Lupus NephritisPhase 3BLISS-LNNCT01639339
Efficacy and Safety of Belimumab in Patients With Active Lupus Nephritis
A Phase 3 study testing Belimumab 10 mg/kg plus standard therapy and Standard therapy in people with Lupus Nephritis, run by Human Genome Sciences Inc., a GSK Company at 118 sites in 21 countries.
Trial summary
The purpose of this study is to evaluate the efficacy, safety, and tolerability of belimumab in adult patients with active lupus nephritis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lupus Nephritis
- What is being tested?
- Belimumab 10 mg/kg plus standard therapy and Standard therapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 448 participants
- Where
- 118 sitesin 21 countries
- Study dates
- 12 Jul 2012to 12 Mar 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria.
- Biopsy confirmed active lupus nephritis.
- Clinically active lupus renal disease at screening requiring /receiving induction therapy with Standard of Care medications.
- Autoantibody-positive.
Who cannot join
- Pregnant or nursing.
- On dialysis within the past year.
- Treatment with belimumab within the past year .
- Receipt of induction therapy with cyclophosphamide within 3 months prior to induction therapy for the study.
- Receipt of any B cell targeted therapy (for example, rituximab), investigational biological agent within the past year.
- Severe active central nervous system (CNS) lupus.
Show all 10Show fewer
- Required management of acute or chronic infections within the past 60 days.
- Current drug or alcohol abuse or dependence.
- Tested positive for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
- History of severe allergic reaction to contrast agents or biological medicines.
Trial locations and contacts
118 sites in 21 countries.
118 sites in 21 countries
United States17 sites
GSK Investigational Site
Bethlehem, Pennsylvania, 18017
GSK Investigational Site
Brooklyn, New York, 11203
GSK Investigational Site
Chapel Hill, North Carolina, 27599
GSK Investigational Site
Charleston, South Carolina, 29425
GSK Investigational Site
Columbus, Ohio, 43203
GSK Investigational Site
Gainesville, Florida, 32610
GSK Investigational Site
Great Neck, New York, 11021
GSK Investigational Site
La Palma, California, 90623
GSK Investigational Site
Manhasset, New York, 11030
GSK Investigational Site
Miami, Florida, 33136
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
New York, New York, 10032
GSK Investigational Site
Onalaska, Wisconsin, 54650
GSK Investigational Site
Philadelphia, Pennsylvania, 19140
GSK Investigational Site
San Leandro, California, 94578
GSK Investigational Site
St Louis, Missouri, 63110
GSK Investigational Site
Torrance, California, 90502
China15 sites
GSK Investigational Site
Beijing, 100029
GSK Investigational Site
Changsha, Hunan, 410008
GSK Investigational Site
Chengdu, Sichuan, 610041
GSK Investigational Site
Chongqing, 400038
GSK Investigational Site
Fuzhou, 350005
GSK Investigational Site
Guangzhou, 510080
GSK Investigational Site
Nanchang, Jiangxi, 330006
GSK Investigational Site
Nanning, 530021
GSK Investigational Site
Shanghai, 200025
GSK Investigational Site
Shanghai, 200040
GSK Investigational Site
Shanghai, 200127
GSK Investigational Site
Shenyang, Liaoning, 110004
GSK Investigational Site
Shenzhen, 518035
GSK Investigational Site
Wuhan, Hubei, 430030
GSK Investigational Site
Xi'an
South Korea11 sites
GSK Investigational Site
Busan, 49201
GSK Investigational Site
Daejeon, 301-721
GSK Investigational Site
Daejeon, 35233
GSK Investigational Site
Jeju Special Self-Governing Prov., 690-767
GSK Investigational Site
Jeonju, 561-712
GSK Investigational Site
Seoul, 04763
GSK Investigational Site
Seoul, 06273
GSK Investigational Site
Seoul, 06591
GSK Investigational Site
Seoul, 120-752
GSK Investigational Site
Suwon, 16247
GSK Investigational Site
Suwon-si, Gyeonggi-do, 16499
Germany10 sites
