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Systemic Lupus ErythematosusNCT04971590

Study to Assess Demographic, Pharmacologic, Biomarker, Clinical Features and Quality of Life (QoL) of Participants With Lupus Nephritis

An observational study of Systemic Lupus Erythematosus, run by GlaxoSmithKline at 6 sites in 4 countries.

Completed

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

Official record

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Trial summary

This is a multicenter prospective study to assess clinical characteristics, demographics, treatment and health-related quality of life (HRQoL) of lupus nephritis (LN) participants across 5 Gulf countries (United Arab Emirates [UAE], Qatar, Bahrain, Kuwait and Oman). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Systemic Lupus Erythematosus
What is being tested?
Participant completed survey and Medical chart review
How many people
193 participants
Where
6 sitesin 4 countries
Study dates
14 Sep 2021to 31 Oct 2024
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants with lupus nephritis as defined by physician per participants hospital records prior to the enrolment visit or at diagnosis.

Who may be able to join

  • More than or equal to 18 years of age
  • Clinician diagnosed LN participants.
  • At least one visit to the investigational center during 12 months prior to the baseline visit, recorded in medical documentation.
  • Literacy in English or Arabic allowing to fully comprehend the written informed consent and study-specific patient reported questionnaires.

Who cannot join

  • Incomplete medical records to be able to assess the disease severity or absence of any of the following renal laboratory results from the medical record within the last twelve months: a. Urinary protein to creatinine ratio (UPCR) or 24-hour proteinuria or urine sediment (activity). b. Serum creatinine or estimated glomerular filtration rate (eGFR); or measured glomerular filtration rate (GFR), if eGFR is not available.
  • Current or medical history of: a. Congenital or acquired immunodeficiency. b. Malignancy in active treatment phase. c. Acute viral infection, such as human immunodeficiency virus (HIV) infection, requiring hospitalization.

Trial locations and contacts

6 sites in 4 countries.

6 sites in 4 countries

United Arab Emirates3 sites
  • GSK Investigational Site

    Abu Dhabi

  • GSK Investigational Site

    Al Ain City

  • GSK Investigational Site

    Dubai

Other trials in United Arab Emirates

Kuwait1 site
  • GSK Investigational Site

    Shweikh

Other trials in Kuwait

Oman1 site
  • GSK Investigational Site

    Bawshar

Other trials in Oman

Qatar1 site
  • GSK Investigational Site

    Alrayyan

Other trials in Qatar

About this study

Official title: LUNELORD: A Descriptive, Prospective Study to Assess Demographic, Pharmacologic, Biomarker, Clinical Features and QoL of Patients With LUpus NEphritis and Long-term ORgan Damage

This is a multicenter prospective study to assess clinical characteristics, demographics, treatment and health-related quality of life (HRQoL) of lupus nephritis (LN) participants across 5 Gulf countries (United Arab Emirates [UAE], Qatar, Bahrain, Kuwait and Oman).

Being tested
Participant completed survey, Medical chart review
Keywords
LUNELORD, Systemic lupus erythematosus, Lupus nephritis, Organ damage, Gulf countries, Real-world
Medical subject headings
Lupus Erythematosus, Systemic, Lupus Nephritis

What participants receive

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

  • Participant completed surveyOther

    Participants will be required to complete the participant survey.

  • Medical chart reviewOther

    Data will be collected from medical charts of participants.

Study groups in NCT04971590
Study groupRoleWhat they receive
Participants with Lupus NephritisNot described
Receives: Other: Participant completed survey; Other: Medical chart review

What is being measured

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

  1. Number of Participants Categorized by Demographic Characteristics

    Number of participants categorized by demographic characteristics including - health insurance coverage (yes, no), employment status (full time, part-time, housewife, not working, other, retired, self-employment), cigarette smoking status (current smoker, ex-smoker, non-smoker, unknown) and alcohol consumption (current, former, never, unknown) has been presented.

    Measured: At Baseline (Day 1)

  2. Number of Participants With Active Clinical Manifestations of Lupus Nephritis

    The active clinical manifestations included pedal edema, serositis, hair loss, decreased urine output, malar rash, discoid rash, photosensitive rash, joint pain/arthritis, hypertension, oral ulcer, seizure, psychosis, proteinuria, microscopic hematuria, anemia, thrombocytopenia, renal failure, leukopenia, other (autoimmune hepatitis, raised Serum creatinine with estimated glomerular filtration rate [eGFR] 59 milliliters per minute [ml/min]/1.73 meter square [m^2]). Participants may have more than 1 active clinical manifestations of Lupus Nephritis.

    Measured: Up to 12 months

  3. Number of Participants With Comorbidities

    Participants with comorbidities (such as antiphospholipid syndrome/thrombotic microangiopathy, obesity, cardiovascular disease, diabetes) observed since the date of first diagnosis of lupus nephritis has been presented.

