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AzTrials

Anti-Glomerular Basement Membrane DiseasePhase 3GOOD-IDES-02NCT05679401

A Study With Imlifidase in Anti-GBM Disease

A Phase 3 study testing Imlifidase, Plasma exchange (PLEX) and Cyclophosphamide (CYC) in people with Anti-Glomerular Basement Membrane Disease and Anti-Glomerular Basement Membrane Antibody Disease, run by Hansa Biopharma AB at 48 sites in 13 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

An open-label, controlled, randomised, multi-centre Phase 3 trial evaluating renal function in patients with severe anti-GBM disease comparing imlifidase and standard of care (SoC) with SoC alone. All patients will remain in the trial for 24 months. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Imlifidase, Plasma exchange (PLEX) and Cyclophosphamide (CYC)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
48 sitesin 13 countries
Study dates
22 Dec 2022to 2 Feb 2026
Phase
Phase 3
Are there results?
None posted in the registry

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

  • Anti-GBM antibodies constituting an indication for PLEX as judged by the Investigator
  • Haematuria on dipstick and/or urinary sediment
  • eGFR(MDRD) <20 mL/min/1.73 m^2
  • Patients aged ≥18 years
  • Willing and able to give written Informed Consent and to comply with the requirements of the study protocol

Who cannot join

  • Diagnosis of anti-GBM disease more than 14 days prior to randomisation
  • Anuria during the last 24-hour
  • Any constituent of SoC given more than 10 days prior to randomisation
  • IVIg within 4 weeks before randomisation
  • History or presence of any medical condition or disease which, in the opinion of the investigator, may place the patient at unacceptable risk, or jeopardise the purpose of the study
  • Patients previously randomised in the study
Show all 22Show fewer
  • Unsuitable to participate in the trial for any other reason in the opinion of the investigator
  • Pregnancy or breast feeding
  • Contraception:
  • Men who are not vasectomised or abstinent or with a partner (of child-bearing potential) not willing to use one of the highly effective contraceptives listed below from screening to 6 months following discontinuation of CYC
  • Men who are not willing to refrain from donating sperm from screening to 6 months following discontinuation of CYC
  • Men who are not willing to use a condom during any form of sexual intercourse, regardless of a partner being of child-bearing potential from screening to 6 months following discontinuation of CYC
  • Women of child-bearing potential not willing or not able to use at least one highly effective contraceptive method from screening to 12 months following discontinuation of CYC.
  • In the context of this trial, a highly effective method is defined as those which result in low failure rate (i.e. less than 1% per year) when used consistently and correctly such as:
  • combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral/intravaginal/transdermal)
  • progestogen-only hormonal contraception associated with inhibition of ovulation (oral/injectable/implantable)
  • intrauterine device (IUD)
  • intrauterine hormone-releasing system (IUS)
  • bilateral tubal occlusion
  • vasectomised partner
  • true abstinence: When this is in line with the preferred and usual lifestyle of the patient. [Periodic abstinence (such as calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception]
  • Previous imlifidase treatment or known hypersensitivity to any of the excipients

Trial locations and contacts

48 sites in 13 countries.

48 sites in 13 countries

France9 sites
  • CHU de Rouen, Department of Nephrology,Transplantation, and Hemodialysis

    Bois-Guillaume, Normandy, 76130

  • CHU Bordeaux, Hôpital Pellegrin, Service nephrologie, transplantation, dialyse, aphereses

    Bordeaux, New Aquitaine, 33076 cedex

  • CHU Grenoble Alpes - Michallon Hospital, Nephrology, Hemodialysis, Apheresis and Kidney Transplantation

    Grenoble, Auvergne-Rhône-Alpes, 38043

  • CHU Lille. Nephrology, dialysis transplantation

    Lille, Haus-de-France, 59037

  • University Hospital of Marseille, Nephrology - Renal transplantation service

    Marseille, Bouches-du-Rhône, 13385

  • CHU de Nantes, Hôtel-Dieu, Le service de néphrologie et immunologie clinique

    Nantes, Pays de la Loire Region, 44000

  • Tenon Hospital, Renal intensive care unit

    Paris, Île-de-France Region, 75020

  • Nouvel Hôpital Civil (University Hospital of Strasbourg)

    Strasbourg, Grand Est, 67091 Cedex

  • Hôpital Rangueil, CHU de Toulouse, Department of Nephrology and Organ transplantation

