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Trial · NCT02112838

Safety and Efficacy Study of Fostamatinib to Treat Immunoglobin A (IgA) Nephropathy

NCT02112838, Phase 2, Completed, Rigel Pharmaceuticals; results first posted 2019-06-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Study of Fostamatinib to Treat Immunoglobin A (IgA) Nephropathy. Trials, record NCT02112838. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02112838

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy Study of Fostamatinib to Treat Immunoglobin A (IgA) Nephropathy
NCT number
NCT02112838
Status
Completed
Phases
Phase 2
Enrollment
76 participants, actual
Lead sponsor
Rigel Pharmaceuticals
Conditions
IGA Nephropathy
Interventions
Fostamatinib 150 mg, Fostamatinib 100 mg, Placebo
First posted
2014-04-14
Last updated
2019-06-27
Other registries' IDs
eudract:2014-000331-16
Results first posted
2019-06-27

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMean Change of Proteinuria as Measured by Spot Urine Protein/Creatinine Ratio (sPCR) at Week 24Baseline to 24 weeksMean change from Baseline (Visit 2) of proteinuria as measured by the spot Protein-Creatinine Ratio (sPCR) at 24 weeks (Visit 9) for the ITT Population
SecondaryMean Change From Pre-treatment to Post-treatment in Mesangial Hypercellularity (M) on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in mesangial hypercellularity on renal biopsies. Using the Oxford Classification of IgA Nepthropathy (IgAN), biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored for assessing histologic findings in IgAN. M = the mean score based on Oxford Classification system score is based on total count of mesangial cells for all glomeruli (count of \<4=0 score, 4 to 5=1, 6 to 7=2, ≥8=3). A decrease in score equates to improvement from IgAN disease.
SecondaryPercentage of Subjects With ≥50% Reduction in sPCR From Baseline (Visit 2) at Week 24 (Visit 9).Baseline to Week 24Percentage of subjects with ≥50% reduction in sPCR from Baseline (Visit 2) at Week 24 (Visit 9)
SecondaryPercentage of Subjects With ≥ 30% Reduction in Proteinuria From Baseline (Visit 2) at 24 Weeks (Visit 9).Baseline to Week 24Percentage of subjects with ≥ 30% reduction in proteinuria from Baseline (Visit 2) at 24 weeks (Visit 9).
SecondaryMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Endocapillary Hypercellularity (E) on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in mesangial hypercellularity on renal biopsies. Using the Oxford Classification of IgA Nepthropathy (IgAN), biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored for assessing histologic findings in IgAN. E = Percentage of glomeruli eypercellularity due to increased number of cells within glomerular capillary lumina causing narrowing of the lumina. A decrease in score equates to improvement from IgAN disease.
SecondaryMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Segmental Sclerosis/Adhesion (S) on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in mesangial hypercellularity on renal biopsies. Using the Oxford Classification of IgA Nepthropathy (IgAN), biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored for assessing histologic findings in IgAN. S = Percentage of any amount of the tuft involved in sclerosis, but not involving the whole tuft or the presence of an adhesion in each glomeruli. A decrease in score equates to improvement from IgAN disease.
SecondaryMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Global Glomerulosclerosis Score on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in mesangial hypercellularity on renal biopsies. Using the Oxford Classification of IgA Nepthropathy (IgAN), biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored for assessing histologic findings in IgAN. Percentage of any amount of the tuft involved in sclerosis, but not involving the whole tuft or the presence of an adhesion in each glomeruli. A decrease in score equates to improvement from IgAN disease.
SecondaryMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Tubulointerstitial Scarring (T) on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in mesangial hypercellularity on renal biopsies. Using the Oxford Classification of IgA Nepthropathy (IgAN), biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored for assessing histologic findings in IgAN. T= Percentage of cortical area involved by the tubular atrophy or interstitial fibrosis, whichever is greater. A decrease in score equates to improvement from IgAN disease.
SecondaryMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Cellular/Fibrocellular Crescent Score on Renal Biopsies.Baseline to Week 24
Mean change from pre-treatment to post-treatment in cellular/fibrocellular crescent score on renal biopsies. Biopsy specimens with a minimum of 8 glomeruli, mesangial hypercellularity (M), segmental sclerosis (S), and interstitial fibrosis/tubular atrophy (T) lesions are scored using the Oxford Classification of IgA nepthropathy (IgAN) system for assessing histologic findings in IgAN.
SecondaryMean Change From Baseline (Visit 2) of eGFR at 12 Weeks (Visit 7).Baseline to Week 12Mean change from Baseline (Visit 2) of eGFR at 12 weeks (Visit 7).