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Dresden, Saxony, 01307
GSK Investigational Site
Essen, North Rhine-Westphalia, 45122
GSK Investigational Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106
GSK Investigational Site
Göttingen, 37075
GSK Investigational Site
Hanover, Lower Saxony, 30625
GSK Investigational Site
Jena, Thuringia, 07740
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23538
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55131
GSK Investigational Site
Münster, North Rhine-Westphalia, 48149
Brazil9 sites
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30150-320
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30150-221
GSK Investigational Site
Goiânia, 74110-120
GSK Investigational Site
Juiz de Fora, Minas Gerais, 36010-570
GSK Investigational Site
Lajeado, 95900-000
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-903
GSK Investigational Site
Salvador, 40050-410
GSK Investigational Site
São José do Rio Preto, São Paulo, 15090-000
GSK Investigational Site
São Paulo, São Paulo, 04039-901
France7 sites
GSK Investigational Site
Cean Cedex 09, 14033
GSK Investigational Site
Créteil, 94010
GSK Investigational Site
Lille, 59037
GSK Investigational Site
Paris, 75013
GSK Investigational Site
Strasbourg, 67091
GSK Investigational Site
Toulouse, 31059
GSK Investigational Site
Vandœuvre-lès-Nancy, 54511
Argentina6 sites
GSK Investigational Site
Buenos Aires, C1119ACN
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, 1425
GSK Investigational Site
Ciudad Autonoma Buenos Aires, C1015ABO
GSK Investigational Site
Córdoba, 5000
GSK Investigational Site
Mendoza, 5500
GSK Investigational Site
San Miguel de Tucumán, Tucumán Province, CP 4000
Mexico5 sites
GSK Investigational Site
Cuernavaca, Morelos, 62170
GSK Investigational Site
Guadalajara, Jalisco, 45040
GSK Investigational Site
México, 7760
GSK Investigational Site
México, D.F., 14080
GSK Investigational Site
Morelia, Michoacán, 58260
Philippines5 sites
GSK Investigational Site
Cebu City, 6000
GSK Investigational Site
Davao City, 8000
GSK Investigational Site
Iloilo City, 5000
GSK Investigational Site
Lipa City, Batangas, 4217
GSK Investigational Site
Manila, 1000
Spain5 sites
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 8035
GSK Investigational Site
Palma de Mallorca, 07010
GSK Investigational Site
Valencia, 46017
GSK Investigational Site
Vigo/ Pontevedra, 36200
Russia4 sites
GSK Investigational Site
Moscow, 125284
GSK Investigational Site
Orenburg, 460000
GSK Investigational Site
Saint Petersburg, 197022
GSK Investigational Site
Ufa, 450005
Thailand4 sites
GSK Investigational Site
Khon Kaen, 40002
GSK Investigational Site
Muang, 50200
GSK Investigational Site
Rajathevee, 10400
GSK Investigational Site
Saimai, 10220
Belgium3 sites
GSK Investigational Site
Brussels, 1090
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Leuven, 3000
Czechia3 sites
GSK Investigational Site
Olomouc, 775 20
GSK Investigational Site
Prague, 128 08
GSK Investigational Site
Prague, 128 50
Netherlands3 sites
GSK Investigational Site
Groningen, 9728 NT
GSK Investigational Site
Leiden, 2333 ZA
GSK Investigational Site
Maastricht, 6229 HX
Taiwan3 sites
GSK Investigational Site
Gueishan Township,Taoyuan County, 333
GSK Investigational Site
Kaohsiung City, 83301
GSK Investigational Site
Taichung, 40705
Canada2 sites
GSK Investigational Site
Edmonton, Alberta, T6G 2B7
GSK Investigational Site
Montreal, Quebec, H3G 1A4
Hungary2 sites
GSK Investigational Site
Miskolc, 3526
GSK Investigational Site
Szeged, 6725
United Kingdom2 sites
GSK Investigational Site
London, E1 1BB
GSK Investigational Site
London, SE1 7EH
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Belimumab Plus Standard of Care Versus Placebo Plus Standard of Care in Adult Subjects With Active Lupus Nephritis
The purpose of this study is to evaluate the efficacy, safety, and tolerability of belimumab in adult patients with active lupus nephritis.
