About this trial
The purpose of this research is to learn if Obinutuzumab is effective and safe in treating patients with fibrillary glomerulonephritis (FGN).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
≥18 years of age
Biopsy proven fibrillary glomerulonephritis
Proteinuria > 1.0 g/24hrs prior to initiation of immunosuppressive therapy
eGFR ≥ 20 ml/min/BSA
Disqualifiers
Secondary FGN (due to monoclonal gammopathy, autoimmune disease or malignancy)
Presence of a secondary pathology on biopsy (e.g. diabetic nephropathy)
Hepatitis B, C or HIV positive
Pregnant or breast-feeding
Trial design
Single group
Treatments tested in this trial
Obinutuzumab
DrugObinutuzumab 1g IV on day one and 1 g IV on day 15, followed by identical course at month 6.
Treatment groups
Trial outcomes
Primary outcomes
Change in proteinuria from baseline to 12 months post treatment with Obinutuzumab
Measured using 24-hour urine collection reported in mg/24h
Secondary outcomes
Change in proteinuria from baseline to 6 months post treatment with Obinutuzumab
Measured using 24-hour urine collection reported in mg/24h
Rate of complete or partial remission
Complete remission: Proteinuria \< 0.5g/24 hrs. and no more than 20% decline in eGFR Partial remission: 50% reduction in proteinuria and proteinuria \< 3.5 g/24hrs and no more than 20% decline in eGFR
Improvement in serum albumin
Blood serum collected and reported in g/dL
Stabilization of kidney function
Stabilization is defined as no more than 20% decline in eGFR at 6 months and 12 months. Blood serum collected and reported in mL/min/BSA.
Sponsors and contacts
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