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Change of Proteinuria as Measured by Spot Urine Protein/Creatinine Ratio (sPCR) at Week 24Baseline to 24 weeksmg/gLEAST_SQUARES_MEAN
SECONDARYMean Change From Pre-treatment to Post-treatment in Mesangial Hypercellularity (M) on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.mesangial hypercellularity scoreLEAST_SQUARES_MEAN
SECONDARYPercentage of Subjects With ≥50% Reduction in sPCR From Baseline (Visit 2) at Week 24 (Visit 9).Baseline to Week 24ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Subjects With ≥ 30% Reduction in Proteinuria From Baseline (Visit 2) at 24 Weeks (Visit 9).Baseline to Week 24ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Endocapillary Hypercellularity (E) on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.Percentage of glomeruliLEAST_SQUARES_MEAN
SECONDARYMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Segmental Sclerosis/Adhesion (S) on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.Percentage of glomeruliLEAST_SQUARES_MEAN
SECONDARYMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Global Glomerulosclerosis Score on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.Percentage of glomeruliLEAST_SQUARES_MEAN
SECONDARYMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Tubulointerstitial Scarring (T) on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.Percentage of glomeruliLEAST_SQUARES_MEAN
SECONDARYMean Change From Pre-treatment to Post-treatment in Percentage of Glomeruli With Cellular/Fibrocellular Crescent Score on Renal Biopsies.Baseline to Week 24Analysis population includes only subjects with both pre-treatment and post-treatment biopsies collected.Percentage of glomeruliLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline (Visit 2) of eGFR at 12 Weeks (Visit 7).Baseline to Week 12Analysis population includes only subjects who completed visits through Week 12.eGFR (mL/min/1.73 m2)LEAST_SQUARES_MEAN

Results by group57

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Mean Change of Proteinuria as Measured by Spot Urine Protein/Creatinine Ratio (sPCR) at Week 24Fostamatinib 150 mg-157.5Standard Error 345.6mg/g
Mean Change of Proteinuria as Measured by Spot Urine Protein/Creatinine Ratio (sPCR) at Week 24Fostamatinib 100 mg-577.2Standard Error 335.7mg/g
Mean Change of Proteinuria as Measured by Spot Urine Protein/Creatinine Ratio (sPCR) at Week 24Placebo-177.4Standard Error 342.4mg/g
Mean Change From Pre-treatment to Post-treatment in Mesangial Hypercellularity (M) on Renal Biopsies.Fostamatinib 150 mg-0.3Standard Error 1.6mesangial hypercellularity score
Mean Change From Pre-treatment to Post-treatment in Mesangial Hypercellularity (M) on Renal Biopsies.Fostamatinib 100 mg-0.2Standard Error 0.1mesangial hypercellularity score
Mean Change From Pre-treatment to Post-treatment in Mesangial Hypercellularity (M) on Renal Biopsies.Placebo-0.1Standard Error 0.1mesangial hypercellularity score
Percentage of Subjects With ≥50% Reduction in sPCR From Baseline (Visit 2) at Week 24 (Visit 9).Fostamatinib 150 mg5Participants
Percentage of Subjects With ≥50% Reduction in sPCR From Baseline (Visit 2) at Week 24 (Visit 9).Fostamatinib 100 mg8Participants
Percentage of Subjects With ≥50% Reduction in sPCR From Baseline (Visit 2) at Week 24 (Visit 9).Placebo4Participants
Percentage of Subjects With ≥ 30% Reduction in Proteinuria From Baseline (Visit 2) at 24 Weeks (Visit 9).Fostamatinib 150 mg8Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFostamatinib 150 mg25
Overall StudySTARTEDFostamatinib 100 mg26
Overall StudySTARTEDPlacebo25
Overall StudyCOMPLETEDFostamatinib 150 mg20
Overall StudyCOMPLETEDFostamatinib 100 mg24
Overall StudyCOMPLETEDPlacebo24
Overall StudyNOT COMPLETEDFostamatinib 150 mg5
Overall StudyNOT COMPLETEDFostamatinib 100 mg2
Overall StudyNOT COMPLETEDPlacebo1

Adverse events84

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersFostamatinib 150 mg725
otherDiarrhoeaGastrointestinal disordersFostamatinib 100 mg926
otherDiarrhoeaGastrointestinal disordersPlacebo725
otherNauseaGastrointestinal disordersFostamatinib 150 mg525
otherNauseaGastrointestinal disordersFostamatinib 100 mg626
otherNauseaGastrointestinal disordersPlacebo325
otherVomitingGastrointestinal disordersFostamatinib 150 mg425
otherVomitingGastrointestinal disordersFostamatinib 100 mg326
otherVomitingGastrointestinal disordersPlacebo125
otherAbdominal PainGastrointestinal disordersFostamatinib 150 mg025

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFostamatinib 150 mg125
Total, all-cause mortalityFostamatinib 100 mg026
Total, all-cause mortalityPlacebo025
Total, other adverse eventsFostamatinib 150 mg2425
Total, other adverse eventsFostamatinib 100 mg2226
Total, other adverse eventsPlacebo2125
Total, serious adverse eventsFostamatinib 150 mg225
Total, serious adverse eventsFostamatinib 100 mg226
Total, serious adverse eventsPlacebo225

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26032537DERIVEDPubMed
30177021DERIVEDPubMed
34124781DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02112838

GET https://conductscience.org/api/trials/v1/NCT02112838/results?page=2