Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to assess the efficacy of voclosporin compared with placebo in achieving renal response after 52 weeks of therapy in subjects with active lupus nephritis.
The aim of the current study is to investigate whether voclosporin, added to the standard of care treatment in active lupus nephritis (LN), is able to reduce disease activity over a treatment period of 52 weeks. The background therapy will be mycophenolate mofetil (MMF) and initial treatment with IV methylprednisolone, followed by a reducing course of oral corticosteroids. Subjects with active, flaring LN will be eligible to enter the study. They are required to have a diagnosis of LN according to established diagnostic criteria and clinical and biopsy features suggestive of active nephritis. Efficacy will be assessed by the ability of the drug combination to reduce the level of proteinuria (as measured by Urine Protein Creatinine Ratio (UPCR)) while demonstrating an acceptable safety profile.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Voclosporin | Experimental | oral, 23.7 mg twice daily (BID) |
|
| Placebo Oral Capsule | Placebo Comparator | Voclosporin placebo, oral, 3 capsules twice daily (BID) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Voclosporin | Drug | calcineurin inhibitor |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adjudicated Renal Response at Week 52 | The primary efficacy endpoint was the number of subjects showing renal response at Week 52. Renal response was adjudicated based on blinded data by an independent Clinical Endpoints Committee based on meeting the following criteria
| 52 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Reduction in Urine Protein Creatinine Ratio to 0.5 mg/mg or Less | Number of Participants With Reduction in Urine Protein Creatinine Ratio to 0.5 mg/mg or Less | 52 Weeks |
| Time to Urine Protein Creatinine Ratio of ≤0.5 mg/mg (Number of Days) |
Not provided
Key Inclusion Criteria:
- Subjects with evidence of active nephritis, defined as follows:
OR
OR
Kidney biopsy result within 6 months prior to screening indicating Class V LN and a UPCR of ≥2 mg/mg at screening.
Exclusion Criteria:
Estimated glomerular filtration rate (eGFR) of ≤45 mL/minute at screening.
Current or medical history of:
Other known clinically significant active medical conditions, such as:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Samir Parikh, MD | Ohio State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AURORA Investigative Center | Huntsville | Alabama | 35805 | United States | ||
| AURORA Investigative Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22879439 | Background | Rovin BH, Parikh SV, Hebert LA, Chan TM, Mok CC, Ginzler EM, Hooi LS, Brunetta P, Maciuca R, Solomons N. Lupus nephritis: induction therapy in severe lupus nephritis--should MMF be considered the drug of choice? Clin J Am Soc Nephrol. 2013 Jan;8(1):147-53. doi: 10.2215/CJN.03290412. Epub 2012 Aug 9. | |
| 24330024 | Background |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Eligible subjects were randomized in a ratio of 1:1 to receive either voclosporin 23.7 mg twice daily (BID) or matching placebo for 52 weeks. All subjects were also to receive 2 g/day mycophenolate mofetil (MMF). In addition, all subjects were to receive 0.5 g/day intravenous (IV) methylprednisolone on Days 1 and 2 before changing to a reducing course of oral corticosteroid therapy on Day 3.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Voclosporin | Voclosporin 23.7 mg BID + Mycophenolate Mofetil + corticosteroid |
| FG001 | Placebo | Placebo 23.7 mg BID + Mycophenolate Mofetil + corticosteroid |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol: Protocol V1.0 01Dec2016 | Dec 1, 2016 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Placebo Oral Capsule | Drug | matching placebo capsule |
|
Time in days to reduction in Urine Protein Creatinine Ratio to decrease to 0.5 mg/mg or less. |
| 52 Weeks |