    Measured: Up to 12 months

  4. Number of Participants With Severe Lupus Nephritis

    Severe lupus nephritis was defined as participants with Systemic lupus erythematosus disease activity index 2000 (SLEDAI-2K) score greater than or equal to (>=) 10. SLEDAI-2K score was the sum of all 24 individual items from the SLEDAI-2K. The total score ranges from 0 (no disease activity) to 105 (all 24 descriptors present simultaneously). A higher score indicates a more significant degree of disease activity.

    Measured: Up to 12 months

  5. Number of Participants Categorized by Treatments for Lupus Nephritis

    Number of participants categorized by treatments for lupus nephritis including prednisone, chloroquine, hydroxychloroquine, azathioprine, belimumab, tacrolimus, cyclosporine, voclosporin, cyclophosphamide, mycophenolate mofetil, methotrexate, and rituximab has been presented. Participants may have received more than 1 treatment for lupus nephritis.

    Measured: At Baseline (Day 1)

  6. Short Form Health Survey (SF-36) Health-related Quality of Life Domain Score

    The 36-Item Short Form Health Survey (SF-36) is a 36-item Health-Related Quality of Life (HRQoL) questionnaire covering 8 health domains: physical functioning, Pain, Role limitations due to physical health, Role limitations due to emotional problems, emotional well-being, Social Functioning, energy/fatigue, and General Health. The individual question items are first summed for each item under the various sections. Then, those domain scores were weighted to a scale ranging between 0 to 100, where higher score represents better health. Individual domain scores have been presented.

    Measured: At Baseline (Day 1)

Secondary outcomes (7)
  1. Number of Participants With Refractory Lupus Nephritis

    Refractory systemic lupus nephritis was defined as inefficacy of cyclophosphamide, use of rituximab, splenectomy, or inefficacy of >=2 immunosuppressives (methotrexate, leflunomide, abatacept, anti-tumor necrosis factor [anti-TNF], azathioprine, mycophenolate mofetil, and/or mycophenolic acid).

    Measured: Up to 12 months

  2. Number of Participants With Abnormal Findings for Serological Markers

    Number of participants with abnormal findings for serological markers (including anti-nuclear antibody, anti-double-stranded deoxyribonucleic acid [dsDNA] antibody and complement levels [C3, C4]) has been presented. Abnormal values were determined by the investigator.

    Measured: At 3, 6, 9 and 12 months

  3. Number of Participants With Renal Remission That Were Associated With Clinical Factors, Biomarkers, and Treatments

    Renal remission was defined as proteinuria of <0.7 grams per day (g/d) or <0.5g/d or at physicians' discretion. Number of participants with renal remission that were associated with clinical factors, biomarkers, and treatments has been presented.

    Measured: Up to 12 months

  4. Percent Change From Baseline in SF-36 Scores for Each Health Domain:Physical Functioning, Pain, Role Limitations Due to Physical Health, Role Limitations Due to Emotional Problem, Emotional Well-being, Social Functioning, Energy/Fatigue and General Health

    The 36-Item Short Form Health Survey (SF-36) is a 36-item HRQoL questionnaire covering 8 health domains: physical functioning, pain, role limitations due to physical health, role limitations due to emotional problems, emotional well-being, social functioning, energy/fatigue, and general Health. The individual question items are first summed for each item under the various sections. Then, those domain scores were weighted to a scale ranging between 0 to 100, where higher score represents better health. Baseline was considered as Day 1. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value (at 12 months). Percent change from Baseline was calculated by dividing change from Baseline value by Baseline value and multiplying it by 100. Percent change from Baseline values of individual domain scores have been presented.

    Measured: Baseline (Day 1) and at 12 months

  5. Number of Participants With Hospitalizations and Intensive Care Unit (ICU) Hospitalizations

    Number of participants with hospitalizations and ICU hospitalizations has been presented.

    Measured: Up to 12 months

  6. Direct Medical Costs Associated With Lupus Nephritis Management

    The direct medical costs of hospitalization and ICU hospitalization per participant associated with lupus nephritis management in United States dollars (USD) of United Arab Emirates (UAE), Kuwait, Qatar, and Oman were analyzed. Costs are described in local currency of each country and converted in USD dollars using the average exchange rate for each local currency versus USD in 2023. Direct medical costs associated with lupus nephritis management have been reported as USD.

    Measured: Up to 12 months

  7. Number of Participants With Treatment for Lupus Nephritis by Sector (Public or Private Sector)

    Number of participants with treatments for lupus nephritis (Prednisone, Chloroquine, Hydroxychloroquine, Azathioprine, Belimumab, Tacrolimus, Cyclosporine A, Voclosporin, Cyclophosphamide, Mycophenolate mofetil, Methotrexate, Rituximab) among physicians in the public and private sectors, respectively has been presented. Data has been presented per treatment received either in public sector or private sector up to 12 months. Participants may have received more than 1 treatment.

    Measured: Up to 12 months

Timeline

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

  1. First posted21 Jul 2021
  2. Study start14 Sep 2021
  3. Primary completion31 Oct 2024
  4. Study completion31 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
193 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04971590
Sponsor's protocol ID
216989
Status last verified
Jan 2026
First submitted
12 Jul 2021
Last updated
22 Jan 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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