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Belimumab/kg plus standard therapy

Phase 3

Lupus Nephritis | Monoclonal antibody | Nephrology |GSK plc|Last Updated: Mar 19, 2021

Target and mechanism

Molecular targetTNFSF13B
Target classInhibitor
ModalityMonoclonal antibody

Also known as Belimumab

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment448

FDA Designations

No designations recorded

Clinical trial landscape

Belimumab/kg plus standard therapy · 1 trial · 1 indication

Phase 3 1
NCT01639339Efficacy and Safety of Belimumab in Patients With Active Lupus NephritisLupus Nephritis
COMPLETED448 Analytics
PHASE3COMPLETED
Efficacy and Safety of Belimumab in Patients With Active Lupus Nephritis
Lupus NephritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Double-blind Period: Percentage of Participants With Primary Efficacy Renal Response (PERR) at Week 104
Week 104

PERR is defined as urinary protein creatinine ratio \<=0.7, estimated glomerular filtration rate (eGRF) was not more than 20 percent (%) below the pre-flare value or \>=60 milliliters per minute per 1.73 square meter (mL/min/1.73m\^2) and was not a treatment failure. Analysis was performed using a logistic regression model for the comparison between Belimumab and Placebo with covariates treatment group, induction regimen (CYC vs. MMF), race (Black vs. Non-Black), Baseline urine protein-creatinine ratio (uPCR), and Baseline eGFR. Modified Intent-to-treat (mITT) Population consisted of all randomized participants who received at least one dose of study treatment and were not excluded due to Good Clinical Practice (GCP) non-compliance. Percentage of participants with PERR at Week 104 has been presented.

Open-label Period: Number of Participants Reporting Adverse Events (AEs) and Serious AEs (SAEs)
From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)

An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: resulting in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinemia were categorized as SAE. Number of participants with AEs and SAEs have been reported.

Open-label Period: Number of Participants Reporting Adverse Events of Special Interest (AESI)
From first open-label dose (Day 1) up to open-label Week 32 (8 weeks after last dose)

An AESI is one of scientific and medical concern specific to the product, for which ongoing monitoring and rapid communication by investigator to sponsor can be appropriate. A summary of protocol defined AESIs include malignant neoplasms including and excluding non-melanoma skin cancer (NMSC), post-infusion systemic reactions (PISR), all infections of special interest (opportunistic infections \[OI\], Herpes Zoster \[HZ\], tuberculosis \[TB\], and sepsis), depression (including mood disorders and anxiety)/suicide/self-injury and deaths.

Secondary Endpoints

Double-blind Period: Percentage of Participants With Complete Renal Response (CRR) at Week 104
Week 104
Double-blind Period: Percentage of Participants With PERR at Week 52
Week 52
Double-blind Period: Number of Participants With Time to Death or Renal Related Event
Up to Week 104
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo plus standard therapyPLACEBO_COMPARATORPlacebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, placebo patients who opt to participate will receive belimumab 10 mg/kg IV every 28 days for an additional 6 months.
Belimumab 10 mg/kg plus standard therapyEXPERIMENTALBelimumab 10 mg/kg IV plus standard therapy; belimumab administered on Days 0, 14, 28, and then every 28 days thereafter through Week 100, with a final evaluation at Week 104 in the double-blind period. In the open-label extension period, patients who opt to participate will continue to receive belimumab 10 mg/kg IV every 28 days for an additional 6 months.

Interventions

NameTypeDescription
Placebo plus standard therapyBIOLOGICALPlacebo plus standard therapy
Belimumab 10 mg/kg plus standard therapyBIOLOGICALBelimumab 10 mg/kg plus standard therapy
Standard therapyDRUGThe standard therapies allowed in this study are: \- High-dose steroids (for example, methylprednisolone) plus cyclophosphamide for induction therapy followed by azathioprine for maintenance therapy OR \- High-dose steroids plus mycophenolate for induction therapy followed by mycophenolate for maintenance therapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites118

Key Inclusion Criteria: * Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria. * Biopsy confirmed active lupus nephritis. * Clinically active lupus renal disease at screening requiring /receiving induction therapy with Standard of Care medications. * Autoantibody-positive. ...

Countries:United StatesArgentinaBelgiumBrazilCanadaChinaColombiaCzechiaFranceGermanyHong KongHungaryMexicoNetherlandsPhilippinesRussiaSouth KoreaSpainTaiwanThailandUnited Kingdom
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Frequently asked questions about Belimumab/kg plus standard therapy

What is Belimumab used for?

Belimumab is an investigational antibody being studied for multiple immune-related conditions, including Myasthenia Gravis, Glomerulonephritis, Membranous, Vasculitis, Sjogren's Syndrome, Organ Transplantation, Lupus Nephritis, and interstitial lung disease associated with systemic sclerosis or other connective tissue diseases. It is in Phase 3 clinical development for some of these indications.

What does Belimumab target?

Belimumab is a monoclonal antibody (a -mab) that targets and inhibits B-lymphocyte stimulator (BLyS), a protein that promotes the survival of B cells. By blocking BLyS, Belimumab reduces the activity of B cells, which are involved in autoimmune responses. This mechanism is being evaluated in conditions like lupus nephritis and myasthenia gravis.

Who makes Belimumab?

Belimumab is developed by GSK plc, a global biopharma company listed on the London Stock Exchange under the ticker GSK. GSK is conducting clinical trials of Belimumab across multiple countries, including the United States, Canada, Germany, Italy, and others.

What phase is Belimumab in?

Belimumab is in Phase 3 clinical development for interstitial lung disease associated with connective tissue diseases, and it has also been studied in Phase 2 trials for myasthenia gravis and systemic sclerosis. It is an investigational drug and has not been approved for these indications.

What clinical trials is Belimumab in?

Belimumab is being studied in several ongoing trials, including NCT06572384, a Phase 3 study in adults with interstitial lung disease associated with connective tissue disease, and NCT06716606, a long-term safety extension study. A Phase 2 trial, NCT05878717, is recruiting patients with systemic sclerosis-associated interstitial lung disease.

Is Belimumab the same as Benlysta?

Belimumab is the generic name for the drug also known as Benlysta. While Benlysta is approved for lupus, Belimumab is being investigated in additional conditions such as myasthenia gravis, vasculitis, and interstitial lung disease. The clinical trials listed under the name Belimumab are evaluating these new potential uses.