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Taking people in United StatesPhase 1

Avacopan given by feeding tube in vasculitis with severe lung bleeding

Studies how the body handles avacopan in ventilated adults with vasculitis and lung bleeding.

Plain-language title generated from the registry record
Registry title: Pharmacokinetics Of Emulsified Avacopan Applied By NG Tube

Key facts

Where
Rochester, United StatesSee the site
Phase
Phase 1

Where in United States

  • Mayo Clinic in RochesterRochester, United StatesTaking people

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Trial details

Who runs it
Mayo Clinic
Trial code
NCT07556484
Record updated
20 October 2026
Original description
The purpose of this study is to determine the 72-hour pharmacokinetics of emulsified avacopan at a dose of 30 mg twice daily given to up to 6 patients with active severe GPA or MPA with diffuse alveolar hemorrhage (DAH) requiring mechanical ventilation for respiratory support.Read full original descriptionShow less

Pharmacokinetics Of Emulsified Avacopan In ANCA-associated Vasculitis With Severe Diffuse Alveolar Hemorrhage

The purpose of this study is to determine the 72-hour pharmacokinetics of emulsified avacopan at a dose of 30 mg twice daily given to up to 6 patients with active severe GPA or MPA with diffuse alveolar hemorrhage (DAH) requiring mechanical ventilation for respiratory support.

Inclusion: Fulfillment of the definitions of the Second Chapel Hill Consensus Conference for ANCA-associated vasculitis (either granulomatosis with polyangiitis (GPA) or microscopic polyangiitis MPA); Positivity for ANCA, directed against PR3 or MPO; Diffuse alveolar hemorrhage; Respiratory failure requiring mechanical ventilation; Severe newly diagnosed disease or severe relapsing disease. Severe new or relapsing disease is defined as at least one major BVAS/WG item or a score ≥ 3 and the investigator deems standard treatment for severe disease is necessary; Minimum BVAS-WG of 3; Requirement of standard-of-care remission induction therapy for active severe ANCA-associated vasculitis (GPA or MPA).

Exclusion: Previous administration of avacopan within the last 5 days; Concomitant use of a strong CYP3A4 inhibitor; Evidence of prior active or current Hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency (HIV) infection; Diagnosis with eosinophilic granulomatosis with polyangiitis (EGPA, formally Churg-Strauss syndrome) as defined by the Chapel Hill consensus conference; Allergies: History of severe allergic reaction to avacopan; History of documented anti-glomerular basement membrane disease (anti-GBM disease); Active serious infection, including localized infection; Aspartate aminotransferase [AST], alanine amino transferase [ALT], alkaline phosphatase, or total bilirubin elevation >2.5 times the upper limit of normal (unless attributed to vasculitis) on routine liver function testing obtained within 3 days prior to anticipated treatment with avacopan; Pregnancy and breastfeeding.

ClinicalTrials.gov NCT07556484