New hope for kidney patients: targeted drug may replace harsh chemotherapy
NCT ID NCT06781944
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study compares a newer targeted drug, obinutuzumab, against a standard treatment (cyclophosphamide plus steroids) for primary membranous nephropathy, a kidney disease that can lead to kidney failure. About 144 adults with moderate to severe protein in their urine will receive either obinutuzumab infusions or the standard regimen. The goal is to see if obinutuzumab can achieve better remission rates with fewer side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Obinutuzumab
- What this could lead to
- If successful, obinutuzumab could offer a more effective and less toxic treatment option for people with primary membranous nephropathy, potentially reducing the need for harsh chemotherapy-like drugs.
- What could go wrong
- This is a Phase 3 trial, but it is still early to know if obinutuzumab is truly better or safer than the current standard. The study is open-label, which can introduce bias, and long-term outcomes are not yet known.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 144 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: * Aged 18~75 years (including 18 and 75)old at the time of signing Informed Consent Form * pMN patients diagnosed according to renal biopsy (original biopsy needs to include light, immunofluorescence, and electron microscopy) within 5 years or serum anti-PLA2R antibody (≥14 RU/ml ) * 24-hour UPCR ≥ 4 g/g and serum albumin (sALB) \< 30 g/L,despite being treated with ACEi and/or ARB for ≥ 6 months prior to screening, or 24-hour UPCR ≥ 5 g/g and sALB \< 30 g/L , despite being treated with ACEi and/or ARB for ≥ 3 months prior to screening; or 24-hour UPCR ≥ 8 g/g and sALB \< 25 g/L, despite being treated with ACEi and/or ARB for ≥ 1 month prior to screening,. * eGFR ≥40 mL/min/1.73m2 (CKD-EPI), a renal biopsy is required to exclude renal damage due to other co-morbidities if eGFR \<60mL/min/1.73 m2. * Ability to comply with the study protocol, in the investigator's judgment Exclusion Criteria: * Patients with a secondary cause of MN (e.g. hepatitis B, systemic lupus erythematosus, medications, malignancies) * Type 1 or 2 diabetes mellitus * eGFR \<40 mL/min/1.73m2 (CKD-EPI) or dialysis or kidney transplantation * Evidence of 50% reduction in proteinuria or serum anti-PLA2R antibody within 6 months prior to screening
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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
1 site. 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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Huashan Hospital, Fudan University
RECRUITINGShanghai, Shanghai Municipality, 200040, China
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- Can a gene-silencing drug calm overactive complement in kidney disease?