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Felzartamab

Phase 3

Antibody-mediated Rejection | Small molecule | Immunology |Biogen Inc.|Last Updated: Jul 23, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment355
FDA Designations
BREAKTHROUGH_THERAPY
Clinical trial landscape

Felzartamab · 9 trials · 7 indications

Phase 3 4Phase 2 4Phase 1 1
NCT07444489A Study to Learn More About the Long-Term Safety and Effects of Felzartamab Infusions in Adults With Kidney Transplants Who Have Antibody-Mediated Rejection (AMR) or Microvascular Inflammation (MVI) (TRANSCEND/TRANSPIRE LTE)Antibody-mediated Rejection
ENROLLING BY_INVITATION201 Analytics
NCT06962800A Study to Learn More About the Effects and Safety of Felzartamab Infusions in Adults With Primary Membranous Nephropathy (PMN)Primary Membranous Nephropathy
RECRUITING180 Analytics
NCT06935357A Study to Learn About the Effects of Felzartamab Infusions on Adults With Immunoglobulin A Nephropathy (IgAN)Immunoglobulin A Nephropathy (IgAN)
RECRUITING454 Analytics
NCT06685757A Study to Learn More About the Effects and Safety of Felzartamab Infusions in Adults With Kidney Transplants Who Have Antibody-Mediated Rejection (AMR)Antibody-mediated Rejection
ACTIVE NOT_RECRUITING132 Analytics
PHASE3ENROLLING BY_INVITATION
A Study to Learn More About the Long-Term Safety and Effects of Felzartamab Infusions in Adults With Kidney Transplants Who Have Antibody-Mediated Rejection (AMR) or Microvascular Inflammation (MVI) (TRANSCEND/TRANSPIRE LTE)
Antibody-mediated RejectionUnlock trial analytics
PHASE3RECRUITING
A Study to Learn More About the Effects and Safety of Felzartamab Infusions in Adults With Primary Membranous Nephropathy (PMN)
Primary Membranous NephropathyUnlock trial analytics
PHASE3RECRUITING
A Study to Learn About the Effects of Felzartamab Infusions on Adults With Immunoglobulin A Nephropathy (IgAN)
Immunoglobulin A Nephropathy (IgAN)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Learn More About the Effects and Safety of Felzartamab Infusions in Adults With Kidney Transplants Who Have Antibody-Mediated Rejection (AMR)
Antibody-mediated RejectionUnlock trial analytics
Study Endpoints
Primary Endpoints
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Events of Special Interest (AESI)
From first dose of study drug up to end of study follow-up (Up to Week 204)
Number of Participants who Discontinue Treatment due to an AE
From first dose of study drug up to end of study follow-up (Up to Week 204)
Number of Participants with Clinically Significant Laboratory, Vital Signs and Electrocardiograms (ECGs) Abnormalities
From first dose of study drug up to end of trial visit (up to Week 200)
Percentage of Participants who Achieve Complete Remission (CR) at Week 104
Week 104
Percent Change From Baseline in Proteinuria as Measured by the Urine Protein: Creatinine Ratio (UPCR)
Baseline up to Week 36
Part A: Percentage of Participants Who Achieve Biopsy-proven Histologic Resolution (BPHR)
Week 24
Incidence of treatment-emergent adverse events
12 months

(Serious) adverse events will be classified using the Medical Dictionary for Regulatory Activities (MedDRA). Documentation of an AE will include the assessment of its relationship with the study drug (unrelated, related) and the severity of AE will be graded on a three-point scale (mild, moderate, severe).

Part 1: Relative Change From Baseline in Urine Protein to Creatinine Ratio (UPCR) in 24-hour Urine at Month 9
Baseline, Month 9

Proteinuria is high levels of protein in the urine and is measured by UPCR. Relative change in UPCR was estimated based on mixed effects model for repeated measure (MMRM) model. Least squares (LS) mean and standard error (SE) were reported. The reference proteinuria value before start of treatment is defined as the mean of the values determined at screening and prior to baseline (visit 2) predose (UPCR from 24h urine). Negative change from baseline indicates less proteinuria.

