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NCT04971590

Study to Assess Demographic, Pharmacologic, Biomarker, Clinical Features and Quality of Life (QoL) of Participants With Lupus Nephritis

Completed Results posted Last updated 22 January 2026
What this trial tests

trial testing Participant completed survey in Systemic Lupus Erythematosus in 193 participants. Completed in 31 October 2024.

Timeline
14 September 2021
Primary endpoint
31 October 2024
31 October 2024

Quick facts

Lead sponsorGlaxoSmithKline
StatusCompleted
Study typeOBSERVATIONAL
Enrollment193
Start date14 September 2021
Primary completion31 October 2024
Estimated completion31 October 2024
Sites6 locations across Oman, Qatar, Kuwait, United Arab Emirates

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Systemic Lupus Erythematosus. 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.

Number of Participants Categorized by Demographic Characteristics Primary · At Baseline (Day 1)

Number of participants categorized by demographic characteristics including - health insurance coverage (yes, no), employment status (full time, part-time, housewife, not working, other, retired, self-employment), cigarette smoking status (current smoker, ex-smoker, non-smoker, unknown) and alcohol consumption (current, former, never, unknown) has been presented.

Health insurance coverage, yes
GroupValue95% CI
Participants With Lupus Nephritis143
Health insurance coverage, no
GroupValue95% CI
Participants With Lupus Nephritis50
Employment status, full time
GroupValue95% CI
Participants With Lupus Nephritis88
Employment status, part-time
GroupValue95% CI
Participants With Lupus Nephritis3
Employment status, housewife
GroupValue95% CI
Participants With Lupus Nephritis30
Employment status, not working
GroupValue95% CI
Participants With Lupus Nephritis58
Employment status, other
GroupValue95% CI
Participants With Lupus Nephritis9
Employment status, retired
GroupValue95% CI
Participants With Lupus Nephritis4
Number of Participants With Active Clinical Manifestations of Lupus Nephritis Primary · Up to 12 months

The active clinical manifestations included pedal edema, serositis, hair loss, decreased urine output, malar rash, discoid rash, photosensitive rash, joint pain/arthritis, hypertension, oral ulcer, seizure, psychosis, proteinuria, microscopic hematuria, anemia, thrombocytopenia, renal failure, leukopenia, other (autoimmune hepatitis, raised Serum creatinine with estimated glomerular filtration rate \[eGFR\] 59 milliliters per minute \[ml/min\]/1.73 meter square \[m\^2\]). Participants may have more than 1 active clinical manifestations of Lupus Nephritis.

Pedal edema
GroupValue95% CI
Participants With Lupus Nephritis59
Serositis
GroupValue95% CI
Participants With Lupus Nephritis23
Hair loss
GroupValue95% CI
Participants With Lupus Nephritis46
Decreased urine output
GroupValue95% CI
Participants With Lupus Nephritis13
Malar rash
GroupValue95% CI
Participants With Lupus Nephritis32
Discoid rash
GroupValue95% CI
Participants With Lupus Nephritis17
Photosensitive rash
GroupValue95% CI
Participants With Lupus Nephritis25
Joint pain/arthritis
GroupValue95% CI
Participants With Lupus Nephritis94
Number of Participants With Comorbidities Primary · Up to 12 months

Participants with comorbidities (such as antiphospholipid syndrome/thrombotic microangiopathy, obesity, cardiovascular disease, diabetes) observed since the date of first diagnosis of lupus nephritis has been presented.

GroupValue95% CI
Participants With Lupus Nephritis134
Number of Participants With Severe Lupus Nephritis Primary · Up to 12 months

Severe lupus nephritis was defined as participants with Systemic lupus erythematosus disease activity index 2000 (SLEDAI-2K) score greater than or equal to (\>=) 10. SLEDAI-2K score was the sum of all 24 individual items from the SLEDAI-2K. The total score ranges from 0 (no disease activity) to 105 (all 24 descriptors present simultaneously). A higher score indicates a more significant degree of disease activity.

GroupValue95% CI
Participants With Lupus Nephritis60
Number of Participants Categorized by Treatments for Lupus Nephritis Primary · At Baseline (Day 1)

Number of participants categorized by treatments for lupus nephritis including prednisone, chloroquine, hydroxychloroquine, azathioprine, belimumab, tacrolimus, cyclosporine, voclosporin, cyclophosphamide, mycophenolate mofetil, methotrexate, and rituximab has been presented. Participants may have received more than 1 treatment for lupus nephritis.

