PS-002 for the Treatment of IgA Nephropathy in Adults

Prior treatment

• Having a major concurrent non-IgAN-related disease that, in the opinion of the investigator, prevents the assessment of IgAN.
• History of serious infection requiring parenteral antibiotics within the past 8 weeks prior to study drug administration.
• Exposed to a live or attenuated vaccine within the 6 weeks prior to study drug administration.
• Participants with a known sensitivity or intolerance to corticosteroid therapy.
• Prior treatment with PS-002 or any other gene therapy, or participation in any other investigational trial during this study.
• Participants treated with potentially hepatotoxic medications unless they have been monitored in accordance with the drug label and have received a stable dose since \>90 days prior to dosing without clinically significant liver enzyme fluctuations.
  • Note: Other protocol-defined inclusion/exclusion criteria may apply.

Other illness

• Any secondary IgAN defined as associated with gastrointestinal and liver disorders (liver cirrhosis, celiac disease, Crohn's disease, ulcerative colitis), autoimmune disorders (dermatitis herpetiformis, psoriasis, seronegative arthritis, systemic lupus erythematosus, rheumatoid arthritis), malignancy (IgA myeloma, lymphoma, lung cancer, renal cell cancer, cutaneous T-cell lymphoma), respiratory disorders (bronchiolitis obliterans, idiopathic pulmonary fibrosis) etc.
• History of malignancy; or bone marrow or organ transplant.
• History of, or currently active primary or secondary immunodeficiency, including known history of human immunodeficiency virus infection, and other severe immunodeficiency blood disorders.
• Presence of other significant medical conditions that would create an unacceptable procedure or anesthesia risk.
• Known hypersensitivity to study drug ingredients.
• Positive serology for hepatitis B or C, i.e., positive hepatitis B surface antigen or hepatitis C ribonucleic acid (RNA) viral load positive.

Lab values

• A participant has nephrotic syndrome, defined for this purpose as 24 h urine protein greater than 3.5g with concurrent hypoalbuminemia (serum albumin less than 3.0 g/dL \[less than 30 g/L\]).
• Participants previously treated with immunosuppressive/immunomodulatory agents such as, but not limited to, cyclophosphamide, infliximab, complement inhibitor, canakinumab, mycophenolate mofetil, mycophenolate sodium, cyclosporine, tacrolimus, everolimus, or systemic corticosteroids (exposure greater than 7.5mg/day prednisone/prednisolone equivalent) within 90 days (or 180 days for rituximab) prior to Screening. Participants previously or currently receiving oral budesonide (Kinpeygo/Tarpeyo) require wash out for 90 days prior to the study drug administration.

Other

• Aspartate aminotransferase or alanine aminotransferase greater than 1.5 times the upper limit of normal.

• Diagnosis of primary IgA nephropathy (IgAN) as evidenced by renal biopsy.
• A historic kidney biopsy performed within 36 months prior to screening with reported evidence of complement component 3 (C3) deposition. If the participant had a kidney biopsy performed over 36 months prior to Screening, a new kidney biopsy should be carried out during the Screening period. This biopsy must exhibit signs of ongoing complement system activity.
• Proteinuria assessed during screening as UPCR greater than or equal to 0.75 g/g (greater than or equal to 750 mg/g) OR total protein excretion greater than or equal to 1 g/24 h (greater than or equal to 1000 mg/24h) sampled from 24 h urine collection.
• eGFR calculated using the CKD-EPI formula greater than or equal to 30 mL/min/1.73m\^2.
• Sitting office systolic blood pressure equal to or less than 140 mmHg, diastolic blood pressure equal to or less than 90 mmHg.
• All participants must have been on best supportive care for IgAN, as per region-specific requirements defined in the protocol.