Phase 3 Study of Anifrolumab in Adult Patients With Active Proliferative Lupus Nephritis

NCT ID: NCT05138133

Last Updated: 2026-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-15

Study Completion Date

2028-12-05

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of IV antifrolumab in adult patients with Active Proliferative Lupus Nephritis

Detailed Description

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This Phase 3, multicenter, multinational, randomized, double-blind, placebo-controlled study with OLE is to evaluate the efficacy and safety of anifrolumab versus placebo as added to SOC (MMF and glucocorticoids) in adults with active proliferative Class III or Class IV LN (both with or without concomitant Class V). The total study duration may be up to approximately 142 weeks, including screening and follow-up. Double-blind period will be 76 weeks. Participants who complete double-blind treatment period may enter open-label extension to receive anifrolumab for up 52 weeks. Approximately 360 of the enrolled participants will be randomly assigned to study intervention (anifrolumab or placebo) at a ratio of 1:1 during double-blind treatment period.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double Blind (Participant, Care Provider and Investigator)

Study Groups

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Anifrolumab

Solution for intravenous infusion

Group Type EXPERIMENTAL

Anifrolumab

Intervention Type DRUG

Anifrolumab intravenous infusion (IV)

Placebo

Solution for intravenous infusion

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo intravenous infusion (IV)

Interventions

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Anifrolumab

Anifrolumab intravenous infusion (IV)

Intervention Type DRUG

Placebo

Placebo intravenous infusion (IV)

Intervention Type DRUG

Other Intervention Names

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Medi-546

Eligibility Criteria

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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 (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 \> 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.
8. Any history of severe COVID-19 infection.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Birmingham, Alabama, United States

Site Status WITHDRAWN

Research Site

Glendale, Arizona, United States

Site Status RECRUITING

Research Site

La Jolla, California, United States

Site Status RECRUITING

Research Site

La Palma, California, United States

Site Status RECRUITING

Research Site

Loma Linda, California, United States

Site Status WITHDRAWN

Research Site

Los Angeles, California, United States

Site Status RECRUITING

Research Site

Orange, California, United States

Site Status WITHDRAWN

Research Site

Upland, California, United States

Site Status RECRUITING

Research Site

New Haven, Connecticut, United States

Site Status RECRUITING

Research Site

Newark, Delaware, United States

Site Status WITHDRAWN

Research Site

Hallandale, Florida, United States

Site Status WITHDRAWN

Research Site

Plantation, Florida, United States

Site Status RECRUITING

Research Site

Sun City Center, Florida, United States

Site Status WITHDRAWN

Research Site

Atlanta, Georgia, United States

Site Status RECRUITING

Research Site

Louisville, Kentucky, United States

Site Status RECRUITING

Research Site

St Louis, Missouri, United States

Site Status RECRUITING

Research Site

Las Vegas, Nevada, United States

Site Status WITHDRAWN

Research Site

Newark, New Jersey, United States

Site Status WITHDRAWN

Research Site

Summit, New Jersey, United States

Site Status RECRUITING

Research Site

Las Cruces, New Mexico, United States

Site Status WITHDRAWN

Research Site

Great Neck, New York, United States

Site Status RECRUITING

Research Site

Manhasset, New York, United States

Site Status RECRUITING

Research Site

New York, New York, United States

Site Status RECRUITING

Research Site

New York, New York, United States

Site Status RECRUITING

Research Site

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Research Site

Middleburg Heights, Ohio, United States

Site Status RECRUITING

Research Site

Danville, Pennsylvania, United States

Site Status RECRUITING

Research Site

Allen, Texas, United States

Site Status WITHDRAWN

Research Site

Colleyville, Texas, United States

Site Status RECRUITING

Research Site

Edinburg, Texas, United States

Site Status RECRUITING

Research Site

El Paso, Texas, United States

Site Status RECRUITING

Research Site

Houston, Texas, United States

Site Status RECRUITING

Research Site

CABA, , Argentina

Site Status RECRUITING

Research Site

Ciudad de Buenos Aires, , Argentina

Site Status RECRUITING

Research Site

Córdoba, , Argentina

Site Status WITHDRAWN

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La Plata, , Argentina

Site Status RECRUITING

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Rosario, , Argentina

Site Status RECRUITING

Research Site

San Juan, , Argentina

Site Status RECRUITING

Research Site

San Miguel de Tucumán, , Argentina

Site Status WITHDRAWN

Research Site

Brussels, , Belgium

Site Status RECRUITING

Research Site

Leuven, , Belgium

Site Status RECRUITING

Research Site

Liège, , Belgium

Site Status RECRUITING

Research Site

Belo Horizonte, , Brazil

Site Status RECRUITING

Research Site

Campinas, , Brazil

Site Status RECRUITING

Research Site

Cuiabá, , Brazil

Site Status RECRUITING

Research Site

Juiz de Fora, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Maringá, , Brazil

Site Status RECRUITING

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Porto Alegre, , Brazil

Site Status RECRUITING

Research Site

Recife, , Brazil

Site Status RECRUITING

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Salvador, , Brazil

Site Status RECRUITING

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São José do Rio Preto, , Brazil

Site Status RECRUITING

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São Paulo, , Brazil

Site Status RECRUITING

Research Site

São Paulo, , Brazil

Site Status RECRUITING

Research Site

São Paulo, , Brazil

Site Status RECRUITING

Research Site

Plovdiv, , Bulgaria

Site Status COMPLETED

Research Site

Plovdiv, , Bulgaria

Site Status WITHDRAWN

Research Site

Sofia, , Bulgaria

Site Status WITHDRAWN

Research Site

Sofia, , Bulgaria

Site Status COMPLETED

Research Site

Sofia, , Bulgaria

Site Status WITHDRAWN

Research Site

Beijing, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Beijing, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Bengbu, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Chengdu, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Guangzhou, , China

Site Status WITHDRAWN

Research Site

Guangzhou, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Haikou, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Hangzhou, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Jinan, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Jining, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Nanchang, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Nanjing, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Nanjing, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Nanning, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Shanghai, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Shanghai, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Shanghai, , China

Site Status WITHDRAWN

Research Site

Shengyang, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Shenzhen, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Shijiazhuang, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Tianjin, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Wuhan, , China