Read the detailed description
Study participants receive standard therapy (induction and maintenance) for lupus nephritis in addition to receiving either placebo (no active medicine) or belimumab. Induction therapy starts before the first dose of study drug (belimumab or placebo). Maintenance therapy begins after completion of induction therapy and continues for the remainder of the study. Participants receive study drug throughout the entire study, during both induction and maintenance periods. The controlled period of the study is 104 weeks. The random assignment in this study is "1 to 1" which means you have an equal chance of receiving treatment with belimumab or placebo. Participants who successfully complete the 104-week study may enter into a 6-month open-label extension. All participants in the open-label extension receive belimumab.
- Conditions
- Lupus Nephritis
- Being tested
- Placebo plus standard therapy, Belimumab 10 mg/kg plus standard therapy, Standard therapy
- Keywords
- Antibodies, Systemic Lupus Erythematosus, Autoimmune Disease, Glomerulonephritis, Belimumab, Lupus, Nephritis, Kidney Diseases, SLE
- Medical subject headings
- Lupus Nephritis, Lupus Erythematosus, Systemic, Autoimmune Diseases, Glomerulonephritis, Nephritis, Kidney Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Placebo plus standard therapyBiological
Placebo plus standard therapy
Belimumab 10 mg/kg plus standard therapyBiological
Also called BENLYSTA™
Belimumab 10 mg/kg plus standard therapy
Standard therapyDrug
The standard therapies allowed in this study are:
- High-dose steroids (for example, methylprednisolone) plus cyclophosphamide for induction therapy followed by azathioprine for maintenance therapy
OR
- High-dose steroids plus mycophenolate for induction therapy followed by mycophenolate for maintenance therapy
| Study group | Role | What they receive |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Placebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, placebo patients who opt to participate will receive belimumab 10 mg/kg IV every 28 days for an additional 6 months. Receives: Biological: Placebo plus standard therapy; Drug: Standard therapy |
| Belimumab 10 mg/kg plus standard therapy | Experimental | Belimumab 10 mg/kg IV plus standard therapy; belimumab administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, patients who opt to participate will continue to receive belimumab 10 mg/kg IV every 28 days for an additional 6 months. Receives: Biological: Belimumab 10 mg/kg plus standard therapy; Drug: Standard therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Double-blind Period: Percentage of Participants With Primary Efficacy Renal Response (PERR) at Week 104
PERR is defined as urinary protein creatinine ratio <=0.7, estimated glomerular filtration rate (eGRF) was not more than 20 percent (%) below the pre-flare value or >=60 milliliters per minute per 1.73 square meter (mL/min/1.73m^2) and was not a treatment failure. Analysis was performed using a logistic regression model for the comparison between Belimumab and Placebo with covariates treatment group, induction regimen (CYC vs. MMF), race (Black vs. Non-Black), Baseline urine protein-creatinine ratio (uPCR), and Baseline eGFR. Modified Intent-to-treat (mITT) Population consisted of all randomized participants who received at least one dose of study treatment and were not excluded due to Good Clinical Practice (GCP) non-compliance. Percentage of participants with PERR at Week 104 has been presented.
Measured: Week 104
Open-label Period: Number of Participants Reporting Adverse Events (AEs) and Serious AEs (SAEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: resulting in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinemia were categorized as SAE. Number of participants with AEs and SAEs have been reported.
Measured: From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)
Open-label Period: Number of Participants Reporting Adverse Events of Special Interest (AESI)
An AESI is one of scientific and medical concern specific to the product, for which ongoing monitoring and rapid communication by investigator to sponsor can be appropriate. A summary of protocol defined AESIs include malignant neoplasms including and excluding non-melanoma skin cancer (NMSC), post-infusion systemic reactions (PISR), all infections of special interest (opportunistic infections [OI], Herpes Zoster [HZ], tuberculosis [TB], and sepsis), depression (including mood disorders and anxiety)/suicide/self-injury and deaths.
Measured: From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)
Secondary outcomes (6)
Double-blind Period: Percentage of Participants With Complete Renal Response (CRR) at Week 104
CRR is defined as urinary protein creatinine ratio <0.5, eGRF was not more than 10% below the pre-flare value or >=90 mL/min/1.73m^2 and was not a treatment failure. Analysis was performed using a logistic regression model for the comparison between Belimumab and Placebo with covariates of induction regimen (CYC vs. MMF), race (Black vs. Non-Black), Baseline uPCR and Baseline eGFR. Percentage of participants with CRR at Week 104 has been presented.
Measured: Week 104
Double-blind Period: Percentage of Participants With PERR at Week 52
PERR is defined as urinary protein creatinine ratio <=0.7, eGRF was not more than 20% below the pre-flare value or >=60 mL/min/1.73m^2 and was not a treatment failure. Analysis was performed using a logistic regression model for the comparison between Belimumab and Placebo with covariates of induction regimen (CYC vs. MMF), race (Black vs. Non-Black), uPCR, and Baseline eGFR. Percentage of participants with PERR at Week 52 has been presented.
Measured: Week 52
Double-blind Period: Number of Participants With Time to Death or Renal Related Event
Events are defined as the first event experienced among the following: death, progression to end stage renal disease, doubling of serum creatinine from Baseline, renal worsening or renal-related treatment failure. Participants who discontinued randomized treatment, withdrew from the study, were lost to follow-up, or had a non renal-related treatment failure were censored. Participants who completed the 104-week treatment period were censored at the Week 104 visit. Time to event is defined as event date minus treatment start date plus one. Analysis was performed using Cox proportional hazards model for the comparison between Belimumab and Placebo adjusting for induction regimen, race, Baseline uPCR and Baseline eGFR. Number of participants with time to death or renal related event up to Week 104 has been presented.
Measured: Up to Week 104
Double-blind Period: Percentage of Participants With Ordinal Renal Response (ORR) at Week 104
ORR is defined with respect to reproducible responses that included CRR, partial RR (PRR) and non responder. CRR is reported when uPCR was <0.5, eGFR was not more than 10% below pre-flare GFR or within normal range and not a treatment failure. PRR is >=50% decrease from Baseline in uPCR and one of the following: value <1 if Baseline <=3, or value <3 if the Baseline was >3, eGFR not more than 10% below Baseline GFR or within normal range and not a treatment failure and not a CRR. Non responder is reported when neither CRR nor PRR criteria was met. Percentage of participants reporting CRR, PRR and non responders at Week 104 has been presented.
Measured: Week 104
Double-blind Period: Number of Participants Reporting On-treatment AEs and SAEs
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: resulting in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinemia were categorized as SAE. Number of participants with on-treatment AEs and SAEs has been reported.
Measured: Up to Week 104
Double-blind Period: Number of Participants Reporting AESI
An AESI is one of scientific and medical concern specific to the product, for which ongoing monitoring and rapid communication by investigator to sponsor can be appropriate. A summary of protocol defined AESIs include malignant neoplasms including and excluding non-melanoma skin cancer (NMSC), post-infusion systemic reactions (PISR), all infections of special interest (opportunistic infections [OI], Herpes Zoster [HZ], tuberculosis [TB], and sepsis), depression (including mood disorders and anxiety)/suicide/self-injury and deaths. On-treatment data is displayed.
Measured: Up to Week 104
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2012 (estimated)
- Study start12 Jul 2012
- Primary completion25 Jul 2019
- Study completion12 Mar 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Lupus NephritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 448 participants (actual)
Sponsor and investigators
- Lead sponsor
- Human Genome Sciences Inc., a GSK Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01639339
- Sponsor's protocol ID
- 114054
- Other IDs
- 2011-004570-28
- Acronym
- BLISS-LN
- Status last verified
- Feb 2021
- First submitted
- 10 Jul 2012
- Last updated
- 19 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Publications
Furie R, Anders HJ, Bertsias G, Delgado A, Levy RA, Curtis P, O'Shea C, Tomlinson R, Rovin B. A post hoc analysis of BLISS-LN found Belimumab plus mycophenolate mofetil improves kidney outcomes versus placebo plus mycophenolate mofetil in active lupus nephritis. Kidney Int. 2026 Aug;110(2):451-462. doi: 10.1016/j.kint.2026.03.030. Epub 2026 May 21.
PubMed 42173278Anders HJ, Furie R, Malvar A, Zhao MH, Hiromura K, Weinmann-Menke J, Green Y, Jones-Leone A, Negrini D, Levy RA, Lightstone L, Tanaka Y, Rovin BH. Effect of belimumab on kidney-related outcomes in patients with lupus nephritis: post hoc subgroup analyses of the phase 3 BLISS-LN trial. Nephrol Dial Transplant. 2023 Nov 30;38(12):2733-2742. doi: 10.1093/ndt/gfad167.
PubMed 37463054Sada K, Kurita N, Noma H, Matsuki T, Quasny H, Levy RA, Jones-Leone AR, Gairy K, Yajima N. MOONLIGHT study: the design of a comparative study of the effectiveness of belimumab in patients with a history of lupus nephritis from the post-Marketed effectiveness of belimumab cOhOrt and JapaN Lupus NatIonwide reGistry (LUNA) coHorT. Lupus Sci Med. 2022 Sep;9(1):e000746. doi: 10.1136/lupus-2022-000746.
PubMed 37017254Furie R, Rovin BH, Houssiau F, Contreras G, Teng YKO, Curtis P, Green Y, Okily M, Madan A, Roth DA. Safety and Efficacy of Belimumab in Patients with Lupus Nephritis: Open-Label Extension of BLISS-LN Study. Clin J Am Soc Nephrol. 2022 Nov;17(11):1620-1630. doi: 10.2215/CJN.02520322. Epub 2022 Oct 27.
PubMed 36302567Yu X, Chen N, Xue J, Mok CC, Bae SC, Peng X, Chen W, Ren H, Li X, Noppakun K, Gilbride JA, Green Y, Ji B, Liu C, Madan A, Okily M, Tang CH, Roth DA. Efficacy and Safety of Belimumab in Patients With Lupus Nephritis: Subgroup Analyses of a Phase 3 Randomized Trial in the East Asian Population. Am J Kidney Dis. 2023 Mar;81(3):294-306.e1. doi: 10.1053/j.ajkd.2022.06.013. Epub 2022 Sep 2.
PubMed 36058429Rovin BH, Furie R, Teng YKO, Contreras G, Malvar A, Yu X, Ji B, Green Y, Gonzalez-Rivera T, Bass D, Gilbride J, Tang CH, Roth DA. A secondary analysis of the Belimumab International Study in Lupus Nephritis trial examined effects of belimumab on kidney outcomes and preservation of kidney function in patients with lupus nephritis. Kidney Int. 2022 Feb;101(2):403-413. doi: 10.1016/j.kint.2021.08.027. Epub 2021 Sep 22.
PubMed 34560137Furie R, Rovin BH, Houssiau F, Malvar A, Teng YKO, Contreras G, Amoura Z, Yu X, Mok CC, Santiago MB, Saxena A, Green Y, Ji B, Kleoudis C, Burriss SW, Barnett C, Roth DA. Two-Year, Randomized, Controlled Trial of Belimumab in Lupus Nephritis. N Engl J Med. 2020 Sep 17;383(12):1117-1128. doi: 10.1056/NEJMoa2001180.
PubMed 32937045
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Belimumab Plus Standard of Care Versus Placebo Plus Standard of Care in Adult Subjects With Active Lupus Nephritis
- ClinicalTrials.gov ID
- NCT01639339
- Acronym / sponsor ID
- BLISS-LN / 114054
- Conditions
- Lupus Nephritis
- Keywords
- Antibodies, Systemic Lupus Erythematosus, Autoimmune Disease, Glomerulonephritis, Belimumab, Lupus, Nephritis, Kidney Diseases
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 448 participants (actual)
- Lead sponsor
- Human Genome Sciences Inc., a GSK CompanyIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 12 Jul 2012 (actual)
- Primary completion
- 25 Jul 2019 (actual)
- Study completion
- 12 Mar 2020 (actual)
- First posted
- 12 Jul 2012 (estimated)
- Results
- Posted 7 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy, safety, and tolerability of belimumab in adult patients with active lupus nephritis.
