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. Author manuscript; available in PMC: 2024 Apr 1.
Published in final edited form as: Pediatr Nephrol. 2022 Jul 1;38(4):1001–1012. doi: 10.1007/s00467-022-05670-7

Table 3:

Clinical trials of newly-approved and emerging drug targets and their endpoints

Drug Trial Phase Treatment Primary Endpoint Secondary Endpoint
Belimumab BLISS-LN III IV belimumab (10mg/kg) vs placebo + standard therapy Primary efficacy renal response at 104 weeks:
  • uPCR≤0.7,

  • eGFR≤20% below baseline or ≥60ml/min/1.73m2,

  • no rescue therapy

CRR at 104 weeks:
  • uPCR<0.5

  • eGFR≤10% below baseline or ≥90ml/min/1.73m2

  • no rescue therapy

Voclosporin AURA-LV II Voclosporin 23.7 mg BID vs. 39.5 mg BID vs. matched placebo + MMF (2 g/d) + rapidly tapered corticosteroids CRR at 24 weeks:
  • uPCR≤0.5

  • eGFR<20% below baseline or >60ml/min/1.73m2

  • No rescue therapy

CRR at 48 weeks
Voclosporin AURORA-1 III Voclosporin 23.7 mg BID vs. placebo + MMF (2g/d) + rapidly tapered low oral corticosteroids CRR at 52 weeks:
  • uPCR≤0.5

  • eGFR<20% below baseline or >60ml/min/1.73m2

  • no rescue therapy

  • Time to uPCR≤0.5,

  • Partial renal response (PRR) (≥50% reduction from baseline eGFR)

  • Time to 50% reduction in uPCR

  • CRR at 24 weeks

Obinutuzumab NOBILITY II IV obinutuzumab 1000mg vs. placebo on day1 and weeks 2, 24, 26 + MMF + corticosteroids CRR at 52 weeks:
  • uPCR<0.5

  • serum creatinine ≤ULN and <15% below baseline

  • inactive urinary sediment (<10 RBC/HPF, no RBC casts)

  • no rescue therapy

PRR at 52 weeks:
  • ≥50% reduction in uPCR

  • ≤15% increase in serum creatinine from baseline,

  • urinary RBC<10/HPF or ≤50% from baseline