The overall purpose of the study is to assess the efficacy of three different doses of BI 655064 against placebo as add-on therapy to standard of care (SOC) treatment for active lupus nephritis in order to characterize the dose-response relationship within the therapeutic range, and select the target dose for phase III development.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
121
Percentage of Patients With Complete Renal Response (CRR) at Week 52
Complete renal response (CRR) was defined as urine protein (UP) \< 0.5 g/day at Week 52 and either estimated glomerular filtration rate (eGFR) within normal range at Week 52 or decrease in eGFR \< 20% from baseline at Week 52 if eGFR was below normal range (below lower limit of normal \[LLN\], where LLN = 90 mL/min). CRR at Week 52 (derived using UP from the 24 h urine collections) was analyzed using a logistic regression model. Factors in the model included treatment and the covariates race (Asian/Non-Asian) and proteinuria at screening (UP/urine creatinine (UC) \<3 or \>=3 g/day). Pairwise comparisons of the modelled proportions of patients with CRR at each dose level to placebo were performed.
Time frame: At week 52.
Percentage of Patients With Complete Renal Response (CRR) at Week 26
Complete renal response (CRR) was defined as urine protein (UP) \< 0.5 g/day at Week 26 and either estimated glomerular filtration rate (eGFR) within normal range at Week 26 or decrease in eGFR \< 20% from baseline at Week 26 if eGFR was below normal range (below lower limit of normal \[LLN\], where LLN = 90 mL/min).
Time frame: At week 26.
Percentage of Patients With Partial Renal Response (PRR) at Week 26
Partial renal response (PRR) was defined as at least 50% reduction of proteinuria from baseline if estimated glomerular filtration rate (eGFR) was within normal range at time of assessment or decrease of eGFR \<20% from baseline if eGFR was below normal range at time of assessment.
Time frame: At week 26.
Percentage of Patients With Partial Renal Response (PRR) at Week 52
Partial renal response (PRR) was defined as at least 50% reduction of proteinuria from baseline if estimated glomerular filtration rate (eGFR) was within normal range at time of assessment or decrease of eGFR \<20% from baseline if eGFR was below normal range at time of assessment.
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Academic Medical Research Institute
Los Angeles, California, United States
Integrity Clinical Research, LLC
Doral, Florida, United States
Hope Clinical Research
Kissimmee, Florida, United States
Integral Rheumatology and Immunology Specialist
Plantation, Florida, United States
Emory University
Atlanta, Georgia, United States
Northwell Health
Great Neck, New York, United States
Feinstein Institute for Medical Research
Manhasset, New York, United States
Columbia University Medical Center-New York Presbyterian Hospital
New York, New York, United States
Office of Dr. Ramesh C. Gupta
Memphis, Tennessee, United States
The Prince of Wales Hospital
Randwick, New South Wales, Australia
...and 64 more locations
Time frame: At week 52.
Percentage of Patients With Major Renal Response (MRR) at Week 26
Major renal response was defined as follows depending on proteinuria at baseline: * If baseline proteinuria was \<3 g/day and patient had complete renal response (CRR) * If baseline proteinuria was \>= 3 g/day and proteinuria \< 1 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR \<20% from baseline at Week 26 if eGFR was below normal range (below lower limit of normal (LLN), where LLN = 90 mL/min)
Time frame: At week 26.
Percentage of Patients With Major Renal Response (MRR) at Week 52
Major renal response was defined as follows depending on proteinuria at baseline: * If baseline proteinuria was \<3 g/day and patient had complete renal response (CRR) * If baseline proteinuria was \>= 3 g/day and proteinuria \< 1 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR \<20% from baseline at Week 52 if eGFR was below normal range (below lower limit of normal (LLN), where LLN = 90 mL/min)
Time frame: At week 52.