NCT05680480

Brief Summary

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

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Apr 2023

Geographic Reach
1 country

45 active sites

Status
recruiting

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

December 26, 2022

Completed
16 days until next milestone

First Posted

Study publicly available on registry

January 11, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

April 17, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2026

Completed
Last Updated

September 23, 2024

Status Verified

September 1, 2024

Enrollment Period

2.6 years

First QC Date

December 26, 2022

Last Update Submit

September 19, 2024

Conditions

Keywords

lupusnephritisTelitaciceptRC 18

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants with Complete Renal Response (CRR)

    CRR is defined as estimated glomerular filtration rate (GFR) is no more than 20% below the baseline value or ≥ 60 mL/min/1.73m\^2 and 24-hour urinary protein: creatinine ratio ≤ 0.5 mg/mg and did not receive prohibited or rescue therapy resulting in treatment failure.

    Week 48

Secondary Outcomes (2)

  • Percentage of participants with Partial Renal Response (PRR)

    Week 24 and Week 48

  • Incidence of AE, SAE

    Up to Week 48

Study Arms (3)

Telitacicept 240 mg

EXPERIMENTAL

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

Biological: Telitacicept 240 mg

Telitacicept 160 mg

EXPERIMENTAL

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

Biological: Telitacicept 160 mg

Placebo

PLACEBO COMPARATOR

Placebo given SC weekly plus standard therapy through week 48.

Drug: Placebo

Interventions

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

Also known as: RC18 240 mg
Telitacicept 240 mg

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

Also known as: RC18 160 mg
Telitacicept 160 mg

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

Placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males or females aged 18-75 years of age, inclusive.
  • Diagnosis of systemic lupus erythematosus according to American College of Rheumatology criteria (1997).
  • 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.
  • 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.
  • Active renal disease at screening requiring induction therapy with high dose corticosteroids (HDCS) with mycophenolate mofetil (MMF) or other oral forms of mycophenolate.
  • 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.
  • Able to understand the requirements of the study and provide written informed consent.

You may not qualify if:

  • Known hypersensitivity or contraindication to any drug products they plan to receive (e.g., MMF, corticosteroids).
  • History of allergy to parenteral administration of contrast agents, human or murine proteins or monoclonal antibodies.
  • Received any of the following therapies:
  • 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;
  • 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;
  • Received any experimental drugs during the 12 weeks prior to screening or the 5 half-lives of the drug, whichever is longer;
  • Received plasma separation or plasma exchange during the 6 weeks prior to screening;
  • Subjects who required dialysis within 1 year prior to screening.
  • Received a live vaccine or live-attenuated vaccine within 4 weeks prior to screening or expected to vaccinate during the study.
  • Received BCG Vaccine within 1 year prior to screening.
  • 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).
  • History of a major organ transplant (e.g., heart, lung, kidney, liver) or hematopoietic stem cell/marrow transplant or are due to receive transplantation.
  • 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.
  • 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.
  • History of drug or alcohol abuse or dependence within 364 days prior to baseline (Day 1).
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (45)

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

Hefei, Anhui, 230001, China

RECRUITING

Peking University People's Hospital

Beijing, Beijing Municipality, 100044, China

RECRUITING

The First Hospital Affiliated to the Army Medical University

Chongqing, Chongqing Municipality, 400038, China

RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, 361003, China

RECRUITING

Zhongshan Hospital Affiliated to Xiamen University

Xiamen, Fujian, 361004, China

RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, 510000, China

RECRUITING

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, 510080, China

RECRUITING

The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, 510630, China

RECRUITING

Liuzhou Workers' Hospital

Liuchow, Guangxi, 545005, China

RECRUITING

Guizhou Provincial People's Hospital

Guiyang, Guizhou, 550002, China

RECRUITING

Affiliated Hospital of Hebei University

Baoding, Hebei, 071000, China

RECRUITING

Handan First Hospital

Handan, Hebei, 056002, China

RECRUITING

Hebei General Hospital

Shijiazhuang, Hebei, 050051, China

RECRUITING

The Third Affiliated Hospital of Hebei Medical University

Shijiazhuang, Hebei, 050051, China

RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, 450052, China

RECRUITING

Xiangya Hospital of Central South University

Changsha, Hunan, 410008, China

RECRUITING

The Third Xiangya Hospital of Central South University

Changsha, Hunan, 410013, China

RECRUITING

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

Baotou, Inner Mongolia, 014017, China

RECRUITING

Zhongda Hospital Southeast University

Nanjing, Jiangsu, 210009, China

RECRUITING

Wuxi People's Hospital

Wuxi, Jiangsu, 214023, China

RECRUITING

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, 330006, China

RECRUITING

The First Hospital of Jilin University

Changchun, Jilin, 130021, China

RECRUITING

The Second Hospital of Jilin University

Changchun, Jilin, 130042, China

RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, 110004, China

RECRUITING

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

Shenyang, Liaoning, 110015, China

RECRUITING

The Affiliated Hospital of Qinghai University

Xining, Qinghai, 810001, China

RECRUITING

Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, 710004, China

RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, 250012, China

RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, 266000, China

RECRUITING

Huashan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, 200040, China

RECRUITING

Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, 200127, China

RECRUITING

Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, 030001, China

RECRUITING

Shanxi Provincial People's Hospital

Taiyuan, Shanxi, 030012, China

RECRUITING

Shanxi Bethune Hospital

Taiyuan, Shanxi, 030032, China

RECRUITING

West China Hospital Sichuan University

Chengdu, Sichuan, 610041, China

RECRUITING

People's Hospital of Sichuan Province

Chengdu, Sichuan, 610072, China

RECRUITING

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, 300052, China

RECRUITING

Tianjin Medical University Second Hospital

Tianjin, Tianjin Municipality, 300211, China

RECRUITING

People's Hospital of Xinjiang Uygur Autonomous Region

Ürümqi, Xinjiang, 830001, China

RECRUITING

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, 830054, China

RECRUITING

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310009, China

RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, 310014, China

RECRUITING

Taizhou Hospital of Zhejiang Province

Linhai, Zhejiang, 317000, China

RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, 325000, China

RECRUITING

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

Yiwu, Zhejiang, 322000, China

RECRUITING

Related Publications (1)

  • 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.

MeSH Terms

Conditions

Lupus NephritisNephritis

Interventions

telitaciceptRC-18

Condition Hierarchy (Ancestors)

GlomerulonephritisKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesLupus Erythematosus, SystemicConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

December 26, 2022

First Posted

January 11, 2023

Study Start

April 17, 2023

Primary Completion

December 1, 2025

Study Completion

January 1, 2026

Last Updated

September 23, 2024

Record last verified: 2024-09

Locations