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Povetacicept

Phase 3

Immunoglobulin A Nephropathy | Small molecule | Nephrology |Vertex Pharmaceuticals Incorporated|Last Updated: Sep 4, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment605

FDA Designations

No designations recorded

Clinical trial landscape

Povetacicept · 6 trials · 11 indications

Phase 3 1Phase 2 2Phase 1 3
NCT06564142Evaluation of Efficacy of Povetacicept in Adults With Immunoglobulin A Nephropathy (IgAN)Immunoglobulin A Nephropathy
ACTIVE NOT_RECRUITING605 Analytics
PHASE3ACTIVE NOT_RECRUITING
Evaluation of Efficacy of Povetacicept in Adults With Immunoglobulin A Nephropathy (IgAN)
Immunoglobulin A NephropathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36
From Baseline at Week 36
Total Estimated Glomerular Filtration Rate (eGFR) Slope Through Week 104
From Baseline Through Week 104
Percent change in Total Immunoglobulin G (IgG)
Baseline and At Week 12
Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Baseline Up to Week 116
Proportion of Participants with Complete Clinical Remission Definition 1 (CR1)
At Week 104
Area Under the Concentration Versus Time Curve From the Time of Dosing to 28 Days (AUC0-28d) of Free Povetacicept
From Day 1 up to Day 30
Maximum Observed Plasma Concentration (Cmax) of Free Povetacicept
From Day 1 up to Day 30
Safety and Tolerability as Assessed by Adverse events (AEs) and Serious adverse events (SAEs)
Study Day 1 through 30 days after last dose of study drug
Part A: Safety as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Study Day 1 Through 24 Weeks After Last Dose Of Study Drug
Part B: Safety as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Study Day 1 Through 12 Weeks After Last Dose Of Study Drug

Secondary Endpoints

Change from Baseline in Serum Gd-IgA1 at Week 36
From Baseline at Week 36
Proportion of Participants to Achieve Hematuria Resolution at Week 36 (Among Participants With Hematuria at Baseline)
From Baseline at Week 36
Change From Baseline in eGFR at Week 104
From Baseline at Week 104
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PovetaciceptEXPERIMENTALParticipants will be randomized to receive Povetacicept.
PlaceboPLACEBO_COMPARATORParticipants will be randomized to receive placebo matched to Povetacicept.
Phase 2b: PovetaciceptEXPERIMENTALParticipants will be randomized to receive one of the two doses of Povetacicept.
Phase 3: PovetaciceptEXPERIMENTALParticipants will be randomized to receive one of the two doses of Povetacicept (dose selected based on Phase 2b).
Phase 3: Calcineurin Inhibitor (CNI)ACTIVE_COMPARATORParticipants will be randomized to receive the calcineurin inhibitor (CNI) Tacrolimus.
Part A1: Povetacicept BioavailabilityEXPERIMENTALParticipants will be randomized to receive one of the two Povetacicept formulations.
Part A2: Povetacicept BioavailabilityEXPERIMENTALParticipants will be randomized to receive one of the two Povetacicept formulations.
Part B1: Povetacicept BioequivalenceEXPERIMENTALParticipants will be randomized to receive one of the two Povetacicept presentations.
Part B2: Povetacicept BioequivalenceEXPERIMENTALParticipants will be randomized to receive one of the two Povetacicept presentations.
Part 1: Povetacicept 240mgEXPERIMENTALParticipants grouped in 3 cohorts by diagnosis will be administered Povetacicept
Part 2: Povetacicept Dose AEXPERIMENTALBased on the findings of Part 1, one or two dose levels may be assessed in Part 2; if two dose levels are assessed participants will be randomized to receive one of the two dose levels of Povetacicept

Interventions

NameTypeDescription
PovetaciceptDRUGSubcutaneous injection administration.
Placebo (matched to Povetacicept)DRUGPlacebo matched to Povetacicept subcutaneous injection administration.
PlaceboDRUGSolution for Subcutaneous Injection.
TacrolimusDRUGCapsules for Oral Administration.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites318

Key Inclusion Criteria: * Diagnosed IgAN, with biopsy confirmation * 24-hr proteinuria excretion ≥1.0 g/day or 24-hour uPCR ≥0.75 g/g * Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m\^2 * Stable angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARBs) ...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaChinaCroatiaCzechiaDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIrelandIsraelItalyJapanLatviaLithuaniaMexicoNetherlandsNorwayPolandSaudi ArabiaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United KingdomPuerto Rico
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Recent Changes (Last 90 Days)

LOWSep 4, 2026NCT07501702lastUpdatePostDate: changed
LOWSep 4, 2026NCT07501702lastUpdatePostDate: changed
LOWSep 2, 2026NCT07204275lastUpdatePostDate: changed
LOWSep 2, 2026NCT07204275lastUpdatePostDate: changed
LOWSep 2, 2026NCT07204275lastUpdatePostDate: changed
LOWAug 3, 2026NCT07501702lastUpdatePostDate: changed
LOWAug 3, 2026NCT07204275lastUpdatePostDate: changed
LOWAug 3, 2026NCT07501702lastUpdatePostDate: changed
LOWAug 3, 2026NCT07204275lastUpdatePostDate: changed
LOWJul 28, 2026NCT05757570lastUpdatePostDate: changed
LOWJul 28, 2026NCT05757570lastUpdatePostDate: changed
LOWJul 21, 2026NCT07501702lastUpdatePostDate: changed
LOWJul 20, 2026NCT07204275lastUpdatePostDate: changed
LOWJul 20, 2026NCT07204275lastUpdatePostDate: changed
LOWJun 29, 2026NCT07501702lastUpdatePostDate: changed
LOWJun 29, 2026NCT07204275lastUpdatePostDate: changed
LOWJun 29, 2026NCT07501702lastUpdatePostDate: changed
LOWJun 29, 2026NCT07204275lastUpdatePostDate: changed
LOWJun 12, 2026NCT07501702startDate: changed
LOWJun 12, 2026NCT07501702startDate: changed

Frequently asked questions about Povetacicept

What is Povetacicept used for?

Povetacicept is an investigational drug being studied for autoantibody-associated glomerular diseases, including primary membranous nephropathy, immunoglobulin A nephropathy, and lupus nephritis. It is also being evaluated for generalized myasthenia gravis and immune thrombocytopenia. The drug is currently in clinical development and is not approved by the FDA.

Who makes Povetacicept?

Povetacicept is being developed by Vertex Pharmaceuticals Incorporated, a biopharmaceutical company traded on the NASDAQ under the ticker VRTX. Vertex is conducting clinical trials of Povetacicept across multiple countries, including the United States, Australia, and several European and Asian nations.

What phase is Povetacicept in?

Povetacicept is in multiple phases of clinical development. It is in Phase 1 for healthy volunteers and for autoantibody-associated glomerular diseases, Phase 2 for primary membranous nephropathy, and Phase 3 for immunoglobulin A nephropathy. The drug remains investigational and has not received FDA approval.

What clinical trials is Povetacicept in?

Povetacicept is being studied in several clinical trials. NCT05732402 is a Phase 1 open-label study in autoantibody-associated glomerular diseases. NCT06564142 is a Phase 3 trial in immunoglobulin A nephropathy. NCT07010406 is a completed Phase 1 bioavailability study in healthy volunteers. NCT07204275 is a Phase 2 trial in primary membranous nephropathy.

What does Povetacicept target?

Povetacicept is a small molecule that targets the BAFF and APRIL pathways, which are involved in B-cell activation and autoantibody production. By modulating these pathways, the drug aims to reduce the autoimmune response implicated in diseases such as immunoglobulin A nephropathy and lupus nephritis.