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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06064929
Registration number
NCT06064929
Ethics application status
Date submitted
26/09/2023
Date registered
3/10/2023
Date last updated
14/07/2025
Titles & IDs
Public title
A Study to Learn More About the Safety and Effects of Felzartamab in Adults With Lupus Nephritis Aged 18 to 75 Years Old
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Scientific title
An Open Label Phase 1b Study of Felzartamab in Lupus Nephritis
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Secondary ID [1]
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HIB-202-101
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Secondary ID [2]
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299LE101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lupus Nephritis
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Felzartamab
Experimental: Felzartamab - Participants will receive two courses of multiple intravenous (IV) doses of felzartamab, separated by a 28-week off-treatment period.
These courses are given in Part 1 and Part 2 of the trial.
Treatment: Drugs: Felzartamab
Administered IV
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants with Adverse Events
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Assessment method [1]
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Timepoint [1]
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Up to Week 104
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Secondary outcome [1]
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Change from Baseline in Urine Protein:Creatinine Ratio (UPCR)
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Assessment method [1]
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Timepoint [1]
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Baseline, Up to Week 104
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Secondary outcome [2]
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Proportion of Participants Who Achieve a Complete Renal Response (CRR)
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Assessment method [2]
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Timepoint [2]
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Week 24
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Secondary outcome [3]
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Proportion of Participants Who Achieve Overall Complete and Partial Renal Response (PRR: CRR+PRR)
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Assessment method [3]
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Timepoint [3]
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Week 24
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Secondary outcome [4]
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Change from Baseline in Serum Creatinine
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Assessment method [4]
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Timepoint [4]
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Baseline, Up to Week 104
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Secondary outcome [5]
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Change from Baseline in Urine Protein
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Assessment method [5]
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Timepoint [5]
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Baseline, Up to Week 104
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Secondary outcome [6]
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Change from Baseline in Estimated Glomerular Filtration Rate (eGFR)
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Assessment method [6]
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Timepoint [6]
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Baseline, Up to Week 104
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Secondary outcome [7]
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Change from Baseline in eGFR Slope
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Assessment method [7]
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Timepoint [7]
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Baseline, Up to Week 104
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Secondary outcome [8]
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Change from Baseline in Lupus Serologic Markers
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Assessment method [8]
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Timepoint [8]
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Baseline, Up to Week 104
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Secondary outcome [9]
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Felzartamab Serum Concentrations
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Assessment method [9]
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Timepoint [9]
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Up to Week 104
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Secondary outcome [10]
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Number of Participants with Anti-drug Antibodies to Felzartamab
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Assessment method [10]
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Timepoint [10]
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Baseline, Up to Week 104
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Eligibility
Key inclusion criteria
Part 1
* Diagnosis of Systemic Lupus Erythematosus (SLE) according to the 2019 European League Against Rheumatism (EULAR)/ American College of Rheumatology (ACR) criteria
* Diagnosis of International Society of Nephrology/ Renal Pathology Society (ISN/RPS) 2003 Class III or IV LN as evidenced by renal biopsy performed within 1 year prior to or during screening, either with or without the presence of Class V LN
* Proteinuria (urine protein to creatinine ratio) > 1.0 gram per gram (g/g), based on 24-hour urine collection during screening
* eGFR = 45 milliliter/minute/1.73 square meters (mL/min/1.73 m^2) (as calculated by the Chronic Kidney Disease Epidemiology Collaboration formula)
1. If eGFR is =35 to <45 mL/min/1.73m^2, renal biopsy must be within 6 months of screening and must not have >50% of glomeruli with sclerosis. If the renal biopsy was performed more than 6 months prior to screening, a repeat biopsy must be done during screening after all the other eligibility criteria are met
2. If eGFR is =45 mL/min/1.73 m^2, renal biopsy must be within 1 year prior to screening. If the renal biopsy was performed more than 1 year prior to screening, a repeat biopsy must be done during screening after all the other eligibility criteria are met
* History of inadequate response, for lack of efficacy or intolerance, to at least a three-month course of one standard of care treatment for lupus nephritis, as determined by the treating physician
Part 2
* Participants must complete Part 1 of the study to be eligible to participate in Part 2.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Part 1
* Presence of rapidly progressive glomerulonephritis, as defined by at least one of the following: crescent formation in > 50% of glomeruli on renal biopsy, sustained doubling of serum creatinine within 12 weeks of screening, or the investigator's opinion that the participant has rapidly progressive glomerulonephritis
* Greater than 50% of glomeruli with sclerosis on renal biopsy
* Currently requiring hemodialysis or peritoneal dialysis or expected to require dialysis during the study treatment period
* A previous kidney transplant or other organ transplant, or planned transplant within study treatment period
