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Lupus NephritisPhase 2NCT03385564

An Exploratory Maintenance Trial of BI 655064 in Patients With Lupus Nephritis

A Phase 2 study testing BI 655064 in people with Lupus Nephritis, run by Boehringer Ingelheim at 36 sites in 16 countries.

Completed

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

Official record
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Trial summary

The main objectives of this trial are to evaluate the long term efficacy and safety of different doses of BI 655064 versus placebo as add-on therapy to Standard of Care (SOC) during maintenance therapy for lupus nephritis. 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
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
69 participants
Where
36 sitesin 16 countries
Study dates
9 Jan 2018to 27 Jul 2021
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

  • Male or female patients.
  • Women of childbearing potential and men able to father a child must be ready and able to use two reliable methods of birth control simultaneously, one of which must be highly effective. Highly effective birth control per International Conference on Harmonisation (ICH) M3(R2) is a method that result in a low failure rate of less than 1% per year when used consistently and correctly. The reliable methods of birth control must be used before starting Mycophenolate mofetil/Azathioprine (MMF/AZA) and the trial drug; then continue during the trial period; and for at least 50 days after the last dose of MMF/AZA and trial medication. In case a female patient is treated with AZA the contraception shall continue for 90 days after treatment with AZA.A list of contraception methods meeting these criteria is provided in the patient information.
  • Sexually active men must be ready to use condoms during treatment with MMF/AZA and for at least 90 days after cessation of MMF/AZA.
  • Permanent sterilisation methods include hysterectomy, bilateral oophorectomy and bilateral salpingectomy.
  • Tubal ligation is NOT a method of permanent sterilisation.
  • A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
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  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
  • For Group 1 patients only:
  • Achieved either a Complete renal Response (CRR) or a Partial Renal Response (PRR) or proteinuria ≤ 1g/d (or UP/UC ≤ 1) at the end of 1293.10.

Who cannot join

  • Evidence of current or previous clinically significant diseases or medical conditions other than lupus, or findings of the medical examination (including vital signs and ECG) that, in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. This criterion provides an opportunity for the investigator to exclude patients based on clinical judgment, even if other eligibility criteria are satisfied.
  • Significant central nervous system symptoms related to Systemic Lupus Erythematosus (SLE) based on investigators assessment.
  • Clinically important acute or chronic infections including but not limited to HIV, hepatitis B or C.
  • Impaired hepatic function defined as serum Aspartate Aminotransferase/Alanine Aminotransferase (AST/ALT), bilirubin or alkaline phosphatase > 2 x Upper Limit of Normal (ULN).
  • Estimated glomerular filtration rate (eGFR) < 30 ml/min/1.73m2 at screening (using CKD-EPI formula).
  • Known hypersensitivity to any constituents of the trial medication; and/or contraindications to Mycophenolate mofetil (MMF) or Azathioprine (AZA) or glucocorticoids.
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  • The use of any restricted medications or any drug considered likely to interfere with the safe conduct of the trial.
  • Unable to comply with the protocol in the investigator's opinion.
  • Chronic alcohol or drug abuse or any condition that, in the investigator's opinion, makes them an unreliable trial patient or unlikely to complete the trial.
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial.

Trial locations and contacts

36 sites in 16 countries.

