Lupus NephritisPhase 2AURA-LVNCT02141672
AURA-LV: Aurinia Urinary Protein Reduction Active - Lupus With Voclosporin (AURA-LV)
A Phase 2 study testing Voclosporin High Dose and Voclosporin Low Dose in people with Lupus Nephritis, run by Aurinia Pharmaceuticals Inc. at 86 sites in 20 countries.
Trial summary
To assess the efficacy of 2 doses of voclosporin compared to placebo in achieving complete remission after 24 weeks of therapy in subjects with active lupus nephritis. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Lupus Nephritis
- What is being tested?
- Voclosporin High Dose and Voclosporin Low Dose
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 265 participants
- Where
- 86 sitesin 20 countries
- Study dates
- Jun 2014to Jan 2017
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female subjects aged 18 to 75 years.
- Diagnosis of systemic lupus erythematosus (SLE) according to the American College of Rheumatology criteria.
- Kidney biopsy within 6 months prior to Screening (Visit 1) with a histologic diagnosis of lupus nephritis (International Society of Nephrology/Renal Pathology Society 2003 classification of lupus nephritis) Classes III, IV-S or IV-G, (A) or (A/C); or Class V, alone or in combination with Class III or IV.
- Laboratory evidence of active nephritis at screening, defined as:
- Class III, IV-S or IV-G: Confirmed proteinuria ≥1,500 mg/24 hours when assessed by 24 hour urine collection, defined by a UPCR of ≥1.5 mg/mg assessed in a first morning void urine specimen (2 samples).
- Class V (alone or in combination with Class III or IV): Confirmed proteinuria ≥2,000 mg/24 hours when assessed by 24 hour urine collection, defined by a UPCR of ≥2 mg/mg assessed in a first morning void urine specimen (2 samples).
Who cannot join
- Estimated glomerular filtration rate (eGFR) as calculated by the Chronic Kidney Disease Epidemiology Collaboration equation of ≤45 mL/min/1.73 m2.
- Currently requiring renal dialysis (hemodialysis or peritoneal dialysis) or expected to require dialysis during the study period.
- A previous kidney transplant or planned transplant within study treatment period.
- In the opinion of the Investigator, subject does not require long-term immunosuppressive treatment (in addition to corticosteroids).
- Current or medical history of:
- Pancreatitis or gastrointestinal hemorrhage within 6 months prior to screening.
Show all 22Show fewer
- Active unhealed peptic ulcer within 3 months prior to screening. If an ulcer has healed and the subject is on adequate therapy, the subject may be randomized.
- Congenital or acquired immunodeficiency.
- Clinically significant drug or alcohol abuse 2 years prior to screening.
- Malignancy within 5 years of screening, with the exception of basal and squamous cell carcinomas treated by complete excision. Subjects with cervical dysplasia that is cervical intraepithelial neoplasia 1, but have been treated with conization or loop electrosurgical excision procedure, and have had a normal repeat PAP are allowed.
- Lymphoproliferative disease or previous total lymphoid irradiation.
- Severe viral infection (such as CMV, HBV, HCV) within 3 months of screening; or known human immunodeficiency virus infection.
- Active tuberculosis (TB), or known history of TB/evidence of old TB if not taking prophylaxis with isoniazid.
- Other known clinically significant active medical conditions, such as:
- Severe cardiovascular disease including congestive heart failure, history of cardiac dysrhythmia or congenital long QT syndrome.
- Liver dysfunction (aspartate aminotransferase, alanine aminotransferase, or bilirubin greater than 2.5 times the upper limit of normal) at screening and confirmed before randomization.
- Chronic obstructive pulmonary disease or asthma requiring oral steroids.
- Bone marrow insufficiency unrelated to active SLE (according to Investigator judgment) with white blood cell count <2,500/mm3; absolute neutrophil count <1.3 x 103/μL; thrombocytopenia (platelet count <50,000/mm3).
- Active bleeding disorders.
- Current infection requiring IV antibiotics.
- Any overlapping autoimmune condition for which the condition or the treatment of the condition may affect the study assessments or outcomes. Overlapping conditions for which the condition or treatment is not expected to affect assessments or outcomes are not excluded.
- Subjects who are pregnant, breast feeding or, if of childbearing potential, not using adequate contraceptive precautions.
Trial locations and contacts
86 sites in 20 countries.
86 sites in 20 countries
Russia15 sites
AURA-LV Site
Kazan', 420012
AURA-LV Site
Kemerovo, 650066
AURA-LV Site
Kemerovo, 65009
AURA-LV Site
Moscow, 111539
AURA-LV Site
Moscow, 119435
AURA-LV Site
Omsk, 644111
AURA-LV Site
Orenburg, 460018
AURA-LV Site
Petrozavodsk, 185019
AURA-LV Site
Rostov-on-Don, 344022
AURA-LV Site
Saint Petersburg, 191015
AURA-LV Site
Saint Petersburg, 197022
AURA-LV Site
Saint Petersburg, 197110
AURA-LV Site
Saratov, 410053
AURA-LV Site
Tolyatti, 445009
AURA-LV Site
Yaroslavl, 150062
United States14 sites
AURA-LV Site
Brooklyn, New York, 11203
AURA-LV Site
Chapel Hill, North Carolina, 27599
AURA-LV Site
Charlotte, North Carolina, 28204
AURA-LV Site
Chattanooga, Tennessee, 37408
AURA-LV Site
Columbus, Ohio, 43210
AURA-LV Site
Dallas, Texas, 75390
AURA-LV Site
Farmington Hills, Michigan, 48334
AURA-LV Site
Gainesville, Florida, 32610
AURA-LV Site
Hershey, Pennsylvania, 17033
AURA-LV Site
Houston, Texas, 77030
AURA-LV Site
Los Angeles, California, 90095
AURA-LV Site
Miami, Florida, 33165
AURA-LV Site
New York, New York, 10016
AURA-LV Site
Palo Alto, California, 94305
Philippines8 sites
AURA-LV Site
Angeles City, 2009
AURA-LV Site
Batangas, 4217
AURA-LV Site
Cebu City, 6000
AURA-LV Site
Davao City, 8000
AURA-LV Site
Manila, 10000
AURA-LV Site
Manila, 1000
AURA-LV Site
Manila, 1003
AURA-LV Site
Quezon City, 1102
Mexico5 sites
AURA-LV Site
Guadalajara, 44280
AURA-LV Site
Mexicali, 21100
AURA-LV Site
Oaxaca City
AURA-LV Site
Tlalpan, 14080
AURA-LV Site
Tlalpan
South Korea5 sites
AURA-LV Site
Busan, 602-739
AURA -LV Site
Daegu, 705-718
AURA-LV Site
Seoul, 110-744
AURA-LV Site
Seoul, 158-710
AURA-LV Site
Wŏnju, 220-701
Ukraine5 sites
AURA-LV Site
Kharkiv, 61103
AURA-LV Site
Kyiv, 02125
AURA-LV Site
Kyiv, 04050
AURA-LV Site
Lutsk, 43005
AURA-LV Site
Zaporizhzhya, 69600
Belarus4 sites
AURA-LV Site
Minsk, 220037
AURA-LV Site
Minsk, 220116
AURA-LV Site
Minsk, 223040
AURA-LV Site
Vitebsk, 210037
Bulgaria4 sites
AURA-L Site
Plovdiv, 4001
AURA-LV Site
Sofia, 1431
AURA-LV Site
Sofia, 1527
AURA-LV Site
Varna, 9010
Poland4 sites
AURA-LV Site
Katowice, 40-027
AURA-LV Site
Radom, 26-610
AURA-LV Site
Warsaw, 01-141
AURA-LV Site
Wroclaw, 50-556
Sri Lanka4 sites
AURA-LV Site
Colombo
AUR-LV Site
Kandy, 20000
AURA-LV Site
Nugegoda, 10100
AURA-LV Site
Ragama
Singapore2 sites
AURA-LV Site
Singapore, 169608
AURA-LV Site
Singapore, 529889
About this study
Official title: A Randomized, Controlled Double-blind Study Comparing the Efficacy and Safety of Voclosporin (23.7 mg BID, or 39.5 mg BID) With Placebo in Achieving Remission in Patients With Active Lupus Nephritis
To assess the efficacy of 2 doses of voclosporin compared to placebo in achieving complete remission after 24 weeks of therapy in subjects with active lupus nephritis.
Read the detailed description
Voclosporin is a next generation CNI intended for use in the prevention of organ graft rejection and for the treatment of autoimmune diseases. The aim of the current study is to investigate whether voclosporin added to the standard of care treatment in active LN is able to reduce disease activity, as measured by a reduction in proteinuria. Two doses of voclosporin will be studied and compared in a placebo controlled trial on a background of MMF and corticosteroids. Patients with active, flaring LN will be eligible to enter the study. They are required to have a diagnosis of LN according to established diagnostic criteria (American College of Rheumatology) and clinical and biopsy features suggestive of active nephritis. Efficacy will be assessed by the ability of the drug combination to reduce the level of proteinuria while demonstrating an acceptable safety profile.
- Conditions
- Lupus Nephritis
- Being tested
- Voclosporin High Dose, Voclosporin Low Dose, Placebo
- Keywords
- lupus nephritis, calcineurin inhibitors, voclosporin
- Medical subject headings
- Lupus Nephritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Voclosporin High DoseDrug
Also called ISA247
Voclosporin Low DoseDrug
Also called ISA247
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| Voclosporin Low Dose | Experimental | Voclosporin, oral, 23.7 mg BID Receives: Drug: Voclosporin Low Dose |
| Voclosporin High Dose | Experimental | Voclosporin, oral 23.7 mg BID until Week 2, then voclosporin, oral, 39.5 mg BID Receives: Drug: Voclosporin High Dose |
| Placebo | Placebo comparator | Low dose: Voclosporin placebo, oral, 3 capsules BID
High dose: Voclosporin placebo, oral, 3 capsules BID until Week 2 then voclosporin placebo, oral, 5 capsules BID Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects Achieving Complete Renal Remission at 24 Weeks
Complete remission is defined as:
- Confirmed protein/creatinine ratio of ≤0.5 mg/mg and
- eGFR ≥60 mL/min/1.73m2 or no confirmed decrease from baseline in eGFR of ≥20%. Subjects who received rescue medication for lupus nephritis or >10 mg prednisone for >3 consecutive days or >7 days total from 56 days prior to remission assessment until the time of the remission assessment were considered not achieving complete remission.
Measured: week 24
Secondary outcomes (16)
Number of Subjects Achieving Complete Renal Remission at 48 Weeks
Complete remission is defined as:
- Confirmed protein/creatinine ratio of ≤0.5 mg/mg and
- eGFR ≥60 mL/min/1.73m2 or no confirmed decrease from baseline in eGFR of ≥20%. Subjects who received rescue medication for lupus nephritis or >10 mg prednisone for >3 consecutive days or >7 days total from 56 days prior to remission assessment until the time of the remission assessment were considered not achieving complete remission.
Measured: Week 48
Number of Subjects Achieving Complete Renal Remission at 24 and 48 Weeks in the Presence of Low Dose Steroids
Complete remission is defined as:
- Confirmed protein/creatinine ratio of ≤0.5 mg/mg and
- eGFR ≥60 mL/min/1.73m2 or no confirmed decrease from baseline in eGFR of ≥20%. Subjects who received rescue medication for lupus nephritis or >10 mg prednisone for >3 consecutive days or >7 days total from 56 days prior to remission assessment until the time of the remission assessment were considered not achieving complete remission.
Low-dose steroids is defined as use of ≤5 mg prednisone for 8 weeks leading up to the Week 24 visit date or for 12 weeks leading up to the Week 48 visit date.
Measured: Weeks 24 and 48
Time to Complete Remission (Number of Weeks)
Time to Complete Remission is defined as time from first dose of voclosporin/placebo to UPCR ≤ 0.5mg in the absence of rescue medication.
Measured: week 48
Time to Sustained Early Complete Remission (Number of Weeks)
Time to Sustained Complete Remission is defined as time from first dose of voclosporin/placebo to UPCR ≤ 0.5mg occurring at week 24 or earlier and sustained until week 48 in the absence of rescue medication.
Measured: week 48
Number of Subjects Achieving Sustained Early Complete Remission
Sustained early complete remission defined as complete remission that occurred on or before Week 24 and was sustained through Week 48
Measured: week 48
Time to Partial Remission (Number of Weeks)
Time to partial Remission is defined as time from first dose of voclosporin/placebo to 50% UPCR reduction sustained until week 48 in the absence of rescue medication.
Measured: week 48
Number of Subjects Achieving Partial Remission
Partial remission is defined as a 50% reduction in UPCR from baseline at Week 24 and Week 48.
Measured: week 48
Number of Subjects Achieving, and Remaining in, Complete Remission
Sustained complete remission defined as the first occurrence of complete remission that was sustained through Week 48
Measured: week 48
Duration of Complete Remission (Number of Weeks)
Duration of Complete Remission is defined as time of first occurrence of UPCR ≤ 0.5 mg/mg until the second increase above 0.5 mg/mg (i.e. a single occurrence above 0.5 is permitted) or use of rescue medication.
Measured: week 48
Number of Subjects Achieving Partial Renal Remission at 24 and 48 Weeks
Number of patients with partial Remission is defined as time from first dose of voclosporin/placebo to 50% UPCR reduction at week 24 or week 48 in the absence of rescue medication.
Measured: week 24 and 48
Time to Sustained Partial Remission (Number of Weeks)
Time to sustained partial Remission is defined as time from first dose of voclosporin/placebo to 50% UPCR reduction sustained until week 48 in the absence of rescue medication.
Measured: week 48
Number of Subjects Achieving Sustained Partial Remission
Sustained partial remission defined as the first occurrence of partial remission that was sustained through Week 48
Measured: week 48
Time to Sustained Early Partial Remission (Number of Weeks)
Time to sustained early partial Remission is defined as time from first dose of voclosporin/placebo to 50% UPCR reduction occurring at week 24 or earlier and sustained until week 48 in the absence of rescue medication.
Measured: week 48
Number of Subjects Achieving Sustained Early Partial Remission
Early partial remission defined as partial remission that occurred on or before Week 24 and was sustained through Week 48
Measured: week 48
Change From Baseline in UPCR at Weeks 24 and 48
Change from baseline in urine protein creatinine ratio at weeks 24 and 48
Measured: Baseline, Week 24 and Week 48
Change From Baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) Score
The SELENA-SLEDAI assesses disease activity within the last 10 days. Twenty-four items are scored for nine organ systems, and summed to a maximum of 105 points. A score of 6 is considered clinically significant and indicates active disease. For analysis purposes, a score ≥6 was categorized as "high". The 24 items are as follows: seizure, psychosis, organic brain syndrome, visual disturbance, cranial nerve disorder, lupus headache, cerebrovascular accident, vasculitis, arthritis, myositis, urinary casts, hematuria, proteinuria, pyuria, new rash, alopecia, mucosal ulcers, pleurisy, pericarditis, low complement, increased DNA binding, fever, thrombocytopenia, and leukopenia.
Measured: Baseline, Week 24 and Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2014 (estimated)
- Study startJun 2014
- Primary completionJul 2016
- Study completionJan 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Lupus NephritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 265 participants (actual)
Sponsor and investigators
- Lead sponsor
- Aurinia Pharmaceuticals Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Mary Anne Dooley, MD, MPH, Principal investigator, University of North Carolina, Chapel Hill
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02141672
- Sponsor's protocol ID
- AUR-VCS-2012-01
- Acronym
- AURA-LV
- Status last verified
- Apr 2021
- First submitted
- 14 May 2014
- Last updated
- 18 May 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Dooley MA, Jayne D, Ginzler EM, Isenberg D, Olsen NJ, Wofsy D, Eitner F, Appel GB, Contreras G, Lisk L, Solomons N; ALMS Group. Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis. N Engl J Med. 2011 Nov 17;365(20):1886-95. doi: 10.1056/NEJMoa1014460.
PubMed 22087680Appel GB, Contreras G, Dooley MA, Ginzler EM, Isenberg D, Jayne D, Li LS, Mysler E, Sanchez-Guerrero J, Solomons N, Wofsy D; Aspreva Lupus Management Study Group. Mycophenolate mofetil versus cyclophosphamide for induction treatment of lupus nephritis. J Am Soc Nephrol. 2009 May;20(5):1103-12. doi: 10.1681/ASN.2008101028. Epub 2009 Apr 15.
