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AzTrials

Lupus NephritisPhase 2ORCHID-LNNCT04376827

A Study of Guselkumab in Participants With Active Lupus Nephritis

A Phase 2 study testing Guselkumab Dose 1, Guselkumab Dose 2 and Standard-of-care treatment in people with Lupus Nephritis, run by Janssen Research & Development, LLC at 60 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy of guselkumab in participants with active lupus nephritis (LN). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Lupus Nephritis
What is being tested?
Guselkumab Dose 1, Guselkumab Dose 2 and Standard-of-care treatment
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
60 sitesin 9 countries
Study dates
15 Sep 2020to 1 Feb 2023
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At screening and randomization, must be receiving oral glucocorticoids at minimum prednisone equivalent dose of 10 milligrams per day (mg/day) and maximum 1 mg/kg/day or less than or equal to (<=) 60 mg/day, whichever is lower. Treated for greater than or equal to (>=) 6 weeks with stable dosing >=2 weeks before randomization
  • If receiving angiotensin-converting enzyme (ACE) inhibitor/angiotensin II receptor blockers (ARB), a stable dose for at least 2 weeks prior to randomization
  • Positive antinuclear antibody (ANA; >= 1:80 titer by central laboratory test) or anti-double-stranded deoxyribonucleic acid (dsDNA) antibodies (>=30 international units per milliliter ([U/mL] by central laboratory test) detected at screening
  • Kidney biopsy documentation of active International Society of Nephrology (ISN)/Renal Pathology Society (RPS) proliferative nephritis: Class III-IV (with or without class V membranous nephritis) within the last 6 months prior to screening or performed during screening
  • Urine Protein to Creatinine Ratio (UPCR) >= 1.0 milligram/milligram (mg/mg) assessed on 2 first morning urine void specimens during screening. These 2 specimens do not need to be on consecutive days, however, 2 samples must be tested with UPCR >= 1.0 mg/mg in a row. The UPCR requirement must be met after at least 8 weeks of mycophenolate mofetil (MMF)/mycophenolic acid (MPA) treatment, and after stable glucocorticoid dosing is achieved at the dose intended at time of randomization

Who cannot join

  • Comorbidities (other than lupus nephritis [LN], example, asthma, chronic obstructive pulmonary disease) which have required 3 or more courses of systemic glucocorticoids within the previous 12 months
  • Has other inflammatory diseases that might confound the evaluations of efficacy, including but not limited to rheumatoid arthritis (RA), psoriatic arthritis (PsA), RA/lupus overlap, psoriasis, Crohn's disease, or active Lyme disease
  • Received PO (orally) or intravenously (IV) cyclophosphamide within 3 months prior to randomization
  • History of latent or active granulomatous infection, including histoplasmosis or coccidioidomycosis, before screening
  • History of being human immunodeficiency virus (HIV) antibody-positive, or tests positive for HIV at screening

Trial locations and contacts

60 sites in 9 countries.

60 sites in 9 countries

Ukraine14 sites
  • Communal Noncommercial Enterprise Cherkasy Regional Hospital of Cherkasy Regional Council

    Cherkasy, 18009

  • Municipal non-commercial enterprise of Kharkiv Regional Council Regional Clinical Hospital

    Kharkiv, 61058

  • City Clinical Hospital No. 2

    Kryvyi Rih, 50056

  • Medical Center 'Ok Clinic' of International Institute of Clinical Research LLC

    Kyiv, 02000

  • Kyiv Railway Clinical Hospital #2 Of Branch 'Health Center' Of The Company 'Ukrainian Railway'

    Kyiv, 03049

  • SI National Scientific Center Institute of Cardiology of M.D. Strazhesko of NAMS of Ukraine

    Kyiv, 03680

  • Medical Center 'Consylium Medical'

    Kyiv, 04050

  • State Institution 'Institute of Nephrology of the National Academy of Medical Sciences of Ukraine'

    Kyiv, 04050

  • Municipal Non-profit Enterprise 'Odesa Regional Clinical Hospital' Odesa Regional Council

    Odesa, 65025

  • Multidisciplinary Medical Center of Odessa National Medical University

    Odesa, 65026

  • Municipal Non-commercial Enterprise Ternopil University Hospital of Ternopil Regional Council

    Ternopil, 46002

  • Medical Center LTD Health Clinic Department of Cardiology and Rheumatology

    Vinnytsia, 21009

  • MNPE 'Vinnytsia Regional Clinical Hospital named after M.I. Pyrogov of Vinnytsia Regional Council'

    Vinnytsia, 21018

  • Medical Center LLC 'Modern Clinic'

    Zaporizhzhya, 69600

Other trials in Ukraine

United States8 sites
  • University of Colorado Denver

    Aurora, Colorado, 80045

  • NYU Langone Ambulatory Care Brooklyn Heights

    Brooklyn, New York, 11201

  • Medvin Clinical Research

    Covina, California, 91722

  • Med Research, Inc.

    El Paso, Texas, 79902

  • University of Florida College of Medicine

    Gainesville, Florida, 32610

  • UC San Diego

    La Jolla, California, 92037

  • Academic Medical Research Institute

    Los Angeles, California, 90022

  • The Feinstein Institute for Medical Research

    Manhasset, New York, 11030

Other trials in United States

Argentina8 sites
  • Centro Médico Reumatológico (OMI)

    Buenos Aires, C1015ABO

  • Hospital Ramos Mejia

    Caba, 1221

  • ARCIS Salud SRL Aprillus asistencia e investigacion

    CABA, C1406AGA

  • Instituto Medico Strusberg SA

    Córdoba, 05000

  • Clinica Privada Velez Sarsfield

    Córdoba, X5016LIG

  • Instituto de Reumatologia - Ir Medical Center S.A.

    Mendoza, 5000

  • Instituto Médico de la Fundación de Estudios Clínicos (ECLIN)

    Rosario, S2000DEJ

  • Centro de Investigaciones Medicas Tucuman

    San Miguel de Tucumán, T4000AXL

Other trials in Argentina

Spain8 sites
  • Hosp Univ A Coruna

    A Coruña, 15006

  • Hosp Univ Vall D Hebron

    Barcelona, 08035

  • Hosp. Univ. de Basurto

    Bilbao, 48013

  • Hosp. Univ. Infanta Leonor

    Madrid, 28031

  • Hosp. Univ. Ramon Y Cajal

    Madrid, 28034

  • Hosp. Univ. 12 de Octubre

    Madrid, 28041

  • Hosp. Univ. Fuenlabrada

    Madrid, 28942

  • Hosp. Clinico Univ. de Valencia

    Valencia, 46010

Other trials in Spain

Mexico6 sites
  • Hospital Civil de Guadalajara Fray Antonio Alcalde

    Guadalajara, 44280

  • Unidad Reumatologica las Americas S.C.P.

