A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Obinutuzumab in Adolescents With Active Class III or IV Lupus Nephritis and the Safety and PK of Obinutuzumab in Pediatric Participants (POSTERITY)
A Phase II, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Obinutuzumab in Adolescent Patients With Active Class III or IV Lupus Nephritis, Including an Evaluation of Open Label Safety and PK in a Cohort of Pediatric Patients (Aged 5 to < 12)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Reference Study ID Number: WA42985 https://forpatients.roche.com/
- Phone Number: 888-662-6728 (U.S. and Canada)
- Email: global.rochegenentechtrials@roche.com
Study Contact Backup
- Name: Fastest response: use the inquiry form. No email attachments. https://www.gene.com/contact-us/submit-medical-inquiry
Study Locations
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São Paulo, Brazil, 04024-002
- Active, not recruiting
- Universidade Federal de Sao Paulo - UNIFES
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Estado de Bahia
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Salvador, Estado de Bahia, Brazil, 40150-150
- Recruiting
- Ser Servicos Especializados Em Reumatologia
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São Paulo
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Campinas, São Paulo, Brazil, 13060-904
- Recruiting
- Centro de Pesquisa Sao Lucas
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São Paulo, São Paulo, Brazil, 05403-000
- Recruiting
- Hospital das Clinicas - FMUSP
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Ontario
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Toronto, Ontario, Canada, M5G 1X8
- Recruiting
- The Hospital for Sick Children
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Quebec
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Montreal, Quebec, Canada, H3T 1C5
- Recruiting
- Hospital Sainte-Justine
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Le Kremlin-Bicêtre, France, 94275
- Recruiting
- CH de Bicêtre
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Paris, France, 75019
- Recruiting
- Hôpital Robert Debré
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Paris, France, 75743
- Recruiting
- Hop Necker Enfants Malades
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Toulouse, France, 31000
- Recruiting
- CHU de Toulouse - Hôpital des Enfants
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Lazio
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Rome, Lazio, Italy, 00165
- Recruiting
- Ospedale Pediatrico Bambino Gesu
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Liguria
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Genoa, Liguria, Italy, 16148
- Recruiting
- IRCCS G. Gaslini
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Lombardy
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Milan, Lombardy, Italy, 20122
- Recruiting
- Clinica Pediatrica II De Marchi
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Jalisco
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Guadalajara, Jalisco, Mexico, 44620
- Recruiting
- CREA Hospital Mexico Americano
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Mexico CITY (federal District)
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Mexico City, Mexico CITY (federal District), Mexico, 06700
- Recruiting
- Clinstile S.A de C.V.
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64460
- Recruiting
- Hospital Universitario Dr. Jose Eleuterio González
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Lima, Peru
- Active, not recruiting
- Instituto de Ginecología y Reproducción
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San Isidro, Peru, L27 Lima
- Active, not recruiting
- Clinica El Golf
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Gdansk, Poland, 80-294
- Recruiting
- Uniwersyteckie Centrum Kliniczne
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Torun, Poland, 87-100
- Withdrawn
- Szpital Specjalistyczny dla Dzieci i Doroslych
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Sankt-Peterburg
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St-peterburg, Sankt-Peterburg, Russia, 194100
- Withdrawn
- Saint-Petersburg State
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Cape Town, South Africa, 7700
- Withdrawn
- Red Cross War Memorial Children?s Hospital
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Cape Town, South Africa, 7925
- Withdrawn
- Groote Schuur Hospital
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Panorama, South Africa, 7500
- Recruiting
- Panaroma Medical Center
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Madrid, Spain, 28034
- Recruiting
- Hospital Ramon y Cajal
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Madrid, Spain, 28046
- Recruiting
- Hospital de La Paz
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Valencia, Spain, 46026
- Recruiting
- Hospital Universitario la Fe: Servicio de Reumatologia Pediatrica
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Barcelona
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Esplugas de Llobregat, Barcelona, Spain, 08950
- Recruiting
- Hospital Sant Joan de Déu
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Glasgow, United Kingdom, G51 4TF
- Withdrawn
- Royal Hospital For Children
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Liverpool, United Kingdom, L12 2AP
- Recruiting
- Alder Hey Childrens Hospital
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London, United Kingdom, WC1N 3JH
- Recruiting
- Great Ormond Street Hospital for Children
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California
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Loma Linda, California, United States, 92354
- Recruiting
- Loma Linda University Health
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San Francisco, California, United States, 94158
- Recruiting
- UCSF Benioff Childrens Hospital
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Colorado
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Aurora, Colorado, United States, 80045
- Recruiting
