New hope for young lupus patients: drug trial targets kidney damage
NCT ID NCT05039619
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 5 times
Summary
This study tests if obinutuzumab can help teens and children with lupus nephritis, a serious kidney complication of lupus. About 40 participants aged 5 to 17 will receive either the drug or a placebo. The goal is to see if the drug improves kidney function and reduces protein in urine, while monitoring safety.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Jun 2030
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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5 to 17 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: * Participants who are age 12 to \<18 years at the time of randomization * Participants who are age 5 to \<12 years (younger participant cohort) at the time of randomization once recruitment is open. (Investigators will be notified by the Sponsor when recruitment is open to this younger population) * International Society of Nephrology and the Renal Pathology Society (ISN/RPS) 2003 Class III or IV active LN demonstrated on renal biopsy performed in the 12 months prior to or during screening * Class V disease may be present in addition to Class III or IV LN, but participants with isolated Class V disease are not eligible * Diagnosis of SLE according to the Systemic Lupus International Collaborating Clinics (SLICC) 2012 criteria * Significant proteinuria defined by a UPCR above \> 0.5 based on a first-morning void (FMV) collection at screening * During the 12 months prior to or during screening, all participants must have received at least one dose of pulse-range IV methylprednisolone (typically 30 mg/kg, maximum of 1000 mg per dose) or equivalent for the treatment of the current episode of active LN. Exclusion Criteria: * Severe, active central nervous system (CNS) SLE, including retinitis, poorly controlled seizure disorder, acute confusional state, myelitis, stroke, cerebellar ataxia, or dementia * Sclerosis in \>50% of glomeruli on renal biopsy * Purely chronic Class III(c) or Class IV(c) disease on renal biopsy, defined as the absence of any active lesions * Presence of rapidly progressive glomerulonephritis * Pure Class V LN * Intolerance or contraindication to study therapies * Active infection of any kind (excluding fungal infection of nail beds) or any major episode of infection requiring hospitalization or treatment with IV anti-infective medications within 4 weeks prior to screening, or completion of oral anti-infectives within 2 weeks prior to randomization * History of or currently active primary or secondary immunodeficiency, including known history of HIV infection and other severe Immunodeficiency blood disorders * History of serious recurrent or chronic infection * History of or current cancer, including solid tumors, hematological malignancies, and carcinoma in situ (except basal cell carcinoma and squamous cell carcinoma of the skin that have been excised and cured) within the past 5 years * Significant or uncontrolled concomitant medical disease which, in the investigator's opinion, would preclude participant participation * Currently active alcohol or drug abuse or history of alcohol or drug abuse
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
33 sites in 10 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Alder Hey Childrens Hospital
RECRUITINGLiverpool, L12 2AP, United Kingdom
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CH de Bicêtre
RECRUITINGLe Kremlin-Bicêtre, 94275, France
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CHU de Toulouse - Hôpital des Enfants
RECRUITINGToulouse, 31000, France
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CREA Hospital Mexico Americano
RECRUITINGGuadalajara, Jalisco, 44620, Mexico
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Centro de Pesquisa São Lucas
RECRUITINGCampinas, São Paulo, 13060-904, Brazil
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Children's Hospital Colorado, Anchutz Medical Campus
RECRUITINGAurora, Colorado, 80045, United States
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Chldren?s Hospital of Philadelphia
WITHDRAWNPhiladelphia, Pennsylvania, 19104, United States
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Cincinnati Childrens Hospital
RECRUITINGCincinnati, Ohio, 45229, United States
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Clinica El Golf
ACTIVE_NOT_RECRUITINGSan Isidro, L27 Lima, Peru
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Clinica Pediatrica II De Marchi
RECRUITINGMilan, Lombardy, 20122, Italy
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Clinstile S.A de C.V.
RECRUITINGMexico City, Mexico CITY (federal District), 06700, Mexico
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Cohen Children's Medical Center of New York
RECRUITINGQueens, New York, 11042, United States
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Emory Children's Center
RECRUITINGAtlanta, Georgia, 30322, United States
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Great Ormond Street Hospital for Children
RECRUITINGLondon, WC1N 3JH, United Kingdom
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Groote Schuur Hospital
WITHDRAWNCape Town, 7925, South Africa
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Hop Necker Enfants Malades
RECRUITINGParis, 75743, France
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Hospital Ramon y Cajal
RECRUITINGMadrid, 28034, Spain
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Hospital Sainte-Justine
RECRUITINGMontreal, Quebec, H3T 1C5, Canada
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Hospital Sant Joan De Deu
RECRUITINGEsplugas de Llobregat, Barcelona, 08950, Spain
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Hospital Universitario Dr. Jose Eleuterio Gonzalez
RECRUITINGMonterrey, Nuevo León, 64460, Mexico
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Hospital Universitario la Fe: Servicio de Reumatologia Pediatrica
RECRUITINGValencia, 46026, Spain
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Hospital Universitário Onofre Lopes - UFRN
RECRUITINGPetrópolis, Rio Grande do Norte, 59012-300, Brazil
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Hospital das Clinicas - FMUSP
RECRUITINGSão Paulo, São Paulo, 05403-000, Brazil
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Hospital de La Paz
RECRUITINGMadrid, 28046, Spain
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Hôpital Robert Debré
RECRUITINGParis, 75019, France
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IRCCS G. Gaslini
RECRUITINGGenoa, Liguria, 16148, Italy
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Indiana University Health University Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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Instituto de Ginecología y Reproducción
ACTIVE_NOT_RECRUITINGLima, Peru
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Loma Linda University health
RECRUITINGLoma Linda, California, 92354, United States
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Louisiana State University
RECRUITINGShreveport, Louisiana, 71103, United States
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Ospedale Pediatrico Bambino Gesu
RECRUITINGRome, Lazio, 00165, Italy
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Panaroma Medical Center
RECRUITINGPanorama, 7500, South Africa
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Red Cross War Memorial Children?s Hospital
WITHDRAWNCape Town, 7700, South Africa
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Royal Hospital For Children
WITHDRAWNGlasgow, G51 4TF, United Kingdom
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Saint-Petersburg State
WITHDRAWNSt-peterburg, Sankt-Peterburg, 194100, Russia
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Ser Servicos Especializados Em Reumatologia
RECRUITINGSalvador, Estado de Bahia, 40150-150, Brazil
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Szpital Specjalistyczny dla Dzieci i Doroslych
WITHDRAWNTorun, 87-100, Poland
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Texas Arthritis Center
WITHDRAWNEl Paso, Texas, 79902, United States
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The Hospital for Sick Children
RECRUITINGToronto, Ontario, M5G 1X8, Canada
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UCSF Benioff Childrens Hospital
RECRUITINGSan Francisco, California, 94158, United States
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Universidade Federal de Sao Paulo - UNIFES
ACTIVE_NOT_RECRUITINGSão Paulo, 04024-002, Brazil
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Uniwersyteckie Centrum Kliniczne
RECRUITINGGdansk, 80-294, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 5,000-Patient registry aims to map the Long-Term course of lupus nephritis
- Can a blood test catch lupus flares earlier?
- Can a single CAR-T infusion reset the immune system and stop lupus kidney damage?
- Blood markers may foretell kidney trouble in lupus
- Can bone marrow stem cells calm lupus kidney flares?
- Can a targeted antibody boost kidney remission in lupus?