A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Obinutuzumab in Adolescents With Active Class III or IV Lupus Nephritis and the Safety and PK of Obinutuzumab in Pediatric Participants

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age5-17
SponsorHoffmann-La Roche

About this trial

This phase II, randomized, double-blind, placebo-controlled study is designed to evaluate the safety, efficacy and pharmacokinetics (PK) of obinutuzumab in adolescent participants (AP) aged 12 to less than 18 with biopsy-confirmed proliferative lupus nephritis (LN). It will also evaluate open label safety and PK of obinutuzumab in pediatric participants (PP), aged 5 to \<12 with LN.

Eligibility criteria

Qualifiers

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

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Obinutuzumab
  • Placebo
  • Mycophenolate Mofetil
  • Acetaminophen/paracetamol
  • Diphenhydramine hydrochloride (HCl)
  • Methylprednisolone
  • Prednisone

Treatment groups

40 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Hoffmann-La Roche

Lead sponsor

Genentech, Inc.

Collaborator