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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT04376827
Other study ID # CR108766
Secondary ID 2018-003155-38CN
Status Terminated
Phase Phase 2
First received
Last updated
Start date September 15, 2020
Est. completion date February 1, 2023

Study information

Verified date March 2024
Source Janssen Research & Development, LLC
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the efficacy of guselkumab in participants with active lupus nephritis (LN).


Description:

Guselkumab is a monoclonal antibody (mAb) that binds to human interleukin (IL)-23 with high affinity and blocks binding of extracellular IL-23 to cell surface IL-23 receptor, inhibiting IL 23 specific intracellular signaling and subsequent activation and cytokine production. It is used in treatment of plaque psoriasis, psoriatic arthritis, generalized pustular psoriasis, erythrodermic psoriasis. Lupus is a heterogeneous autoimmune disease with lesions confined to skin (cutaneous lupus erythematosus [CLE]) to others that involve 1 or more vital internal organs (systemic lupus erythematosus [SLE]). Renal involvement due to SLE is termed lupus nephritis (LN). There is a high unmet need for new treatment options in LN that are safe and effective, especially new therapies that can provide improved long-term efficacy over currently available therapies. This study will evaluate safety and efficacy of guselkumab added to standard-of-care compared to placebo added to standard-of-care. Total duration of study is up to 68 weeks: a less than or equal to 8 week screening period, a 48 week double-blind treatment period, a 12 week safety follow-up period after last dose. Participants who complete the assessments at Week 52 and have achieved complete renal response (CRR) may have the option to participate in the long-term extension (LTE) of study through Week 152 and the 12-week safety follow-up visit. Hypothesis of this study is that guselkumab plus standard-of-care is superior to placebo plus standard-of-care in participants with active LN as measured by the proportion of participants inducing at least a 50 percentage reduction of proteinuria with protocol specified steroid tapering regimen at Week 24. Safety assessments include Adverse events (AEs), clinical laboratory tests (hematology and chemistry), systolic and diastolic blood pressures over time, monitoring for hypersensitivity reactions, AEs temporally associated with infusion, injection-site reactions, suicidality assessment, and early detection of active tuberculosis (TB).


Recruitment information / eligibility

Status Terminated
Enrollment 33
Est. completion date February 1, 2023
Est. primary completion date February 1, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - At screening and randomization, must be receiving oral glucocorticoids at minimum prednisone equivalent dose of 10 milligrams per day (mg/day) and maximum 1 mg/kg/day or less than or equal to (<=) 60 mg/day, whichever is lower. Treated for greater than or equal to (>=) 6 weeks with stable dosing >=2 weeks before randomization - If receiving angiotensin-converting enzyme (ACE) inhibitor/angiotensin II receptor blockers (ARB), a stable dose for at least 2 weeks prior to randomization - Positive antinuclear antibody (ANA; >= 1:80 titer by central laboratory test) or anti-double-stranded deoxyribonucleic acid (dsDNA) antibodies (>=30 international units per milliliter ([U/mL] by central laboratory test) detected at screening - Kidney biopsy documentation of active International Society of Nephrology (ISN)/Renal Pathology Society (RPS) proliferative nephritis: Class III-IV (with or without class V membranous nephritis) within the last 6 months prior to screening or performed during screening - Urine Protein to Creatinine Ratio (UPCR) >= 1.0 milligram/milligram (mg/mg) assessed on 2 first morning urine void specimens during screening. These 2 specimens do not need to be on consecutive days, however, 2 samples must be tested with UPCR >= 1.0 mg/mg in a row. The UPCR requirement must be met after at least 8 weeks of mycophenolate mofetil (MMF)/mycophenolic acid (MPA) treatment, and after stable glucocorticoid dosing is achieved at the dose intended at time of randomization Exclusion Criteria: - Comorbidities (other than lupus nephritis [LN], example, asthma, chronic obstructive pulmonary disease) which have required 3 or more courses of systemic glucocorticoids within the previous 12 months - Has other inflammatory diseases that might confound the evaluations of efficacy, including but not limited to rheumatoid arthritis (RA), psoriatic arthritis (PsA), RA/lupus overlap, psoriasis, Crohn's disease, or active Lyme disease - Received PO (orally) or intravenously (IV) cyclophosphamide within 3 months prior to randomization - History of latent or active granulomatous infection, including histoplasmosis or coccidioidomycosis, before screening - History of being human immunodeficiency virus (HIV) antibody-positive, or tests positive for HIV at screening

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Guselkumab Dose 1
Participants will receive guselkumab Dose 1 via IV administration.
Placebo
Participants will receive placebo IV at Weeks 0, 4 and 8 (that is, 3 IV doses) and placebo SC q4w from Week 12 through Week 48.
Guselkumab Dose 2
Participants will receive guselkumab Dose 2 via SC route.
Standard-of-care treatment
Participants will receive standard of care treatment including MMF/MPA and glucocorticoids from Week 12 through Week 48.

Locations

Country Name City State
Argentina Centro Médico Reumatológico (OMI) Buenos Aires
Argentina ARCIS Salud SRL Aprillus asistencia e investigacion Caba
Argentina Hospital Ramos Mejia Caba
Argentina Instituto Medico Strusberg SA Cordoba
Argentina Clinica Privada Velez Sarsfield Córdoba
Argentina Instituto de Reumatologia - Ir Medical Center S.A. Mendoza
Argentina Instituto Médico de la Fundación de Estudios Clínicos (ECLIN) Rosario
Argentina Centro de Investigaciones Medicas Tucuman San Miguel De Tucuman
Mexico Centro de Investigacion y Tratamiento Reumatologico S C Ciudad de Mexico
Mexico Hospital Civil de Guadalajara Fray Antonio Alcalde Guadalajara
Mexico Unidad Reumatologica las Americas S.C.P. Merida
Mexico Consultorio de Reumatologia Mexico
Mexico Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán Mexico City
Mexico Unidad de Investigaciones Reumatologicas A.C San Luis Potosi
Poland Uniwersyteckie Centrum Medyczne, Klinika Nefrologii, Transplantologii i Chorób Wewnetrznych Gdansk
Poland Uniwersytecki Szpital Kliniczny nr 1 im. N. Barlickiego Lodz
Poland Uniwersytecki Szpital Kliniczny we Wroclawiu Wroclaw
Russian Federation LLL Medical Center Revma-Med Kemerovo
Russian Federation Orenburg State Medical University Orenburg
Russian Federation LLC Medical Sanitary Part No. 157 Saint-Petersburg
Russian Federation Saratov Regional Clinical Hospital Saratov
Russian Federation LLC German Clinic St. Petersburg
Spain Hosp. Univ. A Coruna A Coruña
Spain Hosp. Univ. Vall D Hebron Barcelona
Spain Hosp. Univ. de Basurto Bilbao
Spain Hosp. Univ. 12 de Octubre Madrid
Spain Hosp. Univ. Fuenlabrada Madrid
Spain Hosp. Univ. Infanta Leonor Madrid
Spain Hosp. Univ. Ramon Y Cajal Madrid
Spain Hosp. Clinico Univ. de Valencia Valencia
Taiwan Kaohsiung Veterans General Hospital Kaohsiung
Taiwan China Medical University Hospital Taichung
Taiwan National Taiwan University Hospital Taipei
Taiwan Chang Gung Memorial Hospital Taoyuan
Thailand Phramongkutklao Hospital and Medical College Bangkok
Thailand Ramathibodi Hospital Bangkok
Thailand Maharaj Nakorn Chiangmai Hospital Chiang Mai
Thailand Songklanagarind hospital Hat Yai
Ukraine Communal Noncommercial Enterprise Cherkasy Regional Hospital of Cherkasy Regional Council Cherkasy
Ukraine Municipal non-commercial enterprise of Kharkiv Regional Council Regional Clinical Hospital Kharkiv
Ukraine City Clinical Hospital No. 2 Kryvyi Rih
Ukraine Kyiv Railway Clinical Hospital #2 Of Branch 'Health Center' Of The Company 'Ukrainian Railway' Kyiv
Ukraine Medical Center 'Consylium Medical' Kyiv
Ukraine Medical Center 'Ok Clinic' of International Institute of Clinical Research LLC Kyiv
Ukraine SI National Scientific Center Institute of Cardiology of M.D. Strazhesko of NAMS of Ukraine Kyiv
Ukraine State Institution 'Institute of Nephrology of the National Academy of Medical Sciences of Ukraine' Kyiv
Ukraine Multidisciplinary Medical Center of Odessa National Medical University Odessa
Ukraine Municipal Non-profit Enterprise 'Odesa Regional Clinical Hospital' Odesa Regional Council Odessa
Ukraine Municipal Non-commercial Enterprise Ternopil University Hospital of Ternopil Regional Council Ternopil
Ukraine MNPE 'Vinnytsia Regional Clinical Hospital named after M.I. Pyrogov of Vinnytsia Regional Council' Vinnytsia
Ukraine Medical Center LTD Health Clinic Department of Cardiology and Rheumatology Vinnytsya
Ukraine Medical Center LLC 'Modern Clinic' Zaporizhzhya
United States University of Colorado Denver Aurora Colorado
United States NYU Langone Ambulatory Care Brooklyn Heights Brooklyn New York
United States Medvin Clinical Research Covina California
United States Med Research, Inc. El Paso Texas
United States University of Florida College of Medicine Gainesville Florida
United States UC San Diego La Jolla California
United States Academic Medical Research Institute Los Angeles California
United States The Feinstein Institute for Medical Research Manhasset New York

Sponsors (1)

