ETA and AT1 Antagonism in ANCA-vasculitis (SPARVASC)
NCT05630612 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2025-08-24
Summary
ANCA-associated vasculitis is an autoimmune disease that causes damage to blood vessels. This leads to organ damage with the number of organs affected and the severity of damage varying significantly between patients.
Vasculitis patients also have a very high risk of heart attacks and strokes, called cardiovascular disease. A chemical called 'endothelin', produced by the blood vessels, causes vessels to stiffen and raises blood pressure and this associates with cardiovascular risk.
The investigators have previously shown that by blocking the effects of endothelin you reduce vessel stiffness, lower blood pressure and improve vessel function. However, these studies only blocked endothelin for a few hours. Now, the investigators would like to see if it is possible to maintain these benefits by blocking endothelin for longer.
Sparsentan is a tablet that blocks endothelin and lowers blood pressure. The investigators plan to give sparsentan to patients with vasculitis for 6 weeks. To determine if any beneficial effects of sparsentan are due to blood pressure lowering the investigators will give another group of vasculitis patients a tablet called irbesartan which lowers blood pressure but does not block endothelin. The investigators will compare the results between the two groups.
Conditions
- ANCA Associated Vasculitis
- Cardiovascular Diseases
- Kidney Diseases
Interventions
- DRUG
-
Sparsentan
6 weeks of treatment with sparsentan or irbesartan. This will be administered in a double-blind fashion.
Sponsors & Collaborators
-
Travere Therapeutics, Inc.
collaborator INDUSTRY -
University of Edinburgh
lead OTHER
Principal Investigators
-
Neeraj Dhaun · University of Edinburgh
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-12-08
- Primary Completion
- 2024-07-18
- Completion
- 2027-09-01
Countries
- United Kingdom
Study Locations
More Related Trials
-
Avacopan vs Reduced-dose Glucocorticoids in ANCA-associated Vasculitis
NCT06611696 ·Status: RECRUITING ·Phase: PHASE4
-
A Study to Evaluate Efficacy and Safety of Subcutaneous Abatacept With Steroid Treatment Compared to Steroid Treatment Alone in Adults With Giant Cell Arteritis (GCA)
NCT03192969 ·Status: WITHDRAWN ·Phase: PHASE3
-
SuPAR in Adult Patients With Covid-19
NCT04590794 ·Status: COMPLETED
-
Abatacept in ANCA Associated Vasculitis
NCT00482066 ·Status: TERMINATED ·Phase: PHASE2
-
Evaluation of Glucocorticoids Plus Rituximab in Patients with Newly-Diagnosed or Relapsing IgA Vasculitis
NCT05329090 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Maintaining or Stopping Immunosuppressive Therapy in Patients With ANCA Vasculitis and End-stage Renal Disease
NCT03323476 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Pilot Study to Evaluate the Safety and Efficacy of Abatacept in Adults and Children 6 Years and Older With Excessive Loss of Protein in the Urine Due to Either Focal Segmental Glomerulosclerosis (FSGS) or Minimal Change Disease (MCD)
NCT02592798 ·Status: COMPLETED ·Phase: PHASE2
-
Phase III Study of Efficacy and Safety of Secukinumab Versus Placebo, in Combination With Glucocorticoid Taper Regimen, in Patients With Giant Cell Arteritis (GCA)
NCT04930094 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis
NCT01363388 ·Status: COMPLETED ·Phase: PHASE2
-
Retinoids in ANCA Small Vessel Vasculitis: Silencing Autoantigens
NCT01275274 ·Status: WITHDRAWN ·Phase: PHASE2
-
Rituximab Plus Corticosteroids in Non-infectious Active Mixed Cryoglobulinemia Vasculitis
NCT02556866 ·Status: TERMINATED ·Phase: PHASE2
-
Iptacopan in Patients With ANCA Associated Vasculitis
NCT06388941 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Plasma Exchange and Glucocorticoids for Treatment of Anti-Neutrophil Cytoplasm Antibody (ANCA) - Associated Vasculitis
NCT00987389 ·Status: COMPLETED ·Phase: PHASE3
-
Abatacept in Treating Adults With Mild Relapsing Wegener's Granulomatosis
NCT00468208 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Intravenous Immunoglobulin After Relapse in Vasculitis
NCT00307658 ·Status: TERMINATED ·Phase: PHASE3
-
Efficacy Study of Two Treatments in the Remission of Vasculitis
NCT00748644 ·Status: COMPLETED ·Phase: PHASE3
-
Hydroxychloroquine in ANCA Vasculitis Evaluation
NCT04316494 ·Status: TERMINATED ·Phase: PHASE4
-
A Phase 3 Clinical Trial of CCX168 (Avacopan) in Patients With ANCA-Associated Vasculitis
NCT02994927 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison Study of Two Rituximab Regimens in the Remission of ANCA Associated Vasculitis
NCT01731561 ·Status: COMPLETED ·Phase: PHASE3
-
Safe Effective Therapy With Low-Dose Glucocorticoid in ANCA-Associated Vasculitis (SAFE-LOW)
NCT06983821 ·Status: RECRUITING ·Phase: PHASE3
-
CASPA: CArdiac Sarcoidosis in PApworth
NCT03599414 ·Status: COMPLETED
-
Targeting Complement Activation in Antineutrophil Cytoplasmic Autoantibodies (ANCA)-Vasculitis - Eculizumab
NCT01275287 ·Status: WITHDRAWN ·Phase: PHASE2
-
Abatacept for the Treatment of Relapsing, Non-Severe, Granulomatosis With Polyangiitis (Wegener's)
NCT02108860 ·Status: COMPLETED ·Phase: PHASE3
-
Pilot Study of Short-Course Glucocorticoids and Rituximab for Treatment of ANCA-Associated Vasculitis
NCT02169219 ·Status: COMPLETED ·Phase: PHASE4
-
PRO Development for ANCA Associated Vasculitis
NCT01729624 ·Status: UNKNOWN