ClinicalTrials.gg
RecruitingNCT07598396SOLUNAUpdated Oct 19, 2026

A Study to Evaluate Mosunetuzumab in Participants With Systemic Lupus Erythematosus With or Without Active Lupus Nephritis

A Phase 2 interventional study of Mosunetuzumab in Lupus, Systemic Lupus Erythematosus and Lupus Nephritis, sponsored by Hoffmann-La Roche. Recruiting at 24 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Primary conditionLupus NephritisRegistry: Lupus Erythematosus, SystemicReclassifiedWhy we changed it
Registry
Lupus Erythematosus, Systemic — the first condition term the registry derived for this study.
ClinicalTrials.gg
Lupus Nephritis
Why
  1. The study's listed conditions name Lupus Nephritis, a narrower term within Lupus Erythematosus, Systemic.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Updated Oct 19, 2026First site in Argentina2 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess how mosunetuzumab works in people who have systemic lupus erythematosus (SLE) who may or may not also have active lupus nephritis (LN).

02

Conditions studied

  • Lupus
  • Systemic Lupus Erythematosus
  • Lupus Nephritis

Browse trials for

03

In context

Lupus Nephritis Reclassified

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

This study's planned enrollment of 30 is below the median of 48 across 242 interventional studies indexed under Lupus Nephritis.

Browse Lupus Nephritis studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

Compared within Lupus Nephritis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Lupus Erythematosus, Systemic. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of SLE for ≥ 6 months as assessed using the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Classification Criteria at screening

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding, or intention of becoming pregnant during the study or within the time frame in which is required
  • Treatment with therapy within 30 days or 5 drug-elimination half-lives (whichever is longer) prior to initiation of study treatment and during the study
  • Major surgery requiring hospitalization during the 4 weeks prior to screening or during screening, or any planned surgery or procedure requiring hospitalization during the 12 weeks following study drug administration
  • Alcohol or substance abuse within the 12 months prior to screening
  • Active infection of any kind, excluding fungal infection of the nail beds
  • Any major episode of infection as defined by the protocol
  • History of serious recurrent or chronic infection
  • History of progressive multifocal leukoencephalopathy (PML)
  • Tuberculosis (TB) infection
  • History of cancer, including solid tumors, hematological , and carcinoma in situ, within the past 5 years
  • Active overlap syndrome with mixed connective tissue disease or systemic sclerosis within the 12 months prior to screening or during screening
  • Catastrophic or severe antiphospholipid syndrome within the 12 months prior to screening or during screening. Antiphospholipid syndrome adequately controlled by anticoagulant therapy for at least 2 months prior to screening is acceptable
  • High risk for bleeding or any condition requiring plasmapheresis, IV immunoglobulin, or acute blood product transfusions
  • Active severe or unstable lupus-associated neuropsychiatric disease or where, in the opinion of the investigator, it is likely to require treatment with protocol-disallowed therapies. Examples of neuropsychiatric SLE manifestations include, but are not limited to the following: meningitis, retinitis, cerebral vasculitis, myelopathy, demyelination syndromes, acute confusional state, psychosis, acute stroke or stroke syndrome, cranial neuropathy, status epilepticus or seizures, cerebellar ataxia, and mononeuritis multiplex
  • History of any non-SLE disease treated with oral, intravenous, or intramuscular for more than 14 days in total during the one year prior to Day 1
  • History of treatment with any T cell-engaging bispecific antibodies or CAR-T therapy within the past 2 years
  • Receipt of any live or attenuated vaccine in the 28 days prior to or during screening
Terms in these criteria, in plain language(5)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Mosunetuzumab

    Participants will receive mosunetuzumab by subcutaneous (SC) injection.

    Drug: Mosunetuzumab

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of participants who have achieved remission by Week 76

    Drug-Free Remission is defined as achieving both of the following: Absence of disease activity maintained for 6 months after completion of mosunetuzumab treatment, and; not receiving any SLE-directed therapy (except for antimalarials) during the 6 months. Doses of prednisone (or equivalent) ≤5 mg/day to treat secondary adrenal insufficiency are permitted.

    Time frame: Up to Week 76

Secondary outcomes

  1. Proportion of participants who achieve Definition of Remission in SLE (DORIS) by Week 76

    DORIS remission is defined as achievement of all of the following for at least 6 months: Clinical systemic lupus erythematosus disease activity index (cSLEDAI) = 0 after completion of mosunetuzumab treatment; stable dosing of SLE therapies for at least 6 months; Physician Global Assessment (PGA) of \< 0.5, and; prednisone (or equivalent) dose ≤5 mg/day.

    Time frame: Up to Week 76

  2. Proportion of participants who achieve Complete Renal Response (CRR) at Weeks 24, 52, 76, and 104

    CRR is defined as all of the following: Urinary protein-to-creatinine ratio (UPCR) \< 0.5 g/g, and; estimated glomerular filtration rate (eGFR) ≥ 85% of baseline, as calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation or ≥ 60 ml/min per 1.73 m\^2 of body-surface area.

    Time frame: Weeks 24, 52, 76, and 104

  3. Proportion of participants who achieve Partial Renal Response (PRR) at Weeks 24, 52, 76, and 104

    PRR is defined as all of the following: ≥ 50% reduction in UPCR from baseline; UPCR \< 1 g/g (or \< 3 g/g if the baseline UPCR was ≥ 3 g/g), and; eGFR ≥85% of baseline, as calculated using the CKD-EPI equation.

