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Tegoprubart

Phase 3

Kidney Transplant Rejection | Small molecule | Nephrology |Eledon Pharmaceuticals, Inc.|Trials Updated: Sep 30, 2026

Tegoprubart development status

Highest phase Phase 3
Registered trials 8 across 3 sponsors since Mar 2020

Tegoprubart target and mechanism

Molecular targetCD40LG
Target classInhibitor
ModalitySmall molecule

Also known as AT-1501

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials5
Total Enrollment981

FDA Designations

FAST_TRACK

Tegoprubart clinical trials

Tegoprubart · 5 trials · 3 indications

Phase 3 1Phase 2 3Phase 1 1
NCT07835581Study of Tegoprubart Efficacy and Safety Compared With Tacrolimus in Kidney TransplantationKidney Transplant Rejection
NOT YET_RECRUITING620 Analytics
PHASE3NOT YET_RECRUITING
Study of Tegoprubart Efficacy and Safety Compared With Tacrolimus in Kidney Transplantation
Kidney Transplant RejectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy failure rate at 12 months post-transplant, defined as the first occurrence of biopsy proven acute rejection, graft loss, or death
12 months post-transplant
Safety and Tolerability - Incidence of Treatment Emergent Adverse Events
Assessed from date of enrollment through Month 48

Incidence of treatment-emergent serious adverse events (TESAEs), treatment-emergent adverse events (TEAEs), and treatment-emergent AEs of special interest (TEAEoSI).

Safety and Tolerability - Kidney Transplant Medication Side Effects
Assessed from date of enrollment through Month 48

Kidney transplant medication side effects using the Modified Transplant Symptom Occurrence and Symptom Distress Scale-59 (MTSOSD) at baseline and 12, 24, 36, and 48 months.

eGFR at 12 months
Assessed from date of transplant through Day 364 (Month 12)

Estimated Glomerular Filtration Rate (eGFR) at 12 months post-transplant

Safety and Tolerability
Up to 18 Weeks

Incidence of adverse events (AEs) reported as number of participants with at least one TEAE (Treatment Emergent Adverse Event) and at least one SAE (Serious Adverse Event).

Safety Incidences
Through study completion, an average up to 20 months

Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and Adverse Events of Special Interest (AESIs)

Pharmacokinetic- PK profile
Day 1 and at steady state Month 3

PK profile of the first dose of AT 1501 and at steady state Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (Ct), calculated using noncompartmental analysis (AUC0-t)

Pharmacokinetic- Area under the plasma concentration
Day 1 and at steady state Month 3

Area under the plasma concentration versus time curve from time 0 extrapolated to infinity, calculated using noncompartmental analysis (AUC0-inf)

Pharmacokinetic- Cmax
Day 1 and at steady state Month 3

Maximum observed plasma concentration (Cmax)

Pharmacokinetic- Tmax
Day 1 and at steady state Month 3

Time to reach maximum observed plasma concentration (Tmax)

Pharmacokinetic- Ke
Day 1 and at steady state Month 3

Terminal elimination rate constant (Ke)

Pharmacokinetic- (t1/2)
Day 1 and at steady state Month 3

Terminal phase half-life (t1/2)

Pharmacokinetic- CL
Day 1 and at steady state Month 3

Clearance (CL)

Pharmacokinetic- (Vdss)
Day 1 and at steady state Month 3

Volume of distribution at steady state (Vdss)

