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. 2023 Mar 4;8(5):1043–1056. doi: 10.1016/j.ekir.2023.02.1086

Table 1.

Comparison of key eligibility criteria for PROTECT and other contemporary phase 3 trials recruiting participants with IgAN

Parameter PROTECT STOP-IGAN23,24 TESTING25,26 DAPA-CKD27,28 NefIgArd29
Study drug Sparsentan Supportive care + Immunosuppression Methylprednisolone Dapagliflozin Nefecon
Comparator Irbesartan Supportive care (ACEi/ARB/Statin) Placebo Placebo Placebo
Patients with IgAN 404a 162a 503 270a 360
Age, years ≥18 ≥18 to ≤70 ≥14 ≥18 ≥18
Biopsy-proven IgAN requirement Yes
At any time in the past
Yes
At any time in the past
Yes
At any time in the past
No Yes
Within the past 10 yr
Proteinuria Protein excretion ≥1 g/d Protein excretion ≥0.75g/d to ≤3.5 g/d Protein excretion ≥1 g/d UA/C ≥200 mg/g to ≤5000 mg/g Protein excretion ≥1 g/d or UP/C ≥0.8 g/g
eGFR or creatinine clearance, ml/min/1.73 m2 ≥30 ≥30 to <90 ≥20 to ≤120 ≥25 to ≤75 ≥35 to ≤90
Systolic/diastolic blood pressure, mm Hg ≤150/100 No criterion preventing inclusion ≤160/110 No criterion ≤140/90
Optimized RAAS inhibition Yes
Stable MTD or MLD of ACEi and/or ARB at ≥50% MLD for ≥12 wks
Yes
MTD or MLD of ACEi and/or ARB, achieved through dedicated 6-mo run-in period
Yes
MTD of ACEi and/or ARB
Stable dose of ACEi and/or ARB for ≥4 wks Yes
Stable MTD or MLD of ACEi and/or ARB ≥3 mo

ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; eGFR, estimated glomerular filtration rate; IgAN, immunoglobulin A nephropathy; MLD, maximum labeled dose; MTD, maximum tolerated dose; RAAS, renin-angiotensin-aldosterone system inhibition; UA/C, urine albumin-to-creatinine ratio; UP/C, urine protein-to-creatinine ratio.

a

Randomized and received study drug.