| Number of Participants With Renal Response at Week 24 | Number of subjects showing renal response at Week 24. Renal response was adjudicated based on blinded data by an Independent Clinical Endpoints Committee based on the following criteria: UPCR of ≤0.5 mg/mg, & eGFR ≥60 mL/min/1.73 m2 or no confirmed decrease from baseline in eGFR of >20%, and Received no rescue medication for LN & Did not receive more than 10 mg prednisone for ≥3 consecutive days or for ≥7 days in total during Weeks 16 through 24, just prior to the renal response assessment. Note:To be disqualified from renal response, the subject had to fail both eGFR measures (i.e., confirmed eGFR <60 mL/min/1.73 m2 AND confirmed >20% drop from BL) & have an associated treatment-related or disease-related AE that impacted eGFR. Subjects who withdrew prior to the Week 24 assessment and provided insufficient Week 24 data to determine response were defined as non-responders. Subjects who discontinued study drug but continued to attend study visits had their data assessed for response. | Week 24 |
| Number of Subjects With Partial Renal Response at Weeks 24 & 52 | Number of subjects with partial Renal Response (defined as a 50% reduction in UPCR from baseline) at Week 24 and at Week 52. Baseline UPCR is the average of 2 pre-randomisation values. | Weeks 24 and 52 |
| Number of Subjects Achieving, and Remaining in, Renal Response (Urine Protein Creatinine Ratio ≤0.5 mg/mg) | Number of subjects achieving, and remaining in, renal response (Urine Protein Creatinine ratio ≤0.5 mg/mg) | Week 52 |
| Duration of Renal Response (Number of Days) | Duration in days until second occurrence of UPCR >0.5 mg/mg in those subjects who achieve a reduction in UPCR to below 0.5 mg/mg | Week 52 |
| Number of Subjects Achieving 50% Reduction in Urine Protein Creatinine Ratio | Number of subjects achieving 50% reduction in Urine Protein Creatinine ratio | 52 Weeks |
| Time to 50% Reduction in UPCR (Number of Days) | Time in days to reduction in Urine Protein Creatinine Ratio to decrease by 50% compared to baseline. Baseline is the average of two pre-randomisation values. | 52 weeks |
| Change From Baseline in eGFR | Change from baseline by visit in estimated Glomerular Filtration rate. eGFR is corrected to a maximum value of 90 mL/min/1.73 m2 | Baseline and Weeks 2, 4, 8, 12, 16, 16, 20, 24, 30, 36, 42, 48 and 52. |
| Change From Baseline in UPCR | Change from baseline by visit in Urine Protein Creatinine Ratio. Baseline is the average of two pre-randomisation values. | Baseline and Weeks 2, 4, 8, 12, 16, 16, 20, 24, 30, 36, 42, 48 and 52. |
| Number of Subjects With Renal Response With Low Dose Steroids | Programmed Renal Response whilst on low dose steroids (<2.5 mg/day) for the preceding 8 Weeks at Weeks 24 and 52 | Week 24 and Week 52 |
| Change From Baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA - SLEDAI) | Change from baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) score at Week 24 and 52. The SELENA-SLEDAI tool is a cumulative and weighted index used to assess disease activity across 24 different disease descriptors in patients with lupus. A patient's SELENA-SLEDAI total score is the sum of all marked lupus related descriptors (seizure, psychosis, organic brain syndrome, visual disturbance, cranial nerve disorder, lupus headache, cerebrovascular accident, vasculitis, arthritis, myositis, urinary casts, hematuria, proteinuria, pyuria, new rash, alopecia, mucosal ulcers, pleurisy, pericarditis, low complement, increased DNA binding, fever, thrombocytopenia, leukopenia). A total score can fall between 0 and 105, with a higher score representing a more significant degree of disease activity. | Week 24 and Week 52 |
| Change From Baseline in Patient Reported Outcomes | Health-related quality of life (HRQoL) information was collected using the Short Form Health Survey (SF-36) HRQoL assessment and the LupusPRO (v1.7) assessment. The SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. Scoring ranges from 0 to 100 with higher scores reflecting better health. LupusPro assessment is a patient-reported questionnaire regarding the effect of lupus or its treatment on the patient's health, quality of life, and the medical care received related to lupus. The questionnaire consists of 43 questions within 8 HRQOL domains and 4 Non-HRQoL domains. Scores range from 0 to 100 with higher scores reflecting better quality of life. | Week 24 and Week 52 |
| Phoenix |
| Arizona |
| 85032 |
| United States |
| AURORA Investigative Center | Phoenix | Arizona | 85037 | United States |
| AURORA Investigative Center | Beverly Hills | California | 90211 | United States |
| AURORA Investigative Center | Los Angeles | California | 90022 | United States |
| AURORA Investigative Center | Los Angeles | California | 90024 | United States |
