Immunoglobulin A NephropathyPhase 3NCT06564142
Evaluation of Efficacy of Povetacicept in Adults With Immunoglobulin A Nephropathy (IgAN)
A Phase 3 study testing Povetacicept in people with Immunoglobulin A Nephropathy, run by Alpine Immune Sciences Inc, A Subsidiary of Vertex at 318 sites in 33 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of povetacicept in adult participants compared with placebo in reducing proteinuria and preserving renal function. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Immunoglobulin A Nephropathy
- What is being tested?
- Povetacicept
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 605 participants
- Where
- 318 sitesin 33 countries
- Study dates
- 30 Aug 2024to 30 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
- Diagnosed IgAN, with biopsy confirmation
- 24-hr proteinuria excretion ≥1.0 g/day or 24-hour uPCR ≥0.75 g/g
- Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2
- Stable angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARBs) as per protocol specification
Who cannot join
- Have received any immunosuppressive treatment or procedures (including corticosteroids, oral immunosuppressive agents, B cell or plasma cell targeted therapies, complement targeted therapies, herbal medicines per protocol, and tonsillectomy) within a wash-out period per protocol
- Rapidly progressive glomerulonephritis with eGFR reduction >50% within 12 weeks of the start of screening
- Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
318 sites in 33 countries.
318 sites in 33 countries
United States77 sites
Velocity Clinical Research
Abilene, Texas, 79606
New York Nephrology Vasculitis and Glomerular Center
Albany, New York, 12209
Renal Medicine Associates
Albuquerque, New Mexico, 87109
Western Nephrology
Arvada, Colorado, 80002
SciMerge Clinical Research
Atlanta, Georgia, 30274
Johns Hopkins School of Medicine
Baltimore, Maryland, 21287
Renal Associates of Baton Rouge
Baton Rouge, Louisiana, 70808
Introscience Research LLC
Bellaire, Texas, 77401
University of Vermont
Burlington, Vermont, 05401
Metrolina Nephrology Associates
Charlotte, North Carolina, 28208
Care Institute - Chubbuck, ID
Chubbuck, Idaho, 83202
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210
South Florida Nephrology Group PA, Research Div.
Coral Springs, Florida, 33071
Dallas Renal Group
Dallas, Texas, 75230
Renal Disease Research Institute - Dallas
Dallas, Texas, 75264
Colorado Kidney Care
Denver, Colorado, 80230
Dolphin Medical Research
Doral, Florida, 33172
Nephrology Associates Inc
East Providence, Rhode Island, 02914
InterMed Consultants / DaVita Clinical Research, Edina
Edina, Minnesota, 55404
Davita Clinical Research - El Paso
El Paso, Texas, 79925
Virginia Nephrology Group
Fairfax, Virginia, 22101
West Coast Kidney
Fremont, California, 94538
The Medical Research Group, Inc. (FRENOVA)
Fresno, California, 93720
Bioluminux Clinical Research New Jersey
Hamilton, New Jersey, 08690
Nephrology Associates of Central Florida
Hollywood, Florida, 32806
Tectum Medical Research, LLC
Hollywood, Florida, 33024
Prolato Clinical Research Center
Houston, Texas, 77054
Houston Medical Research Institute, LLC (FRENOVA)
Houston, Texas, 77074
Apogee Clinical Research, LLC