Part 2
* Did not complete Part 1 of the study
* Received protocol-prohibited medications in Part 1 such as calcineurin inhibitors (e.g., cyclosporine, tacrolimus, or voclosporin), alkylating agents including cyclophosphamide, or biologic agents other than felzartamab
* Progression of LN (as measured by worsening proteinuria and/or decreasing eGFR) has been observed such that in the opinion of the investigator the participant will not benefit from continuing in Part 2 of the study
Other protocol-defined inclusion/exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2026
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Westmead Hospital - Westmead
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Recruitment hospital [2]
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Princess Alexandra Hospital - Woolloongabba
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Monash Health - Melbourne
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Recruitment hospital [4]
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Western Health - Saint Albans
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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4102 - Woolloongabba
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Recruitment postcode(s) [3]
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3168 - Melbourne
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Recruitment postcode(s) [4]
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3021 - Saint Albans
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Recruitment outside Australia
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United States of America
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Arizona
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California
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United States of America
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Georgia
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United States of America
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Michigan
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New York
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Ohio
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United States of America
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Texas
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Argentina
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Capital Federal
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Argentina
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Ciudad Autonoma De Buenos Aires
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Argentina
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Cordoba
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Canada
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British Columbia
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Canada
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Ontario
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Canada
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Quebec
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Mexico
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Jalisco
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Mexico
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Mexico City
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Mexico
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Yucatan
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Mexico
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Chihuahua
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
HI-Bio, A Biogen Company
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
In this study, researchers will learn more about the use of felzartamab in people with active lupus nephritis, also known as LN. In people with LN, antibodies build up in the glomeruli of the kidneys. Antibodies are proteins in the blood used by the immune system to fight infection. Glomeruli are small filters that remove waste and extra fluid from the blood. This buildup leads to inflammation and damage to the kidneys. Kidney damage can lead to too much protein and blood leaking into the urine. High levels of protein in the urine, called proteinuria, are common in people with LN. Symptoms of LN can include fever, swelling in the legs and body, and high blood pressure. If left untreated, LN can eventually lead to kidney failure. In this study, researchers will learn more about how a study drug called felzartamab affects people with LN. Felzartamab is a monoclonal antibody, which means it is an antibody made in a laboratory. Felzartamab can target immune cells that produce antibodies, helping to lower their buildup in the kidneys. The main goal of this study is to learn more about the safety of felzartamab and how it works in the body of people with LN who are taking standard of care. This will help researchers decide if they should do more studies with felzartamab in people with LN. Standard of care is the usual treatment or care given to patients for a disease, as prescribed by their doctor. The main question researchers want to answer in this study are: • How many participants had adverse events during the study? An adverse event is a health problem that may or may not be caused by the study drug. It can happen during a clinical study or within a certain amount of time after the study has ended. Researchers will also learn more about: * How much felzartamab affects proteinuria and the level of creatinine in the urine. Creatinine is a protein that is released into the blood from normal muscle wear and tear. Its levels can help doctors understand how well your kidneys are working. * How many participants have a complete response. A complete response means that their urine protein levels decrease to a low level, and their kidney function stays stable. * How many participants have a 50% decrease in the level of protein and creatinine in their urine. * How much felzartamab affects the participants' lupus-related blood tests. * How the body processes felzartamab. * How many participants develop antibodies against felzartamab in the blood. This study will be done as follows: * Participants will be screened to check if they can join the study. The screening period will be up to 42 days. * Throughout the study, all participants will continue taking their standard of care, as prescribed by their doctor. * There are 2 parts in this study. In both parts, participants will receive felzartamab through an intravenous infusion, also known as an IV. This means it is being given into a vein. * In Part 1, participants will have up to 14 visits to their study research center. In Part 2, participants may have up to 15 visits. * Each participant will be in the study for about 2 years.
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Trial website
https://clinicaltrials.gov/study/NCT06064929
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Medical Director
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Address
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HI-Bio, A Biogen Company
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Fax
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Email
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Contact person for public queries
Name
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US Biogen Clinical Trial Center
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Address
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Phone
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1-866-633-4636
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06064929
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