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.
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
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
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
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
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
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
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
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
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
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 group | Role | What they receive |
|---|---|---|
| Guselkumab+Standard of Care | Experimental | Participants 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 Care | Placebo comparator | Participants 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.
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)
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
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
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
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
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
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
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
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
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)
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)
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)
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)
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)
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)
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)
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)
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Change From Baseline in Chemistry Parameters: Protein/Creatinine
Change from baseline in chemistry parameter: protein/creatinine was reported.
Measured: Baseline, Weeks 24 and 52
Change From Baseline in Clinical Laboratory Parameter: Urate
Change from baseline in clinical laboratory parameter: urate was reported.
Measured: Baseline, Weeks 24, 52
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
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)
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
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
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.
- First posted6 May 2020
- Study start15 Sep 2020
- Primary completion1 Feb 2023
- 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
- 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 (2)Papers the sponsor has linked to this study.
- Other trials for Lupus NephritisStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 33 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 39673415Avasare 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
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study of Guselkumab in Subjects With Active Lupus Nephritis
- ClinicalTrials.gov ID
- NCT04376827
- Acronym / sponsor ID
- ORCHID-LN / CR108766
- Conditions
- Lupus Nephritis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason 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.
- Enrolment
- 33 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 15 Sep 2020 (actual)
- Primary completion
- 1 Feb 2023 (actual)
- Study completion
- 1 Feb 2023 (actual)
- First posted
- 6 May 2020 (actual)
- Results
- Posted 16 Apr 2024
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 of guselkumab in participants with active lupus nephritis (LN).
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Guselkumab+Standard of Care | Experimental | Drug: Guselkumab Dose 1, Drug: Guselkumab Dose 2, Drug: Standard-of-care treatmentParticipants 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). |
| Placebo+Standard of Care | Placebo comparator | Drug: Placebo, Drug: Standard-of-care treatmentParticipants 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. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (5 listed)
- 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
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 |
|---|---|---|
| Guselkumab Dose 1Also: CNTO 1959Participants will receive guselkumab Dose 1 via IV administration. | Drug | Guselkumab+Standard of Care |
| PlaceboParticipants 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. | Drug | Placebo+Standard of Care |
| Guselkumab Dose 2Also: CNTO1959Participants will receive guselkumab Dose 2 via SC route. | Drug | Guselkumab+Standard of Care |
| Standard-of-care treatmentParticipants will receive standard of care treatment including MMF/MPA and glucocorticoids from Week 12 through Week 48. | Drug | Guselkumab+Standard of Care, Placebo+Standard of Care |
Primary outcome
Percentage of Participants Achieving at Least 50 Percent (%) Decrease From Baseline in Proteinuria at Week 24
Time frame: 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.
60 secondary outcomes
Percentage of Participants Who Achieved Complete Renal Response (CRR) at Week 24
Time frame: Week 24
Percentage of Participants Who Achieved CRR at Week 52
Time frame: Week 52
Percentage of Participants Achieving a Sustained Reduction in Steroid Dose <=10 mg/d of Prednisone or Equivalent From Week 16 Through Week 24
Time frame: From Week 16 through Week 24
Percentage of Participants Achieving at Least 50% Decrease in Proteinuria From Baseline at Week 52
Time frame: Week 52
Percentage of Participants With Urine Protein to Creatinine Ratio (UPCR) < 0.5 mg/mg at Week 24
Time frame: Week 24
Percentage of Participants With UPCR < 0.75 mg/mg at Week 24
Time frame: Week 24
Percentage of Participants Who Achieved CRR Through Week 24
Time frame: Up to Week 24
Percentage of Participants With Treatment Failure (TF) Through Week 52
Time frame: Up to Week 52
Number of Participants With Adverse Events (AEs)
Time frame: 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)
Number of Participants With Serious Adverse Events (SAEs)
Time frame: 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)
Number of Participants With Related AEs
Time frame: 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)
Number of Participants With AEs Leading to Discontinuation of Study Intervention
Time frame: 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)
Number of Participants With Infections
Time frame: 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)
Number of Participants With Serious Infections
Time frame: 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)
Number of Participants With Infections Requiring Oral or Parenteral Antimicrobial Treatment
Time frame: 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)
Number of Participants With AEs Temporally Associated With an Infusion
Time frame: 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)
Number of Participants With AEs With Injection-site Reactions
Time frame: 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)
Change From Baseline in Clinical Laboratory Parameter: Activated Partial Thromboplastin Time
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Basophils
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Eosinophils
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Hemoglobin
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Volume
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Erythrocytes
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Hematocrit
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Hemoglobin
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter Leukocytes
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Lymphocytes
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Monocytes
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Hematology Parameter: Segmented Neutrophils
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Platelets
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Prothrombin International Normalized Ratio
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Prothrombin Time
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Reticulocytes/Erythrocytes
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Alanine Aminotransferase
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Albumin
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Alkaline Phosphatase
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Aspartate Aminotransferase
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Bicarbonate
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameter: Bilirubin
Time frame: Baseline (Week 0), Week 24, and Week 52
Change From Baseline in Clinical Laboratory Parameters: Calcium
Time frame: Baseline (Week 0), Week 24, and Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39673415Anders 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.
- Derived from this study: PubMed 37528520Avasare 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.
- A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study of Guselkumab in Subjects with Active Lupus NephritisLink provided by the sponsor.
- Individual participant dataSharing planned: 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
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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.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
60 sites in 9 countries: see every site and its status.
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.