Huntsville, Alabama, 35805
Care Institute - Idaho Falls
Idaho Falls, Idaho, 83404
Nephrology Associates of Northern Illinois and Indiana (NANI)
Indianapolis, Indiana, 46227
Queens Hospital Center
Jamaica, New York, 11432
New Jersey Kidney Care, LLC (FRENOVA)
Jersey City, New Jersey, 07305
R & H Clinical Research
Katy, Texas, 77450
Knoxville Kidney Center (KKC), PLLC
Knoxville, Tennessee, 37923
DaVita Clinical Research Nevada - Las Vegas
Las Vegas, Nevada, 89129
South Florida Research Institute
Lauderdale Lakes, Florida, 33313
Georgia Nephrology - Lawrenceville
Lawrenceville, Georgia, 30046
North Texas Kidney Disease Associates
Lewisville, Texas, 75057
Somnos Clinical Research
Lincoln, Nebraska, 68505
CARE Institute - Carabello Kidney
Los Angeles, California, 90022
Nephrology Associates of Kentuckiana
Louisville, Kentucky, 40205
P&I Clinical Research, LLC
Lufkin, Texas, 75904
Kidney and Hypertension Specialist PLLC
Manassas, Virginia, 20110
Florida Kidney Physicians - Melbourne
Melbourne, Florida, 32901
CARE - Boise Kidney Institute
Meridian, Idaho, 83642
Velocity Clinical Research - Metairie
Metairie, Louisiana, 70006
Med-Care Research
Miami, Florida, 33125
Professional Research Center
Miami, Florida, 33172
Nephrology Associates of South Miami
Miami, Florida, 33173
On Health Research Center
Miami, Florida, 33186
Nephrology Physicians LLC
Mishawaka, Indiana, 46545
Bioluminux Clinical Research
Naperville, Illinois, 60540
The Rogosin Institute
New York, New York, 10021
Nephrology Associates Delaware Kidney (FRENOVA)
Newark, Delaware, 19713
Randomize Now - Midtown
Newnan, Georgia, 30269
Providence Medical Foundation - Orange
Orange, California, 92868
South Carolina Clinical Research, LLC
Orangeburg, South Carolina, 29118
Combined Research Orlando Phase I-IV
Orlando, Florida, 32807
Renal Specialists of Houston
Pasadena, Texas, 77504
BioResearch Partner
Pembroke Pines, Florida, 33029
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Arizona Kidney Disease and Hypertension Center - Thomas Office
Phoenix, Arizona, 85016
D&H Pompano Research Center
Pompano Beach, Florida, 33064
Hypertension & Nephrology Inc.
Providence, Rhode Island, 02904
National Nephrology Alliance Research
Riverside, California, 92505
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Rockford Nephrology Associates
Rockford, Illinois, 61107
UC Davis Health
Sacramento, California, 95819
Utah Kidney Research Institute
Salt Lake City, Utah, 84115
Zuckerberg San Francisco General Hospital and Trauma Center
San Francisco, California, 94110
University of California San Francisco (UCSF)
San Francisco, California, 94143
St. Clair Nephrology Research
Shelby, Michigan, 48315
Washington University in St. Louis
St Louis, Missouri, 63110
Cordova Research Institute, LLC
Sweetwater, Florida, 33182
Arizona Kidney Disease and Hypertension Center - Tuscon
Tucson, Arizona, 85741
Nephrology and Hypertension Associates, LTD
Tupelo, Mississippi, 38801
China45 sites
Beijing Tsinghua Changgung Hospital
Beijing
Peking University First Hos
Beijing
Cangzhou People's Hospital
Cangzhou
The Second Norman Bethune Hospital of Jilin University
Changchun
Heping Hospital Affiliated to Changzhi Medical College
Changzhi
Sichuan People s Hospital
