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A Multicentre Randomized Double-Blind Placebo Controlled Phase 3 Study to Evaluate the Efficacy and Safety of Anifrolumab in Adult Patients With Active Proliferative Lupus Nephritis

Phase 3
Recruiting
Conditions
upus Nephritis
Registration Number
JPRN-jRCT2011210060
Lead Sponsor
Ageishi Yuji
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
360
Inclusion Criteria

1. Active proliferative LN Class III or IV either with or without the presence of Class V according to the 2003 ISN/RPS classification

2. Renal biopsy obtained within 6 months prior to signing the ICF or during Screening Period.

3. Urine protein to creatinine ratio > 1 mg/mg (113.17 mg/mmol)

4. eGFR 35 mL/min/1.73 m2 or more (as calculated by the Chronic Kidney Disease Epidemiology Collaboration formula).

5. Fulfills updated 2019 EULAR/ACR SLE classification criteria.

6. No signs of symptoms of active TB prior to or during screening or no treatment for latent TB

Exclusion Criteria

1. A diagnosis of pure Class V LN based on the renal biopsy obtained within 6 months prior to signing the ICF or during Screening.

2. Known history of a primary immunodeficiency, splenectomy, or any underlying condition that predisposes the participant to infection, or a positive result for HIV confirmed by the central lab at Screening - an HIV test must be performed during Screening, and the result should be available prior to Week 0 (Day 1).

3. Evidence of hepatitis C or active hepatitis B.

4. Any history of cancer except sucessfully cured skin squamos or basal skin carcinoma and cervical cancer in situ.

5. Receipt of the following for the current LN flare (ie, since the qualifying renal biopsy): IV cyclophosphamide > 2 pulses of high-dose (0.5 g/m2 or more) or > 4 doses of low dose (500 mg every 2 weeks) or Average MMF > 2.5 g/day (or > 1800 mg/day of enteric coated mycophenolate sodium) for more than 8 weeks or Tacrolimus > 4 mg/day for more than 8 weeks; Cyclosporine for more than 8 weeks or during last 8 weeks prior to signing the ICF; Voclosporin for more than 8 weeks or during last 8 weeks prior to signing the ICF; Belimumab for more than 12 weeks or during last 12 weeks prior the ICF.

6. Previous receipt of >=2 investigation treatments (other than anifrolumab) for LN or SLE since time of diagnosis and through the ICF.

7. Known intolerance to 1.0 g/day of MMF or less.

8. Any history of severe COVID-19 infection.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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