New hope for kidney patients: drug may stop protein leak without lifelong pills
NCT ID NCT04629248
First seen Jun 27, 2026 · Last updated Jul 08, 2026 · Updated 2 times
Summary
This study tests a drug called obinutuzumab against a standard treatment (tacrolimus) in 142 adults with primary membranous nephropathy, a kidney disease that lets protein leak into urine. The goal is to see if obinutuzumab can bring about complete remission (no protein in urine) by week 104. Participants must have severe protein leakage and adequate kidney function. The drug is given by infusion, and while it aims to control the disease, patients may still need ongoing monitoring or other medications.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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142 people
The number who actually took part.
- Started
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Jun 2021
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of primary membranous nephropathy (pMN) according to renal biopsy prior to or during screening * Screening urinary protein-to-creatinine ratio (UPCR) \>= 5 g/g from 24-hour urine collection after best supportive care for \>= 3 months prior to screening or screening UPCR \>= 4 g/g after best supportive care for \>= 6 months prior to screening * eGFR \>= 40 mL/min/1.73m\^2 or qualified endogenous creatinine clearance \>= 40 mL/min/1.73m\^2 based on 24-hour urine collection during screening * Other inclusion criteria may apply Exclusion Criteria: * Participants with a secondary cause of MN * Pregnancy or breastfeeding * Evidence of \>= 50% reduction in proteinuria during the previous 6 months prior to randomization * Severe renal impairment, including the need for dialysis or renal replacement therapy * Type 1 or 2 diabetes mellitus * Receipt of an excluded therapy, including any anti-CD20 therapy less than 9 months prior to or during screening; or cyclophosphamide, tacrolimus, or cyclosporin less than 6 months prior to or during screening * Significant or uncontrolled medical disease which, in the investigator's opinion, would preclude participant participation * Known active infection of any kind or recent major episode of infection * Major surgery requiring hospitalization within the 4 weeks prior to screening * Current active alcohol or drug abuse or history of alcohol or drug abuse within 12 months prior to screening * Intolerance or contraindication to study therapies * Other exclusion criteria may apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A.O. Spedali Civili Di Brescia-P.O. Spedali Civili
Brescia, Lombardy, 25123, Italy
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A.O. U. Federico II
Naples, Campania, 80131, Italy
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ASST Monza - Ospedale San Gerardo
Monza, Lombardy, 20900, Italy
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Accel Research Sites; Mid-Florida Kidney and Hypertension Care
Altamonte Springs, Florida, 32701, United States
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Akdeniz University Medical Faculty
Antalya, 07059, Turkey (Türkiye)
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CINME
Buenos Aires, C1056ABI, Argentina
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Columbia University Medical Center
New York, New York, 10032, United States
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Ege Uni School of Medicine
Izmir, 35100, Turkey (Türkiye)
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First Moscow State Medical University n.a. I.M. Sechenov
Moscow, Moscow Oblast, 119021, Russia
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General Hospital of Ningxia Medical University
Yinchuan, 750004, China
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German clinic
Saint Petersburg, Sankt-Peterburg, 196070, Russia
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Hacettepe Uni School of Medicine
Ankara, 06100, Turkey (Türkiye)
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Hopital Henri Mondor
Créteil, 94010, France
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Hopital Rangueil
Toulouse, 31059, France
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Hopital Tenon
Paris, 75020, France
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Hospital Britanico Buenos Aires
Buenos Aires, C1280AEB, Argentina
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Hospital Clinic i Provincial
Barcelona, 08036, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Virgen del Rocío
Seville, 41013, Spain
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Hospital das Clinicas - FMUSP
São Paulo, São Paulo, 05403-000, Brazil
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Hospital de Base de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000, Brazil
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Hospital do Rim e Hipertensão - Fundação Oswaldo Ramos
São Paulo, São Paulo, 04038-002, Brazil
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Huashan Hospital, Fudan University
Shanghai, 200040, China
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Kaiser Permanente - San Francisco Medical Center
San Francisco, California, 94118, United States
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Mayo Clinic
Rochester, Minnesota, 55902, United States
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Nanfang Hospital, Southern Medical University
Guangzhou, 510515, China
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Nephrotex Research Group
Dallas, Texas, 75231, United States
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Organizacion Medica de Investigacion
Buenos Aires, C1015ABO, Argentina
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Ospedale San Giovanni Bosco
Turin, Piedmont, 10154, Italy
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Peking University First Hospital
Beijing, 100034, China
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Policlinico di Bari
Bari, Apulia, 70124, Italy
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Rostov State Medical Uni
Rostov-on-Don, Rostov Oblast, 344022, Russia
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Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, 200025, China
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Ser Servicos Especializados Em Reumatologia
Salvador, Estado de Bahia, 40150-150, Brazil
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Sheba MC
Ramat Gan, 52621, Israel
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Sichuan Provincial People's Hospital
Chengdu, 610072, China
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Szpital Uniwersytecki im.dr.A.Jurasza w Bydgoszczy
Bydgoszcz, 85-094, Poland
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The 1st Affiliated hospital of Fujian Medical University
Fuzhou, 350005, China
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The First Affiliated Hospital of Xian Jiao Tong University
Xi'an, 710061, China
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Tongji Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430030, China
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University of Colorado in Denver-Anschutz Medical Campus
Aurora, Colorado, 80045, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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Uniwersytecki Szpital Kliniczny im WAM CSW
?ód?, 92-213, Poland
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Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
Wroc?aw, 50-556, Poland
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Uniwersytecki Szpital Kliniczny nr 1 im. N. Barlickiego
?ód?, 90-153, Poland
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Uniwersytecki Szpital Kliniczny w Bialymstoku
Bia?ystok, 15-276, Poland
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Zhejiang Provincial People?s Hospital
Hangzhou, Zhejiang, 310014, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A new tool to predict kidney failure risk in membranous nephropathy?
- Can engineered immune cells tackle a tough kidney disease?
- Can a smarter antibody outsmart a kidney disease that resists standard treatment?
- Can engineered immune cells tame autoimmune kidney disease?
- Can a pill calm the immune attack on kidneys?
- Can a gene-silencing drug calm overactive complement in kidney disease?