    Toulouse, Occitanie, 31059

Other trials in France

Germany7 sites
  • Uniklinik RWTH Aachen

    Aachen, North Rhine-Westphalia, 52074

  • Charité Department of Nephrology and Intensive Care

    Berlin, 10117

  • Uniklinik Koeln-Klinik II fuer Innere Medizin

    Cologne, North Rhine-Westphalia, 50937

  • Carl-Gustav-Carus University Hospital, Medizinische Klinik III, Nephrologie

    Dresden, Saxony, 01307

  • Universitaetsklinikum Erlangen - Medizinische Klinik 4

    Erlangen, 91054

  • University Hospital Hamburg-Eppendorf, III Department of Medicine and Nephrology

    Hamburg, 20246

  • LMU Klinikum, Medical Clinic IV / Department of Nephrology

    Munich, Bavaria, 81377

Other trials in Germany

United States6 sites
  • John Hopkins Medical Institution

    Baltimore, Maryland, 21287

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • UNC Kidney Center/Division of Nephrology & Hypertension

    Chapel Hill, North Carolina, 27599-7155

  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43201

  • UCLA Medical Center Plaza

    Los Angeles, California, 90024

  • University of Minnesota Health Clinical Research Unit

    Minneapolis, Minnesota, 55455

Other trials in United States

United Kingdom5 sites
  • Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Dept. of Vasculitis

    Cambridge, Cambridgeshire, CB2 0QQ

  • Royal Infirmary of Edinburgh, Department of Renal Medicine

    Edinburgh, EH16 4SA

  • University College London, Royal Free Hospital, Department of Renal Medicine

    London, NW3 2QG

  • Hammersmith Hospital, Renal medicine and centre for inflammatory diseases

    London, W12 0HS

  • Manchester University Hospitals NHS Foundation Trust

    Manchester, M13 9WL

Other trials in United Kingdom

Sweden4 sites
  • Karolinska University Hospital

    Huddinge, 14186

  • Linköping University Hospital

    Linköping, 58185

  • Skåne University Hospital, Department of Nephrology

    Lund, 22185

  • Uppsala University Hospital, Department of Medical Sciences, Renal Medicine

    Uppsala, 751 85

Other trials in Sweden

Austria3 sites
  • Med Uni Graz / LKH-UNIV Klinikum Graz, Klinische Abteilung fuer Nephrologie

    Graz, Stiermark, 8036

  • Medical University Innsbruck, Dept of Internal Medicine IV (Nephrology and Hypertension)

    Innsbruck, Tyrol, 6020

  • Medical University of Vienna, Dept of Medicine III, Division of Nephrology and dialysis

    Vienna, 1090

Other trials in Austria

Denmark3 sites
  • Aarhus University Hospital, Renal Medicine and Clinical Medicine

    Aarhus N, Central Jutland, 8200

  • Rigshospitalet, Department of Nephrology

    Copenhagen, 2100

  • Odense University Hospital, Medical Nephrology, Department Y

    Odense, Region Syddanmark, 5000

Other trials in Denmark

Italy3 sites
  • IRCCS S. Orsola - Malpighi University Hospital - Nephrology, Dialysis and Transplantation Unit (pav 15)

    Bologna, 40138

  • ASST degli Spedali Civili di Brescia - SC Nefrologia

    Brescia, 25123

  • IRCCS Policlinico San Martino University Hospital, Department of Internal Medicine, Division of Nephrology

    Genova, Genova-Liguria, 16132

Other trials in Italy

Netherlands3 sites
  • University Medical Center Groningen, Division of Nephrology

    Groningen, 9713GZ

  • Leiden University Medical Center, Department of Nephrology

    Leiden, South Holland, 2333

  • Radboudumc

    Nijmegen, 6525 GA

Other trials in Netherlands

Spain2 sites
  • University Hospital Vall d'Hebron

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 08036

Other trials in Spain

Belgium1 site
  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Czechia1 site
  • Všeobecná fakultní nemocnice v Praze

    Prague, Prague, 12808

Other trials in Czechia

Ireland1 site
  • Department of Renal Medicine, Cork University Hospital

    Cork, T12 DC4A

Other trials in Ireland

About this study

Official title: A Phase 3 Open-label, Controlled, Randomised, Multi-centre Trial Comparing Imlifidase and Standard-of-care With Standard-of-care Alone in the Treatment of Severe Anti-GBM Antibody Disease (Goodpasture Disease)

An open-label, controlled, randomised, multi-centre Phase 3 trial evaluating renal function in patients with severe anti-GBM disease comparing imlifidase and standard of care (SoC) with SoC alone. All patients will remain in the trial for 24 months.

