IgA NephropathyPhase 3NCT05852938
A Study of Zigakibart in Adults With IgA Nephropathy
A Phase 3 study testing BION-1301 in people with IgA Nephropathy and Immunoglobulin A Nephropathy, run by Novartis Pharmaceuticals at 200 sites in 23 countries.
Trial summary
Safety and Efficacy of BION-1301 in Adults with IgA Nephropathy Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- IgA Nephropathy, Immunoglobulin A Nephropathy
- What is being tested?
- BION-1301
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 383 participants
- Where
- 200 sitesin 23 countries
- Study dates
- 6 Jul 2023to 25 Jan 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female participants aged ≥ 18 years at the time of signing the informed consent form (ICF) prior to initiation of any study specific activities/procedures.
- Biopsy-proven IgAN diagnosed within the past 10 years prior to Screening, that, in the opinion of the Investigator, is not due to secondary causes. A pseudonymized copy of the report must be available for review by the Sponsor or designee prior to randomization. If biopsy report within 10 years is not available, re-biopsy may be permitted upon discussion with the Sponsor.
- eGFR ≥ 30 mL/min/1.73m^2 at Screening based on the 2021 CKD-EPI equation.
- Total urine protein ≥ 1.0 g/day or UPCR ≥ 0.7 g/g (700 mg/g), as measured from an adequate 24-hour urine collection at Screening by a central laboratory.
- Stable on a maximally tolerated dose of angiotensin-converting enzyme inhibitors (ACEi) and/or angiotensin II receptor blockers (ARB) for at least 12 weeks prior to Screening unless intolerant to ACEi and ARB. May also be on a stable and well tolerated dose of sodium glucose cotransporter-2 inhibitors (SGLT2i), endothelin receptor antagonists (ERAs) and/or mineralocorticoid receptor antagonists (MRAs) for at least 12 weeks prior to Screening for the treatment of IgAN. Subjects are expected to stay on a stable dose of ACEi, ARB, SGLT2i, ERAs, and/or MRAs for the duration of the study.
Who cannot join
- Secondary forms of IgAN as determined by the Investigator, in the setting of systemic disorders, infections, autoimmune disorders or neoplasias.
- Diagnosis of IgA Vasculitis.
- Current or history of nephrotic syndrome.
- Received systemic corticosteroid therapy including budesonide (Tarpeyo/Kinpeygo) for > 14 days within 12 weeks prior to Screening.
- Use of systemic immunosuppressant medications.
- IgG levels < 6 g/L at Screening.
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
200 sites in 23 countries.
200 sites in 23 countries
United States28 sites
University of Colorado Hospital
Aurora, Colorado, 80045
Northeast Clinical Research Center, LLC
Bethlehem, Pennsylvania, 18017-2159
University of Alabama at Birmingham: The Kirklin Clinic
Birmingham, Alabama, 35233-1926
University of Cincinnati College of Medicine - 231 Albert Sabin Way
Cincinnati, Ohio, 45267-2827
Cleveland Clinic-9500 Euclid Ave
Cleveland, Ohio, 44109-1900
Capital District Renal Physicians
Clifton Park, New York, 12065
Columbia Nephrology Associates , P.A. - Columbia
Columbia, South Carolina, 29203-6476
Dallas Renal Group - 1411 N Beckley Ave
Dallas, Texas, 75230
Dallas Renal Group - Waxachie - 2460 N. I-35
Dallas, Texas, 75237-3461
Denver Nephrology Research Division
Denver, Colorado, 80230-6441
Intermed Consultants
Edina, Minnesota, 55435-2129
DaVita Clinical Research
El Paso, Texas, 79925
NorthShore University HealthSystem
Evanston, Illinois, 60201-1700
Nephrology Associates of Northern Virginia-8501 Arlington Blvd
Fairfax, Virginia, 22033-1907
Nephrology Associates PC - Flushing
Flushing, New York, 11355-5045
Nephrology Associates of Northern Illinois and Indiana - 7836 W Jefferson Blvd
Fort Wayne, Indiana, 46804
Nephrology Associales of Northern Illinois and Indiana
Hinsdale, Illinois, 60521-3640
