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IgA Vasculitis with Nephritis Clinical Trials and Treatments

Also called IgA vasculitis, Henoch-Schönlein purpura

IgA vasculitis (formerly Henoch-Schönlein purpura) is a small-vessel immune complex vasculitis characterized by predominant IgA deposition in involved organs (kidneys, skin, GI tract). The condition presents with characteristic tetrad of palpable purpura (small red spots on lower extremities and buttocks), arthritis/arthralgias, abdominal pain, and glomerulonephritis, though not all features present in every patient.

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About IgA Vasculitis with Nephritis

IgA vasculitis (formerly Henoch-Schönlein purpura) is a small-vessel immune complex vasculitis characterized by predominant IgA deposition in involved organs (kidneys, skin, GI tract). The condition presents with characteristic tetrad of palpable purpura (small red spots on lower extremities and buttocks), arthritis/arthralgias, abdominal pain, and glomerulonephritis, though not all features present in every patient.

IgA-dominant glomerulonephritis develops in approximately 40-50% of patients with systemic disease; when kidney biopsy performed in all patients, IgA deposition found in ~100%. The glomerulonephritis ranges from microscopic hematuria and mild proteinuria to rapidly progressive glomerulonephritis with crescents requiring urgent intervention. About 1-5% of children progress to end-stage renal disease requiring dialysis or transplantation, while progression rates are significantly higher in adults (5-10% at 5 years). GI manifestations range from mild abdominal pain to life-threatening gastrointestinal bleeding requiring transfusion and endoscopic intervention.

Secondary complications including HUS (hemolytic uremic syndrome) and pulmonary hemorrhage occur occasionally. Elevated serum IgA level is characteristic but not diagnostic, as elevated IgA occurs in other conditions. Most children achieve complete remission of systemic disease, though renal involvement duration and severity predict persistent or progressive renal disease.

Common Symptoms of IgA Vasculitis with Nephritis

Recognizing the signs of IgA Vasculitis with Nephritis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Palpable purpura on lower extremities and buttocks
  • Arthritis and arthralgias
  • Glomerulonephritis with hematuria and proteinuria
  • Abdominal pain and GI bleeding
  • Renal dysfunction and hypertension
  • Elevated serum IgA levels

Who IgA Vasculitis with Nephritis Affects

Most common in children ages 3-10 years with peak incidence 4-6 years, though can occur at any age from infancy to elderly. Slight male predominance at approximately 1.5:1 to 2:1 male-to-female ratio. Significantly higher prevalence in East Asian populations (particularly Japan, Korea, China) and Mediterranean populations compared to Northern European and African populations.

Estimated prevalence varies 5-10 fold between populations. Seasonal variation with increased incidence in autumn and winter correlating with upper respiratory infections. Often preceded by upper respiratory infection or other infectious trigger 1-2 weeks prior to symptom onset. Recurrent or persistent hematuria occurs in approximately 40% of patients even after systemic disease resolution.

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Trusted IgA Vasculitis with Nephritis Resources

Reputable organizations and medical references for learning more about IgA Vasculitis with Nephritis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for IgA Vasculitis with Nephritis

Use this IgA Vasculitis with Nephritis clinical trial finder to see the 7 studies recruiting patients and 1 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for kidney & renal conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

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Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

8 active trials worldwide
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NOT YET RECRUITINGEARLY_PHASE1Recently updatedNCT07389499

A Clinical Study Evaluating the Safety and Efficacy of GT719 Universal Cell Injection in the Treatment of Immune-mediated Kidney Diseases

Intervention: CD19-targeted iNKT Cell Injection

Sponsor: Grit Biotechnology

This study is a single-arm, open-label, dose-escalation and dose-expansion clinical trial, divided into two phases: the first phase is the dose-escalation phase, and the second phase is the dose-expansion phase. In the dose-escalation phase, approximately 9-18 adult participants ...

Ages 18 Years – 75 Years1 location
Started Aug 2027Updated 3 weeks agoEst. Jun 2028 (~1y 9m)
RECRUITINGEARLY_PHASE1Recently updatedNCT07203404

A Study of Anti-CD19/BCMA Universal CAR-T Cell Therapy RD06-05 in Patients With Autoimmune Diseases.

Intervention: RD06-05 CART Cell Injection

Sponsor: Nanjing Bioheng Biotech Co., Ltd.

An Exploratory, Single-Arm, Open-Label, Dose-Escalation Study of the Safety, Tolerability, PK, PD, and Efficacy of Anti-CD19/BCMA Universal CAR-T Therapy RD06-05 in Autoimmune Diseases (including SLE/LN, AAV/AAGN, Anti-GBM, MN, SSc, and IIM).

Ages 18 Years – 75 Years1 location
Started Jul 2025Updated 2 months agoEst. Jul 2027 (~9 months)
RECRUITINGPHASE3Recently updatedNCT07024563

Study of Ravulizumab in Pediatric Participants With Primary IgAN

Intervention: Ravulizumab

Sponsor: Alexion Pharmaceuticals, Inc.

The primary objectives of this study are to characterize ravulizumab pharmacokinetics (PK) and pharmacodynamics (PD), and to evaluate safety and efficacy following ravulizumab IV dosing in pediatric participants with IgAN or IgAVN.

Ages 2 Years – 18 Years15 locations
Started Jun 2025Updated 2 months agoEst. Nov 2028 (~2y 1m)
RECRUITINGPHASE2Updated a few months agoNCT06983028

Atacicept in Multiple Glomerular Diseases

Intervention: Atacicept

Sponsor: Vera Therapeutics, Inc.

A study to find how well atacicept works and how safe it is in participants with autoimmune kidney disease.

Ages 2 Years+1 location
Started Jul 2025Updated 3 months agoEst. Nov 2027 (~1y 1m)
RECRUITINGPHASE2Updated a few months agoNCT05003986

Study of Sparsentan Treatment in Pediatrics With Proteinuric Glomerular Diseases

Intervention: Sparsentan, Sparsentan, Sparsentan

Sponsor: Travere Therapeutics, Inc.

To evaluate the safety, efficacy and tolerability of sparsentan oral suspension and tablets, and assess changes in proteinuria after once-daily dosing over 108 weeks.

Ages 1 Year – 17 Years47 locations
Started Aug 2021Updated 4 months agoEst. Mar 2027 (~5 months)
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Active trial locations23 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Kidney & Renal Conditions

Other rare diseases in the kidney & renal category. Patients with IgA Vasculitis with Nephritis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing IgA Vasculitis with Nephritis Treatments

4 pharmaceutical companies have IgA Vasculitis with Nephritis in their rare disease portfolio

Frequently Asked Questions About IgA Vasculitis with Nephritis