    Mérida, 97000

  • Consultorio de Reumatologia

    México, 07760

  • Centro de Investigacion y Tratamiento Reumatologico S C

    Mexico City, 11850

  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

    Mexico City, 14080

  • Unidad de Investigaciones Reumatologicas A.C

    San Luis Potosí City, 78290

Other trials in Mexico

Russia5 sites
  • LLL Medical Center Revma-Med

    Kemerovo, 650070

  • Orenburg State Medical University

    Orenburg, 460000

  • LLC Medical Sanitary Part No. 157

    Saint Petersburg, 196066

  • LLC German Clinic

    Saint Petersburg, 196070

  • Saratov Regional Clinical Hospital

    Saratov, 410053

Other trials in Russia

Taiwan4 sites
  • Kaohsiung Veterans General Hospital

    Kaohsiung City, 81362

  • China Medical University Hospital

    Taichung, 40447

  • National Taiwan University Hospital

    Taipei, 10002

  • Chang Gung Memorial Hospital

    Taoyuan, 33305

Other trials in Taiwan

Thailand4 sites
  • Phramongkutklao Hospital and Medical College

    Bangkok, 10400

  • Ramathibodi Hospital

    Bangkok, 10400

  • Maharaj Nakorn Chiangmai Hospital

    Chiang Mai, 50200

  • Songklanagarind hospital

    Hat Yai, 90110

Other trials in Thailand

Poland3 sites
  • Uniwersyteckie Centrum Medyczne Klinika Nefrologii Transplantologii i Chorob Wewnetrznych

    Gdansk, 80 952

  • Uniwersytecki Szpital Kliniczny nr 1 im. N. Barlickiego

    Lodz, 90-153

  • Uniwersytecki Szpital Kliniczny we Wroclawiu

    Wroclaw, 50 556

Other trials in Poland

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study of Guselkumab in Subjects With Active Lupus Nephritis

The purpose of this study is to evaluate the efficacy of guselkumab in participants with active lupus nephritis (LN).

Read the detailed description

Guselkumab is a monoclonal antibody (mAb) that binds to human interleukin (IL)-23 with high affinity and blocks binding of extracellular IL-23 to cell surface IL-23 receptor, inhibiting IL 23 specific intracellular signaling and subsequent activation and cytokine production. It is used in treatment of plaque psoriasis, psoriatic arthritis, generalized pustular psoriasis, erythrodermic psoriasis. Lupus is a heterogeneous autoimmune disease with lesions confined to skin (cutaneous lupus erythematosus [CLE]) to others that involve 1 or more vital internal organs (systemic lupus erythematosus [SLE]). Renal involvement due to SLE is termed lupus nephritis (LN). There is a high unmet need for new treatment options in LN that are safe and effective, especially new therapies that can provide improved long-term efficacy over currently available therapies. This study will evaluate safety and efficacy of guselkumab added to standard-of-care compared to placebo added to standard-of-care. Total duration of study is up to 68 weeks: a less than or equal to 8 week screening period, a 48 week double-blind treatment period, a 12 week safety follow-up period after last dose. Participants who complete the assessments at Week 52 and have achieved complete renal response (CRR) may have the option to participate in the long-term extension (LTE) of study through Week 152 and the 12-week safety follow-up visit. Hypothesis of this study is that guselkumab plus standard-of-care is superior to placebo plus standard-of-care in participants with active LN as measured by the proportion of participants inducing at least a 50 percentage reduction of proteinuria with protocol specified steroid tapering regimen at Week 24. Safety assessments include Adverse events (AEs), clinical laboratory tests (hematology and chemistry), systolic and diastolic blood pressures over time, monitoring for hypersensitivity reactions, AEs temporally associated with infusion, injection-site reactions, suicidality assessment, and early detection of active tuberculosis (TB).

Conditions
Lupus Nephritis
Being tested
Guselkumab Dose 1, Placebo, Guselkumab Dose 2, Standard-of-care treatment
Medical subject headings
Lupus Nephritis

What participants receive

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

  • Guselkumab Dose 1Drug

    Also called CNTO 1959

    Participants will receive guselkumab Dose 1 via IV administration.

  • PlaceboDrug

    Participants will receive placebo IV at Weeks 0, 4 and 8 (that is, 3 IV doses) and placebo SC q4w from Week 12 through Week 48.

  • Guselkumab Dose 2Drug

    Also called CNTO1959

    Participants will receive guselkumab Dose 2 via SC route.

  • Standard-of-care treatmentDrug

    Participants will receive standard of care treatment including MMF/MPA and glucocorticoids from Week 12 through Week 48.