University of Texas MD Anderson Cancer Center-1155 Pressler
Houston, Texas, 77030-2348
Nephrology Consultants, LLC
Huntsville, Alabama, 35805-4104
University Of Iowa Hospitals And Clinics
Iowa City, Iowa, 52242-1009
Knoxville Kidney Center, PLLC - Frenova F1
Knoxville, Tennessee, 37923
East Texas Nephrology Associates
Lufkin, Texas, 75904-3132
Icahn School of Medicine at Mount Sinai
New York, New York, 10029-6504
Vida Medical Centers - Pembroke Pines
Pembroke Pines, Florida, 33023-2213
OHSU - Oregon Clinical and Translational Research Institute
Portland, Oregon, 97239
University of California, San Francisco
San Francisco, California, 94143
Swedish Center for Comprehensive Care
Seattle, Washington, 98104
Valiance Clinical Research
South Gate, California, 90280-5219
China23 sites
Novartis Investigative Site
Beijing, Beijing Municipality, 100034
Novartis Investigative Site
Chengdu, Sichuan, 610072
Novartis Investigative Site
Foshan, Guangdong, 528000
Novartis Investigative Site
Guangzhou, Guangdong, 510080
Novartis Investigative Site
Guangzhou, Guangdong, 510280
Novartis Investigative Site
Guiyang, Guizhou, 550002
Novartis Investigative Site
Hangzhou, Zhejiang, 310009
Novartis Investigative Site
Hefei, Anhui, 230601
Novartis Investigative Site
Jinan, Shandong, 250021
Novartis Investigative Site
Nanchang, Jiangxi, 330006
Novartis Investigative Site
Nanjing, Jiangsu, 210029
Novartis Investigative Site
Nanning, Guangxi, 530021
Novartis Investigative Site
Nantong, Jiangsu, 226001
Novartis Investigative Site
Qingdao, Shandong, 266005
Novartis Investigative Site
Shanghai, Shanghai Municipality, 200040
Novartis Investigative Site
Shenzhen, Guangdong, 518036
Novartis Investigative Site
Taiyuan, Shanxi, 030001
Novartis Investigative Site
Taiyuan, Shanxi, 650000
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Taizhou, Zhejiang, 317000
Novartis Investigative Site
Ürümqi, Xinjiang, 830001
Novartis Investigative Site
Wuhan, Hubei, 430060
Novartis Investigative Site
Wulumuji, Xinjiang, 830054
Novartis Investigative Site
Wuxi, Jiangsu, 214023
Japan18 sites
Novartis Investigative Site
Bunkyo-Ku, Tokyo, 113-8431
Novartis Investigative Site
Chiba, 260-8712
Novartis Investigative Site
Hachioji-Shi, Tokyo, 192-0071
Novartis Investigative Site
Kashihara, Nara, 634-8522
Novartis Investigative Site
Kasugai-Shi, Aiti, 486-0804
Novartis Investigative Site
Kitakyushu, Hukuoka, 802-8555
Novartis Investigative Site
Minato-Ku, Tokyo, 105-8471
Novartis Investigative Site
Nara, Nara, 630-8581
Novartis Investigative Site
Niigata, 951-8520
Novartis Investigative Site
Okayama, 700-8558
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Osaka, Osaka, 558-0056
Novartis Investigative Site
Sapporo, Hokkaidô, 060-8604
Novartis Investigative Site
Shinjuku-Ku, Tokyo, 162-0054
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Tokyo, 105-8470
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Toyoake-shi, Aiti, 470-1192
Novartis Investigative Site
Urayasu-Shi, Chiba, 279-0021
Novartis Investigative Site
Yokohama, Kanagawa, 236-0004
Novartis Investigative Site
Yufu-Shi, Ôita, 879-5503
India11 sites
Novartis Investigative Site
Bengaluru, Karnataka, 560004
Novartis Investigative Site
Chandigarh, Chandigarh, 160012
Novartis Investigative Site
Dehradun, 248001
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Faridabad, Haryana, 121002
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Hyderabad, Andhra Pradesh, 500084
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Jaipur, Rajasthan, 302001
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Jaipur, Rajasthan, 302017
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Kolkata, West Bengal, 700014
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Lucknow, Uttar Pradesh, 226005
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Trivandrum, Kerala, 695011
