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NCT03385564

An Exploratory Maintenance Trial of BI 655064 in Patients With Lupus Nephritis

Completed Phase 2 Results posted Last updated 13 July 2022
What this trial tests

Phase 2 trial testing BI 655064 in Lupus Nephritis in 69 participants. Completed in 27 July 2021.

Timeline
9 January 2018
Primary endpoint
25 May 2021
27 July 2021

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment69
Start date9 January 2018
Primary completion25 May 2021
Estimated completion27 July 2021
Sites36 locations across Hong Kong, Japan, Greece, Malaysia, United Kingdom, Germany, Poland, Mexico

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

Adults 18 to 70, any sex, with Lupus Nephritis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Patients With Complete Renal Response (CRR) and Without Any Renal Flares Primary · At Week 52

The adjusted (model-based, adjusted for race and proteinuria at screening) percentage of patients with complete renal response (CRR) and without any renal flares is reported. A logistic regression model was used including treatment and the covariates: race (Asian versus (vs.) non-Asian) and proteinuria \<3 gram (g)/day vs. ≥3 g/day (or Urine protein (UP)/ Urine creatinine (UC) \<3 vs. UP/UC ≥3) at screening. Complete renal response (CRR) was defined as urine protein (UP) \< 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR \< 20% from bas

GroupValue95% CI
BI 655064 120 mg51.83
BI 655064 180 mg48.15
BI 655064 240 mg59.49
Placebo57.51
Percentage of Patients With Confirmed Complete Renal Response (CRR) and Without Any Renal Flares Secondary · At Week 52

The percentage of patients with confirmed complete renal response (CRR) (defined as CRR at both Week 42 and Week 52 using urine protein (UP)/urine creatine (UC) ratio \[UP/UC\] from the spot urines) and without any renal flares is reported. Complete renal response (CRR) was defined as urine protein (UP) \< 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR \< 20% from baseline if eGFR was below normal range (below lower limit of normal \[LLN\], where LLN = 90 mL/min).

GroupValue95% CI
BI 655064 120 mg42.9
BI 655064 180 mg30.8
BI 655064 240 mg50.0
Placebo52.0
Percentage of Patients With Proteinuria <0.8 Grams (g)/Day (d) and Without Any Renal Flares at Week 52 Secondary · At Week 52

The percentage of patients with proteinuria \<0.8 grams (g)/day (d) and without any renal flares at week 52 is reported.

GroupValue95% CI
BI 655064 120 mg57.1
BI 655064 180 mg50.0
BI 655064 240 mg60.0
Placebo60.0
Percentage of Patients With Complete Renal Response (CRR) at Week 52 and Sustained Steroid Reduction to ≤5 Milligrams (mg)/Day (d) From Week 26 to Week 52 Secondary · At Week 52 (Sustained Steroid Reduction to ≤5 mg/d was evaluated from Week 26 to Week 52).

The percentage of patients with complete renal response (CRR) at Week 52 and sustained steroid reduction to ≤5 milligrams (mg)/day (d) from Week 26 to Week 52 is reported. Complete renal response (CRR) was defined as urine protein (UP) \< 0.5 g/day and either estimated glomerular filtration rate (eGFR) within normal range or decrease in eGFR \< 20% from baseline if eGFR was below normal range (below lower limit of normal \[LLN\], where LLN = 90 mL/min.

GroupValue95% CI
BI 655064 120 mg42.9
BI 655064 180 mg42.9
BI 655064 240 mg55.6
Placebo39.1
Percentage of Patients Experiencing at Least One Renal Flare During 52 Weeks Secondary · At Week 52

The percentage of patients experiencing at least one renal flare during 52 weeks is reported.

GroupValue95% CI
BI 655064 120 mg0
BI 655064 180 mg21.4
BI 655064 240 mg0
Placebo16.0
Time to First Renal Flare Over the Course of 52 Weeks Secondary · Up to 52 weeks.

The time to first renal flare over the course of 52 weeks is reported.

