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RE-021

Phase 2

Focal Segmental Glomerulosclerosis | Small molecule | Other |Travere Therapeutics, Inc.|Last Updated: May 15, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment109
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01613118Randomized, Double-Blind, Safety and Efficacy Study of RE-021 (Sparsentan) in Focal Segmental GlomerulosclerosisPHASE2 COMPLETED 109Mar 1, 2014Mar 25, 2024May 15, 202533 United States, Czechia +1
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Study Endpoints
Primary Endpoints
Percent Change in Urine Protein/Creatinine (Up/C)
8 weeks

Primary efficacy objective is to determine the change in UP/C in FSGS patients receiving RE-021 (Sparsentan) from baseline to 8 weeks over a range of dose levels compared to treatment with irbesartan as active control.

Secondary Endpoints
Percentage of Patients Achieving FSGS Partial Remission Endpoint (FPRE)
8 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
RE-021 (Sparsentan) 200 mg - Double-Blind PeriodEXPERIMENTALRE-021 (Sparsentan) will be administered as a single oral morning dose. In this ARM the RE-021 (Sparsentan) dose will be 200mg. Patients at \</= 50kg will receive half of the RE-021 (Sparsentan) dose for the 8 week duration.
RE-021 (Sparsentan) 400 mg - Double-Blind PeriodEXPERIMENTALRE-021 (Sparsentan) will be administered as a single oral morning dose. In this ARM the RE-021 (Sparsentan) dose will be 400mg. Patients at \</= 50kg will receive half of the RE-021 (Sparsentan) dose for the 8 week duration.
RE-021 (Sparsentan) 800 mg - Double-Blind PeriodEXPERIMENTALRE-021 (Sparsentan) will be administered as a single oral morning dose. In this ARM the RE-021 (Sparsentan) dose will be 800mg. Patients at \</= 50kg will receive half of the RE-021 (Sparsentan) dose for the 8 week duration.
Irbesartan 300 mg - Double-Blind PeriodACTIVE_COMPARATORThe control will be administered irbesartan as a single oral dose of 150mg for the first week before escalating to 300mg for the remaining 7 weeks. Patients at \</= 50kg will receive 150mg irbesartan for the 8 week duration.
RE-021 (Sparsentan) - Open-Label Extension PeriodEXPERIMENTALIncludes all subjects who completed the Double-Blind period and enrolled in the Open-Label Extension period of the study. All subjects who completed the Double-Blind period were evaluated for response and safety at the Week 8 visit to determine eligibility for continued treatment on their assigned doses in an Open-Label Extension period for up to 496 additional weeks. Subjects treated with irbesartan during the Double-Blind period were offered sparsentan treatment at the dose they would have received according to the Double-Blind dose cohort in which they were enrolled.
Interventions
NameTypeDescription
RE-021 (Sparsentan)DRUGOral, once-daily
IrbesartanDRUGOral, once-daily
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Eligibility Criteria
Age Range8 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria 1. Biopsy-proven FSGS OR documentation of a genetic mutation in a podocyte protein associated with the disease. 2. Urine protein/creatinine ratio (Up/C) at or above 1.0 g/g. 3. Estimated glomerular filtration rate (eGFR) \>30. 4. Mean seated blood pressure (BP) \>100/60 mmHg and ...

Countries:United StatesCzechiaItaly
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