Chengdu
Bishan Hospital of Chongqing
Chongqing
The Second Affiliated Hospital of Chongqing Medical University
Chongqing
Dongguan People s Hospital
Dongguan
The First People's Hospital of Foshan
Foshan
Fuyang People's Hospital
Fuyang
Fujian Medical University Union Hospital
Fuzhou
Guangdong Provincial People's Hospital
Guangzhou
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou
Third Affiliated Hospital of Southern Medical University
Guangzhou
Zhujiang Hospital, Southern Medical University
Guangzhou
Affiliated Hospital of Guilin Medical University
Guilin
Guizhou Provincial People's Hospital
Guiyang
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou
The First Affiliated Hospital of Anhui Medical University
Hefei
The Second Affiliated Hospital of Anhui Medical University
Hefei
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot
The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital)
Jinan
The Second Hospital of Shandong University
Jinan
Linyi People's Hospital
Linyi
The First Affiliate Hospital of Henan University of Science and Technology
Luoyang
The First Affiliated Hospital of Nanchang University
Nanchang
Affiliated Hospital of Nantong University
Nantong
Ningbo No.2 Hospital
Ningbo
The First Affiliated Hospital of Ningbo University
Ningbo
The First Affiliated Hospital of Xian JiaoTong University
Shaanxi
Shanghai General Hospital
Shanghai
Shengjing Hospital of China Medical University
Shenyang
The University of Hong Kong - Shenzhen Hospital
Shenzhen
The Second Hospital of Hebei Medical University
Shijiazhuang
Taian City Central Hospital
Taian
Second Hospital of Shanxi Medical University
Taiyuan
The Second Hospital of Tianjin Medical University
Tianjin
Wuxi People s Hospital
Wuxi
Xuancheng People s Hospital
Xuancheng
Yancheng No. 1 People's Hospital
Yancheng
Affiliated Hospital Yangzhou University
Yangzhou
Yantai YuHuangDing Hospital
Yantai
Yichang central people Hos
Yichang
General Hospital of Ningxia Medical University
Yinchuan
Japan29 sites
Fujita Health University Hos
Aichi
Hyogo Amagasaki Gen Med Ctr
Amagasaki
Fukuoka University Hospital
Fukuoka
Japanese Red Cross Fukuoka Hospital
Fukuoka
Kanazawa Medical Uni Hospital
Kahoku
Kanazawa University Hospital
Kanazawa
Nara Med University Hos
Kashihara
Kasugai Municipal Hospital
Kasugai
Okayama University Hospital
Kita-ku
Kokura Memorial Hospital
Kitakyushu-shi
Kobe University Hospital
Kobe
Dokkyo Medical University Saitama Medical Center
Koshigaya
Japanese Red Cross Kyoto Daini Hospital
Kyoto
Kyoto University Hospital
Kyoto
University of Miyazaki Hos
Miyazaki
Osaka City General Hospital
Osaka
Osaka General Medical Center
Osaka
Sapporo City General Hospital
Sapporo
Tohoku University Tohoku University Hospital
Sendai
Nihon University Itabashi Hospital
tabashi City
Juntendo Hospital Affiliated to Juntendo University School of Medicine
Tokyo
Juntendo University Nerima Hospital
Tokyo
The Jikei Uni Daisan Hospital
Tokyo
The Jikei University Hospital
Tokyo
Tokyo Med University Hospital
Tokyo
Tokyo Women's Medical University Hospital
Tokyo
YUUAI Medical Center
Tomigusuku
Toyama Prefectural Central Hospital
Toyama
Juntendo Uni Urayasu Hospital
Urayasu-shi
South Korea22 sites
Hallym University Sacred Heart Hospital