GroupValue95% CI
BI 655064 180 mg36.026 – 52
Placebo37.56 – 52
Percentage of Patients With Partial Renal Response (PRR) and Without Any Renal Flares Derived From Urine Protein (UP) 24 Hours (h) Collection at Week 52 Secondary · At Week 52

The percentage of patients with partial renal response (PRR) and without any renal flares derived from urine protein (UP) 24 hours (h) collection at Week 52 is reported. Partial renal response (PRR) was defined as at least 50% reduction of proteinuria from baseline if estimated glomerular filtration rate (eGFR) was within normal range at time of assessment or decrease of eGFR \<20% from baseline if eGFR was below normal range at time of assessment.

GroupValue95% CI
BI 655064 120 mg100.0
BI 655064 180 mg64.3
BI 655064 240 mg75.0
Placebo68.0
Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 12 Secondary · At baseline and at Week 12

Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 12 is reported. Change from baseline at Week 12 is calculated as: value at Week 12 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI

GroupValue95% CI
BI 655064 120 mg-8.4± 5.8
BI 655064 180 mg-7.5± 4.3
BI 655064 240 mg-9.3± 4.9
Placebo-7.7± 6.1
Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 26 Secondary · At baseline and at Week 26

Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 26 is reported. Change from baseline at Week 26 is calculated as: value at Week 26 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI

GroupValue95% CI
BI 655064 120 mg-8.7± 5.7
BI 655064 180 mg-7.9± 3.5
BI 655064 240 mg-11.3± 4.8
Placebo-5.9± 5.2
Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 42 Secondary · At baseline and at Week 42

Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 42 is reported. Change from baseline at Week 42 is calculated as: value at Week 42 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI

GroupValue95% CI
BI 655064 120 mg-6.6± 3.4
BI 655064 180 mg-6.3± 2.4
BI 655064 240 mg-11.1± 5.1
Placebo-6.5± 6.7
Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Total Score at Week 52 Secondary · At baseline and at Week 52

Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) total score at Week 52 is reported. Change from baseline at Week 52 is calculated as: value at Week 52 - value at baseline. SLEDAI assessment consists of 24 items capturing non-renal and renal symptoms. The total score captures non-renal and renal symptoms. Each of the 24 items has a score ranging from 1 to 8. A participant will get the score if the event of the item presents, while 0 if not. 8 items have the score 8, 6 items have the score 4, 7 items have the score 2, and 3 items have the score 1. The SLEDAI

GroupValue95% CI
BI 655064 120 mg-8.9± 6.1
BI 655064 180 mg-7.2± 4.0
BI 655064 240 mg-10.6± 4.9
Placebo-5.3± 8.0

Adverse events — posted to ClinicalTrials.gov

Time frame: For serious and non-serious adverse events: From first dose of trial medication until last dose + 50 days of residual effect period, up to 52 weeks + 50 days. For all-cause mortality: From first dose of trial medication until end of study, up to 64 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BI 655064 120 mg
Serious: 1/7 (14%)
Deaths: 0/7
BI 655064 180 mg
Serious: 2/15 (13%)
Deaths: 0/15
BI 655064 240 mg
Serious: 6/21 (29%)
Deaths: 1/21
Placebo
Serious: 4/26 (15%)
Deaths: 0/26

Serious adverse events (25 terms)

ReactionSystemBI 655064 120 mgBI 655064 180 mgBI 655064 240 mgPlacebo
ArrhythmiaCardiac disorders
Adrenal insufficiencyEndocrine disorders
Inappropriate antidiuretic hormone secretionEndocrine disorders
AscitesGastrointestinal disorders
IleusGastrointestinal disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
HaemobiliaHepatobiliary disorders
Haemophagocytic lymphohistiocytosisImmune system disorders
Clostridium difficile infectionInfections and infestations
Meningitis enterococcalInfections and infestations
NocardiosisInfections and infestations
Pelvic abscessInfections and infestations
Pyelonephritis acuteInfections and infestations
Tuberculosis of central nervous systemInfections and infestations
Femoral neck fractureInjury, poisoning and procedural complications
Crystal arthropathyMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders
Ocular lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Peripheral sensorimotor neuropathyNervous system disorders
NephrolithiasisRenal and urinary disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders
PanniculitisSkin and subcutaneous tissue disorders
Other adverse events (62 terms — click to expand)

