The purpose of this up to 6-year extension study is the evaluation of the efficacy and safety 1. after study treatment withdrawal in patients with lupus nephritis (LN) who achieved response (complete renal response \[CRR\] or partial renal response \[PRR\]) on double-blind treatment at the end of the SIRIUS-LN core study, and 2. of open-label ianalumab 300 mg treatment in patients who, at the end of the SIRIUS-LN core study, were either already receiving ianalumab open-label treatment or did not meet CRR/PRR criteria on double-blind treatment at the end of the SIRIUS-LN core study.
The SIRIUS-LN extension study is an up to 6-year open-label extension study for participants who have completed the treatment periods (blinded Treatment Period-1 and blinded Treatment Period-2) of the SIRIUS-LN core study on double-blind or open-label study treatment. Investigators will use their clinical judgment to decide if it is beneficial for participants to continue with the extension study. In this extension study participants who achieve CRR or PRR status at Week 140 will be withdrawn from study treatment and will maintain the SoC medication as required. These up to 6 additional years in the extension study will allow to measure sustained remission, flares and safety off-study treatment. However, in the event of renal flares during the extension study, these participants who withdraw study treatment will have the option to receive open-label ianalumab.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
348
Ianalumab (VAY736) is a human monoclonal antibody (mAb) of the IgG1/κ-class, directed against B cells and binding to BAFF receptor (BAFF-R).
Circuit Clinical
Orchard Park, New York, United States
RECRUITINGNovartis Investigative Site
Vitória, Espírito Santo, Brazil
RECRUITINGNovartis Investigative Site
Salvador, Estado de Bahia, Brazil
RECRUITINGNovartis Investigative Site
Belo Horizonte, Minas Gerais, Brazil
Cohort 1: Time to renal flare, increase in immunosuppressive medication, or death
Cohort 1: To estimate the time to renal flare, increase in immunosuppressive medication, or death following study treatment withdrawal in participants who completed the SIRIUS-LN core study on double-blind treatment and achieved CRR or PRR at Week 140 of the core study
Time frame: Between Week 144E1 and EOS (up to Week 456)
Cohort 2: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Number of participants with AEs and SAEs, including changes in vital signs and clinical laboratory measurements qualifying and reported as AEs.
Time frame: From the start of treatment in the SIRIUS-LN core study to EOS (up to week 560) of the extension study
Cohort 2: Incidence and titer of anti-ianalumab antibodies in serum (ADA assay)
To assess immunogenicity to ianalumab in Cohort 2
Time frame: from Week 144E1 up to Week 456
Cohort 2: Ianalumab concentration in serum using a validated ELISA
To assess pharmacokinetics of ianalumab in Cohort 2
Time frame: from Week 144E1 up to Week 456
Cohort 1: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Number of participants with AEs and SAEs, including changes in vital signs and clinical laboratory measurements qualifying and reported as AEs.
Time frame: From the start of treatment in the SIRIUS-LN core study to EOS (up to week 560) of the extension study
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Novartis Investigative Site
Recife, Pernambuco, Brazil
RECRUITINGNovartis Investigative Site
Santo André, São Paulo, Brazil
RECRUITINGNovartis Investigative Site
Guangzhou, Guangdong, China
RECRUITINGNovartis Investigative Site
Shantou, Guangdong, China
ACTIVE_NOT_RECRUITINGNovartis Investigative Site
Shenzhen, Guangdong, China
RECRUITINGNovartis Investigative Site
Liuzhou, Guangxi, China
RECRUITING...and 39 more locations