Anyang
Seoul National University Hospital
Cheonan
Soon Chun Hyang University Cheonan Hospital
Cheonan
Keimyung University Dongsan Medical Center
Daegu
Kyungpook National University Hospital
Daegu
Konyang University Hospital
Daejeon
Hallym University Chuncheon Sacred Heart Hospital
Gangwon-do
Wonju Severance Christian Hospital
Gangwon-do
NHIS Ilsan Hospital
Goyang-si
Seoul National University Bundang Hospital
Seongnam-si
Asan Medical Center
Seoul
Chung-Ang University Hospital
Seoul
Konkuk University Medical Center
Seoul
Korea University Guro Hospital
Seoul
Korea University Medical Center (KUMC)-Korea University Anam Hospital
Seoul
Kyung Hee University Hospital at Gangdong (KUIMS)
Seoul
Samsung Medical Center
Seoul
Severance Hospital, Yonsei University Health System
Seoul
The Catholic University of Korea Eunpyeong St. Mary's Hospital
Seoul
The Catholic University of Korea, Seoul ST. Mary's Hospital
Seoul
Ajou University Hospital
Suwon
Yongin Severance Hospital
Yongin-si
Brazil18 sites
Centro de Pesquisa Clinica do Coracao
Aracaju
Freire Pesquisa Clinica
Belo Horizonte
Hospital Evangelico de Belo Horizonte
Belo Horizonte
Associacao Ampara a Saude
Brasília
HU Hospital Walter Cantidio
Fortaleza
UFG Hospital de Clinicas da Universidad Federal de Golas
Goiânia
Hospital de Caridade de Ijui
Ijuí
Fundacao Pro-Rim Santa Catarina
Joinville
Centro Mineiro de Pesquisa
Juiz de Fora
Hospital das Clinicas Riberao Preto
Monte Alegre
Hospital das Clinicas da Universidade Federal de Pernambuco (UFPE)
Recife
Hospital Universitario Pedro Ernesto - UERJ
Rio de Janeiro
Clinica Senhor do Bonfim
Salvador
Universidade Federal da Bahia
Salvador
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo
São Paulo
Hospital do Rim Fundacao Oswaldo Ramos
São Paulo
Hospital Nove de Julho - DASA
São Paulo
A2z Clinical Centro Avancedo de Pesquisa Clinica
Valinhos
Australia17 sites
Grampians Health Ballarat
Ballarat
Bendigo Hospital
Bendigo
Sunshine Coast University Hospital
Birtinya
Core Research Group Pty Ltd
Brisbane
Royal Prince Alfred Hospital
Camperdown
Monash Health
Clayton
Concord Repatriation General Hospital
Concord
Canberra Hospital
Garran
Renal Research Gosford
Gosford
Austin Hospital
Heidelberg
Western Health (Sunshine Hospital)
Melbourne
Fiona Stanley Hospital
Murdoch
John Hunter Hospital
Newcastle
Sir Charles Gairdner Hospital
Perth
Melbourne Renal Research
Reservoir
Gold Coast University Clinical Trials Unit
Southport
Princess Alexandra Hospital
Woolloongabba
United Kingdom17 sites
Belfast Health and Social Care Trust
Belfast
FutureMeds - Soho Road Health Centre
Birmingham
Southmead Hospital
Bristol
Cambridge University - Addenbrooke's Hospital
Cambridge
FutureMeds - CPS Research
Glasgow
Queen Elizabeth University Hospital - Glasgow
Glasgow
Gloucestershire Royal Hospital
Gloucester
Leicester General Hospital
Leicester
Barts Health NHS Trust
London
Imperial College Healthcare NHS Trust
London
King's College Hospital
London
St Pancras Clinical Research
London
University of Manchester, Manchester Royal Infirmary
Manchester
FutureMeds Newcastle
Newcastle upon Tyne
FutureMeds Tesside
Stockton-on-Tees
FutureMeds Liverpool
Wirral (Liverpool)
Royal Wolverhampton NHS Trust
Wolverhampton
Spain12 sites
