A Study of Laquinimod in Participants With Systemic Lupus Erythematosus (SLE) Active Lupus Nephritis

NCT ID: NCT01085097

Last Updated: 2022-03-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-01

Study Completion Date

2012-10-24

Brief Summary

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The study aims to evaluate the safety and clinical effect of daily oral treatment with laquinimod capsules in active lupus nephritis participants. This study will assess Laquinimod doses of 0.5 milligrams (mg)/day and 1 mg/day in combination with standard of care treatment (mycophenolate mofetil \[MMF\] and corticosteroids). Laquinimod is a novel immunomodulating drug which is currently in advanced stages of development by Teva Pharmaceuticals Ltd. for Multiple Sclerosis.

Detailed Description

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Conditions

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Lupus Nephritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Participants will receive 2 capsules of placebo matching to laquinimod orally once daily (QD) for 24 weeks, MMF 500 mg tablet orally twice daily (BID) for the first week then 1 gram (g) BID from Week 2 to Week 28, and MP 500 mg/day intravenously (IV) from Days 1 through 3, followed by oral prednisolone/prednisone (initial dose 40 mg/day which is tapered to 10 mg/day or less by the end of Week 20, on a fixed steroid-tapering regimen) from Day 4 through Week 28.

Group Type PLACEBO_COMPARATOR

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolate Mofetil (MMF) will be administered per dose and schedule specified in the arm description.

Prednisolone/Prednisone

Intervention Type DRUG

Prednisolone/Prednisone will be administered per dose and schedule specified in the arm description.

Placebo

Intervention Type DRUG

Placebo matching to laquinimod will be administered per schedule specified in the arm description.

Methylprednisolone

Intervention Type DRUG

Methylprednisolone (MP) will be administered per dose and schedule specified in the arm description.

Laquinimod 0.5 mg

Participants will receive 1 capsule of laquinimod 0.5 mg and 1 capsule of placebo matching to laquinimod orally QD for 24 weeks, MMF 500 mg tablet orally BID for the first week then 1 g BID from Week 2 to Week 28, and MP 500 mg/day IV from Days 1 through 3, followed by oral prednisolone/prednisone (initial dose 40 mg/day which is tapered to 10 mg/day or less by the end of Week 20, on a fixed steroid-tapering regimen) from Day 4 through Week 28.

Group Type EXPERIMENTAL

Laquinimod

Intervention Type DRUG

Laquinimod will be administered per dose and schedule specified in the arm description.

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolate Mofetil (MMF) will be administered per dose and schedule specified in the arm description.

Prednisolone/Prednisone

Intervention Type DRUG

Prednisolone/Prednisone will be administered per dose and schedule specified in the arm description.

Placebo

Intervention Type DRUG

Placebo matching to laquinimod will be administered per schedule specified in the arm description.

Methylprednisolone

Intervention Type DRUG

Methylprednisolone (MP) will be administered per dose and schedule specified in the arm description.

Laquinimod 1 mg

Participants will receive 2 capsules of laquinimod 0.5 mg orally QD for 24 weeks, MMF 500 mg tablet orally BID for the first week then 1 g BID from Week 2 to Week 28, and MP 500 mg/day IV from Days 1 through 3, followed by oral prednisolone/prednisone (initial dose 40 mg/day which is tapered to 10 mg/day or less by the end of Week 20, on a fixed steroid-tapering regimen) from Day 4 through Week 28.

Group Type EXPERIMENTAL

Laquinimod

Intervention Type DRUG

Laquinimod will be administered per dose and schedule specified in the arm description.

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolate Mofetil (MMF) will be administered per dose and schedule specified in the arm description.

Prednisolone/Prednisone

Intervention Type DRUG

Prednisolone/Prednisone will be administered per dose and schedule specified in the arm description.

Methylprednisolone

Intervention Type DRUG

Methylprednisolone (MP) will be administered per dose and schedule specified in the arm description.

Interventions

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Laquinimod

Laquinimod will be administered per dose and schedule specified in the arm description.

Intervention Type DRUG

Mycophenolate Mofetil

Mycophenolate Mofetil (MMF) will be administered per dose and schedule specified in the arm description.

Intervention Type DRUG

Prednisolone/Prednisone

Prednisolone/Prednisone will be administered per dose and schedule specified in the arm description.

Intervention Type DRUG

Placebo

Placebo matching to laquinimod will be administered per schedule specified in the arm description.

Intervention Type DRUG

Methylprednisolone

Methylprednisolone (MP) will be administered per dose and schedule specified in the arm description.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants diagnosed with SLE
* Kidney biopsy within 12 months prior to baseline with a histological diagnosis of proliferative or membranous Lupus Nephritis (LN)
* Clinically active Lupus Nephritis as evident by urine protein-to-creatinine ratio (UPCR) of 1 or higher, for LN classes III, IV, or class V in combination with classes III or IV, or a UPCR of 2 or higher for LN class V, at screening or any time between screening and baseline.

Exclusion Criteria

* Participants with severe renal impairment or dialysis
* Participants with a clinically significant or unstable medical or surgical condition
* Women who are pregnant or nursing or who intend to be during the study period
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Branded Pharmaceutical Products R&D, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Teva Medical Expert, M.D.

Role: STUDY_DIRECTOR

Teva Branded Pharmaceutical Products R&D, Inc.

Locations

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Teva Investigational Site 1032

Phoenix, Arizona, United States

Site Status

Teva Investigational Site 1024

La Jolla, California, United States

Site Status

Teva Investigational Site 1028

Los Angeles, California, United States

Site Status

Teva Investigational Site 1025

San Leandro, California, United States

Site Status

Teva Investigational Site 1031

Baltimore, Maryland, United States

Site Status

Teva Investigational Site 1021

Rochester, Minnesota, United States

Site Status

Teva Investigational Site 1022

Lake Success, New York, United States

Site Status

Teva Investigational Site 1018

Manhasset, New York, United States

Site Status

Teva Investigational Site 1019

New York, New York, United States

Site Status

Teva Investigational Site 1017

New York, New York, United States

Site Status

Teva Investigational Site 1020

Charlotte, North Carolina, United States

Site Status

Teva Investigational Site 1016

Columbus, Ohio, United States

Site Status

Teva Investigational Site 1030

Charleston, South Carolina, United States

Site Status

Teva Investigational Site 1026

Chattanooga, Tennessee, United States

Site Status

Teva Investigational Site 1115

Edmonton, Alberta, Canada

Site Status

Teva Investigational Site 1114

Winnipeg, Manitoba, Canada

Site Status

Teva Investigational Site 1113

Toronto, Ontario, Canada

Site Status

Teva Investigational Site 3510

Lille, , France

Site Status

Teva Investigational Site 3509

Paris, , France

Site Status

Teva Investigational Site 5006

Kazan', , Russia

Site Status

Teva Investigational Site 5007

Kemerovo, , Russia

Site Status

Teva Investigational Site 5001

Moscow, , Russia

Site Status

Teva Investigational Site 5003

Moscow, , Russia

Site Status

Teva Investigational Site 5002

Moscow, , Russia

Site Status

Teva Investigational Site 5005

Yaroslavl, , Russia

Site Status

Teva Investigational Site 3413

Birmingham, , United Kingdom

Site Status

Teva Investigational Site 3409

Cambridge, , United Kingdom

Site Status

Teva Investigational Site 3412

Dudley, , United Kingdom

Site Status

Teva Investigational Site 3410

London, , United Kingdom

Site Status

Teva Investigational Site 3411

Manchester, , United Kingdom

Site Status

Countries

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United States Canada France Russia United Kingdom

Other Identifiers

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2010-018329-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LN-LAQ-201

Identifier Type: -

Identifier Source: org_study_id

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