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Iptacopan in IgA Nephropathy - Final 24-Month Data - PubMed

3 hours ago
  • #Complement inhibition
  • #IgA nephropathy
  • #Iptacopan
  • Iptacopan, a complement factor B inhibitor, showed efficacy in IgA nephropathy over 24 months with slower eGFR decline compared to placebo.
  • The annualized total eGFR slope was -3.10 ml/min/1.73 m²/year with iptacopan vs -6.12 with placebo (difference of 3.02 ml/min/1.73 m²/year; P<0.001).
  • A composite kidney-failure endpoint occurred in 21.4% of iptacopan patients vs 33.5% with placebo (hazard ratio 0.57; P=0.003).
  • Safety profile was acceptable, with adverse events in 87.0% (iptacopan) and 89.1% (placebo), and serious adverse events in 12.2% vs 11.7%.
  • The trial was a phase 3 study involving 477 adults with IgA nephropathy and proteinuria despite supportive care.