Hospital Universitari de Bellvitge
Barcelona
Hospital Universitatio Vall d'Hebron
Barcelona
Hospital Universitario Reina Sofia
Córdoba
Hospital Universitari Arnau de Vilanova - Lleida
Lleida
Clinica Universidad de Navarra - Madrid
Madrid
Hospital Fundacion Jimenez Diaz
Madrid
Hospital Universitario Puerta de Hierro
Madrid
Hospital Universitario Ramon y Cajal
Madrid
Clinica Universidad de Navarra - Pamplona
Pamplona
Hospital Clinico Universitario de Santiago
Santiago de Compostela
Hospital Universitario Virgen Macarena
Seville
Hospital Universitario Doctor Peset
Valencia
France9 sites
Groupe Hospitalier Pellegrin, CHU De Bordeaux
Bordeaux
Hopitaux Universitaires Henri Mondor
Créteil
Centre Hospitalier Emile Roux
Le Puy-en-Velay
AP-HM - Hopital de La Conception
Marseille
CHU de Nantes - Hotel-Dieu
Nantes
Hopital Necker - Enfants Malades
Paris
Université Paris-Descartes / Hôpital Européen Georges Pompidou
Paris
Centre Hospitalier Universitaire (CHU) de Saint-Etienne - Hopital Nord
Saint-Priest-en-Jarez
Centre Hospitalier de Valencienes
Valenciennes
Austria5 sites
LKH Feldkirch
Feldkirch
Medizinische Universitaet Innsbruck
Innsbruck
Ordensklinikum Linz GmbH Elisabethinen
Linz
Medizinische Universitaet Wien
Vienna
Klinikum Wels- Grieskirchen
Wels-Grieskirchen
Germany5 sites
Medizinische Klinik II
Aachen
Charite Universitaetsnedizin Berlin
Berlin
Universitaetsklinikum Carl Gustav Carus Dresden
Dresden
Klinikum St Georg
Leipzig
Universitaetsklinikum Leipzig
Leipzig
Italy5 sites
Azienda Ospedaliera Universitaria Consorziale - policlinicio Bari
Bari
Ospedale Policlinico San Martino IRCCS
Genova
AOU Policlinico di Modena
Modena
Istituti Clinici Scientifici Maugeri-IRCCS Pavia
Pavia
Fondazione Policlinico Universitario A. Gemelli
Rome
Poland5 sites
SCM Sp. Z o.o
Krakow
Klinika Nefrologii, Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi
Lodzkie
Uniwersytecki Szpital Kliniczny nr 2 PUM w Szczecinie
Szczecin
Panstwowy Instytut Medyczny MSWiA - Klinika Chorob Wewnetrznych, Nefrologii i Transplantologii
Warsaw
Velocity Zamosc
Zamość
Sweden5 sites
Nephrology Clinic, Danderyd University Hospital
Danderyd
Sahlgrenska University Hospital
Gothenburg
Karolinska University Hospital Huddinge
Huddinge
Linkoping University Hospital
Linköping
Uppsala University Hospital
Uppsala
Taiwan5 sites
Shuang Ho Hospital
New Taipei City
Tungs' Taichung Metroharbour Hospital
Taichung
National Taiwan University Hospital (NTUH)
Taipei
Taipei Medical University Hospital
Taipei
Taipei Veterans General Hospital (TP-VGH)
Taipei
Denmark4 sites
Aalborg University Hospital
Aalborg
Center for Cancer and Organ Diseases - Rigshospitalet - Hornum Mads
Copenhagen
Hillerod Hospital
Hillerød
Sygehus Lillebaelt - Kolding
Kolding
Ireland4 sites
Cork University Hospital
Cork
Beaumont Hospital
Dublin
University Hospital Galway
Galway
University Hospital Waterford
Waterford
Israel4 sites
Barzilai Medical Center
Ashkelon
Rabin Medical Center
Petah Tivka
Sheba Medical Center
Tel HaShomer
Shamir Medical Center
Tsrifin
Croatia3 sites
Clinical Hospital Dubrava
Zagreb
Clinical Hospital Merkur
Zagreb
Polyclinic Somed
Zagreb
Czechia3 sites
Fakultni Nemocnice Brno
Brno
Vseobecna fakultni nemocnice v Praze
New Town
Nemocnice AGEL Novy Jicin a.s.