Site Status COMPLETED

Research Site

Wuxi, , China

Site Status COMPLETED

Research Site

Xi'an, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Zhengzhou, , China

Site Status ACTIVE_NOT_RECRUITING

Research Site

Barranquilla, , Colombia

Site Status RECRUITING

Research Site

Cali, , Colombia

Site Status RECRUITING

Research Site

Medellín, , Colombia

Site Status WITHDRAWN

Research Site

Medellín, , Colombia

Site Status RECRUITING

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Medellín, , Colombia

Site Status RECRUITING

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Aurillac, , France

Site Status RECRUITING

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Bordeaux, , France

Site Status RECRUITING

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Marseille, , France

Site Status RECRUITING

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Paris, , France

Site Status RECRUITING

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Paris, , France

Site Status RECRUITING

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Paris, , France

Site Status RECRUITING

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Strasbourg, , France

Site Status RECRUITING

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Toulouse, , France

Site Status RECRUITING

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Cologne, , Germany

Site Status RECRUITING

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Dresden, , Germany

Site Status RECRUITING

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Essen, , Germany

Site Status WITHDRAWN

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Göttingen, , Germany

Site Status WITHDRAWN

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Hanover, , Germany

Site Status RECRUITING

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Heidelberg, , Germany

Site Status RECRUITING

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Kirchheim, , Germany

Site Status RECRUITING

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Mainz Am Rhein, , Germany

Site Status RECRUITING

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Stuttgart, , Germany

Site Status WITHDRAWN

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Budapest, , Hungary

Site Status WITHDRAWN

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Budapest, , Hungary

Site Status RECRUITING

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Budapest, , Hungary

Site Status RECRUITING

Research Site

Debrecen, , Hungary

Site Status RECRUITING

Research Site

Pécs, , Hungary

Site Status RECRUITING

Research Site

Ahmedabad, , India

Site Status ACTIVE_NOT_RECRUITING

Research Site

Ahmedabad, , India

Site Status TERMINATED

Research Site

Dehradun, , India

Site Status RECRUITING

Research Site

Delhi, , India

Site Status WITHDRAWN

Research Site

Delhi, , India

Site Status RECRUITING

Research Site

Delhi, , India

Site Status WITHDRAWN

Research Site

Gurugram, , India

Site Status WITHDRAWN

Research Site

Hyderabad, , India

Site Status RECRUITING

Research Site

Kolkata, , India

Site Status RECRUITING

Research Site

Nadiād, , India

Site Status TERMINATED

Research Site

New Delhi, , India

Site Status WITHDRAWN

Research Site

New Delhi, , India

Site Status WITHDRAWN

Research Site

New Delhi, , India

Site Status WITHDRAWN

Research Site

Pune, , India

Site Status TERMINATED

Research Site

Secunderabad, , India

Site Status RECRUITING

Research Site

Vijayawada, , India

Site Status TERMINATED

Research Site

Visakapatnam, , India

Site Status TERMINATED

Research Site

Ancona, , Italy

Site Status RECRUITING

Research Site

Bologna, , Italy

Site Status RECRUITING

Research Site

Brescia, , Italy

Site Status WITHDRAWN

Research Site

Cona, , Italy

Site Status TERMINATED

Research Site

Eboli, , Italy

Site Status RECRUITING

Research Site

Monza, , Italy

Site Status WITHDRAWN

Research Site

Padua, , Italy

Site Status RECRUITING

Research Site

Roma, , Italy

Site Status WITHDRAWN

Research Site

Roma, , Italy

Site Status RECRUITING

Research Site

Bunkyō City, , Japan

Site Status RECRUITING

Research Site

Chiba, , Japan

Site Status RECRUITING

Research Site

Chūōku, , Japan

Site Status WITHDRAWN

Research Site

Fukuoka, , Japan

Site Status WITHDRAWN

Research Site

Gifu, , Japan

Site Status WITHDRAWN

Research Site

Hiroshima, , Japan

Site Status RECRUITING

Research Site

Izumo-shi, , Japan

Site Status WITHDRAWN

Research Site

Kita-gun, , Japan

Site Status RECRUITING

Research Site

Kitakyushu-shi, , Japan

Site Status RECRUITING

Research Site

Matsumoto-shi, , Japan

Site Status RECRUITING

Research Site

Nagasaki, , Japan

Site Status RECRUITING

Research Site

Okayama, , Japan

Site Status RECRUITING

Research Site

Ono, , Japan

Site Status RECRUITING

Research Site

Osaka, , Japan

Site Status WITHDRAWN

Research Site

Sagamihara-shi, , Japan

Site Status RECRUITING

Research Site

Sapporo, , Japan

Site Status WITHDRAWN

Research Site

Sendai, , Japan

Site Status RECRUITING

Research Site

Shinagawa-ku, , Japan

