A Study of Guselkumab in Participants With Active Lupus Nephritis (ORCHID-LN)
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ClinicalTrials.gov Identifier: NCT04376827 |
Recruitment Status :
Terminated
(Due to enrollment challenges, J&J Innovative Medicine decided to stop screening and terminate the study early. This decision was not based on a safety concern.)
First Posted : May 6, 2020
Results First Posted : April 16, 2024
Last Update Posted : April 16, 2024
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Sponsor:
Janssen Research & Development, LLC
Information provided by (Responsible Party):
Janssen Research & Development, LLC
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Condition |
Lupus Nephritis |
Interventions |
Drug: Guselkumab Dose 1 Drug: Placebo Drug: Guselkumab Dose 2 Drug: Standard-of-care treatment |
Enrollment | 33 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | Randomization was stratified by geographic region (North America, Latin America, Asia Pacific and Europe) and Urine Protein to Creatinine Ratio (UPCR) level (less than [<] 3 milligrams per milligram [mg/mg] and greater than or equal to [>=] 3 mg/mg). |
Arm/Group Title | Placebo | Guselkumab |
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Arm/Group Description | In double-blind period, participants received placebo matched to guselkumab (400 milligrams [mg]) intravenous (IV) infusion at Weeks 0, 4 and 8 and placebo matched to guselkumab (200 mg) subcutaneous (SC) injection every 4 weeks (q4w) from Week 12 through Week 48 along with standard-of-care treatment of mycophenolate mofetil (MMF)/mycophenolic acid (MPA) and glucocorticoids. Participants who achieved complete renal response (CRR) at Week 48 and 52, and completed the Week 52 assessments entered the long-term extension (LTE) phase and continued to receive placebo matched to guselkumab SC injection q4w from Week 52 through Week 84 (that is., up to LTE phase treatment termination). | In double-blind period, participants received guselkumab 400 mg IV infusion at Weeks 0, 4, and 8 and guselkumab 200 mg SC injection q4w from Week 12 through Week 48 along with standard-of-care treatment of MMF/MPA and glucocorticoids. Participants who achieved CRR at Week 48 and 52, and completed the Week 52 assessments entered LTE phase and continued to receive guselkumab 200 mg SC injection q4w from Week 52 through Week 84 (that is., up to LTE phase treatment termination). |
Period Title: Double Blind Period: Week 0 to Week 52 | ||
Started | 16 | 17 |
Completed | 9 | 8 |
Not Completed | 7 | 9 |
Reason Not Completed | ||
Withdrawal by Subject | 1 | 1 |
Study Terminated by Sponsor | 6 | 8 |
Period Title: LTE Phase:Week 52 to 96(LTE Termination) | ||
Started | 4 | 1 |
Completed | 0 | 0 |
Not Completed | 4 | 1 |
Reason Not Completed | ||
Protocol-specified withdrawal criterion met | 1 | 0 |
Withdrawal by Subject | 0 | 1 |
Study Terminated by Sponsor | 3 | 0 |
Baseline Characteristics
Arm/Group Title | Placebo | Guselkumab | Total | |
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Arm/Group Description | In double-blind period, participants received placebo matched to guselkumab (400 milligrams [mg]) intravenous (IV) infusion at Weeks 0, 4 and 8 and placebo matched to guselkumab (200 mg) subcutaneous (SC) injection every 4 weeks (q4w) from Week 12 through Week 48 along with standard-of-care treatment of mycophenolate mofetil (MMF)/mycophenolic acid (MPA) and glucocorticoids. Participants who achieved complete renal response (CRR) at Week 48 and 52, and completed the Week 52 assessments entered the long-term extension (LTE) phase and continued to receive placebo matched to guselkumab SC injection q4w from Week 52 through Week 84 (that is., up to LTE phase treatment termination). | In double-blind period, participants received guselkumab 400 mg IV infusion at Weeks 0, 4, and 8 and guselkumab 200 mg SC injection q4w from Week 12 through Week 48 along with standard-of-care treatment of MMF/MPA and glucocorticoids. Participants who achieved CRR at Week 48 and 52, and completed the Week 52 assessments entered LTE phase and continued to receive guselkumab 200 mg SC injection q4w from Week 52 through Week 84 (that is., up to LTE phase treatment termination). | Total of all reporting groups | |
Overall Number of Baseline Participants | 16 | 17 | 33 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 16 participants | 17 participants | 33 participants | |
38.8 (11.69) | 35.3 (10.07) | 37 (10.86) | ||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 16 participants | 17 participants | 33 participants |
>= 55 years |
1 6.3%
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1 5.9%
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2 6.1%
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< 55 years |
15 93.8%
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16 94.1%
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31 93.9%
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 16 participants | 17 participants | 33 participants | |
Female |
14 87.5%
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15 88.2%
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29 87.9%
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Male |
2 12.5%
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2 11.8%
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4 12.1%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 16 participants | 17 participants | 33 participants | |
Hispanic or Latino |
4 25.0%
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7 41.2%
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11 33.3%
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Not Hispanic or Latino |
12 75.0%
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10 58.8%
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22 66.7%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 16 participants | 17 participants | 33 participants | |
American Indian or Alaska Native |
1 6.3%
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2 11.8%
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3 9.1%
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Asian |
3 18.8%
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1 5.9%
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4 12.1%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
0 0.0%
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0 0.0%
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0 0.0%
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White |
12 75.0%
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14 82.4%
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26 78.8%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 16 participants | 17 participants | 33 participants |
ARGENTINA |
5 31.3%
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4 23.5%
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9 27.3%
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MEXICO |
1 6.3%
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3 17.6%
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4 12.1%
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RUSSIAN FEDERATION |
2 12.5%
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1 5.9%
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3 9.1%
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TAIWAN |
3 18.8%
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0 0.0%
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3 9.1%
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THAILAND |
0 0.0%
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1 5.9%
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1 3.0%
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UKRAINE |
5 31.3%
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7 41.2%
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12 36.4%
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UNITED STATES |
0 0.0%
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1 5.9%
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1 3.0%
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Outcome Measures
Adverse Events
Limitations and Caveats
Due to enrollment challenges, the Sponsor decided to stop screening of new participants and stop the study early. Since a small number of participants only entered the LTE phase than the planned enrollment count, some of the planned safety analyses were not performed for the LTE phase participants.
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will with hold such publication for up to an additional 60 days.
Results Point of Contact
Name/Title: | Senior Director Clinical Research MD |
Organization: | Janssen Research & Development, LLC |
Phone: | 844-434-4210 |
EMail: | ClinicalTrialDisclosure@its.jnj.com |
Responsible Party: | Janssen Research & Development, LLC |
ClinicalTrials.gov Identifier: | NCT04376827 |
Other Study ID Numbers: |
CR108766 2018-003155-38 ( EudraCT Number ) CNTO1959LUN2001 ( Other Identifier: Janssen Research & Development, LLC ) |
First Submitted: | May 4, 2020 |
First Posted: | May 6, 2020 |
Results First Submitted: | February 1, 2024 |
Results First Posted: | April 16, 2024 |
Last Update Posted: | April 16, 2024 |