Detailed description
Study participants receive standard therapy (induction and maintenance) for lupus nephritis in addition to receiving either placebo (no active medicine) or belimumab. Induction therapy starts before the first dose of study drug (belimumab or placebo). Maintenance therapy begins after completion of induction therapy and continues for the remainder of the study. Participants receive study drug throughout the entire study, during both induction and maintenance periods. The controlled period of the study is 104 weeks. The random assignment in this study is "1 to 1" which means you have an equal chance of receiving treatment with belimumab or placebo. Participants who successfully complete the 104-week study may enter into a 6-month open-label extension. All participants in the open-label extension receive belimumab.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Biological: Placebo plus standard therapy, Drug: Standard therapyPlacebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, placebo patients who opt to participate will receive belimumab 10 mg/kg IV every 28 days for an additional 6 months. |
| Belimumab 10 mg/kg plus standard therapy | Experimental | Biological: Belimumab 10 mg/kg plus standard therapy, Drug: Standard therapyBelimumab 10 mg/kg IV plus standard therapy; belimumab administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, patients who opt to participate will continue to receive belimumab 10 mg/kg IV every 28 days for an additional 6 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria.
- Biopsy confirmed active lupus nephritis.
- Clinically active lupus renal disease at screening requiring /receiving induction therapy with Standard of Care medications.
- Autoantibody-positive.
Key exclusion criteria (10 listed)
- Pregnant or nursing.
- On dialysis within the past year.
- Treatment with belimumab within the past year .
- Receipt of induction therapy with cyclophosphamide within 3 months prior to induction therapy for the study.
- Receipt of any B cell targeted therapy (for example, rituximab), investigational biological agent within the past year.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Placebo plus standard therapyPlacebo plus standard therapy | Biological | Placebo plus standard therapy |
| Belimumab 10 mg/kg plus standard therapyAlso: BENLYSTA™Belimumab 10 mg/kg plus standard therapy | Biological | Belimumab 10 mg/kg plus standard therapy |
| Standard therapyThe standard therapies allowed in this study are: - High-dose steroids (for example, methylprednisolone) plus cyclophosphamide for induction therapy followed by azathioprine for maintenance therapy OR - High-dose steroids plus mycophenolate for induction therapy followed by mycophenolate for maintenance therapy | Drug | Belimumab 10 mg/kg plus standard therapy, Placebo plus standard therapy |
Primary outcome
Double-blind Period: Percentage of Participants With Primary Efficacy Renal Response (PERR) at Week 104
Time frame: Week 104
PERR is defined as urinary protein creatinine ratio <=0.7, estimated glomerular filtration rate (eGRF) was not more than 20 percent (%) below the pre-flare value or >=60 milliliters per minute per 1.73 square meter (mL/min/1.73m^2) and was not a treatment failure. Analysis was performed using a logistic regression model for the comparison between Belimumab and Placebo with covariates treatment group, induction regimen (CYC vs. MMF), race (Black vs. Non-Black), Baseline urine protein-creatinine ratio (uPCR), and Baseline eGFR. Modified Intent-to-treat (mITT) Population consisted of all randomized participants who received at least one dose of study treatment and were not excluded due to Good Clinical Practice (GCP) non-compliance. Percentage of participants with PERR at Week 104 has been presented.
Open-label Period: Number of Participants Reporting Adverse Events (AEs) and Serious AEs (SAEs)
Time frame: From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: resulting in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinemia were categorized as SAE. Number of participants with AEs and SAEs have been reported.
Open-label Period: Number of Participants Reporting Adverse Events of Special Interest (AESI)
Time frame: From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)
An AESI is one of scientific and medical concern specific to the product, for which ongoing monitoring and rapid communication by investigator to sponsor can be appropriate. A summary of protocol defined AESIs include malignant neoplasms including and excluding non-melanoma skin cancer (NMSC), post-infusion systemic reactions (PISR), all infections of special interest (opportunistic infections [OI], Herpes Zoster [HZ], tuberculosis [TB], and sepsis), depression (including mood disorders and anxiety)/suicide/self-injury and deaths.
6 secondary outcomes
Double-blind Period: Percentage of Participants With Complete Renal Response (CRR) at Week 104
Time frame: Week 104
Double-blind Period: Percentage of Participants With PERR at Week 52
Time frame: Week 52
Double-blind Period: Number of Participants With Time to Death or Renal Related Event
Time frame: Up to Week 104
Double-blind Period: Percentage of Participants With Ordinal Renal Response (ORR) at Week 104
Time frame: Week 104
Double-blind Period: Number of Participants Reporting On-treatment AEs and SAEs
Time frame: Up to Week 104
Double-blind Period: Number of Participants Reporting AESI
Time frame: Up to Week 104
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42173278Furie R, Anders HJ, Bertsias G, Delgado A, Levy RA, Curtis P, O'Shea C, Tomlinson R, Rovin B. A post hoc analysis of BLISS-LN found Belimumab plus mycophenolate mofetil improves kidney outcomes versus placebo plus mycophenolate mofetil in active lupus nephritis. Kidney Int. 2026 Aug;110(2):451-462. doi: 10.1016/j.kint.2026.03.030. Epub 2026 May 21.
- Derived from this study: PubMed 37463054Anders HJ, Furie R, Malvar A, Zhao MH, Hiromura K, Weinmann-Menke J, Green Y, Jones-Leone A, Negrini D, Levy RA, Lightstone L, Tanaka Y, Rovin BH. Effect of belimumab on kidney-related outcomes in patients with lupus nephritis: post hoc subgroup analyses of the phase 3 BLISS-LN trial. Nephrol Dial Transplant. 2023 Nov 30;38(12):2733-2742. doi: 10.1093/ndt/gfad167.
- Derived from this study: PubMed 37017254Sada K, Kurita N, Noma H, Matsuki T, Quasny H, Levy RA, Jones-Leone AR, Gairy K, Yajima N. MOONLIGHT study: the design of a comparative study of the effectiveness of belimumab in patients with a history of lupus nephritis from the post-Marketed effectiveness of belimumab cOhOrt and JapaN Lupus NatIonwide reGistry (LUNA) coHorT. Lupus Sci Med. 2022 Sep;9(1):e000746. doi: 10.1136/lupus-2022-000746.
- Derived from this study: PubMed 36302567Furie R, Rovin BH, Houssiau F, Contreras G, Teng YKO, Curtis P, Green Y, Okily M, Madan A, Roth DA. Safety and Efficacy of Belimumab in Patients with Lupus Nephritis: Open-Label Extension of BLISS-LN Study. Clin J Am Soc Nephrol. 2022 Nov;17(11):1620-1630. doi: 10.2215/CJN.02520322. Epub 2022 Oct 27.
- Derived from this study: PubMed 36058429Yu X, Chen N, Xue J, Mok CC, Bae SC, Peng X, Chen W, Ren H, Li X, Noppakun K, Gilbride JA, Green Y, Ji B, Liu C, Madan A, Okily M, Tang CH, Roth DA. Efficacy and Safety of Belimumab in Patients With Lupus Nephritis: Subgroup Analyses of a Phase 3 Randomized Trial in the East Asian Population. Am J Kidney Dis. 2023 Mar;81(3):294-306.e1. doi: 10.1053/j.ajkd.2022.06.013. Epub 2022 Sep 2.
- Derived from this study: PubMed 34560137Rovin BH, Furie R, Teng YKO, Contreras G, Malvar A, Yu X, Ji B, Green Y, Gonzalez-Rivera T, Bass D, Gilbride J, Tang CH, Roth DA. A secondary analysis of the Belimumab International Study in Lupus Nephritis trial examined effects of belimumab on kidney outcomes and preservation of kidney function in patients with lupus nephritis. Kidney Int. 2022 Feb;101(2):403-413. doi: 10.1016/j.kint.2021.08.027. Epub 2021 Sep 22.
- Derived from this study: PubMed 32937045Furie R, Rovin BH, Houssiau F, Malvar A, Teng YKO, Contreras G, Amoura Z, Yu X, Mok CC, Santiago MB, Saxena A, Green Y, Ji B, Kleoudis C, Burriss SW, Barnett C, Roth DA. Two-Year, Randomized, Controlled Trial of Belimumab in Lupus Nephritis. N Engl J Med. 2020 Sep 17;383(12):1117-1128. doi: 10.1056/NEJMoa2001180.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
118 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Belimumab 10 mg/kg plus standard therapy and Standard therapy in people with Lupus Nephritis, run by Human Genome Sciences Inc., a GSK Company at 118 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in United States, China, South Korea, Germany, Brazil and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 7 Jul 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Double-blind Period: Percentage of Participants With Primary Efficacy Renal Response (PERR) at Week 104 (time frame: Week 104). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01639339, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Mar 2021.