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Vellore, Tamil Nadu, 632004
South Korea9 sites
Novartis Investigative Site
Cheonan
Novartis Investigative Site
Daejeon, 301721
Novartis Investigative Site
Dongan-Gu, Anyang-Si, Gyeonggido, 14068
Novartis Investigative Site
Guri-si, Gyeonggido
Novartis Investigative Site
Jongno-gu, Seoul Teugbyeolsi, 03080
Novartis Investigative Site
Seodaemun-gu, Seoul Teugbyeolsi, 03722
Novartis Investigative Site
Seongbuk-Gu, Seoul Teugbyeolsi, 02841
Novartis Investigative Site
Seoul, 06973
Novartis Investigative Site
Uijeongbu-si, Gyeonggido, 11765
Australia8 sites
Novartis Investigative Site
Box Hill, Victoria, 3128
Novartis Investigative Site
Cairns North, Queensland, 4870
Novartis Investigative Site
Gosford, New South Wales, 2250
Novartis Investigative Site
Kogarah, New South Wales, 2217
Novartis Investigative Site
Liverpool, New South Wales, 2170
Novartis Investigative Site
Penrith, New South Wales, 2750
Novartis Investigative Site
St Albans, Victoria, 3021
Novartis Investigative Site
St Leonards, New South Wales, 2065
Brazil8 sites
Novartis Investigative Site
Belo Horizonte, Minas Gerais, 30130-100
Novartis Investigative Site
Joinville, Santa Catarina, 89227-680
Novartis Investigative Site
Maringá, Paraná, 87013-040
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90035-074
Novartis Investigative Site
Santana, Amapá, 68925-000
Novartis Investigative Site
São Bernardo do Campo, São Paulo, 09780-000
Novartis Investigative Site
São Paulo, São Paulo, 01323-001
Novartis Investigative Site
São Paulo, 04023-900
Germany8 sites
Novartis Investigative Site
Augsburg, Bavaria, 86156
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Hanover, Lower Saxony, 30459
Novartis Investigative Site
Hanover, Lower Saxony, 30625
Novartis Investigative Site
Jena, Thuringia, 07747
Novartis Investigative Site
Magdeburg, Saxony-Anhalt, 39120
Novartis Investigative Site
Mainz, Rhineland-Palatinate, 55131
Novartis Investigative Site
Trier, Rhineland-Palatinate, 54292
Spain8 sites
Novartis Investigative Site
Barcelona, 8035
Novartis Investigative Site
Girona, 17007
Novartis Investigative Site
Lleida, 25198
Novartis Investigative Site
Lugo, 27880
Novartis Investigative Site
Madrid, 28007
Novartis Investigative Site
Madrid, 28041
Novartis Investigative Site
Manises, Valencia, 46940
Novartis Investigative Site
Seville, 41009
Taiwan8 sites
Novartis Investigative Site
Changhua County, 50006
Novartis Investigative Site
Hsinchu
Novartis Investigative Site
Hualien City, 970
Novartis Investigative Site
Kaohsiung City
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Keelung, Keelung, 204
Novartis Investigative Site
Tainan, 704
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Taipei, 100
Novartis Investigative Site
Taipei, 116
Canada7 sites
Novartis Investigative Site
Brampton, Ontario, L6Z 4N5
Novartis Investigative Site
East York, Ontario, M4C 5T2
Novartis Investigative Site
Greenfield Park, Quebec, J4V 2H1
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London, Ontario, N6A 5A5
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Montreal, Quebec, H1T 2M4
Novartis Investigative Site
Toronto, Ontario, M5G 2N2
Novartis Investigative Site
Vancouver, British Columbia, V5Z 1M9
Greece7 sites
Novartis Investigative Site
Athens, Attica, 12462
Novartis Investigative Site
Heralkion, 71409
Novartis Investigative Site
Ioannina, 450 01
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Ioannina, 455 00
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Kalamaria, Thessaloniki, 551 34
Novartis Investigative Site
Pátrai, Achaïa, 265 04
Novartis Investigative Site
Thessaloniki, 546 29
Italy7 sites
Novartis Investigative Site
Bari, Apulia, 70124
Novartis Investigative Site
Foggia, Apulia, 71100
Novartis Investigative Site
