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Lupus Nephritis

Part of Systemic Lupus Erythematosus

14 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Lupus Nephritis

22 trials tracked for Lupus Nephritis: 6 in phase 3 or 4 and 3 with published results. The most-cited published study has 637 citations.

22Trials tracked
6Phase 3 & 4
0Recruiting
3With published results
Phase distribution
Phase 4 1 Phase 3 5 Phase 2 14 Phase 1 2
  1. Phase 3 Aurinia Renal Response in Active Lupus With Voclosporin Completed · 637 cited
  2. Phase 3 Efficacy and Safety of Belimumab in Patients With Active Lupus Nephritis Completed · 76 cited
  3. Phase 3 Aurinia Renal Assessments 2: Aurinia Renal Response in Lupus With Voclosporin Completed · 31 cited
  4. Phase 4 Cardio Renal Effects of SGLT2 Inhibitors Among Lupus Nephritis Patients Completed
  5. Phase 3 A Study to Evaluate the Efficacy and Safety of Rituximab in Subjects With International Society of Nephrology/Renal Pathology Society (ISN/RPS) 2003 Class III or IV Lupus Nephritis Completed
  6. Phase 3 A Study of Mycophenolate Mofetil (CellCept) in Management of Patients With Lupus Nephritis. Completed
Show 16 more trials
  1. Phase 2 Aurinia Early Urinary Protein Reduction Predicts Response Completed
  2. Phase 2 Abatacept and Cyclophosphamide Combination Therapy for Lupus Nephritis Completed
  3. Phase 2 Phase II Study Assessing Safety and Efficacy of APL-2 in Glomerulopathies Completed
  4. Phase 2 AURA-LV: Aurinia Urinary Protein Reduction Active - Lupus With Voclosporin (AURA-LV) Completed
  5. Phase 2 Rituximab and Belimumab for Lupus Nephritis Completed
  6. Phase 2 A Study to Evaluate the Safety and Efficacy of Obinutuzumab Compared With Placebo in Participants With Lupus Nephritis (LN) Completed
  7. Phase 2 Efficacy and Safety of Enteric-coated Mycophenolate Sodium in Combination With Two Corticosteroid Regimens for the Treatment of Lupus Nephritis Flare Completed
  8. Phase 2 A Study of KZR-616 in Patients With SLE With and Without Lupus Nephritis Completed
  9. Phase 2 Safety and Efficacy of Two Doses of Anifrolumab Compared to Placebo in Adult Subjects With Active Proliferative Lupus Nephritis Completed
  10. Phase 2 A Study of Laquinimod in Participants With Systemic Lupus Erythematosus (SLE) Active Lupus Nephritis Completed
  11. Phase 2 Dose Finding, Efficacy and Safety of BI 655064 in Patients With Active Lupus Nephritis Completed
  12. Phase 2 Safety and Efficacy on Deoxyspergualin (NKT-01) in Patients With Lupus Nephritis Completed
  13. Phase 2 An Exploratory Maintenance Trial of BI 655064 in Patients With Lupus Nephritis Completed
  14. Phase 2 Safety, Pharmacokinetics and Preliminary Efficacy Study of CFZ533 in Patients With Lupus Nephritis. Completed
  15. Phase 1 Phase I Study in China - Tolerability of a Single Dose of Abatacept 30 mg/kg Completed
  16. Phase 1 Study of EQ001 (Itolizumab) in Systemic Lupus Erythematosus With or Without Active Proliferative Nephritis Completed

Showing the 22 most-cited and recently-updated of 22 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Lupus Nephritis: what the trials found

Voclosporin has demonstrated significant efficacy in improving renal outcomes for patients with Lupus Nephritis. Clinical trials showed a significantly higher number of participants achieving an adjudicated renal response at week 52 compared to placebo 2. Additionally, voclosporin was associated with a significant reduction in the urine protein creatinine ratio (UPCR) to 0.5 mg/mg or less 2, and demonstrated statistically significant rates for both renal response and partial renal response 4.

Standard therapies and other agents show varying levels of efficacy. Mycophenolate mofetil (MMF) showed no significant difference in treatment response during the induction phase compared to other cohorts, but demonstrated a significantly higher percentage of patients remaining free from treatment failure during the maintenance phase 5. Rituximab was evaluated for renal outcomes; however, there was no statistically significant difference in the percentage of participants achieving complete or partial renal responses at week 52 6. Safety data for rituximab showed no significant difference in the incidence of grade 3 or higher infectious adverse events across various time points 17.

