

    Active - Recruiting

  • Novartis Investigative Site

    Montreal, Quebec H2X 1R9
    Canada

    Active - Recruiting

  • Novartis Investigative Site

    Quebec, G1R 2J6
    Canada

    Active - Recruiting

  • Novartis Investigative Site

    Shijiazhuang, Hebei 050000
    China

    Active - Recruiting

  • Novartis Investigative Site

    Zhengzhou, Henan 450052
    China

    Active - Recruiting

  • Novartis Investigative Site

    Beijing, 100034
    China

    Site Not Available

  • Novartis Investigative Site

    Shanghai, 200032
    China

    Active - Recruiting

  • Novartis Investigative Site

    Praha, 12808
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Praha 2, 128 08
    Czechia

    Active - Recruiting

  • Novartis Investigative Site

    Aarhus N, 8200
    Denmark

    Active - Recruiting

  • Novartis Investigative Site

    Copenhagen, DK-2100
    Denmark

    Active - Recruiting

  • Novartis Investigative Site

    Herlev, DK-2730
    Denmark

    Active - Recruiting

  • Novartis Investigative Site

    Kobenhavn O, DK-2100
    Denmark

    Site Not Available

  • Novartis Investigative Site

    Angers Cedex 9, 49933
    France

    Active - Recruiting

  • Novartis Investigative Site

    Brest, 29200
    France

    Active - Recruiting

  • Novartis Investigative Site

    Dijon, 21034
    France

    Active - Recruiting

  • Novartis Investigative Site

    Marseille, 13385
    France

    Active - Recruiting

  • Novartis Investigative Site

    Paris, 75014
    France

    Active - Recruiting

  • Novartis Investigative Site

    Toulouse, 31054
    France

    Active - Recruiting

  • Novartis Investigative Site

    Toulouse 4, 31054
    France

    Site Not Available

  • Novartis Investigative Site

    Kirchheim Unter Teck, Baden-Wuerttemberg 73230
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Berlin, 13353
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Freiburg, 79106
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Kirchheim, 73230
    Germany

    Site Not Available

  • Novartis Investigative Site

    Ludwigshafen, 67063
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Mainz, 55131
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Muenchen, 81377
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Budapest, H-1083
    Hungary

    Active - Recruiting

  • Novartis Investigative Site

    Debrecen, 4032
    Hungary

    Active - Recruiting

  • Novartis Investigative Site

    Szeged, 6720
    Hungary

    Active - Recruiting

  • Novartis Investigative Site

    Groningen, 9713 GZ
    Netherlands

    Active - Recruiting

  • Novartis Investigative Site

    Plasencia, Caceres 10600
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Pamplona, Navarra 31008
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Madrid, 28046
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Ankara, 06230
    Turkey

    Active - Recruiting

  • Novartis Investigative Site

    Pendik Istanbul, 34899
    Turkey

    Active - Recruiting

  • Novartis Investigative Site

    Bradford, West Yorkshire BD5 0NA
    United Kingdom

    Active - Recruiting

  • Novartis Investigative Site

    Cambridge, CB2 0QQ
    United Kingdom

    Site Not Available

  • Novartis Investigative Site

    Leicester, LE5 4PW
    United Kingdom

    Active - Recruiting

  • Arizona Arthritis and Rheumatology Research PLLC

    Mesa, Arizona 85202
    United States

    Active - Recruiting

  • UCLA Medical Center

    Los Angeles, California 90095
    United States

    Active - Recruiting

  • Mayo Clinic Rochester

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Northwell Health

    New York, New York 10028
    United States

    Active - Recruiting

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