Secondary Endpoints

Proportion of participants with for-cause biopsy proven acute rejection, graft loss, or death
12 months post-transplant
Participant and graft survival
12 months post-transplant
iBox score at 12 months post-transplant survival
12 months post-transplant
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Investigative ArmEXPERIMENTALTegoprubart
Comparator ArmACTIVE_COMPARATORTacrolimus
AT-1501EXPERIMENTALAT-1501 20 mg/kg administered every 3 weeks IV + MMF 1000 mg per os (orally) (PO) twice daily (BID) or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO once daily (QD) or equivalent
TacrolimusACTIVE_COMPARATORTacrolimus dosed PO BID with the dose titrated to maintain a trough concentration of 6-8 ng/mL+ MMF 1000 mg PO BID or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO QD or equivalent
InvestigativeEXPERIMENTALAT-1501 monoclonal antibody targeting CD40L given as an IV infusion
ComparatorACTIVE_COMPARATORTacrolimus administered BID, targeting a whole blood trough concentration of 6-12 ng/mL until Month 6, and 6-8 ng/mL thereafter
AT-1501 Single ArmEXPERIMENTALAT-1501 monoclonal antibody targeting CD40L given as an IV infusion

Interventions

NameTypeDescription
TegoprubartDRUGTegoprubart administered via IV infusion
TacrolimusDRUGTacrolimus administered orally
AT-1501DRUGAT-1501 20 mg/kg administered every 3 weeks IV + MMF 1000 mg PO twice daily (BID) or MPS 720 mg PO BID + Corticosteroids 5 mg of prednisone PO once daily (QD) or equivalent
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Undergoing kidney transplant with a living or deceased donor kidney * Adult participants that have reached the age of consent and are ≥18 years of age * Written informed consent prior to any study assessment Exclusion Criteria: * Conditions or circumstances that, in the inve...

Countries:United StatesAustraliaBrazilCanadaFranceGermanySpainUnited Kingdom
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Recent Changes (Last 90 Days)

LOWSep 30, 2026NCT07835581lastUpdatePostDate: changed
LOWSep 30, 2026NCT07835581lastUpdatePostDate: changed
LOWSep 23, 2026NCT07835581NEW_TRIAL: changed
LOWSep 23, 2026NCT07835581NEW_TRIAL: changed
MEDIUMAug 22, 2026NCT05983770TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT05983770TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT05983770TRIAL_REMOVED: changed
MEDIUMAug 22, 2026NCT05983770TRIAL_REMOVED: changed

Frequently asked questions about Tegoprubart

What is Tegoprubart?

Tegoprubart is an investigational small molecule developed by Eledon Pharmaceuticals, Inc. (ticker ELDN). It is being studied in kidney transplant rejection and prevention of rejection in kidney transplant, and in amyotrophic lateral sclerosis. It has received an orphan drug designation from the FDA.

What is Tegoprubart used for?

Tegoprubart is being developed for prevention of rejection in kidney transplant and for kidney transplant rejection, and it is also being studied in amyotrophic lateral sclerosis. It is investigational and has not been approved for any use.

What does Tegoprubart target?

Tegoprubart targets CD40LG, also known as CD40 ligand. It is an inhibitor of this target. By binding CD40LG, the drug is designed to interfere with CD40-CD40L costimulatory signaling, a pathway involved in immune activation relevant to transplant rejection.

Who makes Tegoprubart?

Tegoprubart is developed by Eledon Pharmaceuticals, Inc., which trades under the ticker ELDN. Eledon is the sponsor of the clinical program studying the drug in kidney transplant recipients and in amyotrophic lateral sclerosis.

What phase is Tegoprubart in?

Tegoprubart is in Phase 2 development overall, with a Phase 3 trial planned in kidney transplantation. It is investigational and has not been approved by the FDA. The program includes one completed Phase 2 trial, one active Phase 2 trial, and a Phase 3 study that is not yet recruiting.

What clinical trials is Tegoprubart in?

Tegoprubart trials include NCT07835581, a Phase 3 study comparing it with tacrolimus in kidney transplantation that is not yet recruiting; NCT06126380, a Phase 2 long-term safety and efficacy study enrolling by invitation; NCT05983770, a completed Phase 2 study; and NCT05027906, a recruiting Phase 1 study.

Is Tegoprubart the same as AT-1501?

Yes, Tegoprubart is also known as AT-1501. AT-1501 is the earlier name used for the same investigational compound, and it appears in the title of the Phase 1 trial NCT05027906. Searches for either name refer to the same Eledon Pharmaceuticals drug candidate.