PubMed 19369404Anders HJ, Chan TM, Sanchez-Guerrero J, Wofsy D, Bensley K, Kim L, Lo KH, Shu C, Shao J, Karyekar CS, Diamond B. Efficacy and safety of guselkumab in patients with active lupus nephritis: results from a phase 2, randomized, placebo-controlled study. Rheumatology (Oxford). 2025 May 1;64(5):2731-2740. doi: 10.1093/rheumatology/keae647.
PubMed 39673415
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled Double-blind Study Comparing the Efficacy and Safety of Voclosporin (23.7 mg BID, or 39.5 mg BID) With Placebo in Achieving Remission in Patients With Active Lupus Nephritis
- ClinicalTrials.gov ID
- NCT02141672
- Acronym / sponsor ID
- AURA-LV / AUR-VCS-2012-01
- Conditions
- Lupus Nephritis
- Keywords
- lupus nephritis, calcineurin inhibitors, voclosporin
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 265 participants (actual)
- Lead sponsor
- Aurinia Pharmaceuticals Inc.Industry (pharma, biotech, devices)
- Study start
- Jun 2014
- Primary completion
- Jul 2016 (actual)
- Study completion
- Jan 2017 (actual)
- First posted
- 19 May 2014 (estimated)
- Results
- Posted 18 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess the efficacy of 2 doses of voclosporin compared to placebo in achieving complete remission after 24 weeks of therapy in subjects with active lupus nephritis.
Detailed description
Voclosporin is a next generation CNI intended for use in the prevention of organ graft rejection and for the treatment of autoimmune diseases. The aim of the current study is to investigate whether voclosporin added to the standard of care treatment in active LN is able to reduce disease activity, as measured by a reduction in proteinuria. Two doses of voclosporin will be studied and compared in a placebo controlled trial on a background of MMF and corticosteroids. Patients with active, flaring LN will be eligible to enter the study. They are required to have a diagnosis of LN according to established diagnostic criteria (American College of Rheumatology) and clinical and biopsy features suggestive of active nephritis. Efficacy will be assessed by the ability of the drug combination to reduce the level of proteinuria while demonstrating an acceptable safety profile.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Voclosporin Low Dose | Experimental | Drug: Voclosporin Low DoseVoclosporin, oral, 23.7 mg BID |
| Voclosporin High Dose | Experimental | Drug: Voclosporin High DoseVoclosporin, oral 23.7 mg BID until Week 2, then voclosporin, oral, 39.5 mg BID |
| Placebo | Placebo comparator | Drug: PlaceboLow dose: Voclosporin placebo, oral, 3 capsules BID High dose: Voclosporin placebo, oral, 3 capsules BID until Week 2 then voclosporin placebo, oral, 5 capsules BID |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Male or female subjects aged 18 to 75 years.
- Diagnosis of systemic lupus erythematosus (SLE) according to the American College of Rheumatology criteria.
- Kidney biopsy within 6 months prior to Screening (Visit 1) with a histologic diagnosis of lupus nephritis (International Society of Nephrology/Renal Pathology Society 2003 classification of lupus nephritis) Classes III, IV-S or IV-G, (A) or (A/C); or Class V, alone or in combination with Class III or IV.
- Class III, IV-S or IV-G: Confirmed proteinuria ≥1,500 mg/24 hours when assessed by 24 hour urine collection, defined by a UPCR of ≥1.5 mg/mg assessed in a first morning void urine specimen (2 samples).
- Class V (alone or in combination with Class III or IV): Confirmed proteinuria ≥2,000 mg/24 hours when assessed by 24 hour urine collection, defined by a UPCR of ≥2 mg/mg assessed in a first morning void urine specimen (2 samples).
Key exclusion criteria (22 listed)
- Estimated glomerular filtration rate (eGFR) as calculated by the Chronic Kidney Disease Epidemiology Collaboration equation of ≤45 mL/min/1.73 m2.
- Currently requiring renal dialysis (hemodialysis or peritoneal dialysis) or expected to require dialysis during the study period.
- A previous kidney transplant or planned transplant within study treatment period.
- In the opinion of the Investigator, subject does not require long-term immunosuppressive treatment (in addition to corticosteroids).
- Pancreatitis or gastrointestinal hemorrhage within 6 months prior to screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Voclosporin High DoseAlso: ISA247 | Drug | Voclosporin High Dose |
| Voclosporin Low DoseAlso: ISA247 | Drug | Voclosporin Low Dose |
| Placebo | Drug | Placebo |
Primary outcome
Number of Subjects Achieving Complete Renal Remission at 24 Weeks
Time frame: week 24
Complete remission is defined as: * Confirmed protein/creatinine ratio of ≤0.5 mg/mg and * eGFR ≥60 mL/min/1.73m2 or no confirmed decrease from baseline in eGFR of ≥20%. Subjects who received rescue medication for lupus nephritis or >10 mg prednisone for >3 consecutive days or >7 days total from 56 days prior to remission assessment until the time of the remission assessment were considered not achieving complete remission.
16 secondary outcomes
Number of Subjects Achieving Complete Renal Remission at 48 Weeks
Time frame: Week 48
Number of Subjects Achieving Complete Renal Remission at 24 and 48 Weeks in the Presence of Low Dose Steroids
Time frame: Weeks 24 and 48
Time to Complete Remission (Number of Weeks)
Time frame: week 48
Time to Sustained Early Complete Remission (Number of Weeks)
Time frame: week 48
Number of Subjects Achieving Sustained Early Complete Remission
Time frame: week 48
Time to Partial Remission (Number of Weeks)
Time frame: week 48
Number of Subjects Achieving Partial Remission
Time frame: week 48
Number of Subjects Achieving, and Remaining in, Complete Remission
Time frame: week 48
Duration of Complete Remission (Number of Weeks)
Time frame: week 48
Number of Subjects Achieving Partial Renal Remission at 24 and 48 Weeks
Time frame: week 24 and 48
Time to Sustained Partial Remission (Number of Weeks)
Time frame: week 48
Number of Subjects Achieving Sustained Partial Remission
Time frame: week 48
Time to Sustained Early Partial Remission (Number of Weeks)
Time frame: week 48
Number of Subjects Achieving Sustained Early Partial Remission
Time frame: week 48
Change From Baseline in UPCR at Weeks 24 and 48
Time frame: Baseline, Week 24 and Week 48
Change From Baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) Score
Time frame: Baseline, Week 24 and Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 22087680Dooley MA, Jayne D, Ginzler EM, Isenberg D, Olsen NJ, Wofsy D, Eitner F, Appel GB, Contreras G, Lisk L, Solomons N; ALMS Group. Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis. N Engl J Med. 2011 Nov 17;365(20):1886-95. doi: 10.1056/NEJMoa1014460.
- Background: PubMed 19369404Appel GB, Contreras G, Dooley MA, Ginzler EM, Isenberg D, Jayne D, Li LS, Mysler E, Sanchez-Guerrero J, Solomons N, Wofsy D; Aspreva Lupus Management Study Group. Mycophenolate mofetil versus cyclophosphamide for induction treatment of lupus nephritis. J Am Soc Nephrol. 2009 May;20(5):1103-12. doi: 10.1681/ASN.2008101028. Epub 2009 Apr 15.
- Derived from this study: PubMed 39673415Anders HJ, Chan TM, Sanchez-Guerrero J, Wofsy D, Bensley K, Kim L, Lo KH, Shu C, Shao J, Karyekar CS, Diamond B. Efficacy and safety of guselkumab in patients with active lupus nephritis: results from a phase 2, randomized, placebo-controlled study. Rheumatology (Oxford). 2025 May 1;64(5):2731-2740. doi: 10.1093/rheumatology/keae647.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mary Anne Dooley, MD, MPH principal investigator
University of North Carolina, Chapel Hill
86 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Voclosporin High Dose and Voclosporin Low Dose in people with Lupus Nephritis, run by Aurinia Pharmaceuticals Inc. at 86 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 86 sites in Russia, United States, Philippines, Mexico, South Korea and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Subjects Achieving Complete Renal Remission at 24 Weeks (time frame: week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02141672, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2021.