Modena, Emilia-Romagna, 41124
Novartis Investigative Site
Naples, Campania, 80131
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Pavia, Lombardy, 27100
Novartis Investigative Site
Ranica, Lombardy, 24020
Novartis Investigative Site
Trieste, Friuli Venezia Giulia, 34149
Argentina6 sites
Novartis Investigative Site
Barracas, Ciudad Autónoma de BuenosAires, C1280AEB
Novartis Investigative Site
Buenos Aires, C1425
Novartis Investigative Site
Catamarca, Catamarca Province, K4700
Novartis Investigative Site
La Plata, Buenos Aires, B1902COS
Novartis Investigative Site
Rosario, Santa Fe Province, S2013DTC
Novartis Investigative Site
Santa Fe, Santa Fe Province, S3000EPV
Belgium6 sites
Novartis Investigative Site
Bonheiden, Antwerpen, 2820
Novartis Investigative Site
Ghent, Oost-Vlaanderen, 9000
Novartis Investigative Site
Liège, Liège
Novartis Investigative Site
Lodelinsart, 6042
Novartis Investigative Site
Roeselare, West-Vlaanderen, 8800
Novartis Investigative Site
Woluwe-Saint-Lambert, 1200
France6 sites
Novartis Investigative Site
Grenoble, 38043
Novartis Investigative Site
Lille, Nord, 59000
Novartis Investigative Site
Lyon, Rhône, 69437
Novartis Investigative Site
Nîmes, Gard, 30029
Novartis Investigative Site
Paris, 75010
Novartis Investigative Site
Paris, 75015
Israel6 sites
Novartis Investigative Site
Be’er Ya‘aqov, 70300
Novartis Investigative Site
Beersheba, Southern District, 84101
Novartis Investigative Site
Holon, Tel Aviv, 58000
Novartis Investigative Site
Ramat Gan, Tel Aviv, 52394
Novartis Investigative Site
Ramat Gan, 5262100
Novartis Investigative Site
Tel Aviv, 64239
Mexico6 sites
Novartis Investigative Site
Aguascalientes, 20259
Novartis Investigative Site
Barrio Belisario Domínguez Secc, Mexico City, 14080
Novartis Investigative Site
Chihuahua, Chiapas, 31217
Novartis Investigative Site
Chihuahua City, 64060
Novartis Investigative Site
Monterrey, 64060
Novartis Investigative Site
Oaxaca, Mexico City, 68000
United Kingdom6 sites
Novartis Investigative Site
Brighton, East Sussex, BN2 5BE
Novartis Investigative Site
Bristol, Bristol, City of, BS10 5NB
Novartis Investigative Site
Leicester, Leicestershire, LE5 4PW
Novartis Investigative Site
London, London, City of, SE5 9RS
Novartis Investigative Site
Nottingham, Nottinghamshire, NG5 1PB
Novartis Investigative Site
Salford, Lancashire, M6 8HD
Malaysia5 sites
Novartis Investigative Site
Kajang, Selangor, 43000
Novartis Investigative Site
Kuala Lumpur, WilayahPersekutuan KualaLumpur, 50586
Novartis Investigative Site
Kuala Lumpur, WilayahPersekutuan KualaLumpur, 59100
Novartis Investigative Site
Kuantan, Pahang, 25100
Novartis Investigative Site
Sibu, Sarawak, 96000
Croatia4 sites
Novartis Investigative Site
Biškupec Zelinski, 10380
Novartis Investigative Site
Rijeka, 51000
Novartis Investigative Site
Vinkovci, 32100
Novartis Investigative Site
Zagreb, City of Zagreb, 10000
Turkey (Türkiye)4 sites
Novartis Investigative Site
Antalya, 07070
Novartis Investigative Site
Bornova, İzmir, 35100
Novartis Investigative Site
İzmit, Kocaeli, 41380
Novartis Investigative Site
Kayseri, 38039
About this study
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study of BION-1301 in Adults With IgA Nephropathy (The BEYOND Study)
Safety and Efficacy of BION-1301 in Adults with IgA Nephropathy
Read the detailed description
Approximately 330 participants with eGFR ≥ 30 mL/min/1.73m^2 and with biopsy-proven IgAN will be randomized to receive 600 mg Q2W BION-1301, Novartis FUB523, or a matched placebo for 104 weeks. An additional exploratory cohort, not included in the primary analysis, will be comprised of approximately 20 participants (10 participants per arm) with biopsy-confirmed IgAN and eGFR of ≥ 20 to < 30 mL/min/1.73 m^2. The exploratory cohort will be randomized using the same schema as the primary cohort.
