NCT04643470

Brief Summary

The primary objective of this study is to evaluate the efficacy of zanubrutinib added to standard of care as measured by complete renal response for participants with active proliferative lupus nephritis

Trial Health

87
On Track

Trial Health Score

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

Enrollment
177

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2020

Typical duration for phase_2

Geographic Reach
1 country

44 active sites

Status
completed

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

November 18, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 25, 2020

Completed
27 days until next milestone

Study Start

First participant enrolled

December 22, 2020

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 26, 2024

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 26, 2024

Completed
Last Updated

November 29, 2024

Status Verified

November 1, 2024

Enrollment Period

3.2 years

First QC Date

November 18, 2020

Last Update Submit

November 27, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Proportion of participants with complete renal response

    Week 49 Day 1

Secondary Outcomes (7)

  • Proportion of participants achieving complete renal response

    Up to Week 73 Day 1

  • Proportion of participants achieving partial renal response

    Up to Week 73 Day 1

  • Proportion of participants achieving overall renal response

    Up to Week 73 Day 1

  • Time to first complete renal response

    Up to Week 73 Day 1

  • Time to first overall renal response

    Up to Week 73 Day 1

  • +2 more secondary outcomes

Study Arms (4)

Zanubrutinib Low Dose

EXPERIMENTAL

Participants will receive zanubrutinib 40 mg twice daily (BID) for 72 weeks

Drug: Zanubrutinib

Zanubrutinib High Dose

EXPERIMENTAL

Participants will receive zanubrutinib 160 mg twice daily (BID) for 72 weeks

Drug: Zanubrutinib

Zanubrutinib Medium Dose

EXPERIMENTAL

Participants will receive zanubrutinib 160 mg once daily (QD) for 72 weeks

Drug: Zanubrutinib

Placebo

EXPERIMENTAL

Participants will receive placebo to match zanubrutinib for 72 weeks

Drug: Placebo

Interventions

Administered as specified in the treatment arm

Also known as: BGB-3111, Brukinsa
Zanubrutinib High DoseZanubrutinib Low DoseZanubrutinib Medium Dose

Placebo to match zanubrutinib

Placebo

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Clinical diagnosis of SLE according to the Systemic Lupus International Collaborating Clinics 2012 criteria.
  • ISN/RPS 2003 Class III/IV lupus nephritis \[Type III(A), III (A+C), IV (A), and IV (A+C)\], with or without Class V, as confirmed by a renal biopsy.
  • Positive antinuclear antibodies, positive anti-dsDNA autoantibody, and/or positive anti Smith autoantibody at screening
  • Has 24-hour urine protein excretion \> 1.0 g at screening.

You may not qualify if:

  • Glomerulonephritis caused by reasons other than systemic lupus erythematous.
  • Sclerosis in \>50% of glomeruli on renal biopsy.
  • Any other inflammatory diseases that might confound the assessments of efficacy, including but not limited to rheumatoid arthritis, myositis, vasculitis, or overlapping syndrome.
  • Severe extrarenal SLE, including but not limited to severe pulmonary arterial hypertension, severe myocarditis, severe central nervous system lupus (such as neuropsychiatric SLE, seizures, psychosis, transverse myelitis, central nervous system vasculitis and optic neuritis), etc.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

Anhui Provincial Hospital

Hefei, Anhui, 230000, China

Location

Peking University Peoples Hospital

Beijing, Beijing Municipality, 100044, China

Location

Peking University International Hospital

Beijing, Beijing Municipality, 102206, China

Location

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, 361003, China

Location

Zhongshan Hospital Xiamen University

Xiamen, Fujian, 361004, China

Location

Sun Yat Sen Memorial Hospital, Sun Yat Sen University (North)

Guangzhou, Guangdong, 510000, China

Location

Guangdong Provincial Peoples Hospital

Guangzhou, Guangdong, 510080, China

Location

The First Affiliated Hospital, Sun Yat Sen University

Guangzhou, Guangdong, 510080, China

Location

The Third Affiliated Hospital, Sun Yat Sen University

Guangzhou, Guangdong, 510630, China

Location

Guangdong Province Traditional Chinese Medical Hospitsal

Guangzhou, Guangdong, 510655, China

Location

Jiangmen Central Hospital

Jiangmen, Guangdong, 529030, China

Location

Peking University Shenzhen Hospital

Shenzhen, Guangdong, 518036, China

Location

The Second Peoples Hospital of Shenzhen

Shenzhen, Guangdong, 518037, China

Location

Liuzhou Workers Hospital

Liuchow, Guangxi, 545005, China

Location

The Peoples Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, 530021, China

Location

Guizhou Provincial Peoples Hospital

Guiyang, Guizhou, 550002, China

Location

Hainan General Hospital

Haikou, Hainan, 570206, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, 450052, China

Location

Renmin Hospital of Wuhan University

Wuhan, Hubei, 430060, China

Location

The Second Xiangya Hospital of Central South University

Changsha, Hunan, 410011, China

Location

General Hospital of Eastern Theater Command

Nanjing, Jiangsu, 210002, China

Location

Jiangsu Province Hospital

Nanjing, Jiangsu, 210029, China

Location

Wuxi Peoples Hospital

Wuxi, Jiangsu, 214023, China

Location

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, 221000, China

Location

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, 330006, China

Location

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, 330006, China

Location

The Second Hospital of Jilin University

Changchun, Jilin, 130022, China

Location

First Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, 116011, China

Location

Shengjing Hospital of China Medical University

Shenyang, Liaoning, 110004, China

Location

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, 750004, China

Location

The Second Affiliated Hospital of Xian Jiaotong University

Xi'an, Shaanxi, 710004, China

Location

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, Shaanxi, 710061, China

Location

Shandong Provincial Hospital

Jinan, Shandong, 250021, China

Location

The Affiliated Hospital of Qingdao University Branch South

Qingdao, Shandong, 266000, China

Location

Huashan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, 200040, China

Location

Shanghai General Hospital

Shanghai, Shanghai Municipality, 200080, China

Location

Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, 030001, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

Location

Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital

Chengdu, Sichuan, 610071, China

Location

The Second Affiliated Hospital of Tianjin Medical University

Tianjin, Tianjin Municipality, 300000, China

Location

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, 830054, China

Location

First Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, 650032, China

Location

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310003, China

Location

Ningbo First Hospital

Ningbo, Zhejiang, 315010, China

Location

MeSH Terms

Conditions

Lupus Nephritis

Interventions

zanubrutinib

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 Diseases

Study Officials

  • Zhen Yao, MD

    BeiGene

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 18, 2020

First Posted

November 25, 2020

Study Start

December 22, 2020

Primary Completion

February 26, 2024

Study Completion

August 26, 2024

Last Updated

November 29, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will share

Locations