Study groups in NCT04376827
Study groupRoleWhat they receive
Guselkumab+Standard of CareExperimentalParticipants will receive guselkumab Dose 1 intravenously (IV) at Weeks 0, 4 and 8 and guselkumab Dose 2 subcutaneous (SC) every 4 weeks (q4w) from Week 12 through Week 48 along with standard-of-care treatment of mycophenolate mofetil (MMF)/mycophenolic acid (MPA) and glucocorticoids. Participants who achieved complete renal response (CRR) at Week 48 and 52 and have completed the Week 52 assessment may have the option to participate in the long-term extension (LTE).
Receives: Drug: Guselkumab Dose 1; Drug: Guselkumab Dose 2; Drug: Standard-of-care treatment
Placebo+Standard of CarePlacebo comparatorParticipants will receive placebo IV at Weeks 0, 4 and 8 and placebo SC q4w from Week 12 through Week 48 along with standard-of-care treatment of MMF/MPA and glucocorticoids. Participants who achieved complete renal response (CRR) at Week 48 and 52 and have completed the Week 52 assessment may have the option to participate in the LTE of the study.
Receives: Drug: Placebo; Drug: Standard-of-care treatment

What is being measured

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

  1. Percentage of Participants Achieving at Least 50 Percent (%) Decrease From Baseline in Proteinuria at Week 24

    Percentage of participants achieving at least 50% decrease in proteinuria from baseline at Week 24 was reported. Proteinuria analysis was based on urine protein creatinine ratio (UPCR) and was defined as the presence of an excess of serum proteins in the urine, which may be an early sign of kidney disease.

    Measured: Week 24

Secondary outcomes (60)
  1. Percentage of Participants Who Achieved Complete Renal Response (CRR) at Week 24

    Percentage of participants who achieved CRR at Week 24 were reported. CRR was defined as UPCR less than (<) 0.5 milligrams per milligrams (mg/mg), estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 60 milliliter per minute per 1.73 meter square (mL/min/1.73m^2) or no confirmed decrease >=20% from baseline and prednisone dose less than or equal to (<=) 10 milligrams per day (mg/d). Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure (OM) time point (Week 24) or initiation of prohibited medications at any time prior to the endpoint time point (Week 24).

    Measured: Week 24

  2. Percentage of Participants Who Achieved CRR at Week 52

    Percentage of participants who achieved CRR at Week 52 were reported. CRR was defined as UPCR less than (<) 0.5 mg/mg, eGFR >= 60 mL/min/1.73m^2 or no confirmed decrease >=20% from baseline and prednisone dose <= 10 mg/d. Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 52) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 52).

    Measured: Week 52

  3. Percentage of Participants Achieving a Sustained Reduction in Steroid Dose <=10 mg/d of Prednisone or Equivalent From Week 16 Through Week 24

    Percentage of participants achieving a sustained reduction in steroid dose less than or equal to (<=) 10 mg/day of prednisone or equivalent from week 16 through Week 24were reported.

    Measured: From Week 16 through Week 24

  4. Percentage of Participants Achieving at Least 50% Decrease in Proteinuria From Baseline at Week 52

    Percentage of participants achieving at least 50% decrease in proteinuria from baseline at Week 52 were reported. Proteinuria analysis was based on urine protein creatinine ratio (UPCR) and was defined as the presence of an excess of serum proteins in the urine, which may be an early sign of kidney disease.

    Measured: Week 52

  5. Percentage of Participants With Urine Protein to Creatinine Ratio (UPCR) < 0.5 mg/mg at Week 24

    Percentage of participants with UPCR <0.5 mg/mg at Week 24 were reported.

    Measured: Week 24

  6. Percentage of Participants With UPCR < 0.75 mg/mg at Week 24

    Percentage of participants with UPCR less than 0.75 mg/mg at Week 24 were reported.

    Measured: Week 24

  7. Percentage of Participants Who Achieved CRR Through Week 24

    Percentage of participants who achieved CRR through Week 24 was reported. CRR was defined as UPCR<0.5 mg/mg, eGFR >= 60 mL/min/1.73m^2 or no confirmed decrease>=20% from baseline and prednisone dose <= 10 mg/d. Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to lupus nephritis (LN) or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 24) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 24).

