Clinical Trials

Numerous clinical trials, spanning Phase 1 through Phase 4, evaluate sparsentan for proteinuric renal diseases, including IgA nephropathy, focal segmental glomerulosclerosis, Alport syndrome, and post-transplant glomerular conditions. Late-stage studies focus on its long-term safety and efficacy in reducing protein excretion and preserving renal function. Featuring both completed and actively recruiting studies, this research is supported by industry sponsors like Travere Therapeutics, Inc. in collaboration with academic centers such as Brigham and Women's Hospital and the University of Edinburgh.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04663204 RECRUITING
Immunoglobulin A Nephropathy; Kidney Diseases; Glomerulonephritis, IGA; Glomerulonephritis; Autoimmune Diseases; Immune System Diseases
University of Leicester
2020-12-10 PHASE2
NCT05003986 RECRUITING
Focal Segmental Glomerulosclerosis; Minimal Change Disease; Immunoglobulin A Nephropathy; IgA Vasculitis; Alport Syndrome
Travere Therapeutics, Inc.
2021-08-12 PHASE2
NCT07219121 ACTIVE_NOT_RECRUITING
Proteinuria; Immunoglobulin A (IgA) Nephropathy; Focal Segmental Glomerulosclerosis; Kidney Transplant
Travere Therapeutics, Inc.
2025-10-07 PHASE4
NCT07224776 RECRUITING
Proteinuric Renal Disease; Proteinuric Kidney Disease; Proteinuria; Proteinuria in Nephrotic Range
Brigham and Women's Hospital
2026-07-10 PHASE1
NCT05856760 COMPLETED
Immunoglobulin A Nephropathy
Travere Therapeutics, Inc.
2023-05-19 PHASE2
NCT05630612 ACTIVE_NOT_RECRUITING
ANCA Associated Vasculitis; Cardiovascular Diseases; Kidney Diseases
University of Edinburgh
2022-12-08 PHASE2
NCT05572229 Not yet recruiting
Multiple Myeloma
University Hospital Lille|Janssen Pharmaceutica N.V. Belgium
2023-09 Phase 2
NCT03762850 ACTIVE_NOT_RECRUITING
Immunoglobulin A Nephropathy
Travere Therapeutics, Inc.
2018-12-11 PHASE3
NCT03493685 COMPLETED
Focal Segmental Glomerulosclerosis
Travere Therapeutics, Inc.
2018-04-17 PHASE3
NCT05408026 Withdrawn
Relapsed or Refractory Multiple Myeloma
Alliance Foundation Trials LLC.|Janssen LP|Celgene
2022-10-01 Phase 1|Phase 2
NCT05004259 Active not recruiting
Hemolytic Anemia
Dartmouth-Hitchcock Medical Center
2022-03-21 Phase 1
NCT05562362 COMPLETED
Healthy Subjects
Travere Therapeutics, Inc.
2020-06-18 PHASE1
NCT01613118 COMPLETED
Focal Segmental Glomerulosclerosis
Travere Therapeutics, Inc.
2014-03 PHASE2
NCT00635232 COMPLETED
Hypertension
Ligand Pharmaceuticals
2008-03 PHASE2
NCT00522925 COMPLETED
Hypertension
Ligand Pharmaceuticals
2007-08 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-06-03)

Check the Sparsentan (PS-433540, RE-021) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Sparsentan functions as a dual selective antagonist of endothelin type A receptors and angiotensin II type 1 receptors, suppressing downstream intracellular signaling cascades triggered by endothelin-1 and angiotensin II. This dual inhibition mitigates podocyte damage, decreases intraglomerular hemodynamics, and prevents renal fibrotic remodeling, which underlies its clinical efficacy in reducing proteinuria and preserving renal function in IgA nephropathy and focal segmental glomerulosclerosis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.