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An Investigational Study to Evaluate the Safety and Effectiveness of BMS-986165 With Background Treatment in Participants With Lupus Nephritis

Phase 2
Terminated
Conditions
Lupus Nephritis
Interventions
Registration Number
NCT03943147
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate the safety and effectiveness of BMS-986165 compared with placebo with regard to measures of kidney function in participants with lupus nephritis (LN).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Meets the Systemic Lupus Erythematosus International Collaborating Clinics (SLICC) criteria for Systemic Lupus Erythematosus (SLE)
  • Renal biopsy confirming a histologic diagnosis of active Lupus Nephritis (LN) International Scociety of Nephrology/Renal Pathology Society (ISN/RPS) Classes III, IV-S, or IV-G; or Class V
  • Urine protein:creatinine ratio (UPCR) ≥1.5 mg/mg or UPCR ≥1 mg/mg assessed with a 24-hour urine specimen
Exclusion Criteria
  • Pure ISN/RPS Class V membranous LN
  • Screening estimated glomerular filtration rate ≤30 mL/min/1.73 m^2
  • Dialysis within 12 months before screening or plans for dialysis within 6 months after enrollment in the study
  • End-stage renal disease

Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BMS-986165 Dose 2BMS-986165Specified Dose on Specified Days
Placebo for BMS-986165PlaceboSpecified Dose on Specified Days
Placebo for BMS-986165Mycophenolate MofetilSpecified Dose on Specified Days
Mycophenolate Mofetil (MMF)Mycophenolate MofetilSpecified Dose on Specified Days
BMS-986165 Dose 1BMS-986165Specified Dose on Specified Days
BMS-986165 Dose 2Mycophenolate MofetilSpecified Dose on Specified Days
BMS-986165 Dose 1Mycophenolate MofetilSpecified Dose on Specified Days
Primary Outcome Measures
NameTimeMethod
The Percent Change in Vital Sign Measurements in the Blinded Treatment Period (Part B)From baseline up to 52 weeks after first dose in Part B

The percent change from baseline in Vital sign measurements including: blood pressure, heart rate, respiratory rate, and temperature. Blood pressure and heart rate are measured after the participant has been resting quietly for at least 5 minutes. Data collected from the week 12 visit in Part A will be used for baseline values in Part B.

The Number of Participants Experiencing Averse Events in the Blinded Treatment Period (Part B)From baseline up to 52 weeks after first dose in Part B

An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment. Data collected from the week 12 visit in Part A will be used for baseline values in Part B.

The Number of Participants With Clinically Significant ECG Abnormalities in the Blinded Treatment Period (Part B)From baseline up to 52 weeks after first dose in Part B

The number of participants with clinically significant abnormalities in electrocardiograms (ECGs) parameters. The following ECG parameters will be measured: HR, PR-interval, QRS-duration, QT-interval, QTc-interval. A single 12-lead ECG will be recorded after the participant has been supine for at least 5 minutes. Data collected from the week 12 visit in Part A will be used for baseline values in Part B.

The Number of Participants With Abnormal Laboratory Parameters of Clinical Significance in the Blinded Treatment Period (Part B)From baseline up to 52 weeks after first dose in Part B

The number of participants with abnormal laboratory parameters (Chemistry, hematology, coagulation, immunohematology) that have been considered clinically significant. Clinically relevant laboratory results are determined by the investigator. Data collected from the week 12 visit in Part A will be used for baseline values in Part B.

Percent Change From Baseline in 24-hour Urine Protein:Creatinine Ratio (UPCR) at Week 24 in the Blinded Treatment Period (Part B)Week 24

The percent change from baseline in UPCR based on 24-hour urine collections. 24-hour urine specimens measure the levels of proteins and creatinine in urine and will be used for the UPCR at baseline (week 12) and week 24.

Secondary Outcome Measures
NameTimeMethod
The Number of Participants With Complete Renal Response (CRR) at Week 52 in the Blinded Treatment Period (Part B)Week 52

The number of participants with complete renal response (CRR) defined as a 24-hour Urine Protein:Creatinine Ratio (UPCR) ≤ 0.5 mg/mg and an estimated glomerular filtration rate (eGFR) (using the MDRD equation) ≥ 60 mL/min or ≤ 20% decrease from baseline.

The Number of Participants With Partial Renal Response (PRR) at Week 52 in the Blinded Treatment Period (Part B)Week 52

The number of participants with partial renal response (PRR) defined as ≥ 50% reduction from baseline in 24-hour Urine Protein:Creatinine Ratio (UPCR). 24-hour urine specimens measure the levels of proteins and creatinine in urine and will be used for the UPCR at baseline (week 12) and week 52.

The Number of Participants With Complete Renal Response (CRR) at Week 24 in the Blinded Treatment Period (Part B)Week 24

The number of participants with complete renal response (CRR) defined as a 24-hour Urine Protein:Creatinine Ratio (UPCR) ≤ 0.5 mg/mg and an estimated glomerular filtration rate (eGFR) (using the MDRD equation) ≥ 60 mL/min or ≤ 20% decrease from baseline.

The Number of Participants With Partial Renal Response (PRR) at Week 24 in the Blinded Treatment Period (Part B)Week 24

The number of participants with partial renal response (PRR) defined as ≥ 50% reduction from baseline in 24-hour Urine Protein:Creatinine Ratio (UPCR). 24-hour urine specimens measure the levels of proteins and creatinine in urine and will be used for the UPCR at baseline (week 12) and week 24.

The Number of Participants With Complete Renal Response (CRR) Plus Successful Corticosteroid Taper to ≤ 7.5 mg/Day at Week 24 in the Blinded Treatment Period (Part B)Week 24

The number of participants with complete renal response (CRR) defined as a 24-hour Urine Protein:Creatinine Ratio (UPCR) ≤ 0.5 mg/mg and an estimated glomerular filtration rate (eGFR) (using the MDRD equation) ≥ 60 mL/min or ≤ 20% decrease from baseline who was also able to successfully taper corticosteroid use to ≤ 7.5 mg/day.

The Number of Participants With Complete Renal Response (CRR) Plus Successful Corticosteroid Taper to ≤ 7.5 mg/Day at Week 52 in the Blinded Treatment Period (Part B)Week 52

The number of participants with complete renal response (CRR) defined as a 24-hour Urine Protein:Creatinine Ratio (UPCR) ≤ 0.5 mg/mg and an estimated glomerular filtration rate (eGFR) (using the MDRD equation) ≥ 60 mL/min or ≤ 20% decrease from baseline who was also able to successfully taper corticosteroid use to ≤ 7.5 mg/day.

Trial Locations

Locations (87)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

The Nephrology Group

🇺🇸

Fresno, California, United States

The Regents of The University of California

🇺🇸

Los Angeles, California, United States

University of Colorado School of Medicine

🇺🇸

Aurora, Colorado, United States

Local Institution - 0029

🇺🇸

Gainesville, Florida, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Augusta University

🇺🇸

Augusta, Georgia, United States

Atlanta Nephrology Referral Center

🇺🇸

Lawrenceville, Georgia, United States

Northwestern Medical Faculty Foundation

🇺🇸

Chicago, Illinois, United States

The University of Chicago Medicine

🇺🇸

Chicago, Illinois, United States

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University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States
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