The primary objective of the study is to evaluate the effect of BION-1301 versus placebo on eGFR as measured by the change from Baseline in eGFR.
Following completion of the 104-week treatment period, subjects may be eligible to enroll in an open-label extension (OLE) study to receive open-label treatment with BION-1301 under a separate protocol. Subjects who do not enroll in the OLE will enter the protocol-specified 24-week safety follow-up period.
To facilitate study participation over this time period, other visits may be remote (away from study site) for participants who elect to self-administer the study drug.
- Conditions
- IgA Nephropathy, Immunoglobulin A Nephropathy
- Being tested
- BION-1301, Placebo
- Keywords
- Kidney Diseases, Kidney Diseases, Chronic, Urological Diseases, Glomerulonephritis, Glomerular Disease, Glomerulonephritis, IGA, Glomerulopathy, Immunoglobulin Disease
- Medical subject headings
- Glomerulonephritis, IGA, Kidney Diseases, Renal Insufficiency, Chronic, Urologic Diseases, Glomerulonephritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BION-1301Drug
Also called Zigakibart, FUB523
BION-1301 Pre-Filled Syringe (PFS) 600mg subcutaneous administration every 2 weeks for 104 weeks.
PlaceboDrug
Placebo - PFS subcutaneous administration every 2 weeks for 104 weeks.
| Study group | Role | What they receive |
|---|---|---|
| BION-1301 | Experimental | 600mg subcutaneous administration every 2 weeks for 104 weeks Receives: Drug: BION-1301 |
| Placebo | Placebo comparator | subcutaneous administration every 2 weeks for 104 weeks Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in eGFR
Change from Baseline to Week 104 in eGFR using the CKD-EPI 2021 creatinine equation
Measured: Baseline and 104 weeks or approximately 2 years
Secondary outcomes (5)
Change in proteinuria (natural log UPCR)
Change in urine protein: creatinine ratio (UPCR) from baseline to week 40
Measured: Baseline and 40 weeks or approximately 9 months
Annualized rate of change in eGFR
Annualized eGFR slope estimated over 104 weeks using the CKD-EPI 2021 creatinine equation
Measured: 104 weeks or approximately 2 years
Effect of BION-1301 on specific clinical composite endpoints (30% eGFR reduction)
Percent of participants meeting the composite endpoint of experiencing at least 1 of the following during the study:
- At least 30% reduction in eGFR sustained for at least 30 days
- eGFR < 15 mL/min/1.73m^2, sustained for at least 30 days
- Chronic dialysis, ≥ 30 days
- Kidney transplantation
- All-cause mortality
Measured: Baseline and Weeks 4, 12, 24, 40, 52, 64, 76, 88, and 104
Effect of BION-1301 on specific clinical composite endpoints (40% eGFR reduction)
Percent of participants meeting the composite endpoint of experiencing at least 1 of the following during the study:
- At least 40% reduction in eGFR sustained for at least 30 days
- eGFR < 15 mL/min/1.73m^2, sustained for at least 30 days
- Chronic dialysis, ≥ 30 days
- Kidney transplantation
- All-cause mortality
Measured: Baseline and Weeks 4, 12, 24, 40, 52, 64, 76, 88, and 104
Percent Change in Proteinuria and Total Urine Protein
Percent of participants achieving reduction of proteinuria to < 1.0 g/day at Week 40 and a ≥ 25% decrease in total urine protein from Baseline
Measured: 40 weeks or approximately 9 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 May 2023
- Study start6 Jul 2023
- Primary completion10 Aug 2027 (estimated)
- Study completion25 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for IgA NephropathyStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 383 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05852938
- Sponsor's protocol ID
- CFUB523A12301
- Other IDs
- CHK02-02
- Status last verified
- Mar 2026
- First submitted
- 2 May 2023
- Last updated
- 1 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Dulos J, Kreijtz J, Vink P, Cotton V, Kuo JJ, Lo J, Jansen W, Bakker J, Driessen L, Guadagnoli M, van Zandvoort P, Warncke M, Medema JP, Barratt J, van Eenennaam H, Van Elsas A. Zigakibart Potently Inhibits A Proliferation-Inducing Ligand-Mediated IgA Production, Addressing IgAN Pathogenesis Root Causes. Kidney Int Rep. 2026 Apr 6;11(6):106516. doi: 10.1016/j.ekir.2026.106516. eCollection 2026 Jun.
