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CompletedNCT03393013MISSIONUpdated Nov 18, 2025Results posted

A Study of KZR-616 in Patients With SLE With and Without Lupus Nephritis

A Phase 1/2 interventional study of KZR-616 in Lupus Nephritis and Systemic Lupus Erythematosus, sponsored by Kezar Life Sciences, Inc.. Completed at 36 sites in 8 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Kezar Life Sciences, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
69
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This was a Phase 1b/2, multi-center study in which patients received KZR-616, administered as a subcutaneous (SC) injection weekly for 13 weeks (Phase 1b) or 24 weeks (Phase 2).

Read the detailed description

This was a Phase 1b/2, open-label, multi-center study in which patients received zetomipzomib administered as a SC injection weekly for either 13 weeks (Phase 1b) or for 24 weeks (Phase 2). In both phases, safety assessments continued for up to 12 weeks following the last dose of zetomipzomib.

Phase 1b was an open-label, multiple dose escalation study designed to evaluate the safety and tolerability of escalating doses of zetomipzomib when administered in addition to standard-of-care therapy in patients with SLE with or without nephritis. For each cohort, at least 6 patients were to be enrolled to assure the availability of at least 4 evaluable patients. Decisions to escalate, expand, or decrease the dose level or dosing frequency following the first 4 weeks of dosing for at least 4 evaluable patients in a cohort were made following review by a data monitoring committee (DMC).

The zetomipzomib formulations and doses administered by cohort in Phase 1b were:

  • Cohort 1: zetomipzomib frozen maleate, 45 mg weekly × 13 weeks
  • Cohort 2: zetomipzomib frozen maleate, 60 mg weekly × 13 weeks
  • Cohort 2a: zetomipzomib frozen maleate, 30 mg weekly × 2 weeks, followed by 45 mg weekly × 2 weeks, followed by 60 mg weekly × 9 weeks
  • Cohort 2b: zetomipzomib lyophile, 30 mg weekly × 1 week, followed by 60 mg weekly × 12 weeks
  • Cohort 2c: zetomipzomib lyophile, 30 mg weekly × 1 week, followed by 60 mg weekly × 12 weeks (tolerability strategies cohort)
  • Cohort 3: zetomipzomib lyophile, 30 mg weekly × 1 week, followed by 75 mg weekly × 12 weeks

The Phase 2 portion of the open-label study was designed to evaluate the renal response, safety, and tolerability of a single dose level (60 mg) of zetomipzomib administered weekly in addition to standard therapy in patients with active proliferative lupus nephritis (LN) (Class III or IV, with or without Class V disease) with a UPCR ≥1.0. Patients must have been on standard therapy for LN including at least 1 immunosuppressive agent. Zetomipzomib was administered as a SC injection weekly for 24 weeks (including a step up from an initial Week 1 dose of 30 mg).

02

Conditions studied

  • Lupus Nephritis
  • Systemic Lupus Erythematosus

Keywords

  • immunoproteasome inhibition
  • selective proteasome inhibition
  • proteasome
  • lupus nephritis
  • lupus
  • nephritis
  • active proliferative lupus nephritis
  • open-label
  • systemic lupus erythematosus
  • lupus erythematosus
03

In context

Lupus Nephritis

340 studies on the registry are indexed under Lupus Nephritis; 135 are open to participants now.

This study's enrollment of 69 is above the median of 48 across 242 interventional studies indexed under Lupus Nephritis.

Browse Lupus Nephritis studies →

Lead sponsor

Kezar Life Sciences, Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

Phase 1b:

  • Fulfilled the 2012 Systemic Lupus International Collaborating Clinics (SLICC) classification for SLE
  • Had a positive antinuclear antibody (ANA) titer, anti-double stranded DNA (dsDNA) antibody titer, or a positive anti-Smith antibody titer
  • Had active SLE (as indicated by Systemic Lupus Erythematosus Disease Activity Index 2000 [SLEDAI-2K] score ≥4), and
  • Had received at least 1 prior therapy for SLE

Phase 2:

  • Had active proliferative LN (Class III or IV, with or without Class V disease)
  • Had a UPCR ≥1.0 measured in 24-hour urine collection
  • Had a histologic diagnosis of LN on renal within the prior 2 years; for biopsies > 1 year before the Screening visit, one of the following must also be present at screening: low C3, low C4, or anti-ds-DNA elevated to above normal range
  • Fulfilled the 2012 SLICC classification for SLE
  • Had a positive ANA titer, anti-dsDNA antibody titer, or anti-Smith antibody titer, and
  • Were currently receiving ≥1 agent at a stable dose and route of administration for ≥8 weeks. If the patient is also on then must be on a stable dose for ≥ 2 weeks prior to Baseline

Key Exclusion Criteria:

Phase 1b:

  • Current or medical history of:

    • Central nervous system manifestations by disease
    • Overlapping autoimmune condition that may affect study assessments/outcomes
    • Antiphospholipid syndrome with history of thromboembolic event of within the 52 weeks prior to Screening
    • of any type, with exceptions for in situ cancer that has been completely excised and certain cancers >5 years ago
  • Positive test at Screening for , /C
  • Major surgery within 4 weeks before signing form or planned major surgery during the study period

Phase 2:

  • Current or medical history of:

    • Central nervous system manifestations of SLE
    • Overlapping autoimmune condition that may affect study assessments/outcomes
    • Antiphospholipid syndrome with history of thromboembolic event of within the 52 weeks prior to Screening
    • Malignancy of any type within the last 5 years, with exceptions for appropriately excised and cured cervical carcinoma in situ or excised basal or squamous cell carcinomas of the skin
  • Has received dialysis within the 52 weeks prior to Screening
  • Positive test at Screening for HIV, hepatitis B/C
  • Major surgery within 12 weeks before signing informed consent form or planned major surgery during the study period
  • Use of therapy or device, and/or participation in an investigational trial \<8 weeks or 5 half-lives, whichever is longer, prior to Baseline; Patients who participated in Phase 1b of KZR-616-002 are excluded from Phase 2
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    KZR-616 45 mg + standard of care therapy (Phase 1b)

    Dose escalation cohort of patients with SLE with and without nephritis to receive 45 mg dose level of KZR-616 in combination with standard of care therapy. Two Phase 1b cohorts received 45 mg at some point during the study. Cohort 1 received 45 mg zetomipzomib frozen maleate weekly for 13 weeks. Cohort 2a followed a step-up dosing procedure. Patients received zetomipzomib frozen maleate, 30 mg weekly for 2 weeks, followed by 45 mg weekly for 2 weeks then followed by 60 mg weekly for 9 weeks. KZR-616 was administered as a SC injection.

    Drug: KZR-616

  • Experimental
    KZR-616 60 mg + standard of care therapy (Phase 1b)

    Dose escalation cohort of patients with SLE with and without nephritis to receive 60 mg dose level of KZR-616 in combination with standard of care therapy. Four Phase 1b cohorts received 60 mg at some point during the study. Cohort 2 received 60 mg zetomipzomib frozen maleate weekly for 13 weeks. Cohorts 2a, 2b, and 2c all followed a step-up dosing procedure. Patients in Cohort 2a received zetomipzomib frozen maleate, 30 mg weekly for 2 weeks, followed by 45 mg weekly for 2 weeks then followed by 60 mg weekly for 9 weeks. Patients in Cohort 2b received zetomipzomib lyophile, 30 mg weekly for 1 week, followed by 60 mg weekly for 12 weeks. Patients in Cohort 2c (tolerability strategies cohort) received zetomipzomib lyophile, 30 mg weekly for 1 week, followed by 60 mg weekly for 12 weeks. KZR-616 was administered as a SC injection.

    Drug: KZR-616

  • Experimental
    KZR-616 75 mg + standard of care therapy (Phase 1b)

    Dose escalation cohort of patients with SLE with and without nephritis to receive 75 mg dose level of KZR-616 in combination with standard of care therapy. One Phase 1b cohort received 75 mg at some point during the study. Cohort 3 followed a step-up dosing procedure. Patients in Cohort 3 received zetomipzomib lyophile, 30 mg weekly for 1 week, followed by 75 mg weekly for 12 weeks. KZR-616 was administered as a SC injection.

    Drug: KZR-616

  • Experimental
    KZR-616 60 mg + standard therapy (Phase 2)

    60 mg dose level of KZR-616 selected based on data from the phase 1b dose escalation and administered to patients with active lupus nephritis in combination with standard therapy including at least one immunosuppressive agent. KZR-616 was administered as a SC injection weekly at a dose of 60 mg for 24 weeks (including a step-up from an initial Week 1 dose of 30 mg). \*\* See Limitations/Caveats for additional information

    Drug: KZR-616

Interventions

  • Subcutaneous Injection of KZR-616

    Also known as: zetomipzomib

06

What researchers measure

Primary outcomes

  1. Phase 1b: Number of Patients Who Experienced at Least One Treatment-Related Treatment-Emergent Adverse Event

    The safety and tolerability of zetomipzomib (KZR-616) when administered as a subcutaneous injection weekly for 13 weeks in adult patients with systemic lupus erythematous (SLE) with and without nephritis, as assessed by number of patients who experienced at least one treatment-related treatment-emergent adverse event. For additional information about the safety and tolerability of KZR-616, please reference the adverse events section of this posting.

    Time frame: 25 weeks

  2. Phase 2: Number of Patients With Lupus Nephritis With a 50% Reduction in UPCR

    To assess the number of patients with lupus nephritis with a 50% reduction in UPCR after 24 weeks of weekly SC injections with KZR-616 when compared to baseline.

    Time frame: 24 weeks

Secondary outcomes

  1. Phase 1b: PK of KZR-616 (Cmax)

    This is the maximum observed plasma concentration (Cmax) observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

    Time frame: 8 hours

  2. Phase 1b: PK of KZR-616 (Tmax)

    This is the time to maximum observed plasma concentration (tmax) observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

    Time frame: 8 hours

  3. Phase 1b: PK of KZR-616 (AUC)

    This is the area under the curve (AUC) from predose through 8 hour postdose observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

    Time frame: 8 hours

  4. Phase 2: Number of Patients With a Partial Renal Response

    Number of patients with a partial renal response (PRR) after 24 weeks of treatment, as defined by: 1. For this outcome measure, Primary UPCR criterion was used (a 50% reduction of UPCR and reduction of UPCR to \<1.0 if baseline UPCR was \<3.0 (or reduction of UPCR to \<3.0 if baseline was ≥3.0)) 2. eGFR of greater than or equal to 60 mL/min/1.73 m\^2 or no worsening of eGFR from baseline of greater than or equal to 25% 3. No use of prohibited medication Count of patients below includes those who satisfy all three of the above criteria.

    Time frame: 24 weeks

  5. Phase 2: Safety and Tolerability of KZR-616 When Administered as a SC Injection Weekly for 24 Weeks

    Exposure adjusted adverse event incidence rate for Injection Site Reactions and Systemic Injection Reactions. For additional information about the safety and tolerability of KZR-616, please reference the adverse events section of this posting.

    Time frame: 37 weeks

  6. Phase 1b: Recommended Phase 2 Doses of Zetomipzomib When Administered as a Subcutaneous Injection

    The safety data from Phase 1b were used to determine a recommended dose of zetomipzomib to administer to patients with active proliferative lupus nephritis in Phase 2 of this study. As pre-specified in the study protocol, this outcome measure was to be determined qualitatively through discussion of relevant information from the Phase 1b portion of the trial at a data monitoring committee meeting.

    Time frame: 25 weeks

07

Results

Posted Mar 8, 2024
Limitations and caveats
In Phase 2, of note, prior to the adoption of the open-label study design to improve enrollment after the onset of the COVID-19 pandemic, 1 patient with active proliferative LN was enrolled in Phase 2 under the earlier randomized, placebo-controlled, double-blind design. This patient was randomized to zetomipzomib at a dose of 30 mg SC weekly for 13 weeks and completed 12 of 13 dose administrations and all protocol-required procedures.

Participant flow

Patients who were enrolled in Phase 1b were ineligible to enroll in the Phase 2 portion of the study.

Phase 1b
Participant flow — Phase 1b
MilestoneCohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)
Started85146860
Completed52106840
Not completed3340020
Phase 2
Participant flow — Phase 2
MilestoneCohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)
Started00000022
Completed00000018
Not completed0000004

Outcome measures

PrimaryPhase 1b: Number of Patients Who Experienced at Least One Treatment-Related Treatment-Emergent Adverse Event

The safety and tolerability of zetomipzomib (KZR-616) when administered as a subcutaneous injection weekly for 13 weeks in adult patients with systemic lupus erythematous (SLE) with and without nephritis, as assessed by number of patients who experienced at least one treatment-related treatment-emergent adverse event. For additional information about the safety and tolerability of KZR-616, please reference the adverse events section of this posting.

Time frame:
25 weeks
Reported as:
Count of participants · Participants
Phase 1b: Number of Patients Who Experienced at Least One Treatment-Related Treatment-Emergent Adverse Event
ParticipantsCohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)
Phase 1b: Number of Patients Who Experienced at Least One Treatment-Related Treatment-Emergent Adverse Event7511363
PrimaryPhase 2: Number of Patients With Lupus Nephritis With a 50% Reduction in UPCR

To assess the number of patients with lupus nephritis with a 50% reduction in UPCR after 24 weeks of weekly SC injections with KZR-616 when compared to baseline.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
Phase 2: Number of Patients With Lupus Nephritis With a 50% Reduction in UPCR
ParticipantsKZR-616 QW, 60 mg + SOC (Phase 2)
Phase 2: Number of Patients With Lupus Nephritis With a 50% Reduction in UPCR11
SecondaryPhase 1b: PK of KZR-616 (Cmax)

This is the maximum observed plasma concentration (Cmax) observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

Time frame:
8 hours
Reported as:
Geometric mean · ng/mL
Phase 1b: PK of KZR-616 (Cmax)
ng/mLKZR-616 30 mg + Standard of Care TherapyKZR-616 45 mg + Standard of Care Therapy (Phase 1b)KZR-616 60 mg + Standard of Care Therapy (Phase 1b)KZR-616 75 mg + Standard of Care Therapy (Phase 1b)
Phase 1b: PK of KZR-616 (Cmax)74.2134 ± 45.6151 ± 50.3265 ± 60.4
SecondaryPhase 1b: PK of KZR-616 (Tmax)

This is the time to maximum observed plasma concentration (tmax) observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

Time frame:
8 hours
Reported as:
Median · hours
Phase 1b: PK of KZR-616 (Tmax)
hoursKZR-616 30 mg + Standard of Care TherapyKZR-616 45 mg + Standard of Care Therapy (Phase 1b)KZR-616 60 mg + Standard of Care Therapy (Phase 1b)KZR-616 75 mg + Standard of Care Therapy (Phase 1b)
Phase 1b: PK of KZR-616 (Tmax)1.000.25 (0.13 to 1.00)0.25 (0.08 to 2.00)0.50 (0.25 to 0.52)
SecondaryPhase 1b: PK of KZR-616 (AUC)

This is the area under the curve (AUC) from predose through 8 hour postdose observed after administration of KZR-616 at Week 5. The PK parameters were calculated using all timepoints at which the concentration was measured, ie. predose and 5, 15, 30 minutes, 1, 2, 4, and 8 hours postdose.

Time frame:
8 hours
Reported as:
Geometric mean · ng*h/ml
Phase 1b: PK of KZR-616 (AUC)
ng*h/mlKZR-616 30 mg + Standard of Care TherapyKZR-616 45 mg + Standard of Care Therapy (Phase 1b)KZR-616 60 mg + Standard of Care Therapy (Phase 1b)KZR-616 75 mg + Standard of Care Therapy (Phase 1b)
Phase 1b: PK of KZR-616 (AUC)258387 ± 38.1430 ± 36.8636 ± 31.7
SecondaryPhase 2: Number of Patients With a Partial Renal Response

Number of patients with a partial renal response (PRR) after 24 weeks of treatment, as defined by: 1. For this outcome measure, Primary UPCR criterion was used (a 50% reduction of UPCR and reduction of UPCR to \<1.0 if baseline UPCR was \<3.0 (or reduction of UPCR to \<3.0 if baseline was ≥3.0)) 2. eGFR of greater than or equal to 60 mL/min/1.73 m\^2 or no worsening of eGFR from baseline of greater than or equal to 25% 3. No use of prohibited medication Count of patients below includes those who satisfy all three of the above criteria.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
Phase 2: Number of Patients With a Partial Renal Response
ParticipantsKZR-616 QW, 60 mg + SOC (Phase 2)
Phase 2: Number of Patients With a Partial Renal Response10
SecondaryPhase 2: Safety and Tolerability of KZR-616 When Administered as a SC Injection Weekly for 24 Weeks

Exposure adjusted adverse event incidence rate for Injection Site Reactions and Systemic Injection Reactions. For additional information about the safety and tolerability of KZR-616, please reference the adverse events section of this posting.

Time frame:
37 weeks
Reported as:
Number · events per person-weeks
Phase 2: Safety and Tolerability of KZR-616 When Administered as a SC Injection Weekly for 24 Weeks
events per person-weeksKZR-616 QW, 60 mg + SOC (Phase 2)
Injection Site Reactions0.036
Systemic Injection Reactions0.045
SecondaryPhase 1b: Recommended Phase 2 Doses of Zetomipzomib When Administered as a Subcutaneous Injection

The safety data from Phase 1b were used to determine a recommended dose of zetomipzomib to administer to patients with active proliferative lupus nephritis in Phase 2 of this study. As pre-specified in the study protocol, this outcome measure was to be determined qualitatively through discussion of relevant information from the Phase 1b portion of the trial at a data monitoring committee meeting.

Time frame:
25 weeks
Reported as:
Number · mg
Phase 1b: Recommended Phase 2 Doses of Zetomipzomib When Administered as a Subcutaneous Injection
mgAll Phase 1b Patients (Cohort 1, Cohort 2a-c, Cohort 3)
Phase 1b: Recommended Phase 2 Doses of Zetomipzomib When Administered as a Subcutaneous Injection60
Post-hocPhase 1b: Changes in UPCR in Patients With SLE Who Had Active Lupus Nephritis

Changes in lupus disease assessments and changes from baseline in laboratory measures \- Renal parameters (UPCR) in Patients with SLE who had active lupus nephritis at baseline, 13 weeks (end of treatment), and 25 weeks (end of study)

Time frame:
Week 25
Reported as:
Number · g/g
Phase 1b: Changes in UPCR in Patients With SLE Who Had Active Lupus Nephritis
g/gPatient 1Patient 2
Baseline3.852.39
Week 13 (End of Treatment)2.890.69
Week 25 (End of Study)1.121.47

Adverse events

Collected over The adverse event data was collected starting at the time of signed informed consent and were collected until 12 weeks after last dose. This time period was approximately 25 and 37 weeks for each participant in Phase 1b and Phase 2, respectively.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)0/8 (0%)0/8 (0%)8/8 (100%)
Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)0/5 (0%)1/5 (20%)5/5 (100%)
Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)0/14 (0%)2/14 (14.3%)12/14 (85.7%)
Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)0/6 (0%)1/6 (16.7%)4/6 (66.7%)
Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)0/8 (0%)0/8 (0%)7/8 (87.5%)
Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)0/6 (0%)0/6 (0%)3/6 (50%)
KZR-616 QW, 60 mg + SOC (Phase 2)0/22 (0%)2/22 (9.1%)22/22 (100%)
Most frequent serious events
Most frequent serious events
EventCohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)
Thrombotic microangiopathyBlood and lymphatic system disorders0/81/50/140/60/80/60/22
Viral infectionInfections and infestations0/80/50/141/60/80/60/22
Systemic inflammatory response syndromeGeneral disorders0/80/51/140/60/80/60/22
Herpes zosterInfections and infestations0/80/51/140/60/80/60/22
Urinary tract infectionInfections and infestations0/80/50/140/60/80/61/22
MigraineNervous system disorders0/80/50/140/60/80/61/22
Acute kidney injuryRenal and urinary disorders0/80/50/140/60/80/61/22
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders0/80/50/140/60/80/61/22
Most frequent other events
Showing 10 of 163
Most frequent other events
EventCohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)
VomitingGastrointestinal disorders1/85/53/141/62/81/69/22
NauseaGastrointestinal disorders2/84/55/141/64/83/69/22
Injection site erythemaGeneral disorders5/82/55/142/66/80/612/22
PyrexiaGeneral disorders0/82/53/141/62/83/613/22
HeadacheNervous system disorders1/82/53/143/62/81/611/22
Injection site indurationGeneral disorders1/82/50/140/60/81/65/22
DizzinessNervous system disorders1/82/50/140/60/80/62/22
MyalgiaMusculoskeletal and connective tissue disorders0/80/50/140/63/80/62/22
Abdominal distensionGastrointestinal disorders0/80/50/140/60/82/62/22
PainGeneral disorders0/80/50/140/62/82/63/22

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
Mean51.9 ± 11.546.2 ± 11.353.6 ± 15.354.3 ± 14.848.1 ± 10.345.0 ± 17.534.6 ± 11.745.5 ± 14.9
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
Female85126862065
Male00200024
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
Hispanic or Latino43102531239
Not Hispanic or Latino4244331030
Unknown or Not Reported00000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
American Indian or Alaska Native00000044
Asian00100012
Native Hawaiian or Other Pacific Islander00000000
Black or African American121213111
White7312473743
More than one race00000000
Unknown or Not Reported00000099
UPCR at Baseline
UPCR at Baseline(mg/mg)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
Mean——3.85—2.39—2.50 ± 2.562.55 ± 2.46
eGFR Level at Baseline
eGFR Level at Baseline(mL/min/1.73 m^2)Cohort 1, KZR-616 QW, 45 mg + SOC (Phase 1b)Cohort 2, KZR-616 QW, 60 mg + SOC (Phase 1b)Cohort 2a, KZR-616 QW, 30 mg x 2 Wks, 45 mg x 2 Wks, 60 mg x 9 Wks + SOC (Phase 1b)Cohort 2b, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 2c, KZR-616 QW, 30 mg x 1 wk, 60 mg x 12 Wks + SOC (Phase 1b)Cohort 3, KZR-616 QW, 30 mg x 1 wk, 75 mg x 12 Wks + SOC (Phase 1b)KZR-616 QW, 60 mg + SOC (Phase 2)Total
Mean——————104.71 ± 32.579104.71 ± 32.579
08

Study locations

36 sites
  • Academic Medical Research Institute
    Los Angeles, California 990022, United States
  • Inland Rheumatology Clinical Trials, Inc.
    Upland, California 91786, United States
  • SouthCoast Research Center, Inc.
    Miami, Florida 33136, United States
  • Hope Clinical Trials, Inc.
    Miami, Florida 33165, United States
  • Omega Research Maitland
    Orlando, Florida 32808, United States
  • Arthritis Center, Inc
    Palm Harbor, Florida 34684, United States
  • Advent Health Medical Group
    Tampa, Florida 33614, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • Northwell Health
    Great Neck, New York 11021, United States
  • NYU Langone Orthopedic Center - Seligman Center for Advanced Therapeutics
    New York, New York 10016, United States
  • University of Rochester Medical Center
    Rochester, New York 14620, United States
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
  • SC Nephrology & Hypertension Center, Inc.
    Orangeburg, South Carolina 29118, United States
  • Ramesh C. Gupta, MD
    Memphis, Tennessee 38119, United States
  • MedResearch, Inc.
    El Paso, Texas 79902, United States
  • Accurate Clinical Research, Inc.
    Houston, Texas 77034, United States
  • Accurate Clinical Management, LLC
    Houston, Texas 77084, United States
  • Monash Health
    Clayton, Victoria 3168, Australia
  • The Royal Melbourne Hospital
    Parkville, Victoria 3050, Australia
  • Centro Integral de Reumatologia de Caribe CIRCARIBE S.A.S
    Barranquilla, Atlántico 080020, Colombia
  • Clinica de la Costa
    Barranquilla, Atlántico 080020, Colombia
  • Medicity SAS
    Santander, Bucaramanga 680003, Colombia
  • Servimed S.A.S.
    Bucaramanga, Santander Department 680003, Colombia
  • Clinica de Artritis Temprana
    Cali, Valle del Cauca Department 076001, Colombia
  • Centro Integral de Reumatologia SA de CV
    Guadalajara, Jalisco 44160, Mexico
  • Hospital Universitario Dr José Eleuterio Gonzalez
    Monterrey, Nuevo León 64020, Mexico
  • Instituto Nacional de Cardiología Ignacio Chavez
    Mexico City, 14080, Mexico
  • Instituto Nacional de Ciencias Médicas y Nutricion "Salvador Zubiran"
    Mexico City, 14080, Mexico
  • Centro de Investigación Clínica Trujillo E.I.R.L/ Clínica Peruano Americana S.A.
    Trujillo, La Libertad 13011, Peru
  • Investigaciones Clinicas SAC
    Lima, 15023, Peru
  • Unidad de Investigacion en Reumatologia e Inmunologia Clinica San Juan Bautista
    Lima, 15431, Peru
  • Bioclinica
    Lodz, 90-368, Poland
  • Kuzbass Clinical Hospital
    Kemerovo, 650066, Russia
  • Medical Center Revma-Med
    Kemerovo, 650070, Russia
  • Tolyatti City Clinical Hospital #1
    Tolyatti, 445009, Russia
  • Harmoniya Krasy
    Kyiv, Kyiv Governorate 01135, Ukraine
09

References and documents

Publications

  • Avasare R, Drexler Y, Caster DJ, Mitrofanova A, Jefferson JA. Management of Lupus Nephritis: New Treatments and Updated Guidelines. Kidney360. 2023 Oct 1;4(10):1503-1511. doi: 10.34067/KID.0000000000000230. PubMed 37528520 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Aug 2022, 53 months.

Results were first posted in Mar 2024, 1 year 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 21, 2017
First posted
Jan 8, 2018
StartActual
Feb 20, 2018
Primary completionActual
Aug 4, 2022
CompletionActual
Aug 4, 2022
Results first posted
Mar 8, 2024
Last update
Nov 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03393013
Lead sponsor
Kezar Life Sciences, Inc.
Responsible party
Sponsor
First posted
Jan 8, 2018
Start date
Feb 20, 2018
Primary completion
Aug 4, 2022
Completion
Aug 4, 2022
Results posted
Mar 8, 2024
Last update
Nov 18, 2025

Study contacts

Kezar
study director · Kezar Life Sciences, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: KZR-616

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