A trial comparing placebo plus standard therapy against an intervention showed significantly higher rates of primary efficacy renal response (PERR) and complete renal response (CRR) at both week 52 and week 104 3. Dapagliflozin was also evaluated in a Phase 4 study for this condition 1, and voclosporin has been shown to result in the reduction or normalization of UPCR 15.

Recent results — preliminary, needs further review

  • APL-2 (Phase 2) 7
  • CFZ533 (Phase 2) showed a non-significant trend in reducing urine protein creatinine ratio 8
  • KZR-616 (Phase 2) safety and tolerability were assessed via subcutaneous injection 9
  • BI 655064 (Phase 2) did not show statistically significant differences in complete renal response or proteinuria reduction compared to other groups [10, 13]
  • Anifrolumab (Phase 2) showed no significant difference in UPCR changes or the proportion of subjects achieving a composite complete renal response 12

For the clinician treating this condition

  • Voclosporin is associated with statistically significant improvements in renal response and reduction of urine protein creatinine ratios compared to placebo [2, 4].
  • Mycophenolate mofetil shows a significant advantage in treatment failure-free rates during the maintenance phase 5.
  • Rituximab did not show a statistically significant difference in achieving complete or partial renal responses at week 52 6.

AI synthesis of 12 cited trials, updated Jun 29, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Systemic Lupus Erythematosus

Related studies from across the Systemic Lupus Erythematosus family.