    Measured: Up to Week 24

  8. Percentage of Participants With Treatment Failure (TF) Through Week 52

    Percentage of participants with TF through Week 52 was reported. TF was defined as time to the first occurrence of TF from baseline. Participant was considered to have treatment failure, who did not continue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 52) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 52).

    Measured: Up to Week 52

  9. Number of Participants With Adverse Events (AEs)

    Number of participants with AEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  10. Number of Participants With Serious Adverse Events (SAEs)

    Number of Participants with SAEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, or was medically important.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  11. Number of Participants With Related AEs

    Number of participants with related AEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. Related AE was defined as the AE assessed by the investigator related to study agent.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  12. Number of Participants With AEs Leading to Discontinuation of Study Intervention

    Number of participants with AEs leading to discontinuation of study intervention were reported.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  13. Number of Participants With Infections

    Number of participants with infections as assessed by the investigator were reported.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  14. Number of Participants With Serious Infections

    Number of participants with serious infections as assessed by the investigator were reported.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  15. Number of Participants With Infections Requiring Oral or Parenteral Antimicrobial Treatment

    Number of participants with infections requiring oral or parenteral antimicrobial treatment planned to be were reported.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  16. Number of Participants With AEs Temporally Associated With an Infusion

    Number of participants with AEs temporally (a reaction that occurred during or within 1 hour after infusion) associated with an infusion were reported. AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product does not necessarily have a causal relationship with the treatment. Therefore, it can be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  17. Number of Participants With AEs With Injection-site Reactions

    Number of participants with injection-site reactions as assessed by the investigator were reported. An injection-site reaction is any adverse reaction at a SC study intervention injection-site.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  18. Change From Baseline in Clinical Laboratory Parameter: Activated Partial Thromboplastin Time

    Change from baseline in clinical laboratory parameter: activated partial thromboplastin time was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  19. Change From Baseline in Clinical Laboratory Parameter: Basophils

    Change from baseline in clinical laboratory parameter: basophils was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  20. Change From Baseline in Clinical Laboratory Parameter: Eosinophils

    Change from baseline in clinical laboratory parameter: eosinophils was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  21. Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Hemoglobin

    Change from baseline in clinical laboratory parameter: erythrocytes mean corpuscular hemoglobin was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  22. Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Volume

    Change from baseline in clinical laboratory parameter: erythrocytes mean corpuscular volume was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  23. Change From Baseline in Clinical Laboratory Parameter: Erythrocytes

    Change from baseline in clinical laboratory parameter: erythrocytes was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  24. Change From Baseline in Clinical Laboratory Parameter: Hematocrit

    Change from baseline in clinical Laboratory parameter: hematocrit was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  25. Change From Baseline in Clinical Laboratory Parameter: Hemoglobin

    Change from baseline in clinical laboratory parameter: hemoglobin was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  26. Change From Baseline in Clinical Laboratory Parameter Leukocytes

    Change from baseline in clinical laboratory parameter: leukocytes was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  27. Change From Baseline in Clinical Laboratory Parameter: Lymphocytes

    Change from baseline in clinical laboratory parameter: lymphocytes was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  28. Change From Baseline in Clinical Laboratory Parameter: Monocytes

    Change from baseline in clinical laboratory parameter: monocytes was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  29. Change From Baseline in Clinical Laboratory Parameter: Hematology Parameter: Segmented Neutrophils

    Change from baseline in clinical laboratory parameter: segmented neutrophils was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  30. Change From Baseline in Clinical Laboratory Parameter: Platelets

    Change from baseline in clinical laboratory parameter: platelets was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  31. Change From Baseline in Clinical Laboratory Parameter: Prothrombin International Normalized Ratio