Percentage of Participants who are Euthyroid and off Anti-Thyroid Drugs (ATD) at Week 24
At Week 24
Number of Participants with Adverse Events
Up to Week 104
Secondary Endpoints
Percentage of Participants Achieving Biopsy-proven Histologic Resolution (BPHR)
Up to Week 200
Microvascular Inflammation (MVI) Score
Up to Week 200
Percentage of Participants Achieving an MVI Score of 0 by Each Biopsy Timepoint
Up to Week 200
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Long-Term Extension: FelzartamabEXPERIMENTALParticipants will receive felzartamab, intravenously (IV), once every 8 weeks for up to 200 weeks in the LTE period.
Open-Label Treatment PhaseEXPERIMENTALParticipants will receive several intravenous (IV) doses of felzartamab or oral tacrolimus in the Open-Label Treatment Phase.
Non-Responder Treatment PhaseEXPERIMENTALParticipants initially randomized to felzartamab or tacrolimus who meet rescue criteria may receive regional standard of care immunosuppressive therapy (IST) per Investigator discretion or several IV doses of felzartamab, respectively, in the Non-Responder Treatment Phase.
Cohort 1EXPERIMENTALParticipants will receive several intravenous (IV) doses of felzartamab.
Cohort 2PLACEBO_COMPARATORParticipants will receive several IV doses of placebo.
Cohort 3EXPERIMENTALParticipants with an estimated glomerular filtration rate (eGFR) ≥ 20 and \<30 milliliter per minute per 1.73 square meter (mL/min/1.73m\^2) will receive several IV doses of felzartamab.
Cohort 4PLACEBO_COMPARATORParticipants with an eGFR ≥ 20 and \<30 mL/min/1.73m\^2 will receive several IV doses of placebo.
FelzartamabEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Part 1: PlaceboPLACEBO_COMPARATORParticipants were administered felzartamab matching placebo as an intravenous (IV) infusion on Days 1, 8, 15, 22, 29, 57, 85, 113 and 141.
Part 1: Felzartamab Dosing Arm M1EXPERIMENTALParticipants were administered felzartamab as an IV infusion based on their body weight on Days 1 and 15, and felzartamab matching placebo on Days 8, 22, 29, 57, 85, 113 and 141.
Part 1: Felzartamab Dosing Arm M2EXPERIMENTALParticipants were administered felzartamab as an IV infusion based on their body weight on Days 1, 8,15, 29, and 57, and felzartamab matching placebo on Days 22, 85, 113 and 141.
Part 1: Felzartamab Dosing Arm M3EXPERIMENTALParticipants were administered felzartamab as an IV infusion based on their body weight on Days 1,8,15, 22, 29, 57, 85, 113 and 141.
Part 2: Japan CohortEXPERIMENTALJapanese participants were administered felzartamab as an IV infusion based on their body weight on Days 1,8,15, 22, 29, 57, 85, 113 and 141.
Felzartamab or PlaceboEXPERIMENTALParticipants will receive multiple IV doses of felzartamab or placebo.
Placebo and FelzartamabPLACEBO_COMPARATORParticipants will receive multiple IV doses of placebo followed by multiple doses of IV felzartamab.
Interventions
NameTypeDescription
FelzartamabDRUGAdministered IV
TacrolimusDRUGAdministered orally
Standard of Care ISTDRUGAdministered intravenously and orally
PlaceboDRUGAdministered IV
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Eligibility Criteria
Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites2

Key Inclusion Criteria: * Have completed the parent study Week 52 visit or will be completing Week 52 visit procedures (for participants who sign consent before reaching the Week 52 visit). * Have received at least one dose of felzartamab in the parent studies, and had the following disposition sta...

Countries:United StatesArgentinaAustraliaBrazilCanadaChinaIndiaJapanMalaysiaSouth KoreaTaiwanBelgiumBulgariaColombiaCroatiaCzechiaFranceGermanyGreeceItalyNew ZealandPhilippinesPolandPortugalPuerto RicoSpainTurkey (Türkiye)United KingdomAustriaSwitzerlandGeorgiaSerbiaUkraine
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Recent Changes (Last 90 Days)
LOWJul 24, 2026NCT07722546NEW_TRIAL: changed
LOWJul 24, 2026NCT07722546NEW_TRIAL: changed
LOWJul 22, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 22, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 20, 2026NCT06962800lastUpdatePostDate: changed
LOWJul 20, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 20, 2026NCT06962800lastUpdatePostDate: changed
LOWJul 20, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 17, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 17, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 15, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 15, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 7, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 7, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 7, 2026NCT07219043lastUpdatePostDate: changed
LOWJul 7, 2026NCT06935357lastUpdatePostDate: changed
LOWJul 2, 2026NCT06935357lastUpdatePostDate: changed