| AURORA Investigative Center | Palo Alto | California | 94305 | United States |
| AURORA Investigative Center | Thousand Oaks | California | 91360 | United States |
| AURORA Investigative Center | Torrance | California | 90502 | United States |
| AURORA Investigative Center | Aurora | Colorado | 80045 | United States |
| AURORA Investigative Center | Denver | Colorado | 80218 | United States |
| AURORA Investigative Center | New Haven | Connecticut | 06510 | United States |
| AURORA Investigative Center | Clearwater | Florida | 33765 | United States |
| AURORA Investigative Center | DeBary | Florida | 32713 | United States |
| AURORA Investigative Center | Fort Lauderdale | Florida | 33309 | United States |
| AURORA Investigative Center | Fort Myers | Florida | 33901 | United States |
| AURORA Investigative Center | Miami | Florida | 33125 | United States |
| AURORA Investigative Center | Orlando | Florida | 32810 | United States |
| AURORA Investigative Center | Winter Park | Florida | 32789 | United States |
| AURORA Investigative Center | Atlanta | Georgia | 30318 | United States |
| AURORA Investigative Center | Columbus | Georgia | 31904 | United States |
| AURORA Investigative Center | Lawrenceville | Georgia | 30046 | United States |
| AURORA Investigative Center | Chicago | Illinois | 60637 | United States |
| AURORA Investigative Center | Louisville | Kentucky | 40202 | United States |
| AURORA Investigative Center | Baton Rouge | Louisiana | 70809 | United States |
| AURORA Investigative Center | New Orleans | Louisiana | 70121 | United States |
| AURORA Investigative Center | Boston | Massachusetts | 02118 | United States |
| AURORA Investigative Center | Detroit | Michigan | 48201-2017 | United States |
| AURORA Investigative Center | Grand Blanc | Michigan | 48439 | United States |
| AURORA Investigative Center | Rochester | Minnesota | 55905 | United States |
| AURORA Investigative Center | St Louis | Missouri | 63110 | United States |
| AURORA Investigative Center | Las Vegas | Nevada | 89128 | United States |
| AURORA Investigative Center | Newark | New Jersey | 07103 | United States |
| AURORA Investigative Center | Great Neck | New York | 11021 | United States |
| AURORA Investigative Center | New York | New York | 10016 | United States |
| AURORA Investigative Center | New York | New York | 10021-4823 | United States |
| AURORA Investigative Center | New York | New York | 11203 | United States |
| AURORA Investigative Center | Syracuse | New York | 13210 | United States |
| AURORA Investigative Center | Chapel Hill | North Carolina | 27514 | United States |
| AURORA Investigative Center | Charlotte | North Carolina | 28204 | United States |
| AURORA Investigative Center | Charlotte | North Carolina | 28210 | United States |
| AURORA Investigative Center | Greenville | North Carolina | 27834 | United States |
| AURORA Investigative Center | New Bern | North Carolina | 28562 | United States |
| AURORA Investigative Center | Cleveland | Ohio | 44109 | United States |
| AURORA Investigative Center | Columbus | Ohio | 43210 | United States |
| AURORA Investigative Center | Oklahoma City | Oklahoma | 73103 | United States |
| AURORA Investigative Center | Oklahoma City | Oklahoma | 73104 | United States |
| AURORA Investigative Center | Charleston | South Carolina | 29425 | United States |
| AURORA Investigative Center | Chattanooga | Tennessee | 37408 | United States |
| AURORA Investigative Center | Hendersonville | Tennessee | 37075 | United States |
| AURORA Investigative Center | Beaumont | Texas | 77036 | United States |
| AURORA Investigative Center | Dallas | Texas | 75231 | United States |
| AURORA Investigative Center | Dallas | Texas | 75246 | United States |
| AURORA Investigative Center | Dallas | Texas | 75390 | United States |
| AURORA Investigative Center | El Paso | Texas | 79905 | United States |
| AURORA Investigative Center | El Paso | Texas | 79935 | United States |
| AURORA Investigative Center | Houston | Texas | 77030 | United States |
| AURORA Investigative Center | Arlington | Virginia | 22205 | United States |
| AURORA | Richmond | Virginia | 23298 | United States |
| AURORA Investigative Center | Buenos Aires | Argentina |
| AURORA Investigative Center | Caba | Argentina |
| AURORA Investigative Center | Córdoba | Argentina |
| AURORA Investigative Center | La Plata | Argentina |
| AURORA Investigative Center | San Miguel de Tucumán | Argentina |
| AURORA Investigative Cener | Minsk | 220116 | Belarus |
| AURORA Investigative Center | Minsk | 223040 | Belarus |
| AURORA Investigative Center | Vitebsk | Belarus |
| AURORA Investigative Center | Curitiba | Brazil |
| AURORA Investigative Center | Porto Alegre | Brazil |
| AURORA Investigative Center | Salvador | Brazil |
| AURORA Investigative Center | São Paulo | Brazil |
| AURORA Investigative Center | Plovdiv | Bulgaria |
| AURORA Investigative Center | Smolyan | Bulgaria |
| AURORA Investigative Center | Sofia | Bulgaria |
| AURORA Investigative Center | Stara Zagora | 6001 | Bulgaria |
| AURORA Investigative Center | Vidin | Bulgaria |
| AURORA Investigative Center | Edmonton | Alberta | Canada |
| AURORA Investigative Center | Montreal | Quebec | Canada |
| AURORA Investigative Center | Toronto | Canada |
| AURORA Investigative Center | Santiago | Chile |
| AURORA Investigative Center | Temuco | Chile |
| AURORA Investigative Center | Valdivia | Chile |
| AURORA Investigative Center | Barranquilla | Colombia |
| AURORA Investigative Center | Bogotá | Colombia |
| AURORA Investigative Center | Bucaramanga | Colombia |
| AURORA Investigative Center | Zipaquirá | Colombia |
| AURORA Investigative Center | San José | 10108 | Costa Rica |
| AURORA Investigative Center | San José | Costa Rica |
| AURORA Investigative Center | Osijek | Croatia |
| AURORA Investigative Center | Zagreb | Croatia |
| AURORA Investigative Center | Santiago de los Caballeros | Dominican Republic |
| AURORA Investigative Center | Santo Domingo | Dominican Republic |
| AURORA Investigative Center | Guatemala City | Guatemala |
| AURORA Investigative Center | Kita | Osaka | Japan |
| AURORA Investigative Center | Chiba | Japan |
| AURORA Investigative Center | Hiroshima | Japan |
| AURORA Investigative Center | Ishikawa | Japan |
| AURORA Investigative Center | Kita-ku | Japan |
| AURORA Investigative Center | Kitakyushu | Japan |
| AURORA Investigative Center | Maebashi | Japan |
| AURORA Investigative Center | Nagasaki | Japan |
| AURORA Investigative Center | Niigata | Japan |
| AURORA Investigative Center | Sapporo | Japan |
| AURORA Investigative Center | Sendai | Japan |
| AURORA Investigative Center | Tokyo | Japan |
| AURORA Investigative Center | Kuala Lumpur | 50586 | Malaysia |
| AURORA Investigative Center | Baja California | Mexico |
| AURORA Investigative Center | Coahuila | Mexico |
| AURORA Investigative Center | Guadalajara | Mexico |
| AURORA Investigative Center | León | Mexico |
| AURORA Investigative Center | Mexico City | Mexico |
| AURORA Investigative Center | Mérida | Mexico |
| AURORA Investigative Center | Monclova | Mexico |
| AURORA Investigative Center | Oaxaca City | Mexico |
| AURORA Investigative Center | San Luis Potosí City | Mexico |
| AURORA Investigative Center | Sinaloa | Mexico |
| AURORA Investigative Center | Amsterdam | Netherlands |
| AURORA Investigative Center | Groningen | Netherlands |
| AURORA Investigative Center | Leiden | Netherlands |
| AURORA Investigative Center | Maastricht | Netherlands |
| AURORA Investigative Center | Rotterdam | Netherlands |
| AURORA Investigative Center | Skopje | 1000 | North Macedonia |
| AURORA Investigative Center | Lima | Peru |
| AURORA Investigative Center | Trujillo | Peru |
| AURORA Investigative Center | Angeles City | Philippines |
| AURORA Investigative Center | Davao City | Philippines |
| AURORA Investigative Center | Lipa | Philippines |
| AURORA Investigative Center | Manila | Philippines |
| AURORA Investigative Center | Quezon City | Philippines |
| AURORA Investigative Center | Katowice | Poland |
| AURORA Investigative Center | Warsaw | Poland |
| AURORA Investigative Center | Wroclaw | Poland |
| AURORA Investigative Center | San Juan | Puerto Rico |
| AURORA Investigative Center | Kazan' | Russia |
| AURORA Investigative Center | Kemerovo | Russia |
| AURORA Investigative Center | Krasnoyarsk | Russia |
| AURORA Investigative Center | Moscow | Russia |
| AURORA Investigative Center | Omsk | Russia |
| AURORA Investigative Center | Petrozavodsk | Russia |
| AURORA Investigative Center | Rostov-on-Don | Russia |
| AURORA Investigative Center | Saint Petersburg | 197110 | Russia |
| AURORA Investigative Center | Saint Petersburg | Russia |
| AURORA Investigative Center | Samara | Russia |