Read the detailed description

After being informed about the study and potential risks, all patients giving written informed consent will undergo screening to determine eligibility for study entry. Patients will be randomised to treatment in a 1:1 ratio to either imlifidase and SoC or SoC only.

SoC consists of a combination of plasma exchange (PLEX), cyclophosphamide (CYC), and glucocorticoids. For patients randomised to the imlifidase arm the first PLEX immediately after randomisation is replaced by administration of imlifidase.

Kidney function, anti-GBM antibody levels, pulmonary symptoms, safety, pharmacokinetic/pharmacodynamic (PK/PD) and health related quality of life (HRQoL) among others, will be assessed.

Being tested
Imlifidase, Plasma exchange (PLEX), Cyclophosphamide (CYC), Glucocorticoids
Keywords
Anti-GBM
Medical subject headings
Anti-Glomerular Basement Membrane Disease, Rapidly progressive glomerulonephritis with pulmonary hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ImlifidaseDrug

    Also called IdeS, HMED-IdeS

    Imlifidase is an immunoglobulin G (IgG)-degrading enzyme of Streptococcus pyogenes that is highly selective towards IgG. The cleavage of IgG generates one F(ab')2- and one homodimeric Fc-fragment and efficiently neutralizes Fc-mediated activities of IgG.

  • Plasma exchange (PLEX)Procedure or surgery

    Also called PE

    PLEX removes the patient's pathogenic anti-GBM antibodies, by replacement of deficient plasma with a replacement fluid.

  • Cyclophosphamide (CYC)Drug

    Cyclophosphamide's main mechanism of action (i.e. crosslinking of strands of DNA and RNA) results in inhibition of protein synthesis. Hence treatment prevents formation of new anti-GBM antibodies.

  • GlucocorticoidsDrug

    Glucocorticoids inhibit the inflammation process.

Study groups in NCT05679401
Study groupRoleWhat they receive
Imlifidase and Standard-of-Care (SoC)Experimental* Imlifidase is administered IV as one dose of 0.50 mg/kg over 30 minutes. * SoC consists of a standardized combination of PLEX, CYC, and glucocorticoids.
Receives: Drug: Imlifidase; Procedure: Plasma exchange (PLEX); Drug: Cyclophosphamide (CYC); Drug: Glucocorticoids
Standard-of-Care (SoC)Active comparatorSoC consists of a standardized combination of PLEX, CYC, and glucocorticoids.
Receives: Procedure: Plasma exchange (PLEX); Drug: Cyclophosphamide (CYC); Drug: Glucocorticoids

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Renal function as evaluated by estimated glomerular filtration rate (eGFR) at 6 months

    Measured: At 6 months after randomisation

Secondary outcomes (22)
  1. Proportion of patients with functioning kidney at 6 months

    Measured: At 6 months after randomisation

  2. Time to non-toxic level of anti-GBM antibodies

    Measured: During the study from screening up to 6 months

  3. Exposure to toxic level of anti-GBM antibodies

    Exposure to anti-GBM antibodies will be assessed by evaluation of the area under the anti-GBM antibody concentration versus time curve.

    Measured: From randomisation up to Day 22 and to Day 29 respectively

  4. Renal function as evaluated by eGFR at 3 months

    Measured: At 3 months after randomisation

  5. Proportion of patients with functioning kidney at 3 months,

    Measured: At 3 months after randomisation

  6. Proportion of patients experiencing end stage renal disease (ESRD) within 6 months

    Measured: During the study from randomisation up to 6 months

  7. Proportion of patients experiencing death due to anti-GBM disease within 6 months

    Measured: During the study from randomisation up to 6 months

  8. Change in urine creatinine clearance (CrCl) from randomisation to 3 and 6 months

    Measured: At randomisation and at 3 and 6 months

  9. U-albumin/creatinine ratio at 3 and 6 months (24h collection)

    Measured: At screening and at 3 and 6 months

  10. U-albumin/creatinine ratio at screening and during study (morning urine void)

    Measured: During the study from screening up to 6 months

  11. Renal function as evaluated by eGFR at screening and during study

    Measured: During the study from screening up to 6 months

  12. Number of PLEX sessions within 3 months from randomisation

    Measured: During the study from randomisation up to 3 months

  13. Number of days on dialysis within 3 and 6 months from randomisation

    Measured: During the study from randomisation to 3 months and 6 months

  14. Proportion of patients being negative during study for anti-GBM antibodies/anti-neutrophilic cytoplasmic autoantibodies (ANCA)/anti-GBM antibodies+ANCA

