Last reviewed · How we verify

NCT05232864

Open-label Extension Study of Efficacy, Safety and Tolerability of Secukinumab in Patients With Active Lupus Nephritis

Terminated Phase 3 Results posted Last updated 16 May 2025
What this trial tests

Phase 3 trial testing Secukinumab in Lupus Nephritis in 31 participants. Terminated before completion.

Timeline
22 August 2022
Primary endpoint
23 August 2023
23 August 2023

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment31
Start date22 August 2022
Primary completion23 August 2023
Estimated completion23 August 2023
Sites18 locations across Colombia, Japan, Slovakia, Vietnam, South Korea, Philippines, Thailand, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, 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 Participants Achieving Complete Renal Response (CRR) Primary · Up to 28 weeks: from enrollment in the extension study (Week 104E1) up to Week 132 or Early termination of the Extension Study. Study day is defined with respect to the core study.

Complete Renal Response (CRR) is a composite endpoint defined as: * Estimated Glomerular Filtration Rate (eGFR) \>= 60 mL/min/1.73 m\^2 or no less than 85% of core Baseline values and * 24-hour Urine-to-Protein Creatinine Ratio (UPCR) =\< 0.5mg/mg The glomerular filtration rate was estimated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation based on subject gender, age (years) and serum creatinine (mg/dL). Central laboratory serum creatinine values were used for all renal function data analysis. UPCR was determined by a central laboratory by dividing the protein

Week 104E1 (Baseline Extension Study) (n = 9, 9)
GroupValue95% CI
Secukinumab 300 mg4
Placebo to Secukinumab 300 mg5
Week 132 (n = 6, 5)
GroupValue95% CI
Secukinumab 300 mg3
Placebo to Secukinumab 300 mg5

Adverse events — posted to ClinicalTrials.gov

Time frame: On-treatment adverse events and deaths were reported from first dose of study treatment in the Core Study up to 84 days after last dose of study medication in the Extension Study, assessed up to approximately 3 year.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Secukinumab 300 mg
Serious: 4/16 (25%)
Deaths: 0/16
Placebo to Secukinumab 300 mg
Serious: 8/15 (53%)
Deaths: 0/15

Serious adverse events (13 terms)

ReactionSystemSecukinumab 300 mgPlacebo to Secukinumab 300…
COVID-19Infections and infestations
Urinary tract infectionInfections and infestations
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CataractEye disorders
DyspepsiaGastrointestinal disorders
Drug-induced liver injuryHepatobiliary disorders
Dengue feverInfections and infestations
Diarrhoea infectiousInfections and infestations
EndometritisInfections and infestations
Pyelonephritis acuteInfections and infestations
Bipolar disorderPsychiatric disorders
Lupus nephritisRenal and urinary disorders
EndometriosisReproductive system and breast disorders
Other adverse events (154 terms — click to expand)

ReactionSystemSecukinumab 300 mgPlacebo to Secukinumab 300…
COVID-19Infections and infestations
Herpes zosterInfections and infestations
Urinary tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
NauseaGastrointestinal disorders
PharyngitisInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
TachycardiaCardiac disorders
CataractEye disorders
Dry eyeEye disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
VomitingGastrointestinal disorders
Peripheral swellingGeneral disorders
PyrexiaGeneral disorders
Bacterial vaginosisInfections and infestations
GastroenteritisInfections and infestations
NasopharyngitisInfections and infestations
ParonychiaInfections and infestations
Immunisation reactionInjury, poisoning and procedural complications
OsteoarthritisMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Lupus nephritisRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
AmaurosisEye disorders
Conjunctivitis allergicEye disorders
Dark circles under eyesEye disorders
KeratitisEye disorders
Vision blurredEye disorders
Visual impairmentEye disorders
Abdominal discomfortGastrointestinal disorders

Most-reported serious reactions: COVID-19, Urinary tract infection, Breast cancer, Cataract, Dyspepsia, Drug-induced liver injury, Dengue fever, Diarrhoea infectious.

Data from ClinicalTrials.gov NCT05232864 adverse events section.

Sponsor's own description

The purpose of this open-label extension study was to provide treatment with secukinumab for subjects who completed core study treatment in Study CAIN457Q12301 (NCT04181762), and to obtain further data on long-term efficacy, safety and tolerability of secukinunab in patients with active lupus nephritis (LN).

Publications & conference data

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

  1. Systemic lupus erythematosus: updated insights on the pathogenesis, diagnosis, prevention and therapeutics.
    Dai X, Fan Y, Zhao X. · · 2025 · cited 78× · PMID 40097390 · DOI 10.1038/s41392-025-02168-0
  2. Immune cell aberrations in Systemic Lupus Erythematosus: navigating the targeted therapies toward precision management.
    Wu Y, Zhang W, Liao Y, Sun T, et al · · 2025 · cited 11× · PMID 40524185 · DOI 10.1186/s11658-025-00749-z
  3. 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
  4. New Mechanisms and Therapeutic Targets in Systemic Lupus Erythematosus.
    Tian J, Zhou H, Li W, Yao X, et al · · 2025 · cited 7× · PMID 40491969 · DOI 10.1002/mco2.70246
  5. Advances in precision medicine for lupus nephritis: biomarker- and AI-driven diagnosis and treatment response prediction and targeted therapies.
    Shang S, Xia J, He G, Zheng Y, et al · · 2025 · cited 3× · PMID 40466435 · DOI 10.1016/j.ebiom.2025.105785
  6. Secukinumab in active lupus nephritis: results from a phase III randomized, placebo-controlled study (SELUNE) and an open-label extension study.
    Zhao MH, Cons Molina F, Aroca G, Tektonidou MG, et al · · 2026 · cited 2× · PMID 41092316 · DOI 10.1093/rheumatology/keaf536
  7. Biomarkers Associated with Drugs for the Treatment of Lupus Nephritis.
    Nie H, Chang S, Li Y, Li F. · · 2023 · cited 1× · PMID 38002282 · DOI 10.3390/biom13111601
  8. Global perspectives on lupus nephritis: a review of clinical trials and therapeutic innovations.
    Xu J, Zhang Y, Huang H, Cao Y. · · 2026 · PMID 42233033 · DOI 10.3389/fimmu.2026.1762892

Verify or expand the search:

Other trials of Secukinumab

Trials testing the same drug.

Other recruiting trials for Lupus Nephritis

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

Verify against primary sources

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/NCT05232864.

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