Genistein shows potential to attenuate inflammation and reduce disease severity in autoimmune conditions
Allergy & Immunology Sys. Review
Genistein shows potential to attenuate inflammation and reduce disease severity in autoimmune conditions Genistein may help reduce inflammation in several autoimmune diseases
This mini review synthesizes preclinical evidence on genistein for autoimmune diseases including SLE, RA, and type 1 diabetes. Findings sugg…
A review of genistein shows it could lower disease severity and inflammation for people with conditions like lupus and rheumatoid arthritis.
Belimumab linked to higher remission and low disease activity rates in SLE without glucocorticoids
Rheumatology Phase III
Belimumab linked to higher remission and low disease activity rates in SLE without glucocorticoids Trial shows belimumab improves remission rates for lupus patients
A post hoc analysis of phase III trials found that belimumab plus standard therapy led to higher rates of DORIS remission and LLDAS attainme…
A new analysis of clinical trials shows that the drug belimumab helps more people with lupus reach specific remission goals compared to a pl…
Deucravacitinib modulates up to 2529 genes and SLE-relevant gene sets including interferon-regulated genes
Rheumatology RCT
Deucravacitinib modulates up to 2529 genes and SLE-relevant gene sets including interferon-regulated genes Trial Shows Deucravacitinib Modulates Gene Activity in Lupus Patients
This post hoc analysis of a Phase 2 trial in 363 patients with systemic lupus erythematosus (SLE) found that deucravacitinib modulated up to…
A Phase 2 trial shows that deucravacitinib may influence specific gene sets and immune cell activity in people with systemic lupus erythemat…
Corticosteroid and cyclophosphamide exposure are associated with higher mortality in Middle Eastern and North African SLE
Rheumatology Meta-analysis
Corticosteroid and cyclophosphamide exposure are associated with higher mortality in Middle Eastern and North African SLE Specific Medications Linked to Survival Rates in Lupus Patients
This meta-analysis of 3,478 adult patients in the MENA region found an all-cause mortality rate of 9.9% (95% CI: 7.2%-14.0%). While corticos…
New data identifies how specific medications and health conditions impact long-term survival for patients with systemic lupus erythematosus.
Anti-DFS70 antibodies show high specificity but low sensitivity for excluding Systemic Lupus Erythematosus
Rheumatology Meta-analysis
Anti-DFS70 antibodies show high specificity but low sensitivity for excluding Systemic Lupus Erythematosus Anti-DFS70 Antibodies May Help Rule Out Systemic Lupus Erythematoma
This meta-analysis evaluates the diagnostic performance of anti-DFS70 antibodies in patients with Systemic Lupus Erythematoma (SLE). The ana…
A large analysis suggests that specific antibodies could help doctors rule out systemic lupus, though more research is needed to confirm the…
Aerobic and resistance exercise improve fatigue, physical function, and pain in systemic lupus erythematosus
Rheumatology Meta-analysis
Aerobic and resistance exercise improve fatigue, physical function, and pain in systemic lupus erythematosus Exercise Eases Fatigue and Pain in Lupus Patients
This meta-analysis of 470 adults with SLE found that aerobic, resistance, or combined exercise leads to small-to-moderate improvements in fa…
A review of 470 lupus patients finds exercise improves fatigue, pain, and mood without worsening disease activity.
Small PNH clones in SLE linked to thrombotic events and hemolysis in case series
Allergy & Immunology Sys. Review
Small PNH clones in SLE linked to thrombotic events and hemolysis in case series Small blood cell issues can impact patients with lupus and PNH
A systematic review of 8 cases found that 37.5% of SLE patients with PNH had thrombotic events and 87.5% had detectable hemolysis. The findi…
A review of cases shows that even small clusters of abnormal cells can cause serious blood complications in people with lupus and PNH.
Dapirolizumab pegol increases BICLA response rate by 14.6% over placebo in moderate-to-severe SLE
Rheumatology RCT
Dapirolizumab pegol increases BICLA response rate by 14.6% over placebo in moderate-to-severe SLE Trial shows dapirolizumab pegol improves symptoms for lupus patients
This Phase 3 randomized controlled trial of 321 patients with moderate-to-severe, active SLE found that dapirolizumab pegol added to standar…
A new clinical trial found that dapirolizumab pegol significantly improved disease activity for adults with moderate to severe systemic lupu…
SLE patients have a 2- to 3-fold higher risk of intracerebral hemorrhage compared to non-SLE populations
Emergency Medicine Sys. Review
SLE patients have a 2- to 3-fold higher risk of intracerebral hemorrhage compared to non-SLE populations Lupus Patients Face Higher Risk of Brain Bleeding
This literature review and case report analyze the association between systemic lupus erythematosus (SLE) and intracranial hemorrhage (ICH).…
Patients with systemic lupus erythematosus may face a much higher risk of brain bleeds compared to those without the condition.
Systemic immune-inflammation index and systemic inflammation response index correlate with disease activity in systemic lupus erythematosus
Rheumatology Meta-analysis
Systemic immune-inflammation index and systemic inflammation response index correlate with disease activity in systemic lupus erythematosus Inflammation markers are higher in lupus patients than in healthy people
This meta-analysis of eleven studies involving individuals with systemic lupus erythematosus and healthy controls examined inflammatory mark…
A new analysis shows inflammation markers are much higher in people with lupus. These markers also track closely with how active the disease…
Stress-induced IL-6 upregulation impairs skeletal growth and bone health in children with inflammatory diseases
Diabetes & Endocrinology Sys. Review
Stress-induced IL-6 upregulation impairs skeletal growth and bone health in children with inflammatory diseases Stress hormones may harm bone growth in children with inflammatory conditions
This narrative review synthesizes evidence from animal models and pediatric inflammatory disorders showing that stress-induced IL-6 upregula…
A review suggests stress-induced IL-6 upregulation impairs skeletal growth and bone health in kids with inflammatory disorders, highlighting…
Adrenal insufficiency is first manifestation in 73.6% of APS patients with adrenal involvement
Rheumatology Meta-analysis
Adrenal insufficiency is first manifestation in 73.6% of APS patients with adrenal involvement Review finds adrenal crisis common in lupus and antiphospholipid syndrome cases
This systematic review and pooled individual-patient analysis of 155 published APS/SLE-spectrum patients with adrenal involvement found that…
A review of 155 patients shows adrenal crisis is frequent in lupus and antiphospholipid syndrome, highlighting the need for urgent care.

Questions about Lupus Nephritis

Do complement pathways cause kidney injuries in patients with lupus nephritis?

Yes, complement pathways — especially the classical and alternative pathways — contribute to kidney injury in lupus nephritis by driving inflammation and tissue damage after immune complex deposition.

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Is there a genetic variant linked to lupus nephritis risk in Chinese Han populations?

Yes, the rs80213143 variant in LOC100130476 is linked to lupus nephritis risk in Chinese Han populations, with the C allele associated with more severe kidney involvement.

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What role do lysosomal pathways play in the progression of autoimmune kidney disease like lupus nephritis?

Lysosomal pathways act as checkpoints that regulate immune activation, autoantigen processing, and metabolic-immune crosstalk, driving lupus nephritis progression.

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Does having the CYP2C19*2 gene variant protect against cyclophosphamide side effects in lupus nephritis?

Yes, the CYP2C19*2 variant is linked to reduced cyclophosphamide toxicity in lupus nephritis, based on a meta-analysis showing a protective effect.

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How does belimumab compare to anifrolumab for treating lupus nephritis?

Belimumab is approved for lupus nephritis and appears more effective than anifrolumab, which is not yet approved for this condition.

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See all 5 questions about Lupus Nephritis →

All Lupus Nephritis Articles