| AURORA Investigative Center | Saratov | Russia |
| AURORA Investigative Center | Tolyatti | 445009 | Russia |
| AURORA Investigative Center | Yaroslavl | 150062 | Russia |
| AURORA Investigative Center | Yekaterinburg | Russia |
| AURORA Investigative Center | Belgrade | Serbia |
| AURORA Investigative Center | Niš | Serbia |
| AURORA Investigative Center | Cape Town | South Africa |
| AURORA Investigative Center | Johannesburg | South Africa |
| AURORA Investigative Center | Pretoria | South Africa |
| AURORA Investigative Center | Stellenbosch | South Africa |
| AURORA Investigative Center | Daejeon | South Korea |
| AURORA Investigative Center | Seoul | South Korea |
| AURORA Investigative Center | Suwon | South Korea |
| AURORA Investigative Center | Wŏnju | South Korea |
| AURORA Investigative Center | A Coruña | Spain |
| AURORA Investigative Center | Barcelona | 08025 | Spain |
| AURORA Investigative Center | Madrid | 28006 | Spain |
| AURORA Investigative Center | Madrid | 28041 | Spain |
| AURORA Investigative Center | Valencia | Spain |
| AURORA Investigative Center | Chang-hua | Taiwan |
| AURORA Investigative Center | Taichung | Taiwan |
| AURORA Investigative Center | Taoyuan | Taiwan |
| AURORA Investigative Center | Bangkok | Thailand |
| AURORA Investigative Center | Chiang Mai | Thailand |
| AURORA Investigative Center | Songkhla | Thailand |
| AURORA Investigative Center | Balcalı | Turkey (Türkiye) |
| AURORA Investigative Center | Bursa | Turkey (Türkiye) |
| AURORA Investigative Center | Efeler | Turkey (Türkiye) |
| AURORA Investigative Center | Fatih | Turkey (Türkiye) |
| AURORA Investigative Center | Istanbul | Turkey (Türkiye) |
| AURORA Investigative Center | Konyaalti | Turkey (Türkiye) |
| AURORA Investigative Center | Malatya | Turkey (Türkiye) |
| AURORA Investigative Center | Yenimahalle | Turkey (Türkiye) |
| AURORA Investigative Center | Kharkiv | 61103 | Ukraine |
| AURORA Investigative Center | Kyiv | 02125 | Ukraine |
| AURORA Investigative Center | Kyiv | Ukraine |
| AURORA Investigative Center | Lutsk | Ukraine |
| AURORA Investigative Center | Odesa | 65025 | Ukraine |
| AURORA Investigative Center | Vinnytsia | 21018 | Ukraine |
| AURORA Investigative Center | Zaporizhzhya | Ukraine |
| AURORA Investigative Center | Hanoi | Vietnam |
| AURORA Investigative Center | Ho Chi Minh City | Vietnam |
| Ling SY, Huizinga RB, Mayo PR, Larouche R, Freitag DG, Aspeslet LJ, Foster RT. Cytochrome P450 3A and P-glycoprotein drug-drug interactions with voclosporin. Br J Clin Pharmacol. 2014 Jun;77(6):1039-50. doi: 10.1111/bcp.12309. |
| 23996158 | Background | Ling SY, Huizinga RB, Mayo PR, Freitag DG, Aspeslet LJ, Foster RT. Pharmacokinetics of voclosporin in renal impairment and hepatic impairment. J Clin Pharmacol. 2013 Dec;53(12):1303-12. doi: 10.1002/jcph.166. Epub 2013 Oct 8. |
| 23736966 | Background | Mayo PR, Huizinga RB, Ling SY, Freitag DG, Aspeslet LJ, Foster RT. Voclosporin food effect and single oral ascending dose pharmacokinetic and pharmacodynamic studies in healthy human subjects. J Clin Pharmacol. 2013 Aug;53(8):819-26. doi: 10.1002/jcph.114. Epub 2013 Jun 4. |
| 22087680 | Result | Dooley MA, Jayne D, Ginzler EM, Isenberg D, Olsen NJ, Wofsy D, Eitner F, Appel GB, Contreras G, Lisk L, Solomons N; ALMS Group. Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis. N Engl J Med. 2011 Nov 17;365(20):1886-95. doi: 10.1056/NEJMoa1014460. |
| 21943027 | Result | Busque S, Cantarovich M, Mulgaonkar S, Gaston R, Gaber AO, Mayo PR, Ling S, Huizinga RB, Meier-Kriesche HU; PROMISE Investigators. The PROMISE study: a phase 2b multicenter study of voclosporin (ISA247) versus tacrolimus in de novo kidney transplantation. Am J Transplant. 2011 Dec;11(12):2675-84. doi: 10.1111/j.1600-6143.2011.03763.x. Epub 2011 Sep 22. |
| 40166657 | Derived | Palmer BF, Tumlin JA, Radhakrishnan J, Rehaume LM, Cross JL, Huizinga RB. The kidney injury biomarker profile of patients with lupus nephritis remains unchanged with the second-generation calcineurin inhibitor voclosporin. Front Nephrol. 2025 Mar 17;5:1540471. doi: 10.3389/fneph.2025.1540471. eCollection 2025. |
| 38110196 | Derived | Menn-Josephy H, Hodge LS, Birardi V, Leher H. Efficacy of Voclosporin in Proliferative Lupus Nephritis with High Levels of Proteinuria. Clin J Am Soc Nephrol. 2024 Mar 1;19(3):309-318. doi: 10.2215/CJN.0000000000000297. Epub 2023 Dec 18. |