PubMed 42205925Kooienga L, Lo J, Lee EY, Kim SG, Thomas H, Workeneh B, Agha I, Song Y, Smith W, van Eenennaam H, Van Elsas A, Dulos J, Barratt J. Zigakibart demonstrates clinical safety and efficacy in a Phase 1/2 trial of healthy volunteers and patients with IgA nephropathy. Kidney Int. 2025 Sep;108(3):445-454. doi: 10.1016/j.kint.2025.05.006. Epub 2025 Jun 5.
PubMed 40482854Ahmad SB, Jefferson JA. Targeting B Cells and Plasma Cells in Glomerular Disease. J Am Soc Nephrol. 2025 Jun 4;36(9):1844-1857. doi: 10.1681/ASN.0000000772.
PubMed 40465397Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3.
PubMed 38299639
Study at a glance
From the registry record, last updated by the sponsor on 1 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Placebo-controlled Study of BION-1301 in Adults With IgA Nephropathy (The BEYOND Study)
- ClinicalTrials.gov ID
- NCT05852938
- Acronym / sponsor ID
- CFUB523A12301
- Conditions
- IgA Nephropathy, Immunoglobulin A Nephropathy
- Keywords
- Kidney Diseases, Kidney Diseases, Chronic, Urological Diseases, Glomerulonephritis, Glomerular Disease, Glomerulonephritis, IGA, Glomerulopathy, Immunoglobulin Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 383 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 6 Jul 2023 (actual)
- Primary completion
- 10 Aug 2027 (estimated)
- Study completion
- 25 Jan 2028 (estimated)
- First posted
- 10 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Safety and Efficacy of BION-1301 in Adults with IgA Nephropathy
Detailed description
Approximately 330 participants with eGFR ≥ 30 mL/min/1.73m^2 and with biopsy-proven IgAN will be randomized to receive 600 mg Q2W BION-1301, Novartis FUB523, or a matched placebo for 104 weeks. An additional exploratory cohort, not included in the primary analysis, will be comprised of approximately 20 participants (10 participants per arm) with biopsy-confirmed IgAN and eGFR of ≥ 20 to < 30 mL/min/1.73 m^2. The exploratory cohort will be randomized using the same schema as the primary cohort.
The primary objective of the study is to evaluate the effect of BION-1301 versus placebo on eGFR as measured by the change from Baseline in eGFR.
Following completion of the 104-week treatment period, subjects may be eligible to enroll in an open-label extension (OLE) study to receive open-label treatment with BION-1301 under a separate protocol. Subjects who do not enroll in the OLE will enter the protocol-specified 24-week safety follow-up period.
To facilitate study participation over this time period, other visits may be remote (away from study site) for participants who elect to self-administer the study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BION-1301 | Experimental | Drug: BION-1301600mg subcutaneous administration every 2 weeks for 104 weeks |
| Placebo | Placebo comparator | Drug: Placebosubcutaneous administration every 2 weeks for 104 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male and female participants aged ≥ 18 years at the time of signing the informed consent form (ICF) prior to initiation of any study specific activities/procedures.
- Biopsy-proven IgAN diagnosed within the past 10 years prior to Screening, that, in the opinion of the Investigator, is not due to secondary causes. A pseudonymized copy of the report must be available for review by the Sponsor or designee prior to randomization. If biopsy report within 10 years is not available, re-biopsy may be permitted upon discussion with the Sponsor.
- eGFR ≥ 30 mL/min/1.73m^2 at Screening based on the 2021 CKD-EPI equation.
- Total urine protein ≥ 1.0 g/day or UPCR ≥ 0.7 g/g (700 mg/g), as measured from an adequate 24-hour urine collection at Screening by a central laboratory.