Site Status RECRUITING

Research Site

Shinjuku-ku, , Japan

Site Status RECRUITING

Research Site

Shinjuku-ku, , Japan

Site Status RECRUITING

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Shinjuku-ku, , Japan

Site Status RECRUITING

Research Site

Toyoake-shi, , Japan

Site Status RECRUITING

Research Site

Batu Caves, , Malaysia

Site Status RECRUITING

Research Site

Ipoh, , Malaysia

Site Status RECRUITING

Research Site

Kajang, , Malaysia

Site Status RECRUITING

Research Site

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Research Site

Kuantan, , Malaysia

Site Status RECRUITING

Research Site

Taiping, , Malaysia

Site Status RECRUITING

Research Site

Chihuahua City, , Mexico

Site Status RECRUITING

Research Site

Guadalajara, , Mexico

Site Status RECRUITING

Research Site

Guadalajara, , Mexico

Site Status RECRUITING

Research Site

México, , Mexico

Site Status RECRUITING

Research Site

México, , Mexico

Site Status RECRUITING

Research Site

San Luis Potosí City, , Mexico

Site Status COMPLETED

Research Site

Amsterdam, , Netherlands

Site Status RECRUITING

Research Site

Bellavista, , Peru

Site Status WITHDRAWN

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Lima, , Peru

Site Status WITHDRAWN

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Lima, , Peru

Site Status WITHDRAWN

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Lima, , Peru

Site Status WITHDRAWN

Research Site

Lima, , Peru

Site Status RECRUITING

Research Site

Piura, , Peru

Site Status WITHDRAWN

Research Site

Bydgoszcz, , Poland

Site Status WITHDRAWN

Research Site

Lodz, , Poland

Site Status RECRUITING

Research Site

Nadarzyn, , Poland

Site Status WITHDRAWN

Research Site

Olsztyn, , Poland

Site Status RECRUITING

Research Site

Opole, , Poland

Site Status RECRUITING

Research Site

Poznan, , Poland

Site Status RECRUITING

Research Site

Poznan, , Poland

Site Status RECRUITING

Research Site

Rzeszów, , Poland

Site Status RECRUITING

Research Site

Szczecin, , Poland

Site Status WITHDRAWN

Research Site

Warsaw, , Poland

Site Status RECRUITING

Research Site

Wroclaw, , Poland

Site Status WITHDRAWN

Research Site

Wroclaw, , Poland

Site Status WITHDRAWN

Research Site

Caguas, , Puerto Rico

Site Status RECRUITING

Research Site

San Juan, , Puerto Rico

Site Status RECRUITING

Research Site

Chelyabinsk, , Russia

Site Status WITHDRAWN

Research Site

Krasnoyarsk, , Russia

Site Status WITHDRAWN

Research Site

Moscow, , Russia

Site Status TERMINATED

Research Site

Moscow, , Russia

Site Status WITHDRAWN

Research Site

Novosibirsk, , Russia

Site Status WITHDRAWN

Research Site

Orenburg, , Russia

Site Status WITHDRAWN

Research Site

Saint Petersburg, , Russia

Site Status WITHDRAWN

Research Site

Kaohsiung City, , Taiwan

Site Status RECRUITING

Research Site

New Taipei City, , Taiwan

Site Status RECRUITING

Research Site

Taichung, , Taiwan

Site Status RECRUITING

Research Site

Taichung, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taoyuan District, , Taiwan

Site Status WITHDRAWN

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Hat Yai, , Thailand

Site Status RECRUITING

Research Site

Muang, , Thailand

Site Status RECRUITING

Research Site

Ratchathewi, , Thailand

Site Status RECRUITING

Research Site

Adapazarı, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Ankara, , Turkey (Türkiye)

Site Status WITHDRAWN

Research Site

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Kahramanmaraş, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Kayseri, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Kocaeli, , Turkey (Türkiye)

Site Status RECRUITING

Research Site

Hanoi, , Vietnam

Site Status TERMINATED

Research Site

Hanoi, , Vietnam

Site Status ACTIVE_NOT_RECRUITING

Research Site

Hà Nội, , Vietnam

Site Status COMPLETED

Research Site

Hà Nội, , Vietnam

Site Status ACTIVE_NOT_RECRUITING

Research Site

Ho Chi Minh City, , Vietnam

Site Status ACTIVE_NOT_RECRUITING

Research Site

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

Research Site

Hochiminh, , Vietnam

Site Status ACTIVE_NOT_RECRUITING

Countries

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United States Argentina Belgium Brazil Bulgaria China Colombia France Germany Hungary India Italy Japan Malaysia Mexico Netherlands Peru Poland Puerto Rico Russia Taiwan Thailand Turkey (Türkiye) Vietnam

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

1-877-240-9479

References

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Avasare R, Drexler Y, Caster DJ, Mitrofanova A, Jefferson JA. Management of Lupus Nephritis: New Treatments and Updated Guidelines. Kidney360. 2023 Oct 1;4(10):1503-1511. doi: 10.34067/KID.0000000000000230.

Reference Type DERIVED
PMID: 37528520 (View on PubMed)

Other Identifiers

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2021-002862-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D3466C00001

Identifier Type: -

Identifier Source: org_study_id

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