    Time frame: Weeks 24, 52, 76, and 104

  4. Percentage of participants with adverse events (AEs)

    Time frame: Up to 2.5 years

  5. Longitudinal change in titers of anti-double-stranded (ds) DNA

    Time frame: Up to 2.5 years

  6. Longitudinal changes in complement C3 and C4

    Time frame: Up to 2.5 years

  7. Serum concentration of mosunetuzumab

    Time frame: Up to 2.5 years

  8. Percentage of participants with anti-drug antibodies (ADAs)

    Time frame: Baseline up to 2.5 years

  9. CD19+ absolute counts in blood

    Time frame: Up to 2.5 years

  10. Change in Functional Assessment of Chronic Illness Therapy (FACIT) - Fatigue

    Time frame: Baseline to Week 76

  11. Change in Subject's Global Assessment of Disease Activity (SGA)

    Time frame: Baseline to Week 76

07

Study locations

24 of 24 sites recruiting
  • Organizacion Medica de Investigacion (OMI)
    CABA, Buenos Aires C1015ABO, Argentina
    Recruiting
  • APRILLUS Asistencia e Investigacion
    Buenos Aires, Ciudad Autonoma Buenos Aires 1406, Argentina
    Recruiting
  • Clnica SER da Bahia
    Salvador, Estado de Bahia 40150-150, Brazil
    Recruiting
  • L2IP ?Instituto de Pesquisas Clínicas Ltda.
    Brasília, Federal District 70200-730, Brazil
    Recruiting
  • IPC MT Instituto de Pesquisas Clinicas do Mato Grosso
    Cuiab, Mato Grosso 78020-500, Brazil
    Recruiting
  • Complexo Hospitalar de Niteroi
    Niterói, Rio de Janeiro 24030-103, Brazil
    Recruiting
  • LMK Servios Mdicos S/S Ltda
    Porto Alegre, Rio Grande do Sul 90480-000, Brazil
    Recruiting
  • Hospital das Clinicas de Ribeirao Preto
    Ribeiro Preto, São Paulo 14048-900, Brazil
    Recruiting
  • Hospital das Clnicas da Faculdade de Medicina da USP
    São Paulo, São Paulo 05403-000, Brazil
    Recruiting
  • Clinica de la Costa S.A.S
    Barranquilla, 080020, Colombia
    Recruiting
  • Administradora Country S.A.S.
    Bogotá, 110221, Colombia
    Recruiting
  • Centro de Investigacion en Reumatologia y Especialdades Medicas SAS. CIREEM
    Bogotá, 110221, Colombia
    Recruiting
  • Hospital Pablo Tobon Uribe
    Medellín, 050034, Colombia
    Recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS
    Rome, Lazio 00168, Italy
    Recruiting
  • Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
    Brescia, Lombardy 25123, Italy
    Recruiting
  • Istituto Clinico Humanitas
    Rozzano, Lombardy 20089, Italy
    Recruiting
  • CIMAB S.A. de C.V.
    Torreón, Coahuila 27000, Mexico
    Recruiting
  • Centro Medico del Angel
    Mexicali, Estado de Baja California 21100, Mexico
    Recruiting
  • CREA de Guadalajara, S.C.
    Guadalajara, Jalisco 44100, Mexico
    Recruiting
  • Centro de Investigación y Tratamiento Reumatológico S.C.
    México, Mexico CITY (federal District) 11850, Mexico
    Recruiting
  • Centro de Investigación de Tratamientos Innovadores de Sinaloa (CITI)
    Culiacán, Sinaloa 80000, Mexico
    Recruiting
  • Emmed Research
    Pretoria, Gauteng 0002, South Africa
    Recruiting
  • University of Cape Town Kidney and Hypertension Research Unit
    Cape Town, Western Cape 7925, South Africa
    Recruiting
  • Clinical Trials Network Helderberg
    Somerset West, Western Cape 7130, South Africa
    Recruiting
08

References and documents

Publications

  • Martins E, Chindalore VL, Sheng XR, Schroeder AV, Chen V, Mody H, Arjomandi A, Mao HA, Hassan I, Dankiewicz-Fares I, Agachi S, Omachi TA, Garg JP, Pendergraft WF 3rd. Phase Ib, multicentre, open-label, dose-escalation study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of subcutaneously administered mosunetuzumab in participants with systemic lupus erythematosus. Lupus Sci Med. 2026 Jun 17;13(1):e002019. doi: 10.1136/lupus-2026-002019. PubMed 42309556 ↗

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Updates

1 registry update since Sep 25, 2026
Sites
2 sites added — first site in Argentina
Show 2 added (2 Argentina)
  • Organizacion Medica de Investigacion (OMI) · CABA, Argentina
  • APRILLUS Asistencia e Investigacion · Buenos Aires, Argentina
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    2 sites added — first site in Argentina
    Show 2 added (2 Argentina)
    • Organizacion Medica de Investigacion (OMI) · CABA, Argentina
    • APRILLUS Asistencia e Investigacion · Buenos Aires, Argentina
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07598396
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
May 20, 2026
Start date
May 25, 2026
Primary completion
Feb 28, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Oct 19, 2026

Study contacts

Reference Study ID Number: GA45799 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. Only)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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Studies of the drug tested here: Mosunetuzumab

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