- Children's Hospital Colorado, Anchutz Medical Campus
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Georgia
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Atlanta, Georgia, United States, 30322
- Recruiting
- Emory Children's Center
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Indiana
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Indianapolis, Indiana, United States, 46202
- Recruiting
- Indiana University Health University Hospital
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Louisiana
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Shreveport, Louisiana, United States, 71103
- Recruiting
- Louisiana State University
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Withdrawn
- Hackensack University Medical Center
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New York
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Queens, New York, United States, 11042
- Recruiting
- Cohen Children's Medical Center of New York
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Ohio
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Cincinnati, Ohio, United States, 45229
- Recruiting
- Cincinnati Childrens Hospital
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Withdrawn
- Chldren?s Hospital of Philadelphia
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Texas
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El Paso, Texas, United States, 79902
- Withdrawn
- Texas Arthritis Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants who are age 12 to <18 years at the time of randomization
- Participants who are age 5 to <12 years (younger participant cohort) at the time of randomization once recruitment is open. (Investigators will be notified by the Sponsor when recruitment is open to this younger population)
- International Society of Nephrology and the Renal Pathology Society (ISN/RPS) 2003 Class III or IV active LN demonstrated on renal biopsy performed in the 12 months prior to or during screening
- Class V disease may be present in addition to Class III or IV LN, but participants with isolated Class V disease are not eligible
- Diagnosis of SLE according to the Systemic Lupus International Collaborating Clinics (SLICC) 2012 criteria
- Significant proteinuria defined by a UPCR above > 0.5 based on a first-morning void (FMV) collection at screening
- During the 12 months prior to or during screening, all participants must have received at least one dose of pulse-range IV methylprednisolone (typically 30 mg/kg, maximum of 1000 mg per dose) or equivalent for the treatment of the current episode of active LN.
Exclusion Criteria:
- Severe, active central nervous system (CNS) SLE, including retinitis, poorly controlled seizure disorder, acute confusional state, myelitis, stroke, cerebellar ataxia, or dementia
- Sclerosis in >50% of glomeruli on renal biopsy
- Purely chronic Class III(c) or Class IV(c) disease on renal biopsy, defined as the absence of any active lesions
- Presence of rapidly progressive glomerulonephritis
- Pure Class V LN
- Intolerance or contraindication to study therapies
- Active infection of any kind (excluding fungal infection of nail beds) or any major episode of infection requiring hospitalization or treatment with IV anti-infective medications within 4 weeks prior to screening, or completion of oral anti-infectives within 2 weeks prior to randomization
- History of or currently active primary or secondary immunodeficiency, including known history of HIV infection and other severe Immunodeficiency blood disorders
- History of serious recurrent or chronic infection
- History of or current cancer, including solid tumors, hematological malignancies, and carcinoma in situ (except basal cell carcinoma and squamous cell carcinoma of the skin that have been excised and cured) within the past 5 years
- Significant or uncontrolled concomitant medical disease which, in the investigator's opinion, would preclude participant participation
- Currently active alcohol or drug abuse or history of alcohol or drug abuse
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
Placebo participants will receive obinutuzumab matched placebo on Day 1, Day 14, Week 24, Week 26 and Week 52.
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Mycophenolate Mofetil (MMF) will be taken by home administration orally at a target dose of 1200 mg/m^2/day to a maximum of 2.5g/day from baseline (Day 1) onwards.
Acetaminophen 1000 mg will be administered as pre-medication prior to infusions.
Diphenhydramine HCl 50 mg will be administered as pre-medication prior to infusions.
Methylprednisolone 80 mg IV will be administered as pre-medication prior to infusions.
Oral prednisone or equivalent corticosteroid will be taken by home administration daily to a maximum dose of 60mg/day followed by a guided taper to 5mg/day or less by Week 24.
Placebo matching obinutuzumab will be administered by IV on Day 1, Day 14, Week 24, Week 26 and Week 52.
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Experimental: Blinded Obinutuzumab
Participants will receive obinutuzumab 1000 milligrams (mg) intravenous (IV) infusions on Day 1, Day 14, Week 24, Week 26 and Week 52.
Participants with a body weight of 45 kg or more will receive the 1000 mg dose.
Participants with a body weight below 45 kg will receive a weight adjusted dose of 20 mg/kilogram (kg).
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Obinutuzumab will be administered by IV infusion at a dose of 1000 mg on Day 1, Day 14, Week 24, Week 26 and Week 52.
Other Names:
Mycophenolate Mofetil (MMF) will be taken by home administration orally at a target dose of 1200 mg/m^2/day to a maximum of 2.5g/day from baseline (Day 1) onwards.
Acetaminophen 1000 mg will be administered as pre-medication prior to infusions.
Diphenhydramine HCl 50 mg will be administered as pre-medication prior to infusions.
Methylprednisolone 80 mg IV will be administered as pre-medication prior to infusions.
Oral prednisone or equivalent corticosteroid will be taken by home administration daily to a maximum dose of 60mg/day followed by a guided taper to 5mg/day or less by Week 24.
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Experimental: Open-Label Obinutuzumab
Younger participants aged 5 to <12 will receive obinutuzumab 1000 mg IV infusions on Days 1, 14, Week 24, Week 26 and Week 52.
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Obinutuzumab will be administered by IV infusion at a dose of 1000 mg on Day 1, Day 14, Week 24, Week 26 and Week 52.
Other Names:
Mycophenolate Mofetil (MMF) will be taken by home administration orally at a target dose of 1200 mg/m^2/day to a maximum of 2.5g/day from baseline (Day 1) onwards.
Acetaminophen 1000 mg will be administered as pre-medication prior to infusions.
Diphenhydramine HCl 50 mg will be administered as pre-medication prior to infusions.
Methylprednisolone 80 mg IV will be administered as pre-medication prior to infusions.
Oral prednisone or equivalent corticosteroid will be taken by home administration daily to a maximum dose of 60mg/day followed by a guided taper to 5mg/day or less by Week 24.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants who Achieve a Complete Renal Response (CRR) (AP)
Time Frame: Week 76
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CRR is defined as achievement of all of the following:
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Week 76
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Percentage of Participants with Adverse Events (PP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Achieving a CRR (AP)
Time Frame: Weeks 24 and 52
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Weeks 24 and 52
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Percentage of Participants who Achieve CRR with Successful Prednisone Taper (AP)
Time Frame: Week 76
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Week 76
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Percentage of Participants who Achieve a PRR (AP)
Time Frame: Week 76
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Week 76
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Percentage of Participants Achieving an Overall Response (CRR or PRR) (AP)
Time Frame: Weeks 24, 52, and 76
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PRR is defined as: achievement of all of the following:
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Weeks 24, 52, and 76
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Change in UPCR (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Change in eGFR (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Time to Onset of CRR over the Course of 76 weeks (AP)
Time Frame: Up to Week 76
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Up to Week 76
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Percentage of Participants who Experience Treatment Failure (AP)
Time Frame: Week 12 to Week 76
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Week 12 to Week 76
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Change in anti-dsDNA titers (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Change in C3 Complement Levels (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Change in C4 Complement Levels (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Percentage of Participants with Adverse Events According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Serum Concentrations of Obinutuzumab (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Percentage of Participants Achieving B-cell Depletion (AP)
Time Frame: Baseline, Weeks 4, 24, 52 and 76
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Baseline, Weeks 4, 24, 52 and 76
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Change in Pediatric Quality of Life Inventory-Multidimensional Fatigue Scale (PedsQL)-Fatigue Total Score (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Change in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Change from Baseline in Child Health Questionnaire-Parent Form 28 (CHQ-PF28) Domain Scores (AP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Percentage of Participants with Anti-drug Antibodies (ADA) (AP)
Time Frame: Weeks 0, 24, 52 and 76
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Weeks 0, 24, 52 and 76
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Relationship Between ADA Status and Percentage of Participants Achieving a CRR (AP)
Time Frame: Weeks 24, 52 and 76
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Weeks 24, 52 and 76
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Percentage of Participants Achieving a CRR (PP)
Time Frame: Week 76
|
Week 76
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Percentage of Participants Achieving an Overall Response (PP)
Time Frame: Week 76
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PRR is defined as achievement of all of the following:
|
Week 76
|
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Percentage of Participants who Achieve CRR with Successful Prednisone Taper (PP)
Time Frame: Week 76
|
Week 76
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Change in eGFR (PP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Percentage of Participants Achieving B-cell Depletion (PP)
Time Frame: Baseline, Weeks 4, 24, 52 and 76
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Baseline, Weeks 4, 24, 52 and 76
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Percentage of Participants with ADAs (PP)
Time Frame: Weeks 0, 24, 52 and 76
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Weeks 0, 24, 52 and 76
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Change in anti-dsDNA titers (PP)
Time Frame: Baseline to Week 76
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Baseline to Week 76
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Glomerulonephritis
- Lupus Erythematosus, Systemic
- Nephritis
- Skin and Connective Tissue Diseases
- Lupus Nephritis
- Organic Chemicals
- Fatty Acids
- Lipids
- Hydrocarbons
- Hydrocarbons, Cyclic
- Acids, Acyclic
- Carboxylic Acids
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Anilides
- Amides
- Aniline Compounds
- Amines
- Acetanilides
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Benzene Derivatives
- Pregnadienetriols
- Pregnadienediols
- Ethylamines
- Caproates
- Prednisolone
- Benzhydryl Compounds
- Acetaminophen
- Prednisone
- Mycophenolic Acid
- Methylprednisolone
- Diphenhydramine
- obinutuzumab
Other Study ID Numbers
Other Study ID Numbers
- WA42985
- 2021-000097-29 (EudraCT Number)
- 2023-505825-15-00 (Other Identifier: EU CT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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