Prednisone
GroupValue95% CI
Participants With Lupus Nephritis152
Chloroquine
GroupValue95% CI
Participants With Lupus Nephritis2
Hydroxychloroquine
GroupValue95% CI
Participants With Lupus Nephritis185
Azathioprine
GroupValue95% CI
Participants With Lupus Nephritis81
Belimumab
GroupValue95% CI
Participants With Lupus Nephritis19
Tacrolimus
GroupValue95% CI
Participants With Lupus Nephritis26
Cyclosporine
GroupValue95% CI
Participants With Lupus Nephritis6
Voclosporin
GroupValue95% CI
Participants With Lupus Nephritis0
Short Form Health Survey (SF-36) Health-related Quality of Life Domain Score Primary · At Baseline (Day 1)

The 36-Item Short Form Health Survey (SF-36) is a 36-item Health-Related Quality of Life (HRQoL) questionnaire covering 8 health domains: physical functioning, Pain, Role limitations due to physical health, Role limitations due to emotional problems, emotional well-being, Social Functioning, energy/fatigue, and General Health. The individual question items are first summed for each item under the various sections. Then, those domain scores were weighted to a scale ranging between 0 to 100, where higher score represents better health. Individual domain scores have been presented.

Physical functioning
GroupValue95% CI
Participants With Lupus Nephritis67.6± 26.9
Pain
GroupValue95% CI
Participants With Lupus Nephritis59.5± 29
Role limitation due to physical health
GroupValue95% CI
Participants With Lupus Nephritis64.1± 41.4
Role limitation due to emotional problems
GroupValue95% CI
Participants With Lupus Nephritis66.5± 41.5
Emotional well-being
GroupValue95% CI
Participants With Lupus Nephritis67.9± 21.9
Social functioning
GroupValue95% CI
Participants With Lupus Nephritis69.7± 28.1
Energy/fatigue
GroupValue95% CI
Participants With Lupus Nephritis57.7± 21.3
General health
GroupValue95% CI
Participants With Lupus Nephritis49.7± 38.4
Number of Participants With Refractory Lupus Nephritis Secondary · Up to 12 months

Refractory systemic lupus nephritis was defined as inefficacy of cyclophosphamide, use of rituximab, splenectomy, or inefficacy of \>=2 immunosuppressives (methotrexate, leflunomide, abatacept, anti-tumor necrosis factor \[anti-TNF\], azathioprine, mycophenolate mofetil, and/or mycophenolic acid).

GroupValue95% CI
Participants With Lupus Nephritis33
Number of Participants With Abnormal Findings for Serological Markers Secondary · At 3, 6, 9 and 12 months

Number of participants with abnormal findings for serological markers (including anti-nuclear antibody, anti-double-stranded deoxyribonucleic acid \[dsDNA\] antibody and complement levels \[C3, C4\]) has been presented. Abnormal values were determined by the investigator.

Anti-nuclear antibody: at 3 months
GroupValue95% CI
Participants With Lupus Nephritis2
Anti-nuclear antibody: at 6 months
GroupValue95% CI
Participants With Lupus Nephritis0
Anti-nuclear antibody: at 9 months
GroupValue95% CI
Participants With Lupus Nephritis2
Anti-nuclear antibody: at 12 months
GroupValue95% CI
Participants With Lupus Nephritis3
Anti-dsDNA antibody: at 3 months
GroupValue95% CI
Participants With Lupus Nephritis52
Anti-dsDNA antibody: at 6 months
GroupValue95% CI
Participants With Lupus Nephritis55
Anti-dsDNA antibody: at 9 months
GroupValue95% CI
Participants With Lupus Nephritis46
Anti-dsDNA antibody: at 12 months
GroupValue95% CI
Participants With Lupus Nephritis56
Number of Participants With Renal Remission That Were Associated With Clinical Factors, Biomarkers, and Treatments Secondary · Up to 12 months

Renal remission was defined as proteinuria of \<0.7 grams per day (g/d) or \<0.5g/d or at physicians' discretion. Number of participants with renal remission that were associated with clinical factors, biomarkers, and treatments has been presented.