ReactionSystemBI 655064 120 mgBI 655064 180 mgBI 655064 240 mgPlacebo
Upper respiratory tract infectionInfections and infestations
RashSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
Urinary tract infectionInfections and infestations
ProteinuriaRenal and urinary disorders
AlopeciaSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Mouth ulcerationGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Urine protein/creatinine ratio increasedInvestigations
Weight increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Lupus nephritisRenal and urinary disorders
HypertensionVascular disorders
Ear painEar and labyrinth disorders
VertigoEar and labyrinth disorders
CataractEye disorders
PhotopsiaEye disorders
Visual field defectEye disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Chest painGeneral disorders
ChillsGeneral disorders
OedemaGeneral disorders
Allergy to arthropod biteImmune system disorders
COVID-19Infections and infestations
Coronavirus infectionInfections and infestations
Herpes simplexInfections and infestations
Herpes zosterInfections and infestations
NasopharyngitisInfections and infestations
PeriodontitisInfections and infestations
PharyngitisInfections and infestations
Respiratory tract infectionInfections and infestations
RhinitisInfections and infestations
TonsillitisInfections and infestations
Vaginal infectionInfections and infestations

Most-reported serious reactions: Arrhythmia, Adrenal insufficiency, Inappropriate antidiuretic hormone secretion, Ascites, Ileus, Nausea, Pyrexia, Haemobilia.

Data from ClinicalTrials.gov NCT03385564 adverse events section.

Sponsor's own description

The main objectives of this trial are to evaluate the long term efficacy and safety of different doses of BI 655064 versus placebo as add-on therapy to Standard of Care (SOC) during maintenance therapy for lupus nephritis.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Recent advances in the development of protein-protein interactions modulators: mechanisms and clinical trials.
    Lu H, Zhou Q, He J, Jiang Z, et al · · 2020 · cited 570× · PMID 32968059 · DOI 10.1038/s41392-020-00315-3
  2. Kinase inhibition in autoimmunity and inflammation.
    Zarrin AA, Bao K, Lupardus P, Vucic D. · · 2021 · cited 302× · PMID 33077936 · DOI 10.1038/s41573-020-0082-8
  3. Glomerulonephritis: immunopathogenesis and immunotherapy.
    Anders HJ, Kitching AR, Leung N, Romagnani P. · · 2023 · cited 105× · PMID 36635359 · DOI 10.1038/s41577-022-00816-y
  4. The past, present, and future of costimulation blockade in organ transplantation.
    Schroder PM, Fitch ZW, Schmitz R, Choi AY, et al · · 2019 · cited 43× · PMID 31157670 · DOI 10.1097/mot.0000000000000656
  5. Advances in Lupus Nephritis Pathogenesis: From Bench to Bedside.
    Obrișcă B, Sorohan B, Tuță L, Ismail G. · · 2021 · cited 40× · PMID 33916456 · DOI 10.3390/ijms22073766
  6. Novel Treatments in Lupus.
    Vukelic M, Li Y, Kyttaris VC. · · 2018 · cited 32× · PMID 30524430 · DOI 10.3389/fimmu.2018.02658
  7. Recent advances in immunotherapies for lupus nephritis.
    Kaneko M, Jackson SW. · · 2023 · cited 17× · PMID 35778517 · DOI 10.1007/s00467-022-05670-7
  8. Targeted therapies for lupus nephritis: Current perspectives and future directions.
    Jia X, Lu Y, Zheng X, Tang R, et al · · 2024 · cited 8× · PMID 38057972 · DOI 10.1097/cm9.0000000000002959

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Other Boehringer Ingelheim trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03385564.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing