NCT01169857

Brief Summary

The primary objective is to test the safety and efficacy of Velcade to induce remission in WHO class III/IV/V lupus nephritis that are refractory to standard medications.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Aug 2010

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 23, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 26, 2010

Completed
6 days until next milestone

Study Start

First participant enrolled

August 1, 2010

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2012

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2012

Completed
Last Updated

April 24, 2012

Status Verified

April 1, 2012

Enrollment Period

2 years

First QC Date

July 23, 2010

Last Update Submit

April 23, 2012

Conditions

Keywords

Proliferative lupus nephritisWHO class III/IV/V lupus nephritisProteinuriaHematuriaVelcadeSLEBortezomibProteasome inhibitor

Outcome Measures

Primary Outcomes (1)

  • Proteinuria

    Quantification of 24 hr urinary protein.

    1 year

Secondary Outcomes (2)

  • Renal function

    1 year

  • Lupus activity score

    1 year

Study Arms (1)

Velcade Therapy

EXPERIMENTAL
Drug: Velcade

Interventions

Velcade at 1.3 mg/m2, on days 1, 4, 8 and 11 (=1 cycle). The study will involve 3 cycles of Velcade therapy.

Also known as: Bortezomib, Proteasome inhibitor
Velcade Therapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ACR criteria for lupus (minimum 4 out of 11).
  • Biopsy proven WHO class III or IV or V lupus nephritis with clinical activity.
  • GFR must be greater or equal to 30 cc/min/1.73 m2.
  • Proteinuria must exceed 1000 mg per day except for WHO class V lupus nephritis, daily proteinuria must be greater or equal to 2000 mg.
  • Primary therapy for active disease must have been given at least 6 months prior to protocol enrollment for WHO lupus III/IV.

You may not qualify if:

  • Serum creatinine of more than 3.0 mg/dL on repeated testing.
  • Greater than 50% fibrosis on renal biopsy.
  • Platelet count of less than 30× 109/L.
  • Absolute neutrophil count of less than 1.0 × 109/L.
  • Greater than or equal to Grade 1 peripheral neuropathy.
  • Myocardial infarction within 6 months prior to enrollment or New York Heart Association (NYHA) Class III or IV heart failure.
  • Hypersensitivity to Velcade, boron or mannitol.
  • Serious medical conditions and infections (including HIV, HCV, HBV) or psychiatric illness.
  • Known history of untreated positive PPD.
  • Serious complications from systemic lupus such as cerebral lupus and severe active infections.
  • Diagnosed or treated for another malignancy within 3 years of enrollment.
  • Greater than 1.5x upper limit of normal total bilirubin.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Rogosin Institute

New York, New York, 10021, United States

Location

MeSH Terms

Conditions

Lupus NephritisProteinuriaHematuria

Interventions

BortezomibProteasome Inhibitors

Condition Hierarchy (Ancestors)

GlomerulonephritisNephritisKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesLupus Erythematosus, SystemicConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System DiseasesUrination DisordersUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsHemorrhagePathologic Processes

Intervention Hierarchy (Ancestors)

Boronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsOrganic ChemicalsPyrazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsProtease InhibitorsEnzyme InhibitorsMolecular Mechanisms of Pharmacological ActionPharmacologic ActionsChemical Actions and Uses

Study Officials

  • Choli Hartono, MD

    The Rogosin Institute

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 23, 2010

First Posted

July 26, 2010

Study Start

August 1, 2010

Primary Completion

August 1, 2012

Study Completion

December 1, 2012

Last Updated

April 24, 2012

Record last verified: 2012-04

Locations