- Stable on a maximally tolerated dose of angiotensin-converting enzyme inhibitors (ACEi) and/or angiotensin II receptor blockers (ARB) for at least 12 weeks prior to Screening unless intolerant to ACEi and ARB. May also be on a stable and well tolerated dose of sodium glucose cotransporter-2 inhibitors (SGLT2i), endothelin receptor antagonists (ERAs) and/or mineralocorticoid receptor antagonists (MRAs) for at least 12 weeks prior to Screening for the treatment of IgAN. Subjects are expected to stay on a stable dose of ACEi, ARB, SGLT2i, ERAs, and/or MRAs for the duration of the study.
Key exclusion criteria (7 listed)
- Secondary forms of IgAN as determined by the Investigator, in the setting of systemic disorders, infections, autoimmune disorders or neoplasias.
- Diagnosis of IgA Vasculitis.
- Current or history of nephrotic syndrome.
- Received systemic corticosteroid therapy including budesonide (Tarpeyo/Kinpeygo) for > 14 days within 12 weeks prior to Screening.
- Use of systemic immunosuppressant medications.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BION-1301Also: Zigakibart, FUB523BION-1301 Pre-Filled Syringe (PFS) 600mg subcutaneous administration every 2 weeks for 104 weeks. | Drug | BION-1301 |
| PlaceboPlacebo - PFS subcutaneous administration every 2 weeks for 104 weeks. | Drug | Placebo |
Primary outcome
Change from baseline in eGFR
Time frame: Baseline and 104 weeks or approximately 2 years
Change from Baseline to Week 104 in eGFR using the CKD-EPI 2021 creatinine equation
5 secondary outcomes
Change in proteinuria (natural log UPCR)
Time frame: Baseline and 40 weeks or approximately 9 months
Annualized rate of change in eGFR
Time frame: 104 weeks or approximately 2 years
Effect of BION-1301 on specific clinical composite endpoints (30% eGFR reduction)
Time frame: Baseline and Weeks 4, 12, 24, 40, 52, 64, 76, 88, and 104
Effect of BION-1301 on specific clinical composite endpoints (40% eGFR reduction)
Time frame: Baseline and Weeks 4, 12, 24, 40, 52, 64, 76, 88, and 104
Percent Change in Proteinuria and Total Urine Protein
Time frame: 40 weeks or approximately 9 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Apr 2026.
- Derived from this study: PubMed 42205925Dulos J, Kreijtz J, Vink P, Cotton V, Kuo JJ, Lo J, Jansen W, Bakker J, Driessen L, Guadagnoli M, van Zandvoort P, Warncke M, Medema JP, Barratt J, van Eenennaam H, Van Elsas A. Zigakibart Potently Inhibits A Proliferation-Inducing Ligand-Mediated IgA Production, Addressing IgAN Pathogenesis Root Causes. Kidney Int Rep. 2026 Apr 6;11(6):106516. doi: 10.1016/j.ekir.2026.106516. eCollection 2026 Jun.
- Derived from this study: PubMed 40482854Kooienga L, Lo J, Lee EY, Kim SG, Thomas H, Workeneh B, Agha I, Song Y, Smith W, van Eenennaam H, Van Elsas A, Dulos J, Barratt J. Zigakibart demonstrates clinical safety and efficacy in a Phase 1/2 trial of healthy volunteers and patients with IgA nephropathy. Kidney Int. 2025 Sep;108(3):445-454. doi: 10.1016/j.kint.2025.05.006. Epub 2025 Jun 5.
- Derived from this study: PubMed 40465397Ahmad SB, Jefferson JA. Targeting B Cells and Plasma Cells in Glomerular Disease. J Am Soc Nephrol. 2025 Jun 4;36(9):1844-1857. doi: 10.1681/ASN.0000000772.
- Derived from this study: PubMed 38299639Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3.
- Individual participant dataSharing planned: Yes. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
200 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BION-1301 in people with IgA Nephropathy and Immunoglobulin A Nephropathy, run by Novartis Pharmaceuticals at 200 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 1 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 200 sites in United States, China, Japan, India, South Korea and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in eGFR (time frame: Baseline and 104 weeks or approximately 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05852938, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2026.