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NCT06983028PHASE2RECRUITING

Atacicept in Multiple Glomerular Diseases

A Phase 2 Study to Evaluate the Safety and Efficacy of Atacicept in Multiple Autoimmune Glomerular Diseases (PIONEER)

Sponsor: Vera Therapeutics, Inc.

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Key Facts

Study type
INTERVENTIONAL
Conditions
pMN, IgAN, Nephrotic Syndrome, MCD, FSGS
Interventions
Atacicept
Enrollment
200 participants
Primary completion
Nov 2027
Study completion
Nov 2027
First posted
May 2025
Last updated
Jan 2026

Primary Endpoints (CT.gov)

AE profile and results of routine clinical and laboratory tests

Time frame: Baseline until end of study: 52 + 26 Weeks

Percent reduction in urine protein to creatinine ratio (UPCR)

Time frame: Baseline, Week 36

Secondary Endpoints

Changes from baseline estimated glomerular filtration rate (eGFR).

Change in disease-specific antibodies

Eligibility Criteria

Inclusion Criteria: * Weight of at least 40 kg * On a stable prescribed standard of care (SoC) treatment regimen according to local guidelines and the specific requirements for each disease * Systolic blood pressure ≤160 mmHg and diastolic blood pressure ≤90 mmHg at Screening. For participants aged ≥10 to \<18 years, the average of 3 separate systolic and/or diastolic blood pressures \<95th percentile for age, gender, and height Diagnosis of IgAN, IgAVN, pMN, MCD, FSGS, or primary nephrotic syndrome For patients enrolling in IgAN cohorts (eligibility varies by cohort): * Age ≥ 10 years * Biopsy proven IgAN or IgAVN, * UPCR ≥ 0.5 g/g * eGFR≥ 20 mL/min/1.73m2 For patients enrolling in pMN cohorts (eligibility varies by cohort): * Age ≥ 18 years * Biopsy-proven pMN * Anti PLA2R antibodies ≥ 25 RU/mL * UPCR ≥ 1.5 g/g * At low risk for spontaneous remission (based on severity or duration of disease) For patients enrolling in Nephrotic Syndrome cohorts (MCD, FSGS, or pediatric idiopat

Read full criteria on CT.gov →

✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov