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Lupus NephritisPhase 2NCT02770170

Dose Finding, Efficacy and Safety of BI 655064 in Patients With Active Lupus Nephritis

A Phase 2 study testing BI 655064 dose 1, BI 655064 dose 2 and BI 655064 dose 3 in people with Lupus Nephritis, run by Boehringer Ingelheim at 74 sites in 20 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Lupus Nephritis
What is being tested?
BI 655064 dose 1, BI 655064 dose 2 and BI 655064 dose 3
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
121 participants
Where
74 sitesin 20 countries
Study dates
16 May 2016to 18 Aug 2020
Phase
Phase 2
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females 18-70 years. Women of childbearing potential must be ready and able (as assessed by investigator) to use simultaneously two reliable methods of birth control, one of which must be highly effective. Highly effective method, per ICH M3(R2) is a method that result in a low failure rate of less than 1% per year when used consistently and correctly.
  • Diagnosis of systemic lupus erythematosus (SLE) by American College of Rheumatology (ACR) criteria 1997, at least 4 criteria must be documented, one of which must be a positive anti-dsDNA antibody OR a positive antinuclear antibody (ANA) at screening or around time of start of induction therapy
  • Lupus Nephritis Class III or IV (International Society of Nephrology (ISN)/Renal Pathology Society (RPS) -2003 classification) with either active or active/chronic disease, co-existing class V permitted, proven by renal biopsy within 3 months prior to screening or during screening if induction therapy has not yet been started
  • Active renal disease evidenced by proteinuria ≥ 1.0 g/day [(Uprot/Ucrea) ≥ 1]
  • Signed and dated written informed consent

Who cannot join

  • Clinically significant current other renal disease
  • Glomerular Filtration Rate <30ml/min/1.73m²
  • Dialysis within 12m of screening
  • Antiphospholipid syndrome
  • Diabetes mellitus poorly controlled or known diabetic retinopathy or nephropathy
  • Evidence of current or previous clinically significant disease, medical condition or finding in the medical examination that in the investigator's opinion would compromise the safety of the patient or the quality of the data
Show all 21Show fewer
  • Any induction therapy for Lupus Nephritis within the last 6 months prior to randomisation except induction with Mycophenolate Mofetil and high dose steroids started within 6 weeks prior to randomisation
  • Treatment with any biologic B-cell depleting therapy (e.g. anti-CD20, anti-CD22,) within 12 months prior to randomisation
  • Treatment with abatacept within 12 months prior to randomisation
  • Treatment with tacrolimus or cyclosporin within 4 weeks prior to randomisation
  • Treatment with cyclophosphamid within 6 months prior to randomisation
  • Treatment with investigational drug within 6 months or 5 half-lives, whichever is greater before randomisation
  • Contraindication for MMF or corticosteroids and/or known hypersensitivity to any constituents of the study drug.
  • Chronic or relevant acute infections, including but not limited to HIV, Hepatitis B and C and tuberculosis (including a history of clinical tuberculosis (TB) and/or a positive QuantiFERON TB-Gold test
  • Any active or suspected malignancy or history of documented malignancy within the last 5 years before screening, except appropriately treated carcinoma in situ and treated basal cell carcinoma.
  • Live vaccination within 6 weeks before randomisation
  • Patients unable to comply with the protocol in the investigator's opinion.
  • Alcohol abuse in the opinion of the investigator or active drug abuse .
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial
  • Impaired hepatic function, defined as serum Aspartate Transferase/Alanine Transferase, bilirubin or alkaline phosphatase levels > 2 x Upper Limit of Normal
  • Further exclusion criteria apply.

Trial locations and contacts

74 sites in 20 countries.

74 sites in 20 countries

United States9 sites
  • Emory University

    Atlanta, Georgia, 30322

  • Integrity Clinical Research, LLC

    Doral, Florida, 33166

  • Northwell Health

    Great Neck, New York, 11021

  • Hope Clinical Research

    Kissimmee, Florida, 34741

  • Academic Medical Research Institute

    Los Angeles, California, 90022

  • Feinstein Institute for Medical Research

    Manhasset, New York, 11030

  • Office of Dr. Ramesh C. Gupta

    Memphis, Tennessee, 38119

  • Columbia University Medical Center-New York Presbyterian Hospital

    New York, New York, 10032

  • Integral Rheumatology and Immunology Specialist

    Plantation, Florida, 33324

Other trials in United States

Japan7 sites
  • Hospital of the University of Occupational and Environmental Health