GroupValue95% CI
Participants With Lupus Nephritis123
Percent Change From Baseline in SF-36 Scores for Each Health Domain:Physical Functioning, Pain, Role Limitations Due to Physical Health, Role Limitations Due to Emotional Problem, Emotional Well-being, Social Functioning, Energy/Fatigue and General Health Secondary · Baseline (Day 1) and at 12 months

The 36-Item Short Form Health Survey (SF-36) is a 36-item HRQoL questionnaire covering 8 health domains: physical functioning, pain, role limitations due to physical health, role limitations due to emotional problems, emotional well-being, social functioning, energy/fatigue, and general Health. The individual question items are first summed for each item under the various sections. Then, those domain scores were weighted to a scale ranging between 0 to 100, where higher score represents better health. Baseline was considered as Day 1. Change from Baseline was calculated by subtracting Baseline

Physical functioning
GroupValue95% CI
Participants With Lupus Nephritis23.7± 182.5
Pain
GroupValue95% CI
Participants With Lupus Nephritis29± 126.4
Role limitations due to physical health
GroupValue95% CI
Participants With Lupus Nephritis1.4± 79.4
Role limitations due to emotional problems
GroupValue95% CI
Participants With Lupus Nephritis0.9± 69.1
Emotional well-being
GroupValue95% CI
Participants With Lupus Nephritis6.6± 63.4
Social functioning
GroupValue95% CI
Participants With Lupus Nephritis13.4± 68.7
Energy/fatigue
GroupValue95% CI
Participants With Lupus Nephritis11.1± 63.9
General health
GroupValue95% CI
Participants With Lupus Nephritis-2.8± 40.2
Number of Participants With Hospitalizations and Intensive Care Unit (ICU) Hospitalizations Secondary · Up to 12 months

Number of participants with hospitalizations and ICU hospitalizations has been presented.

Participants with hospitalizations
GroupValue95% CI
Participants With Lupus Nephritis14
Participants with ICU hospitalizations
GroupValue95% CI
Participants With Lupus Nephritis1
Direct Medical Costs Associated With Lupus Nephritis Management Secondary · Up to 12 months

The direct medical costs of hospitalization and ICU hospitalization per participant associated with lupus nephritis management in United States dollars (USD) of United Arab Emirates (UAE), Kuwait, Qatar, and Oman were analyzed. Costs are described in local currency of each country and converted in USD dollars using the average exchange rate for each local currency versus USD in 2023. Direct medical costs associated with lupus nephritis management have been reported as USD.

Hospitalizations: UAE
GroupValue95% CI
Participants With Lupus Nephritis517± 193.9
ICU hospitalizations: UAE
GroupValue95% CI
Participants With Lupus Nephritis141.6± NA
Hospitalizations: Oman
GroupValue95% CI
Participants With Lupus Nephritis467.6± 338.7

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality and serious adverse events were collected up to 12 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Participants With Lupus Nephritis
Serious: 5/193 (3%)
Deaths: 1/193

Serious adverse events (13 terms)

ReactionSystemParticipants With Lupus Ne…
VomitingGastrointestinal disorders
PalpitationsCardiac disorders
Cardiac arrestCardiac disorders
Abdominal painGastrointestinal disorders
PyrexiaGeneral disorders
COVID-19 virus test positiveInfections and infestations
SLEImmune system disorders
DyspnoeaImmune system disorders
Influenzal pneumoniaRespiratory, thoracic and mediastinal disorders
Respiratory tract infectionRespiratory, thoracic and mediastinal disorders
Sore throatRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Knee painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Vomiting, Palpitations, Cardiac arrest, Abdominal pain, Pyrexia, COVID-19 virus test positive, SLE, Dyspnoea.

Data from ClinicalTrials.gov NCT04971590 adverse events section.

Sponsor's own description

This is a multicenter prospective study to assess clinical characteristics, demographics, treatment and health-related quality of life (HRQoL) of lupus nephritis (LN) participants across 5 Gulf countries (United Arab Emirates \[UAE\], Qatar, Bahrain, Kuwait and Oman).

Publications & conference data

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

  1. Literature review of lupus nephritis From the Arabian Gulf region.
    Al-Shujairi A, Elbadawi F, Al-Saleh J, Hamouda M, et al · · 2023 · cited 9× · PMID 36331103 · DOI 10.1177/09612033221137248
  2. LUNELORD: A descriptive, prospective study on the demographics, disease characteristics and health-related quality of life of patients with LUpus NEphritis and long-term ORgan damage in rheumatology clinics in the Arabian Gulf.
    Al-Saleh J, Elbadawi F, Namas R, Elarabi M, et al · · 2026 · PMID 41866958 · DOI 10.1177/09612033261432164

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