36 sites in 16 countries

United States4 sites
  • Northwell Health

    Great Neck, New York, 11021

  • Feinstein Institute for Medical Research

    Manhasset, New York, 11030

  • 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

Japan4 sites
  • Hokkaido University Hospital

    Hokkaido, Sapporo, 060-8648

  • Tohoku University Hospital

    Miyagi, Sendai, 980-8574

  • Okayama University Hospital

    Okayama, Okayama, 700-8558

  • Juntendo University Hospital

    Tokyo, Bunkyo-ku, 113-8431

Other trials in Japan

Thailand4 sites
  • Siriraj Hospital

    Bangkok, 10170

  • King Chulalongkorn Memorial Hospital

    Bangkok, 10330

  • Chiangmai University

    Chiang Mai, 50200

  • Pramongkutklao Hospital

    Rajathevee, 10400

Other trials in Thailand

Mexico3 sites
  • Centenario Hospital Miguel Hidalgo

    Aguascalientes, 20259

  • Instituto Nacional de Cardiologia Ignacio Chavez

    Mexico City, 14080

  • Instituto Nacional de Cs Médicas y Nutrición S Zubiran

    Mexico City, 14080

Other trials in Mexico

Poland3 sites
  • University Clinical Hospital in Bialystok I

    Bialystok, 15-540

  • Norbert Barlicki University Clinical Hospital No.1, Lodz

    Lodz, 90-153

  • NZOZ Centrum Medyczne AESKULAP,Private Prac, Radom

    Radom, 26610

Other trials in Poland

Czechia2 sites
  • General University Hospital

    Prague, 12808

  • Institute of Rheumathology Prague

    Prague, 12850

Other trials in Czechia

Germany2 sites
  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

  • Robert-Bosch-Krankenhaus GmbH

    Stuttgart, 70376

Other trials in Germany

Greece2 sites
  • University General Hospital Attikon

    Athens, 124 62

  • University General Hospital of Heraklion

    Heraklion, Crete, 71500

Other trials in Greece

Hong Kong2 sites
  • Prince of Wales Hospital

    Hong Kong, 999077

  • Queen Mary Hospital

    Hong Kong, 999077

Other trials in Hong Kong

Philippines2 sites
  • Southern Philippines Medical Center

    Davao City, 8000

  • Mary Mediatrix Medical Center

    Lipa City, Batangas, 4217

Other trials in Philippines

Portugal2 sites
  • Hospital Curry Cabral, EPE

    Lisbon, 1069-166

  • Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital Santa Maria

    Lisbon, 1649-028

Other trials in Portugal

United Kingdom2 sites
  • Addenbrooke's Hospital

    Cambridge, CB2 0QQ

  • Guy's Hospital

    London, SE1 9RT

Other trials in United Kingdom

Australia1 site
  • Princess Alexandra Hospital

    Woolloongabba, 4102

Other trials in Australia

Canada1 site
  • CHU de Quebec-Universite Laval Research Centre

    Québec, G1V 4G2

Other trials in Canada

Malaysia1 site
  • Hospital Tengku Ampuan Rahimah

    Klang, 41200

Other trials in Malaysia

South Korea1 site
  • Ajou University Hospital

    Suwon, 16499

Other trials in South Korea

About this study

Official title: An Exploratory Maintenance Trial Evaluating the Effect of BI 655064 in Lupus Nephritis Patients Who Have Achieved a Meaningful Response Either at the End of 1293.10 or After an Induction Treatment Outside of 1293.10

The main objectives of this trial are to evaluate the long term efficacy and safety of different doses of BI 655064 versus placebo as add-on therapy to Standard of Care (SOC) during maintenance therapy for lupus nephritis.

Read the detailed description

Initially planned participating countries:

Argentina, Australia, Canada, Colombia, Czech Republic, France, Germany, Greece, Hong Kong, Italy, Japan, Republic of Korea, Malaysia, Mexico, Philippines, Poland, Portugal, Serbia, Spain, Taiwan, Thailand, United Kingdom, United States

Conditions
Lupus Nephritis
Being tested
BI 655064, 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 655064Drug

    subcutaneous injection

  • PlaceboDrug

    subcutaneous injection

Study groups in NCT03385564
Study groupRoleWhat they receive
BI 655064 120 mgExperimental120 milligrams (mg) BI 655064 were administered as solution for subcutaneous injection in a prefilled syringe once every 2 weeks plus the administration of matching placebo as subcutaneous injection in a prefilled syringe once every 2 weeks (in the alternative weeks without BI 655064 administration) over a treatment period of 52 weeks, followed by a 12-week follow-up period. The patients received 1 injection per week.
Receives: Drug: BI 655064
PlaceboPlacebo comparatorMatching placebo were administered as solution for subcutaneous injection in a prefilled syringe once every week over a treatment period of 52 weeks, followed by a 12-week follow-up period. The patients received 1 injection per week.
Receives: Drug: Placebo
BI 655064 180 mgExperimental180 milligrams (mg) BI 655064 were administered as solution for subcutaneous injection in a prefilled syringe once every 2 weeks plus the administration of matching placebo as subcutaneous injection in a prefilled syringe once every 2 weeks (in the alternative weeks without BI 655064 administration) over a treatment period of 52 weeks, followed by a 12-week follow-up period. The patients received 1 injection per week.
Receives: Drug: BI 655064
BI 655064 240 mgExperimental120 milligrams (mg) BI 655064 were administered as solution for subcutaneous injection in a prefilled syringe once every week (240 mg every 2 weeks) over a treatment period of 52 weeks, followed by a 12-week follow-up period. The patients received 1 injection per week.
Receives: Drug: BI 655064

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) and Without Any Renal Flares

    The adjusted (model-based, adjusted for race and proteinuria at screening) percentage of patients with complete renal response (CRR) and without any renal flares is reported. A logistic regression model was used including treatment and the covariates: race (Asian versus (vs.) non-Asian) and proteinuria <3 gram (g)/day vs. ≥3 g/day (or Urine protein (UP)/ Urine creatinine (UC) <3 vs. UP/UC ≥3) at screening.

    Complete renal response (CRR) was defined as urine protein (UP) < 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR < 20% from baseline if eGFR was below normal range (below lower limit of normal [LLN], where LLN = 90 mL/min.

    Measured: At Week 52

Secondary outcomes (10)
  1. Percentage of Patients With Confirmed Complete Renal Response (CRR) and Without Any Renal Flares

    The percentage of patients with confirmed complete renal response (CRR) (defined as CRR at both Week 42 and Week 52 using urine protein (UP)/urine creatine (UC) ratio [UP/UC] from the spot urines) and without any renal flares is reported. Complete renal response (CRR) was defined as urine protein (UP) < 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR < 20% from baseline if eGFR was below normal range (below lower limit of normal [LLN], where LLN = 90 mL/min).

    Measured: At Week 52

  2. Percentage of Patients With Proteinuria <0.8 Grams (g)/Day (d) and Without Any Renal Flares at Week 52

    The percentage of patients with proteinuria <0.8 grams (g)/day (d) and without any renal flares at week 52 is reported.

    Measured: At Week 52

  3. Percentage of Patients With Complete Renal Response (CRR) at Week 52 and Sustained Steroid Reduction to ≤5 Milligrams (mg)/Day (d) From Week 26 to Week 52

    The percentage of patients with complete renal response (CRR) at Week 52 and sustained steroid reduction to ≤5 milligrams (mg)/day (d) from Week 26 to Week 52 is reported. Complete renal response (CRR) was defined as urine protein (UP) < 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR < 20% from baseline if eGFR was below normal range (below lower limit of normal [LLN], where LLN = 90 mL/min.

    Measured: At Week 52 (Sustained Steroid Reduction to ≤5 mg/d was evaluated from Week 26 to Week 52).

  4. Percentage of Patients Experiencing at Least One Renal Flare During 52 Weeks

    The percentage of patients experiencing at least one renal flare during 52 weeks is reported.

    Measured: At Week 52

  5. Time to First Renal Flare Over the Course of 52 Weeks

    The time to first renal flare over the course of 52 weeks is reported.

    Measured: Up to 52 weeks.

  6. Percentage of Patients With Partial Renal Response (PRR) and Without Any Renal Flares Derived From Urine Protein (UP) 24 Hours (h) Collection at Week 52

    The percentage of patients with partial renal response (PRR) and without any renal flares derived from urine protein (UP) 24 hours (h) collection at Week 52 is reported. 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

  7. Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 12

    Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 12 is reported. Change from baseline at Week 12 is calculated as: value at Week 12 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI Total score is the sum of the scores of the 24 items, ranging from 0 (better health) to 105 (worse health).

    Measured: At baseline and at Week 12

  8. Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 26

    Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 26 is reported. Change from baseline at Week 26 is calculated as: value at Week 26 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI Total score is the sum of the scores of the 24 items, ranging from 0 (better health) to 105 (worse health).

    Measured: At baseline and at Week 26

  9. Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 42

    Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 42 is reported. Change from baseline at Week 42 is calculated as: value at Week 42 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI Total score is the sum of the scores of the 24 items, ranging from 0 (better health) to 105 (worse health).

    Measured: At baseline and at Week 42

  10. Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 52

    Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 52 is reported. Change from baseline at Week 52 is calculated as: value at Week 52 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI Total score is the sum of the scores of the 24 items, ranging from 0 (better health) to 105 (worse health).

    Measured: At baseline and 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 posted28 Dec 2017
  2. Study start9 Jan 2018
  3. Primary completion25 May 2021
  4. Study completion27 Jul 2021

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
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03385564
Sponsor's protocol ID
1293-0013
Other IDs
2017-003101-17, 2017
Status last verified
Jun 2022
First submitted
21 Dec 2017
Last updated
13 Jul 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: After the study is completed and the primary manuscript is accepted for publishing, researchers can use this 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". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to 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. The data shared are the raw clinical study data sets.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 655064 in people with Lupus Nephritis, run by Boehringer Ingelheim at 36 sites in 16 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 9 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 13 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Japan, Thailand, Mexico, Poland and 11 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 13 Jul 2022). 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) and Without Any Renal Flares (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?
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 13 Jul 2022.

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