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.
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
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).
- Conditions
- Systemic Lupus Erythematosus
- 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 group | Role | What they receive |
|---|---|---|
| Participants with Lupus Nephritis | Not 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.
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)
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
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
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
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)
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)
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
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
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
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
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
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
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.
- First posted21 Jul 2021
- Study start14 Sep 2021
- Primary completion31 Oct 2024
- Study completion31 Oct 2024
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.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 193 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No