- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07767188
A Trial to Explore the Efficacy and Safety of O-triple as Initial Therapy in the Active Lupus Nephritis Patients (INITIAL Trial)
24. august 2026 opdateret af: Zhao Minghui
A Prospective, Multicenter Trial to Explore the Efficacy and Safety of Obinutuzumab Adds on to Standard-of-care Therapy Consisting of Mycophenolate Mofetil (MMF) and Corticosteroids (O-triple) as Initial Therapy in the Active Lupus Nephritis Patients (INITIAL Trial)
This is a prospective single-arm multi-center trial to evaluate the efficacy and safety of O-triple regimen in initial active LN patients
Studieoversigt
Status
Ikke rekrutterer endnu
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
70
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Minghui Zhao
- Telefonnummer: +86 135 0124 3815
- E-mail: mhzhao@bjmu.edu.cn
Studiesteder
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Beijing, Kina
- Peking University First Hospital
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Fujian
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Fuzhou, Fujian, Kina
- Fujian Medical University Union Hospital
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Kontakt:
- Chief Physician
- Telefonnummer: +86 18050288838
- E-mail: lixinwei66@126.com
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Guangdong
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Guangzhou, Guangdong, Kina
- Guangdong Provincial People's Hospital
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Kontakt:
- Chief Physician
- E-mail: 15820264379@139.com
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Guangzhou, Guangdong, Kina
- ZhuJiang Hospital of Southern Medical University
-
Kontakt:
- Chief Physician
- Telefonnummer: +86 13189097222
- E-mail: longhb1966@163.com
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Heilongjiang
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Harbin, Heilongjiang, Kina
- The First Affiliated Hospital of Harbin Medical University
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Kontakt:
- Chief Physician
- Telefonnummer: +86 15776613376
- E-mail: suimanshu@163.com
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Jiangsu
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Nanjing, Jiangsu, Kina
- Jiangsu Province Hospital
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Kontakt:
- Chief Physician
- Telefonnummer: +86 13851746819
- E-mail: huijuanmao2026@163.com
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Xuzhou, Jiangsu, Kina
- The Affiliated Hospital of Xuzhou Medical University
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Kontakt:
- Chief Physician
- Telefonnummer: +86 15862158578
- E-mail: sundongxz@126.com
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Jiangxi
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Nanchang, Jiangxi, Kina
- The First Affiliated Hospital of Nanchang University
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Kontakt:
- Chief Physician
- Telefonnummer: +86 138 7919 0111
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Liaoning
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Shenyang, Liaoning, Kina
- Shengjing Hospital affiliated to China Medical University
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Kontakt:
- Chief Physician
- E-mail: huazhou_clintrial@163.com
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Shandong
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Yantai, Shandong, Kina
- Yantai YuHuangDing Hospital
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Kontakt:
- Chief Physician
- Telefonnummer: 18663819062
- E-mail: wudaoxu@qdu.edu.cn
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Shanxi
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Xi’an, Shanxi, Kina
- The Second Affiliated Hospital of Xi'an Jiaotong University
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Kontakt:
- Chief Physician
- Telefonnummer: 15291185506
- E-mail: pipifu@126.com
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Sichuan
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Luzhou, Sichuan, Kina
- The Affiliated Hospital of Southwest Medical University
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Kontakt:
- Chief Physician
- Telefonnummer: +86 13679676835
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Tianjin Municipality
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Tianjin, Tianjin Municipality, Kina
- Tianjin Medical University General Hospita
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Kontakt:
- Chief Physician
- E-mail: nkxpc@163.com
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Xinjiang
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Ürümqi, Xinjiang, Kina
- The First Affiliated Hospital of Xinjiang Medical University
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Kontakt:
- Chief Physician
- Telefonnummer: +86 13579416340
- E-mail: lisuhuanh@sina.com
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
INCLUSION CRITERIA:
- Signed Informed Consent Form
- Age 18 to 65 years at time of signing Informed Consent Form
- Ability to comply with the study protocol, in the investigator's judgment
- ISN/RPS 2003 Class III, IV, V active/active chronic LN by renal biopsy performed within the 1 month prior to screening or during screening with 24hUPCR≥1g/g
- SLE according to the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Classification Criteria, which are met by the presence of Class III- V LN or mixed Class LN, and current or past positive antinuclear antibody (ANA) Positive ANA is defined by ANA at a titer of ≥ 1:80 on HEp-2 cells or an equivalent positive ANA test at least once.
- Receipt of at least one dose of pulse methylprednisolone IV (≥250 mg) or equivalent for treatment of the current episode of active LN during the 1 month prior to screening or during screening
- A maximum of 3 g methylprednisolone IV or equivalent d during the 4 weeks prior to screening or during screening is allowed.
EXCLUSION CRITERIA:
- Are pregnant or breastfeeding.
- Have severe renal impairment, defined as eGFR < 30 mL/min/1.73 m² (estimated using the CKD-EPI equation), or require dialysis or renal transplantation.
- Have renal biopsy showing > 50% glomerular sclerosis.
- Have pure chronic renal biopsy findings: no active lesions.
- Have rapidly progressive glomerulonephritis.
- Have active gastrointestinal ulcer.
- Have intolerance or contraindication to the study treatment.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: O-triple therapy
Obinutuzumab add on to standard-of-care therapy consisting of mycophenolate mofetil (MMF) and corticosteroids (O-triple) in initial active LN patients.
|
Patients will receive Obinutuzumab 1000 mg at day1 (week 0) and weeks 2, 24, 26, and 52, in combination with glucocorticoids and MMF.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of patients who achieve a complete renal response (CRR) at Week 76
Tidsramme: Baseline, Week 76
|
Urinary protein-to-creatinine ratio (UPCR) <0.5 g/g eGFR ≥ 85% of baseline, as calculated using the CKD-EPI equation No occurrence of intercurrent events (rescue therapy, treatment failure, and early study withdrawal are considered as intercurrent events).
|
Baseline, Week 76
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
The proportion of patients who achieve ORR (CRR or PRR), CRR, PRR, PERR at week 24, week 36, week 52, week 76
Tidsramme: Baseline week 24, week 36, week 52, week 76
|
Baseline week 24, week 36, week 52, week 76
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
10. september 2026
Primær færdiggørelse (Anslået)
27. februar 2029
Studieafslutning (Anslået)
8. maj 2029
Datoer for studieregistrering
Først indsendt
11. august 2026
Først indsendt, der opfyldte QC-kriterier
11. august 2026
Først opslået (Faktiske)
17. august 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
26. august 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
24. august 2026
Sidst verificeret
1. august 2026
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Mandlige urogenitale sygdomme
- Nyresygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Bindevævssygdomme
- Autoimmune sygdomme
- Sygdomme i immunsystemet
- Glomerulonefritis
- Lupus erythematosus, systemisk
- Nefritis
- Hud- og bindevævssygdomme
- Lupus nefritis
- Obinutuzumab
Andre undersøgelses-id-numre
- 2026R0300
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
JA
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- ICF
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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