    Fukuoka, Kitakyushu, 807-8556

  • Hokkaido University Hospital

    Hokkaido, Sapporo, 060-8648

  • St. Marianna University School of Medicine Hospital

    Kanagawa, Kawasaki, 216-8511

  • Tohoku University Hospital

    Miyagi, Sendai, 980-8574

  • Okayama University Hospital

    Okayama, Okayama, 700-8558

  • Juntendo University Hospital

    Tokyo, Bunkyo-ku, 113-8431

  • Keio University Hospital

    Tokyo, Shinjuku-ku, 160-8582

Other trials in Japan

Germany6 sites
  • Universitätsklinikum Köln (AöR)

    Cologne, 50937

  • Universitätsmedizin Göttingen, Georg-August-Universität

    Göttingen, 37075

  • Asklepios Klinik Altona

    Hamburg, 22763

  • Universitätsklinikum Schleswig-Holstein, Campus Lübeck

    Lübeck, 23538

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

  • Robert-Bosch-Krankenhaus GmbH

    Stuttgart, 70376

Other trials in Germany

Poland6 sites
  • University Clinical Hospital in Bialystok I

    Bialystok, 15-540

  • Norbert Barlicki University Clinical Hospital No.1, Lodz

    Lodz, 90-153

  • Cent.Clin.Hosp.Med.Univ.Lodz,Electrocard

    Lodz, 92-213

  • Clinic Medical Center; Nowa Sol

    Nowa Sól, 67-100

  • NZOZ Centrum Medyczne AESKULAP,Private Prac, Radom

    Radom, 26610

  • John Paul II Regional Hospital, Zamosc

    Zamość, 22-400

Other trials in Poland

Philippines5 sites
  • Angeles University Foundation Medical Center

    Angeles City, 2009

  • Chong Hua Hospital

    Cebu City, 6000

  • Cebu Doctors Hospital

    Cebu City, Cebu, 6000

  • Southern Philippines Medical Center

    Davao City, 8000

  • Mary Mediatrix Medical Center

    Lipa City, Batangas, 4217

Other trials in Philippines

Thailand5 sites
  • King Chulalongkorn Memorial Hospital

    Bangkok, 10330

  • Pramongkutklao Hospital

    Bangkok, 10400

  • Siriraj Hospital

    Bangkok, 10700

  • Chiangmai University

    Chiang Mai, 50200

  • Naresuan University Hospital

    Muang, 65000

Other trials in Thailand

Mexico4 sites
  • Hospital Cardiologica Aguascalientes

    Aguascalientes, 20230

  • Instituto Nacional de Cardiologia Ignacio Chavez

    Mexico City, 14080

  • Instituto Nacional de Cs Médicas y Nutrición S Zubiran

    Mexico City, 14080

  • H. Central Dr Ignacio M. P.

    San Luis Potosí City, 78240

Other trials in Mexico

Portugal4 sites
  • CHUC - Centro Hospitalar e Universitário de Coimbra, EPE

    Coimbra, 3000-075

  • Hospital Curry Cabral, EPE

    Lisbon, 1069-166

  • CHULN, EPE - Hospital de Santa Maria

    Lisbon, 1649-035

  • Centro Hospitalar Universitário São João,EPE

    Porto, 4200-319

Other trials in Portugal

Spain4 sites
  • Hospital Vall d'Hebron

    Barcelona, 08035

  • Fundación Jiménez Díaz

    Madrid, 28040

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Dr. Peset

    Valencia, 46017

Other trials in Spain

Czechia3 sites
  • Hospital Hradec Kralove

    Hradec Králové, 50005

  • General University Hospital Prague 2, Nephrology Clinic

    Prague, 12808

  • Institute of Rheumathology Prague

    Prague, 12850

Other trials in Czechia

Greece3 sites
  • General Hospital of Athens "Laiko"

    Athens, 115 27

  • University General Hospital Attikon

    Athens, 124 62

  • University General Hospital of Heraklion

    Heraklion, Crete, 711 10

Other trials in Greece

Serbia3 sites
  • Institute of Rheumatology, Belgrade

    Belgrade, 11000

  • Military Medical Academy

    Belgrade, 11000

  • Clinical Centre Nis

    Niš, 18000

Other trials in Serbia

United Kingdom3 sites
  • Addenbrooke's Hospital

    Cambridge, CB2 0QQ

  • Leicester General Hospital

    Leicester, LE5 4PW

  • Guy's Hospital

    London, SE1 9RT

Other trials in United Kingdom

Australia2 sites
  • The Prince of Wales Hospital

    Randwick, New South Wales, 2031

  • Princess Alexandra Hospital

    Woolloongabba, 4102

Other trials in Australia

Canada2 sites
  • CHU de Quebec-Universite Laval Research Centre

    Québec, G1V 4G2

  • Toronto Western Hospital

    Toronto, Ontario, M5T 2S8

Other trials in Canada

France2 sites
  • HOP Henri Mondor

    Créteil, 94010

  • HOP La Pitié Salpêtrière

    Paris, 75013

Other trials in France

Hong Kong2 sites
  • Prince of Wales Hospital

    Hong Kong, 999077

  • Queen Mary Hospital

    Hong Kong, 999077

Other trials in Hong Kong

Malaysia2 sites
  • Hospital Raja Permaisuri Bainun

    Ipoh, 30990

  • Hospital Tengku Ampuan Rahimah

    Klang, 41200

Other trials in Malaysia

Italy1 site
  • Azienda Ospedaliera Universitaria di Padova

    Padova, 35128

Other trials in Italy

South Korea1 site
  • Ajou University Hospital

    Suwon, 16499

Other trials in South Korea

About this study

Official title: A Double-blind, Randomised, Placebo-controlled Trial Evaluating the Effect of BI 655064 Administered as Sub-cutaneous Injections, on Renal Response After One Year of Treatment, in Patients With Active Lupus Nephritis

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.

Conditions
Lupus Nephritis
Being tested
BI 655064 dose 1, BI 655064 dose 2, BI 655064 dose 3, Placebo
Medical subject headings
Lupus Nephritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 655064 dose 1Drug

  • BI 655064 dose 2Drug

  • BI 655064 dose 3Drug

  • PlaceboDrug

Study groups in NCT02770170
Study groupRoleWhat they receive
BI 655064 dose 1ExperimentalNot described
Receives: Drug: BI 655064 dose 1
BI 655064 dose 2ExperimentalNot described
Receives: Drug: BI 655064 dose 2
BI 655064 dose 3ExperimentalNot described
Receives: Drug: BI 655064 dose 3
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: At week 52.

Secondary outcomes (5)
  1. 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).

    Measured: At week 26.

  2. 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.

    Measured: At week 26.

  3. 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.

    Measured: At week 52.

  4. 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)

    Measured: At week 26.

  5. 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)

    Measured: At week 52.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2016 (estimated)
  2. Study start16 May 2016
  3. Primary completion23 Jun 2020
  4. Study completion18 Aug 2020

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
121 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02770170
Sponsor's protocol ID
1293.10
Other IDs
2015-001750-15, 2015
Status last verified
Oct 2025
First submitted
11 May 2016
Last updated
16 Oct 2025
Individual data sharing
Yes: Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Publications

  • Jayne DR, Steffgen J, Romero-Diaz J, Bajema I, Boumpas DT, Noppakun K, Amano H, Gomez HM, Satirapoj B, Avihingsanon Y, Chawanasuntorapoj R, Madero M, Naumnik B, Recto R, Fagan N, Revollo I, Wu J, Visvanathan S, Furie R. Clinical and Biomarker Responses to BI 655064, an Antagonistic Anti-CD40 Antibody, in Patients With Active Lupus Nephritis: A Randomized, Double-Blind, Placebo-Controlled, Phase II Trial. Arthritis Rheumatol. 2023 Nov;75(11):1983-1993. doi: 10.1002/art.42557. Epub 2023 Aug 17.

    PubMed 37192040

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 655064 dose 1, BI 655064 dose 2 and BI 655064 dose 3 in people with Lupus Nephritis, run by Boehringer Ingelheim at 74 sites in 20 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 5 inclusion and 21 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 16 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Japan, Germany, Poland, Philippines and 15 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 12 Jul 2021). 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?

Percentage of Patients With Complete Renal Response (CRR) at Week 52 (time frame: At week 52.). 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 NCT02770170, which also lists 1 linked publication.

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 16 Oct 2025.

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