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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04181762
Registration number
NCT04181762
Ethics application status
Date submitted
27/11/2019
Date registered
29/11/2019
Titles & IDs
Public title
Study of Safety, Efficacy and Tolerability of Secukinumab Versus Placebo, in Combination With SoC Therapy, in Patients With Active Lupus Nephritis
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Scientific title
A Two-year, Phase III Randomized, Double-blind, Parallel-group, Placebo-controlled Trial to Evaluate the Safety, Efficacy, and Tolerability of 300 mg s.c. Secukinumab Versus Placebo, in Combination With SoC Therapy, in Patients With Active Lupus Nephritis
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Secondary ID [1]
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2019-003211-57
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Secondary ID [2]
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CAIN457Q12301
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Universal Trial Number (UTN)
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Trial acronym
SELUNE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lupus Nephritis
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0
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Condition category
Condition code
Renal and Urogenital
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0
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0
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Other renal and urogenital disorders
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - secukinumab
Experimental: secukinumab - secukinumab 300 mg s.c.
Placebo comparator: placebo - secukinumab placebo s.c.
Treatment: Drugs: secukinumab
STUDY DRUG
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of subjects achieving Complete Renal Response (CRR)
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Assessment method [1]
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Proportion of subjects achieving protocol-defined CRR
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Timepoint [1]
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Week 52
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Secondary outcome [1]
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Change in 24-hour Urine Protein-to Creatinine Ratio (UPCR)
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Assessment method [1]
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Change from Baseline in 24-hour UPCR
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Timepoint [1]
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Week 52
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Secondary outcome [2]
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Proportion of subjects achieving Partial Renal Response (PRR)
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Assessment method [2]
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Proportion of subjects achieving protocol-defined PRR
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Timepoint [2]
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Week 52
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Secondary outcome [3]
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Average daily dose of oral corticosteroids
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Assessment method [3]
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Average daily dose of oral corticosteroids compared to placebo
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Timepoint [3]
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Week 16 to Week 52
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Secondary outcome [4]
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Proportion of subjects achieving PRR
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Assessment method [4]
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Proportion of subjects achieving PRR
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Timepoint [4]
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Week 24
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Secondary outcome [5]
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Time to achieve CRR
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Assessment method [5]
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Time to achieve CRR
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Timepoint [5]
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Baseline to Week 52
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Secondary outcome [6]
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Time to achieve PRR
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Assessment method [6]
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Time to achieve PRR
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Timepoint [6]
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Baseline to Week 52
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Secondary outcome [7]
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Time to achieve UPCR = 0.5 mg/mg
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Assessment method [7]
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Time to achieve first morning void UPCR = 0.5 mg/mg
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Timepoint [7]
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Baseline to Week 52
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Secondary outcome [8]
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Improvement in FACIT-Fatigue©
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Assessment method [8]
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Improvement in FACIT-Fatigue© mean change of score compared to placebo
The FACIT Fatigue Scale measures an individual's level of fatigue during their usual daily activities. The level of fatigue is measured on a four point Likert scale (4 = not at all fatigued to 0 = very much fatigued)
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Timepoint [8]
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Baseline to Week 52
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Secondary outcome [9]
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Improvement in SF-36 PCS mean
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Assessment method [9]
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Improvement in SF-36 PCS mean change compared to placebo
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Timepoint [9]
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Baseline to Week 52
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Secondary outcome [10]
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Improvement in LupusQoL Physical Health mean
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Assessment method [10]
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Improvement in LupusQoL Physical Health mean change of score compared to placebo
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Timepoint [10]
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Baseline to Week 52
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Secondary outcome [11]
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Incidence of Treatment-emergent AEs (TEAEs) / SAEs
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Assessment method [11]
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Incidence of Treatment-emergent AEs (TEAEs) / SAEs from Baseline to Week 52; vital signs and body measurements, standard chemistry and hematology
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Timepoint [11]
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Baseline to Week 52
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Secondary outcome [12]
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Proportion of subjects with CRR at Week 104 within subjects who had achieved CRR at Week 52
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Assessment method [12]
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Estimate the proportion of subjects with CRR at Week 104 within subjects who had achieved CRR at Week 52 in the secukinumab group
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Timepoint [12]
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Week 52 to Week 104
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Secondary outcome [13]
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Proportion of subjects with improved or maintained renal response at Week 104
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Assessment method [13]
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Estimate the proportion of subjects with improved or maintained response (PRR or CRR) in subjects who had achieved at least PRR at Week 52 in the secukinumab group
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Timepoint [13]
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Week 52 to Week 104
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Eligibility
Key inclusion criteria
1. Adult male and female subjects aged 18 - 75 years old at the time of Baseline.
2. Confirmed diagnosis of:
* SLE as defined by the American College of Rheumatology (ACR), OR
* LN as the sole clinical criterion in the presence of ANA or anti-dsDNA antibodies.
3. Active lupus nephritis:
* International Society of Neurology/Renal Pathology Society (ISN/RPS) Class III or IV LN [excluding III (C), IV-S (C) and IV-G (C)]; subjects are permitted to have co-existing Class V.
* UPCR =1 at Screening.
* Estimated Glomerular Filtration Rate (eGFR) >30 mL/min/1.73 m2.
* Active urinary sediment.
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Minimum age
18
Years
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Maximum age
75
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Severe renal impairment and subjects requiring dialysis dialysis within the previous 12 months before Screening.
2. Significant medical Problems like myocarditis, pericarditis, severe manifestations of neuropsychiatric SLE (NPSLE).
3. Cyclophosphamide (CYC) use (i.v. or oral) or more than 3000 mg i.v. pulse methylprednisolone (cumulative dose) within the month prior to Baseline.
4. Active ongoing inflammatory diseases.
5. Previous exposure to secukinumab (AIN457) or any other biologic drug targeting IL-17 or the IL-17 receptor.
6. Ongoing infections or malignant process.
7. Pregnant or lactating women.
Other inclusion and exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/07/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
13/09/2023
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Sample size
Target
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Accrual to date
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Final
275
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Novartis Investigative Site - Westmead
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Ethics approval
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Summary
Brief summary
The purpose of this trial is to evaluate the efficacy and safety of subcutaneous secukinumab 300 mg compared to placebo, in combination with standard of care therapy (SoC), in subjects with active lupus nephritis (ISN/RPS Class III or IV, with or without co-existing class V features).
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Trial website
https://clinicaltrials.gov/study/NCT04181762
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Novartis Pharmaceuticals
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Novartis Pharmaceuticals
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04181762