    Change from baseline in clinical laboratory parameter: prothrombin international normalized ratio was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  32. Change From Baseline in Clinical Laboratory Parameter: Prothrombin Time

    Change from baseline in clinical laboratory parameter: prothrombin time was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  33. Change From Baseline in Clinical Laboratory Parameter: Reticulocytes/Erythrocytes

    Change from baseline in clinical laboratory hematology parameter:reticulocytes/erythrocytes was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  34. Change From Baseline in Clinical Laboratory Parameter: Alanine Aminotransferase

    Change from baseline in clinical laboratory parameter: alanine aminotransferase was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  35. Change From Baseline in Clinical Laboratory Parameter: Albumin

    Change from baseline in clinical laboratory parameter: albumin was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  36. Change From Baseline in Clinical Laboratory Parameter: Alkaline Phosphatase

    Change from baseline in clinical laboratory parameter: alkaline phosphatase was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  37. Change From Baseline in Clinical Laboratory Parameter: Aspartate Aminotransferase

    Change from baseline in clinical laboratory parameter: aspartate aminotransferase was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  38. Change From Baseline in Clinical Laboratory Parameter: Bicarbonate

    Change from baseline in clinical laboratory parameter: bicarbonate was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  39. Change From Baseline in Clinical Laboratory Parameter: Bilirubin

    Change from baseline in clinical laboratory parameter: bilirubin was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  40. Change From Baseline in Clinical Laboratory Parameters: Calcium

    Change from baseline in clinical laboratory parameter: calcium was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  41. Change From Baseline in Clinical Laboratory Parameter: Chloride

    Change from baseline in clinical laboratory parameter: chloride was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  42. Change From Baseline in Clinical Laboratory Parameters: Cholesterol

    Change from baseline in clinical laboratory parameter: cholesterol was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  43. Change From Baseline in Clinical Laboratory Parameter: Creatine Kinase

    Change from baseline in clinical laboratory parameter: creatine kinase was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  44. Change From Baseline in Clinical Laboratory Parameter: Creatinine

    Change from baseline in clinical laboratory parameter: creatinine was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  45. Change From Baseline in Clinical Laboratory Parameter: Protein

    Change from baseline in clinical laboratory parameter: protein was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  46. Change From Baseline in Clinical Laboratory Parameter: Phosphate

    Change from baseline in clinical laboratory parameter: phosphate was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  47. Change From Baseline in Clinical Laboratory Parameter: Sodium

    Change from baseline in clinical laboratory parameter: sodium was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  48. Change From Baseline in Clinical Laboratory Parameters: Potassium

    Change from baseline in clinical laboratory parameter: potassium was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  49. Change From Baseline in Clinical Laboratory Parameters: Urea Nitrogen

    Change from baseline in clinical laboratory parameter: urea nitrogen was reported.

    Measured: Baseline (Week 0), Week 24, and Week 52

  50. Change From Baseline in Clinical Laboratory Parameter: Glomerular Filtration Rate (GFR) From Creatinine Adjusted for Body Surface Area (BSA)

    Change from baseline in clinical laboratory parameter: GFR from Creatinine Adjusted for BSA was reported.

    Measured: Baseline (Week 0), Weeks 24 and 52

  51. Change From Baseline in Clinical Laboratory Parameter: Gamma Glutamyl and Transferase Lactate Dehydrogenase

    Change from baseline in clinical laboratory parameter: gamma glutamyl transferase and lactate dehydrogenase were reported.

    Measured: Baseline (Week 0), Weeks 24 and 52

  52. Change From Baseline in Clinical Laboratory Parameter: Glucose and Magnesium

    Change from baseline in clinical laboratory parameter: glucose and magnesium were reported.

    Measured: Baseline, Weeks 24, 52

  53. Change From Baseline in Clinical Laboratory Parameter: Protein

    Change from baseline in clinical laboratory parameter: protein was reported.

