Study summary

A complement-blocking pill halved the rate of kidney function loss over two years

APPLAUSE-IgAN final results · 477 people, phase 3 · Published March 2026, New England Journal of Medicine; FDA accelerated approval August 2024

21.4%reached kidney failure or major decline, vs 33.5% with placebo

What was tested

Iptacopan, a pill that blocks factor B in the alternative complement pathway (part of the immune system that damages the kidney filters), against placebo, for IgA nephropathy with high protein in the urine.

What they found

What it means

The first IgA nephropathy drug to show slower loss of kidney function over two years, not just less protein in the urine.

N Engl J Med, via PubMed ↗ ← Back to the outlook
Last reviewed 2026-11-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.