Table 1.
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.
Randomized and received study drug.