    Measured: During the study from screening up to 6 months

  15. Number of days with mechanical ventilation due to anti-GBM disease within 3 months from randomisation

    Measured: During the study from randomisation to 3 months

  16. Number of days at intensive care unit (ICU) and number of days in hospitalisation from randomisation to 3 months

    Measured: During the study from randomisation to 3 months

  17. Change in health related quality of life (HRQoL) from screening to 6 months

    All patients will fill out the HRQoL questionnaire PROMIS-29 which is a universal rather than disease specific measure.

    The PROMIS-29 measure assesses pain intensity using a single 0-10 numeric pain rating item and seven health domains using four items each: physical functioning, fatigue, pain interference, depression, anxiety, ability to participate in social roles and activities, and sleep disturbance. The score of each domain is converted into a standardized score so called T-score reported for each patient. A T-score of 50 represent a person from a reference population. A T-score higher than 50 indicates more of what is measured and a T-score less than 50 indicates less of what is measured.

    Measured: At screening and at 6 months

  18. Change in health status from screening to 6 months

    All patients will fill out the EQ-5D-5L questionnarie that comprises 5 questions measuring 5 dimensions of health status (mobility, self-care, usual activities, pain/ discomfort, and anxiety/depression). Patients will be asked to select a response to each category that best describes their current health. The EQ-5D-5L also contains a visual analogue scale and the patients will be asked to rate their health on a scale of 0-100.

    Measured: At screening and at 6 months

  19. Pharmacokinetic (PK) data (Cmax) from start of treatment to Day 15

    Cmax = Maximum observed plasma concentration of imlifidase following dosing.

    Measured: During the study from before administration of imlifidase up to Day 15

  20. Imlifidase pharmacodynamic (PD) profile (IgG levels in serum) from start of treatment to Day 15

    Imlifidase cleaves IgG. PD of imlifidase will be assessed as IgG levels in serum. A validated electrochemiluminescence (ECL) method will be used for the analysis.

    Measured: During the study from before administration of imlifidase up to Day 15

  21. Imlifidase pharmacodynamic (PD) profile (composition of different IgG fractions) from start of treatment to Day 15

    Imlifidase cleaves IgG. PD of imlifidase will be assessed using a sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) analysis to measure the composition of the following fractions of IgG: Intact IgG, single cleaved IgG (scIgG) and Fab'2 fraction.

    Measured: During the study from before administration of imlifidase up to Day 15

  22. Anti-imlifidase antibody levels from start of imlifidase treatment to 6 months

    Only applicable for patients who receive imlifidase.

    Measured: During the study from before administration of imlifidase up to 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2023
  2. Study start22 Dec 2022
  3. Primary completion23 Jun 2025
  4. Study completion2 Feb 2026

Why it stopped: Company decision, not due to any safety reason.

Resources

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
Model description
Open-label, controlled, randomised, multi-centre trial
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05679401
Sponsor's protocol ID
21-HMedIdeS-24
Other IDs
2022-500121-33-01, 1005498
Acronym
GOOD-IDES-02
Status last verified
Mar 2026
First submitted
15 Dec 2022
Last updated
4 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Imlifidase, Plasma exchange (PLEX) and Cyclophosphamide (CYC) in people with Anti-Glomerular Basement Membrane Disease and Anti-Glomerular Basement Membrane Antibody Disease, run by Hansa Biopharma AB at 48 sites in 13 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 22 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: stopped early, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in France, Germany, United States, United Kingdom, Sweden and 8 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. 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?

The study was stopped early (reason given: Company decision, not due to any safety reason.). Results are not available in the source record.

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?

Renal function as evaluated by estimated glomerular filtration rate (eGFR) at 6 months (time frame: At 6 months after randomisation). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Mar 2026.

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