A Study of Telitacicept in Lupus Nephritis

NCT ID: NCT05680480

Last Updated: 2024-09-23

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

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-17

Study Completion Date

2026-01-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of Telitacicept in adult patients with active lupus nephritis.

Detailed Description

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This is a phase 2, multicentre, randomised, double-blind, placebo-controlled study to evaluate the efficacy and safety of telitacicept versus placebo while taking standard of care (SOC) treatment in adult subjects with active proliferative lupus nephritis (LN).

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

Study Groups

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Telitacicept 240 mg

Telitacicept 240 mg given SC weekly plus standard therapy through week 48.

Group Type EXPERIMENTAL

Telitacicept 240 mg

Intervention Type BIOLOGICAL

Participants will receive Telitacicept 240mg weekly in addition to SOC for 48 weeks.

Telitacicept 160 mg

Telitacicept 160 mg given SC weekly plus standard therapy through week 48.

Group Type EXPERIMENTAL

Telitacicept 160 mg

Intervention Type BIOLOGICAL

Participants will receive Telitacicept 160mg weekly in addition to SOC for 48 weeks.

Placebo

Placebo given SC weekly plus standard therapy through week 48.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive placebo weekly in addition to SOC for 48 weeks.

Interventions

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Telitacicept 240 mg

Participants will receive Telitacicept 240mg weekly in addition to SOC for 48 weeks.

Intervention Type BIOLOGICAL

Telitacicept 160 mg

Participants will receive Telitacicept 160mg weekly in addition to SOC for 48 weeks.

Intervention Type BIOLOGICAL

Placebo

Participants will receive placebo weekly in addition to SOC for 48 weeks.

Intervention Type DRUG

Other Intervention Names

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RC18 240 mg RC18 160 mg

Eligibility Criteria

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Inclusion Criteria

1. Males or females aged 18-75 years of age, inclusive.
2. Diagnosis of systemic lupus erythematosus according to American College of Rheumatology criteria (1997).
3. Active, biopsy-proven proliferative lupus nephritis Class III or IV with/without the presence of Class V, or pure Class V according to the 2003 ISN/RPS classification. The renal biopsy must be performed within 1 year prior to the screening visit or during screening period. The biopsy report will be used to confirm subject eligibility.
4. Positive serum antibody results, defined as positive anti-nuclear antibody (ANA) and/or a positive anti-dsDNA serum antibody based on the study\'s central laboratory results.
5. Active renal disease at screening requiring induction therapy with high dose corticosteroids (HDCS) with mycophenolate mofetil (MMF) or other oral forms of mycophenolate.
6. Induction therapy for active renal disease: HDCS with mycophenolate mofetil (MMF) or other oral forms of mycophenolate should be initiated within 60 days prior to or on Day 1 (baseline). Initiation of induction is when both HDCS and MMF have been started.
7. Able to understand the requirements of the study and provide written informed consent.

Exclusion Criteria

1. Known hypersensitivity or contraindication to any drug products they plan to receive (e.g., MMF, corticosteroids).
2. History of allergy to parenteral administration of contrast agents, human or murine proteins or monoclonal antibodies.
3. Received any of the following therapies:

1. Treatment with any B cell targeted therapy (e.g., rituximab), unless it can be shown that B cells have returned to baseline level or normal;
2. Received tumor necrosis factor inhibitors, interleukin receptor blockers, or other small molecules or biologics (including Belimumab) during the 12 weeks prior to screening or the 5 half-lives of the drug, whichever is longer;
3. Received any experimental drugs during the 12 weeks prior to screening or the 5 half-lives of the drug, whichever is longer;
4. Received plasma separation or plasma exchange during the 6 weeks prior to screening;
5. Subjects who required dialysis within 1 year prior to screening.
6. Received a live vaccine or live-attenuated vaccine within 4 weeks prior to screening or expected to vaccinate during the study.
7. Received BCG Vaccine within 1 year prior to screening.
4. History of severe active central nervous system (CNS) lupus (including seizures, psychosis, organic brain syndrome, cerebrovascular accident, cerebritis, or CNS vasculitis) requiring intervention within 60 days of baseline (Day 1).
5. History of a major organ transplant (e.g., heart, lung, kidney, liver) or hematopoietic stem cell/marrow transplant or are due to receive transplantation.
6. Significant, unstable or uncontrolled acute or chronic diseases not due to SLE (i.e., cardiovascular, pulmonary, hematologic, gastrointestinal, hepatic, renal, neurological, malignancy, or infectious diseases) which, in the opinion of the principal investigator, could confound the results of the study or put the subject at undue risk.
7. Plan to undergo surgery or have any medical disease, laboratory abnormality, or condition that, in the opinion of the principal investigator, makes the subject unsuitable for the study.
8. History of drug or alcohol abuse or dependence within 364 days prior to baseline (Day 1).
9. Nursing or pregnant female, or male or female who prepared for parenthood during the study.
10. History of malignant tumors within the last 5 years, excluding adequately treated skin cancer (basal or squamous cell) or carcinoma in situ of cervix.
11. Have acute or chronic infection requiring treatment.
12. HIV positive.
13. Hepatitis B: Patients positive for HBsAg are excluded; Patients negative for HBsAg but positive for Anti-HBc, regardless of Anti-HBs antibody status, will require test for HBV DNA: if HBV DNA positive, patients will be excluded; if HBV DNA negative, patients will be eligible to enroll.
14. Hepatitis C antibody positive.
15. History of COVID-19 within 4 weeks prior to screening or history of hospitalization due to severe Covid-19 within 12 months prior to screening.
16. eGFR\<30 mL/min/1.73 m2 using CKD-EPI.
17. Renal biopsy showed 50% glomerulosclerosis.
18. Have a Grade 3 or greater laboratory abnormality based on the Adverse Event Severity Grading Tables.
19. Subjects who in the opinion of the investigator are not suitable to participate.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RemeGen Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)

Hefei, Anhui, China

Site Status RECRUITING

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First Hospital Affiliated to the Army Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

Zhongshan Hospital Affiliated to Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Liuzhou Workers' Hospital

Liuzhou, Guangxi, China

Site Status RECRUITING

Guizhou Provincial People's Hospital

Guiyang, Guizhou, China

Site Status RECRUITING

Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status RECRUITING

Handan First Hospital

Handan, Hebei, China

Site Status RECRUITING

Hebei General Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

The Third Affiliated Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology

Baotou, Inner Mongolia, China

Site Status RECRUITING

Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

General Hospital of Northern Theater Command of the Chinese People's Liberation Army

Shenyang, Liaoning, China

Site Status RECRUITING

The Affiliated Hospital of Qinghai University

Xining, Qinghai, China

Site Status RECRUITING

Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status RECRUITING

Huashan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status RECRUITING

Shanxi Provincial People's Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

West China Hospital Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

People's Hospital of Sichuan Province

Chengdu, Sichuan, China

Site Status RECRUITING

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Tianjin Medical University Second Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

People's Hospital of Xinjiang Uygur Autonomous Region

Ürümqi, Xinjiang, China

Site Status RECRUITING

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Taizhou Hospital of Zhejiang Province

Linhai, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

Yiwu, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Binghua Xiao

Role: CONTACT

86-010-58076833

References

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Ahmad SB, Jefferson JA. Targeting B Cells and Plasma Cells in Glomerular Disease. J Am Soc Nephrol. 2025 Jun 4;36(9):1844-1857. doi: 10.1681/ASN.0000000772.

Reference Type DERIVED
PMID: 40465397 (View on PubMed)

Other Identifiers

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18C030

Identifier Type: -

Identifier Source: org_study_id

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