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ianalumab s.c. q4w

Phase 3

Lupus Nephritis | Small molecule | Immunology |Novartis AG|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment452
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05126277Safety, Efficacy and Tolerability of Ianalumab Versus Placebo, Combination With SoC Therapy, in Participants With Active Lupus NephritisPHASE3 ACTIVE NOT_RECRUITING 452Jul 14, 2022Feb 11, 2031May 22, 2026156 United States, Argentina +25
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Study Endpoints
Primary Endpoints
Frequency and percentage of participants achieving stable Complete Renal Response (CRR)
Week 72

The primary objective is to demonstrate superiority of ianalumab compared to placebo, in achieving stable CRR (defined as estimated glomerular filtration rate (eGFR) ≥90 ml/min/1.73 m2 or no less than 85% of baseline, AND, 24-hour UPCR \<0.5 g/g) at Week 72 in active lupus nephritis (ISN/RPS class III, IV active glomerulonephritis with or without co-existing class V features, or pure class V membranous) participants on background SoC therapy.

Secondary Endpoints
Time to first occurrence of stable urine protein-to-creatinine ratio (UPCR) <0.5 g/g or ≥50% reduction from baseline
Week 72
Percentage of participants achieving stable Overall Renal Response (ORR), defined as achievement as either Complete Renal Response (CRR) or Partial Renal Response (PRR)
Week 48
Incidence of stable Complete Renal Response (CRR) while maintaining daily corticosteroid dose ≤5 mg/day
Week 72
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1 - ianalumab s.c. q4wEXPERIMENTALianalumab s.c. q4w in addition to standard of care (SoC)
Arm 2 - ianalumab s.c. q12wEXPERIMENTALianalumab s.c. q12w in addition to SoC
Arm 3 - placebo s.c. q4wPLACEBO_COMPARATORPlacebo s.c. q4w in addition to SoC
Interventions
NameTypeDescription
ianalumab s.c. q4wDRUGianalumab s.c. q4w in addition to SoC
ianalumab s.c. q12wDRUGianalumab s.c. q12w in addition to SoC
placebo s.c.DRUGplacebo s.c. q4w in addition to SoC
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites156

Inclusion Criteria: Participants eligible for inclusion in this study must meet all of the following criteria: * Adult male and female participants aged 18 years or older at the time of screening * Weigh at least 35 kg at screening * Have a confirmed clinical diagnosis of SLE according to European...

Countries:United StatesArgentinaBrazilCanadaChileChinaColombiaCzechiaEstoniaFranceGermanyGuatemalaHong KongHungaryIndiaItalyLithuaniaMalaysiaMexicoRomaniaSingaporeSouth KoreaSpainTaiwanThailandUnited KingdomVietnam
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT05126277Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT05126277studyFirstPostDate: changed