    Measured: Baseline (Week 0), Weeks 24 and 52

  54. Change From Baseline in Chemistry Parameters: Protein/Creatinine

    Change from baseline in chemistry parameter: protein/creatinine was reported.

    Measured: Baseline, Weeks 24 and 52

  55. Change From Baseline in Clinical Laboratory Parameter: Urate

    Change from baseline in clinical laboratory parameter: urate was reported.

    Measured: Baseline, Weeks 24, 52

  56. Change From Baseline in Clinical Laboratory Parameter: Urine Protein

    Change from baseline in clinical laboratory parameter: urine protein was reported.

    Measured: Baseline (Week 0), Weeks 24 and 52

  57. Number of Participants With Maximum US National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Toxicity Grade (Grade 4) in Clinical Laboratory Parameters: Hematology and Chemistry

    Number of participants with maximum US NCI-CTCAE toxicity grade (Grade 4) in clinical laboratory parameters: hematology and chemistry were reported. Toxicity were graded as Grade 1: Mild, Grade 2: Moderate; Grade 3: Severe. Grade 4: Life-threatening and Grade 5: Death.

    Measured: DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)

  58. Percentage of Participants With Abnormal Vital Signs: Systolic and Diastolic Blood Pressure

    Percentage of participants with abnormal vital signs: Systolic and Diastolic blood pressure were reported.

    Measured: Up to Week 60

  59. Serum Concentration of Guselkumab

    Serum Concentration of guselkumab were reported.

    Measured: Predose: Weeks 0,4,8,12,16,20,24, 36; Post-dose: Week 0 (1 hour after intravenous administration), Day 2, Week 52 and 60

  60. Number of Participants With Treatment-boosted Anti-drug Antibodies (ADA) Response

    Treatment-boosted ADA positive participants: participants who were positive at baseline and whose titers increased 2-fold at any time after treatment. Titer values were categorized as<=1:10, 10 to 100, 100 to 1000, >1000.

    Measured: From Baseline (Week 0) through Week 24 and Week 60

Timeline

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

  1. First posted6 May 2020
  2. Study start15 Sep 2020
  3. Primary completion1 Feb 2023
  4. Study completion1 Feb 2023

Why it stopped: Due to enrollment challenges, J\&J Innovative Medicine decided to stop screening and terminate the study early. This decision was not based on a safety concern.

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
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04376827
Sponsor's protocol ID
CR108766
Other IDs
2018-003155-38, CNTO1959LUN2001, 2018
Acronym
ORCHID-LN
Status last verified
Mar 2025
First submitted
4 May 2020
Last updated
30 Mar 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • Anders HJ, Chan TM, Sanchez-Guerrero J, Wofsy D, Bensley K, Kim L, Lo KH, Shu C, Shao J, Karyekar CS, Diamond B. Efficacy and safety of guselkumab in patients with active lupus nephritis: results from a phase 2, randomized, placebo-controlled study. Rheumatology (Oxford). 2025 May 1;64(5):2731-2740. doi: 10.1093/rheumatology/keae647.

    PubMed 39673415
  • Avasare R, Drexler Y, Caster DJ, Mitrofanova A, Jefferson JA. Management of Lupus Nephritis: New Treatments and Updated Guidelines. Kidney360. 2023 Oct 1;4(10):1503-1511. doi: 10.34067/KID.0000000000000230.

    PubMed 37528520

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Guselkumab Dose 1, Guselkumab Dose 2 and Standard-of-care treatment in people with Lupus Nephritis, run by Janssen Research & Development, LLC at 60 sites in 9 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 5 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: stopped early, as of the sponsor's last update on 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in Ukraine, United States, Argentina, Spain, Mexico and 4 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 16 Apr 2024). 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 Participants Achieving at Least 50 Percent (%) Decrease From Baseline in Proteinuria at Week 24 (time frame: Week 24). 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 NCT04376827, which also lists 2 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 30 Mar 2025.

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