| 33971155 | Derived | Rovin BH, Teng YKO, Ginzler EM, Arriens C, Caster DJ, Romero-Diaz J, Gibson K, Kaplan J, Lisk L, Navarra S, Parikh SV, Randhawa S, Solomons N, Huizinga RB. Efficacy and safety of voclosporin versus placebo for lupus nephritis (AURORA 1): a double-blind, randomised, multicentre, placebo-controlled, phase 3 trial. Lancet. 2021 May 29;397(10289):2070-2080. doi: 10.1016/S0140-6736(21)00578-X. Epub 2021 May 7. |
| Week 24 |
|
| Week 52 |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Intent-to-Treat is comprised of all subjects who were randomized treatment, and was used for analysis of all Outcome Measures. Safety population comprised all randomized subjects who took at least one dose of study treatment, and was used for AE and SAE reporting. 1 Voclosporin subject was withdrawn due to an adverse event (AE) prior to receiving the first dose of Voclosporin.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Voclosporin | oral, 23.7 mg BID Voclosporin: calcineurin inhibitor |
| BG001 | Placebo | Voclosporin placebo, oral, 3 capsules BID Placebo: matching placebo capsule |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | South Africa is included in the Europe count | Number | participants |
| |||||||||||||||
| Lupus Nephritis (LN) history | Number of years since diagnosis of systemic lupus erythematosus (SLE), lupus nephritis (LN) and first significant proteinuria | Mean | Standard Deviation | years |
| ||||||||||||||
| Baseline Urine Protein Creatinine Ratio (UPCR) | Baseline Urine Protein Creatinine Ratio (UPCR) (Average of pre-randomisation values) | Median | Standard Deviation | mg/mg |
| ||||||||||||||
| Baseline estimated glomerular filtration rate (eGFR) | Baseline estimated Glomerular Filtration Rate Chronic Kidney Disease Epidemiology Collaboration (CKD-Epi formula) (lowest pre-randomisation value) | Median | Standard Deviation | mL/min/1.73 m2 |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Adjudicated Renal Response at Week 52 | The primary efficacy endpoint was the number of subjects showing renal response at Week 52. Renal response was adjudicated based on blinded data by an independent Clinical Endpoints Committee based on meeting the following criteria
| Intent to Treat | Posted | Count of Participants | Participants | 52 Weeks |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Reduction in Urine Protein Creatinine Ratio to 0.5 mg/mg or Less | Number of Participants With Reduction in Urine Protein Creatinine Ratio to 0.5 mg/mg or Less | Intent to Treat | Posted | Count of Participants | Participants | 52 Weeks |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to Urine Protein Creatinine Ratio of ≤0.5 mg/mg (Number of Days) | Time in days to reduction in Urine Protein Creatinine Ratio to decrease to 0.5 mg/mg or less. | Intent to Treat | Posted | Median | 95% Confidence Interval | days | 52 Weeks |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Renal Response at Week 24 | Number of subjects showing renal response at Week 24. Renal response was adjudicated based on blinded data by an Independent Clinical Endpoints Committee based on the following criteria: UPCR of ≤0.5 mg/mg, & eGFR ≥60 mL/min/1.73 m2 or no confirmed decrease from baseline in eGFR of >20%, and Received no rescue medication for LN & Did not receive more than 10 mg prednisone for ≥3 consecutive days or for ≥7 days in total during Weeks 16 through 24, just prior to the renal response assessment. Note:To be disqualified from renal response, the subject had to fail both eGFR measures (i.e., confirmed eGFR <60 mL/min/1.73 m2 AND confirmed >20% drop from BL) & have an associated treatment-related or disease-related AE that impacted eGFR. Subjects who withdrew prior to the Week 24 assessment and provided insufficient Week 24 data to determine response were defined as non-responders. Subjects who discontinued study drug but continued to attend study visits had their data assessed for response. | intent to Treat | Posted | Count of Participants | Participants | Week 24 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Subjects With Partial Renal Response at Weeks 24 & 52 | Number of subjects with partial Renal Response (defined as a 50% reduction in UPCR from baseline) at Week 24 and at Week 52. Baseline UPCR is the average of 2 pre-randomisation values. | Intent to Treat | Posted | Count of Participants | Participants | Weeks 24 and 52 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Subjects Achieving, and Remaining in, Renal Response (Urine Protein Creatinine Ratio ≤0.5 mg/mg) | Number of subjects achieving, and remaining in, renal response (Urine Protein Creatinine ratio ≤0.5 mg/mg) | Intent to Treat population achieving UPCR <0.5 mg/mg | Posted | Count of Participants | Participants | Week 52 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Duration of Renal Response (Number of Days) | Duration in days until second occurrence of UPCR >0.5 mg/mg in those subjects who achieve a reduction in UPCR to below 0.5 mg/mg | Intent to Treat | Posted | Median | 95% Confidence Interval | days | Week 52 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Subjects Achieving 50% Reduction in Urine Protein Creatinine Ratio | Number of subjects achieving 50% reduction in Urine Protein Creatinine ratio | Intent-to-Treat | Posted | Count of Participants | Participants | 52 Weeks |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to 50% Reduction in UPCR (Number of Days) | Time in days to reduction in Urine Protein Creatinine Ratio to decrease by 50% compared to baseline. Baseline is the average of two pre-randomisation values. | Intent to Treat | Posted | Median | 95% Confidence Interval | days | 52 weeks |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in eGFR | Change from baseline by visit in estimated Glomerular Filtration rate. eGFR is corrected to a maximum value of 90 mL/min/1.73 m2 | Intent to Treat | Posted | Mean | Standard Deviation | ml/min/1.73 square metres | Baseline and Weeks 2, 4, 8, 12, 16, 16, 20, 24, 30, 36, 42, 48 and 52. |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in UPCR | Change from baseline by visit in Urine Protein Creatinine Ratio. Baseline is the average of two pre-randomisation values. | Intent to Treat | Posted | Mean | Standard Deviation | mg/mg | Baseline and Weeks 2, 4, 8, 12, 16, 16, 20, 24, 30, 36, 42, 48 and 52. |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Subjects With Renal Response With Low Dose Steroids | Programmed Renal Response whilst on low dose steroids (<2.5 mg/day) for the preceding 8 Weeks at Weeks 24 and 52 | Intent to Treat | Posted | Count of Participants | Participants | Week 24 and Week 52 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA - SLEDAI) | Change from baseline in Safety of Estrogens in Systemic Lupus Erythematosus National Assessment Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) score at Week 24 and 52. The SELENA-SLEDAI tool is a cumulative and weighted index used to assess disease activity across 24 different disease descriptors in patients with lupus. A patient's SELENA-SLEDAI total score is the sum of all marked lupus related descriptors (seizure, psychosis, organic brain syndrome, visual disturbance, cranial nerve disorder, lupus headache, cerebrovascular accident, vasculitis, arthritis, myositis, urinary casts, hematuria, proteinuria, pyuria, new rash, alopecia, mucosal ulcers, pleurisy, pericarditis, low complement, increased DNA binding, fever, thrombocytopenia, leukopenia). A total score can fall between 0 and 105, with a higher score representing a more significant degree of disease activity. | Intent to Treat | Posted | Least Squares Mean | 95% Confidence Interval | scores on a scale | Week 24 and Week 52 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Patient Reported Outcomes | Health-related quality of life (HRQoL) information was collected using the Short Form Health Survey (SF-36) HRQoL assessment and the LupusPRO (v1.7) assessment. The SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. Scoring ranges from 0 to 100 with higher scores reflecting better health. LupusPro assessment is a patient-reported questionnaire regarding the effect of lupus or its treatment on the patient's health, quality of life, and the medical care received related to lupus. The questionnaire consists of 43 questions within 8 HRQOL domains and 4 Non-HRQoL domains. Scores range from 0 to 100 with higher scores reflecting better quality of life. | Intent to Treat | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | Week 24 and Week 52 |
|
|
Reporting period is from first dose up to 30 days following last dose (Week 52).
Treatment emergent Deaths and serious adverse events (SAEs). Reporting period is from first dose up to 30 days following last dose
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Voclosporin | Voclosporin 23.7 mg BID + Mycophenolate Mofetil + corticosteroid | 1 | 178 | 37 | 178 | 161 | 178 |
| EG001 | Placebo Oral Capsule | Placebo 23.7 mg BID + Mycophenolate Mofetil + corticosteroid | 5 | 178 | 38 | 178 | 156 | 178 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Pyelonephritis acute | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Acute sinusitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Bacterial diarrhoea | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Lung abscess | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Pneumonia cytomegaloviral | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Pulmonary tuberculosis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Diarrhoea infectious | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Escherichia sepsis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Herpes zoster disseminated | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Intervertebral discitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Paraspinal abscess | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Salmonellosis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Salpingitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Lupus nephritis | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cerebral infarction | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Lupus encephalitis | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Neuropsychiatric lupus | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Haemorrhagic stroke | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Hypertensive crisis | Vascular disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Systemic lupus erythematosus | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Acute coronary syndrome | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Glomerular filtration rate decreased | Investigations | MedDRA 20.0 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | MedDRA 20.0 | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Lupus pleurisy | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Generalised oedema | General disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cervix carcinoma stage 0 | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.0 | Systematic Assessment |
| |
| Schwannoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.0 | Systematic Assessment |
| |
| Developmental hip dysplasia | Congenital, familial and genetic disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Intentional overdose | Injury, poisoning and procedural complications | MedDRA 20.0 | Systematic Assessment |
| |
| Abortion induced | Surgical and medical procedures | MedDRA 20.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cholecystitis chronic | Hepatobiliary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | MedDRA 20.0 | Systematic Assessment |
| |
| Uterine haemorrhage | Reproductive system and breast disorders | MedDRA 20.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Upper respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Viral upper respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Glomerular filtration rate decreased | Investigations | MedDRA 20.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Lupus nephritis | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Proteinuria | Renal and urinary disorders | MedDRA 20.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 20.0 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rashieda Gluck | Aurinia Pharmaceuticals | 1 (250) 744-2487 | clinicaltrials@auriniapharma.com |
| Feb 25, 2021 |
| Prot_001.pdf |
| Prot | Yes | No | No | Study Protocol: Protocol V2.0 04May2017 | May 4, 2017 | Feb 25, 2021 | Prot_002.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 21, 2019 | Feb 25, 2021 | SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D008181 | Lupus Nephritis |
| ID | Term |
|---|---|
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D008180 | Lupus Erythematosus, Systemic |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C484071 | voclosporin |
Not provided
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Southeast Asia |
|
| Europe |
|
| South America |
|
| Years since diagnosis of LN |
|
| Years since first Proteinuria |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Participants |
|
|
|