Nový Jičín
Hong Kong3 sites
Queen Mary Hospital
Hong Kong
Prince Wales Hospital
Shatin
Tung Wah Hospital
Sheung Wan
Turkey (Türkiye)3 sites
Hacettepe University Hospital
Ankara
Istanbul University Cerrahpasa Medical Faculty
Istanbul
Kocaeli University Medical School
Kocaeli
Belgium2 sites
Ziekenhuis Oost-Limburg
Genk
Universitaire Ziekenhuizen Leuven
Leuven
Estonia2 sites
North Estonia Medical Centre Foundation
Tallinn
Tartu University Hospital
Tartu
Latvia2 sites
Paula Stradina Clinical University Hospital
Riga
Vidzemes Hospital
Valmiera
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences (LSMU) Kauno klinikos
Kaunas
Vilnius University Hospital Santaros Klinikos
Vilnius
Netherlands2 sites
University Medical Center Groningen
Groningen
UMC St. Radboud
Nijmegen
Norway2 sites
Haukeland University Hospital
Bergen
Oslo University Hospital - Ulleval Hospital
Oslo
Saudi Arabia2 sites
King Fahad Specialist Hospital, Dammam
Dammam
King Saud University, King Saud University Medical City
Riyadh
About this study
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study of Povetacicept in Adults With Immunoglobulin A Nephropathy (RAINIER)
The purpose of this study is to evaluate the efficacy of povetacicept in adult participants compared with placebo in reducing proteinuria and preserving renal function.
- Conditions
- Immunoglobulin A Nephropathy
- Being tested
- Povetacicept, Placebo (matched to Povetacicept)
- Keywords
- IgAN, Berger's disease, glomerulonephritis, IgA nephropathy, ALPN-303, BAFF, BLyS, APRIL
- Medical subject headings
- Glomerulonephritis, IGA, Glomerulonephritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PovetaciceptDrug
Also called ALPN-303
Subcutaneous injection administration.
Placebo (matched to Povetacicept)Drug
Placebo matched to Povetacicept subcutaneous injection administration.
| Study group | Role | What they receive |
|---|---|---|
| Povetacicept | Experimental | Participants will be randomized to receive Povetacicept. Receives: Drug: Povetacicept |
| Placebo | Placebo comparator | Participants will be randomized to receive placebo matched to Povetacicept. Receives: Drug: Placebo (matched to Povetacicept) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36
Measured: From Baseline at Week 36
Total Estimated Glomerular Filtration Rate (eGFR) Slope Through Week 104
Measured: From Baseline Through Week 104
Secondary outcomes (4)
Change from Baseline in Serum Gd-IgA1 at Week 36
Measured: From Baseline at Week 36
Proportion of Participants to Achieve Hematuria Resolution at Week 36 (Among Participants With Hematuria at Baseline)
Measured: From Baseline at Week 36
Change From Baseline in eGFR at Week 104
Measured: From Baseline at Week 104
Time to Kidney Disease Progression Through Week 104
Kidney disease progression defined as greater than or equal to (≥) 30% decline in eGFR, end stage kidney disease, or non-accidental death
Measured: From Baseline Through Week 104
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2024
- Study start30 Aug 2024
- Primary completion30 Jan 2028 (estimated)
- Study completion30 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Immunoglobulin A NephropathyStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 605 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alpine Immune Sciences Inc, A Subsidiary of Vertex
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06564142
- Sponsor's protocol ID
- VX24-AIS-D08
- Other IDs
- 2024-514135-17-00
- Status last verified
- May 2026
- First submitted
- 19 Aug 2024
- Last updated
- 15 May 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/
Publications
Barratt J, Zhang H, Han SH, Suzuki Y, Tumlin J, Chacko B, Noronha IL, Madan A, Duivenvoorden R, Azzi JR, Nester C, Dong C, Ahluwalia N, Li J, Bozic C, Egbuna O, Wong MG, Lafayette R; RAINIER AIS-D08 Trial Group. Interim Analysis of a Phase 3 Trial of Povetacicept in IgA Nephropathy. N Engl J Med. 2026 Oct 23. doi: 10.1056/NEJMoa2608682. Online ahead of print.
PubMed 42912669
Study at a glance
From the registry record, last updated by the sponsor on 15 May 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 Povetacicept in Adults With Immunoglobulin A Nephropathy (RAINIER)
- ClinicalTrials.gov ID
- NCT06564142
- Acronym / sponsor ID
- VX24-AIS-D08
- Conditions
- Immunoglobulin A Nephropathy
- Keywords
- IgAN, Berger's disease, glomerulonephritis, IgA nephropathy, ALPN-303, BAFF, BLyS, APRIL
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 605 participants (actual)
- Lead sponsor
- Alpine Immune Sciences Inc, A Subsidiary of VertexIndustry (pharma, biotech, devices)
- Study start
- 30 Aug 2024 (actual)
- Primary completion
- 30 Jan 2028 (estimated)
- Study completion
- 30 Jan 2028 (estimated)
- First posted
- 21 Aug 2024 (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.
The purpose of this study is to evaluate the efficacy of povetacicept in adult participants compared with placebo in reducing proteinuria and preserving renal function.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Povetacicept | Experimental | Drug: PovetaciceptParticipants will be randomized to receive Povetacicept. |
| Placebo | Placebo comparator | Drug: Placebo (matched to Povetacicept)Participants will be randomized to receive placebo matched to Povetacicept. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Diagnosed IgAN, with biopsy confirmation
- 24-hr proteinuria excretion ≥1.0 g/day or 24-hour uPCR ≥0.75 g/g
- Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2
- Stable angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARBs) as per protocol specification
Key exclusion criteria (3 listed)
- Have received any immunosuppressive treatment or procedures (including corticosteroids, oral immunosuppressive agents, B cell or plasma cell targeted therapies, complement targeted therapies, herbal medicines per protocol, and tonsillectomy) within a wash-out period per protocol
- Rapidly progressive glomerulonephritis with eGFR reduction >50% within 12 weeks of the start of screening
- Other protocol defined Inclusion/Exclusion criteria may apply.
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 |
|---|---|---|
| PovetaciceptAlso: ALPN-303Subcutaneous injection administration. | Drug | Povetacicept |
| Placebo (matched to Povetacicept)Placebo matched to Povetacicept subcutaneous injection administration. | Drug | Placebo |
Primary outcome
Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36
Time frame: From Baseline at Week 36
Total Estimated Glomerular Filtration Rate (eGFR) Slope Through Week 104
Time frame: From Baseline Through Week 104
4 secondary outcomes
Change from Baseline in Serum Gd-IgA1 at Week 36
Time frame: From Baseline at Week 36
Proportion of Participants to Achieve Hematuria Resolution at Week 36 (Among Participants With Hematuria at Baseline)
Time frame: From Baseline at Week 36
Change From Baseline in eGFR at Week 104
Time frame: From Baseline at Week 104
Time to Kidney Disease Progression Through Week 104
Time frame: From Baseline Through Week 104
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 15 May 2026.
- Derived from this study: PubMed 42912669Barratt J, Zhang H, Han SH, Suzuki Y, Tumlin J, Chacko B, Noronha IL, Madan A, Duivenvoorden R, Azzi JR, Nester C, Dong C, Ahluwalia N, Li J, Bozic C, Egbuna O, Wong MG, Lafayette R; RAINIER AIS-D08 Trial Group. Interim Analysis of a Phase 3 Trial of Povetacicept in IgA Nephropathy. N Engl J Med. 2026 Oct 23. doi: 10.1056/NEJMoa2608682. Online ahead of print.
- Individual participant dataSharing planned: No. Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/
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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.
The record lists no contact. Use the official record to reach the sponsor.
318 sites in 33 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Povetacicept in people with Immunoglobulin A Nephropathy, run by Alpine Immune Sciences Inc, A Subsidiary of Vertex at 318 sites in 33 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 4 inclusion and 3 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 15 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 318 sites in United States, China, Japan, South Korea, Brazil and 28 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 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36 (time frame: From Baseline at Week 36). The study lists 2 primary outcomes in all. 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 NCT06564142, which also lists 1 linked publication.
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 15 May 2026.