A Trial to Explore the Efficacy and Safety of O-triple as Initial Therapy in the Active Lupus Nephritis Patients (INITIAL Trial)

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-65
SponsorZhao Minghui

About this trial

This is a prospective single-arm multi-center trial to evaluate the efficacy and safety of O-triple regimen in initial active LN patients

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed Informed Consent Form

Age 18 to 65 years at time of signing Informed Consent Form

Ability to comply with the study protocol, in the investigator's judgment

ISN/RPS 2003 Class III, IV, V active/active chronic LN by renal biopsy performed within the 1 month prior to screening or during screening with 24hUPCR≥1g/g

Disqualifiers

Are pregnant or breastfeeding.

Have severe renal impairment, defined as eGFR < 30 mL/min/1.73 m² (estimated using the CKD-EPI equation), or require dialysis or renal transplantation.

Have renal biopsy showing > 50% glomerular sclerosis.

Have pure chronic renal biopsy findings: no active lesions.

Trial design

Design model

Single group

Treatments tested in this trial

  • obinutuzumab (RO5072759)

    Drug

    Patients will receive Obinutuzumab 1000 mg at day1 (week 0) and weeks 2, 24, 26, and 52, in combination with glucocorticoids and MMF.

Treatment groups

70 Participants
are divided into 1 treatment group
Group A: O-triple therapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of patients who achieve a complete renal response (CRR) at Week 76

Urinary protein-to-creatinine ratio (UPCR) \<0.5 g/g eGFR ≥ 85% of baseline, as calculated using the CKD-EPI equation No occurrence of intercurrent events (rescue therapy, treatment failure, and early study withdrawal are considered as intercurrent events).

Time frame
Baseline, Week 76

Secondary outcomes

1

The proportion of patients who achieve ORR (CRR or PRR), CRR, PRR, PERR at week 24, week 36, week 52, week 76

Time frame
Baseline week 24, week 36, week 52, week 76

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Zhao Minghui

Lead sponsor

Peking University First Hospital

Sponsor institution

This trial is not recruiting at the moment. You can still explore other options: