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CompletedNCT04643470Updated Nov 29, 2024

Zanubrutinib in Participants With Active Proliferative Lupus Nephritis

A Phase 2 interventional study of Zanubrutinib and Placebo in Lupus Nephritis, sponsored by BeiGene. Completed at 44 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-11-29.

Sponsored by BeiGene · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
177
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The primary objective of this study is to evaluate the efficacy of zanubrutinib added to standard of care as measured by complete renal response for participants with active proliferative lupus nephritis

02

Conditions studied

  • Lupus Nephritis
03

In context

Nephritis

245 studies on the registry are indexed under Nephritis; 56 are open to participants now.

This study's enrollment of 177 is above the median of 49 across 156 interventional studies indexed under Nephritis.

Browse Nephritis studies →

Lead sponsor

BeiGene is the lead sponsor of 122 studies on the registry; 3 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 31 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Clinical diagnosis of SLE according to the Systemic Lupus International Collaborating Clinics 2012 criteria.
  2. ISN/RPS 2003 Class III/IV lupus nephritis [Type III(A), III (A+C), IV (A), and IV (A+C)], with or without Class V, as confirmed by a renal biopsy.
  3. Positive antinuclear antibodies, positive anti-dsDNA autoantibody, and/or positive anti Smith autoantibody at screening
  4. Has 24-hour urine protein excretion > 1.0 g at screening.

Key Exclusion Criteria:

Exclusion criteria related to systemic lupus erythematous and other diseases:

  1. Glomerulonephritis caused by reasons other than systemic lupus erythematous.
  2. Sclerosis in >50% of glomeruli on renal biopsy.
  3. Any other inflammatory diseases that might confound the assessments of efficacy, including but not limited to rheumatoid arthritis, myositis, vasculitis, or overlapping syndrome.
  4. Severe extrarenal SLE, including but not limited to severe pulmonary arterial hypertension, severe myocarditis, severe central nervous system lupus (such as neuropsychiatric SLE, seizures, psychosis, transverse myelitis, central nervous system vasculitis and optic neuritis), etc.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
177 participants (actual)

Study arms

  • Experimental
    Zanubrutinib Low Dose

    Participants will receive zanubrutinib 40 mg twice daily (BID) for 72 weeks

    Drug: Zanubrutinib

  • Experimental
    Zanubrutinib High Dose

    Participants will receive zanubrutinib 160 mg twice daily (BID) for 72 weeks

    Drug: Zanubrutinib

  • Experimental
    Zanubrutinib Medium Dose

    Participants will receive zanubrutinib 160 mg once daily (QD) for 72 weeks

    Drug: Zanubrutinib

  • Experimental
    Placebo

    Participants will receive placebo to match zanubrutinib for 72 weeks

    Drug: Placebo

Interventions

  • DrugZanubrutinib

    Administered as specified in the treatment arm

    Also known as: BGB-3111, Brukinsa

  • DrugPlacebo

    Placebo to match zanubrutinib

06

What researchers measure

Primary outcomes

  1. Proportion of participants with complete renal response

    Time frame: Week 49 Day 1

Secondary outcomes

  1. Proportion of participants achieving complete renal response

    Time frame: Up to Week 73 Day 1

  2. Proportion of participants achieving partial renal response

    Time frame: Up to Week 73 Day 1

  3. Proportion of participants achieving overall renal response

    Time frame: Up to Week 73 Day 1

  4. Time to first complete renal response

    The time from the date of randomization to the date of the first complete renal response

    Time frame: Up to Week 73 Day 1

  5. Time to first overall renal response

    The time from the date of randomization to the date of the first overall renal response

    Time frame: Up to Week 73 Day 1

  6. Change in total Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score

    SLEDAI-2K score is a systemic lupus erythematosus (SLE) activity index based on the presence of 24 features in 9 organ systems which ranges from 0 - 105, with higher scores indicating more severe features in participants in the past 30 days

    Time frame: Baseline to Week 49 Day 1

  7. Area under plasma concentration time curve (AUC) of zanubrutinib

    Time frame: Week 1 Day 1 and Week 5 Day 1

07

Study locations

44 sites
  • Anhui Provincial Hospital
    Hefei, Anhui 230000, China
  • Peking University Peoples Hospital
    Beijing, Beijing 100044, China
  • Peking University International Hospital
    Beijing, Beijing 102206, China
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian 361003, China
  • Zhongshan Hospital Xiamen University
    Xiamen, Fujian 361004, China
  • Sun Yat Sen Memorial Hospital, Sun Yat Sen University (North)
    Guangzhou, Guangdong 510000, China
  • Guangdong Provincial Peoples Hospital
    Guangzhou, Guangdong 510080, China
  • The First Affiliated Hospital, Sun Yat Sen University
    Guangzhou, Guangdong 510080, China
  • The Third Affiliated Hospital, Sun Yat Sen University
    Guangzhou, Guangdong 510630, China
  • Guangdong Province Traditional Chinese Medical Hospitsal
    Guangzhou, Guangdong 510655, China
  • Jiangmen Central Hospital
    Jiangmen, Guangdong 529030, China
  • Peking University Shenzhen Hospital
    Shenzhen, Guangdong 518036, China
  • The Second Peoples Hospital of Shenzhen
    Shenzhen, Guangdong 518037, China
  • Liuzhou Workers Hospital
    Liuzhou, Guangxi 545005, China
  • The Peoples Hospital of Guangxi Zhuang Autonomous Region
    Nanning, Guangxi 530021, China
  • Guizhou Provincial Peoples Hospital
    Guiyang, Guizhou 550002, China
  • Hainan General Hospital
    Haikou, Hainan 570206, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450052, China
  • Renmin Hospital of Wuhan University
    Wuhan, Hubei 430060, China
  • The Second Xiangya Hospital of Central South University
    Changsha, Hunan 410011, China
  • General Hospital of Eastern Theater Command
    Nanjing, Jiangsu 210002, China
  • Jiangsu Province Hospital
    Nanjing, Jiangsu 210029, China
  • Wuxi Peoples Hospital
    Wuxi, Jiangsu 214023, China
  • The Affiliated Hospital of Xuzhou Medical University
    Xuzhou, Jiangsu 221000, China
  • The First Affiliated Hospital of Nanchang University Branch Donghu
    Nanchang, Jiangxi 330006, China
  • The Second Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi 330006, China
  • The Second Hospital of Jilin University
    Changchun, Jilin 130022, China
  • First Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning 116011, China
  • Shengjing Hospital of China Medical University
    Shenyang, Liaoning 110004, China
  • General Hospital of Ningxia Medical University
    Yinchuan, Ningxia 750004, China
  • The Second Affiliated Hospital of Xian Jiaotong University
    Xian, Shaanxi 710004, China
  • The First Affiliated Hospital of Xian Jiaotong University
    Xian, Shaanxi 710061, China
  • Shandong Provincial Hospital
    Jinan, Shandong 250021, China
  • The Affiliated Hospital of Qingdao University Branch South
    Qingdao, Shandong 266000, China
  • Huashan Hospital Affiliated to Fudan University
    Shanghai, Shanghai 200040, China
  • Shanghai General Hospital
    Shanghai, Shanghai 200080, China
  • Second Hospital of Shanxi Medical University
    Taiyuan, Shanxi 030001, China
  • West China Hospital, Sichuan University
    Chengdu, Sichuan 610041, China
  • Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital
    Chengdu, Sichuan 610071, China
  • The Second Affiliated Hospital of Tianjin Medical University
    Tianjin, Tianjin 300000, China
  • The First Affiliated Hospital of Xinjiang Medical University
    Urumqi, Xinjiang 830054, China
  • First Affiliated Hospital of Kunming Medical University
    Kunming, Yunnan 650032, China
  • The First Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, Zhejiang 310003, China
  • Ningbo First Hospital
    Ningbo, Zhejiang 315010, China
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04643470
Lead sponsor
BeiGene
Responsible party
Sponsor
First posted
Nov 25, 2020
Start date
Dec 22, 2020
Primary completion
Feb 26, 2024
Completion
Aug 26, 2024
Last update
Nov 29, 2024

Study contacts

Zhen Yao, MD
study director · BeiGene

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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