Lead Sponsor Collaborator
Janssen Research & Development, LLC

Countries where clinical trial is conducted

United States,  Argentina,  Mexico,  Poland,  Russian Federation,  Spain,  Taiwan,  Thailand,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Achieving at Least 50 Percent (%) Decrease From Baseline in Proteinuria at Week 24 Percentage of participants achieving at least 50% decrease in proteinuria from baseline at Week 24 was reported. Proteinuria analysis was based on urine protein creatinine ratio (UPCR) and was defined as the presence of an excess of serum proteins in the urine, which may be an early sign of kidney disease. Week 24
Secondary Percentage of Participants Who Achieved Complete Renal Response (CRR) at Week 24 Percentage of participants who achieved CRR at Week 24 were reported. CRR was defined as UPCR less than (<) 0.5 milligrams per milligrams (mg/mg), estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 60 milliliter per minute per 1.73 meter square (mL/min/1.73m^2) or no confirmed decrease >=20% from baseline and prednisone dose less than or equal to (<=) 10 milligrams per day (mg/d). Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure (OM) time point (Week 24) or initiation of prohibited medications at any time prior to the endpoint time point (Week 24). Week 24
Secondary Percentage of Participants Who Achieved CRR at Week 52 Percentage of participants who achieved CRR at Week 52 were reported. CRR was defined as UPCR less than (<) 0.5 mg/mg, eGFR >= 60 mL/min/1.73m^2 or no confirmed decrease >=20% from baseline and prednisone dose <= 10 mg/d. Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 52) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 52). Week 52
Secondary Percentage of Participants Achieving a Sustained Reduction in Steroid Dose <=10 mg/d of Prednisone or Equivalent From Week 16 Through Week 24 Percentage of participants achieving a sustained reduction in steroid dose less than or equal to (<=) 10 mg/day of prednisone or equivalent from week 16 through Week 24were reported. From Week 16 through Week 24
Secondary Percentage of Participants Achieving at Least 50% Decrease in Proteinuria From Baseline at Week 52 Percentage of participants achieving at least 50% decrease in proteinuria from baseline at Week 52 were reported. Proteinuria analysis was based on urine protein creatinine ratio (UPCR) and was defined as the presence of an excess of serum proteins in the urine, which may be an early sign of kidney disease. Week 52
Secondary Percentage of Participants With Urine Protein to Creatinine Ratio (UPCR) < 0.5 mg/mg at Week 24 Percentage of participants with UPCR <0.5 mg/mg at Week 24 were reported. Week 24
Secondary Percentage of Participants With UPCR < 0.75 mg/mg at Week 24 Percentage of participants with UPCR less than 0.75 mg/mg at Week 24 were reported. Week 24
Secondary Percentage of Participants Who Achieved CRR Through Week 24 Percentage of participants who achieved CRR through Week 24 was reported. CRR was defined as UPCR<0.5 mg/mg, eGFR >= 60 mL/min/1.73m^2 or no confirmed decrease>=20% from baseline and prednisone dose <= 10 mg/d. Participant was considered as achieved CRR who did not discontinue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to lupus nephritis (LN) or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 24) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 24). Up to Week 24
Secondary Percentage of Participants With Treatment Failure (TF) Through Week 52 Percentage of participants with TF through Week 52 was reported. TF was defined as time to the first occurrence of TF from baseline. Participant was considered to have treatment failure, who did not continue study intervention for any reason excluding COVID-19 related discontinuations or met the medication intercurrent event (exceeded baseline glucocorticoid dose, increase above 10 mg/d prednisone equivalent after Week 12, use of new or increased dose of concomitant medication related to LN or other immunosuppressive agents, within 8 weeks prior to the outcome measure time point (Week 52) or initiation of prohibited medications at any time prior to the outcome measure time point (Week 52). Up to Week 52
Secondary Number of Participants With Adverse Events (AEs) Number of participants with AEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With Serious Adverse Events (SAEs) Number of Participants with SAEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, or was medically important. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With Related AEs Number of participants with related AEs were reported. An AE was defined as any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product did not necessarily have a causal relationship with the treatment. Therefore, it could be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. Related AE was defined as the AE assessed by the investigator related to study agent. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With AEs Leading to Discontinuation of Study Intervention Number of participants with AEs leading to discontinuation of study intervention were reported. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With Infections Number of participants with infections as assessed by the investigator were reported. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With Serious Infections Number of participants with serious infections as assessed by the investigator were reported. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With Infections Requiring Oral or Parenteral Antimicrobial Treatment Number of participants with infections requiring oral or parenteral antimicrobial treatment planned to be were reported. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With AEs Temporally Associated With an Infusion Number of participants with AEs temporally (a reaction that occurred during or within 1 hour after infusion) associated with an infusion were reported. AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product does not necessarily have a causal relationship with the treatment. Therefore, it can be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Number of Participants With AEs With Injection-site Reactions Number of participants with injection-site reactions as assessed by the investigator were reported. An injection-site reaction is any adverse reaction at a SC study intervention injection-site. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Change From Baseline in Clinical Laboratory Parameter: Activated Partial Thromboplastin Time Change from baseline in clinical laboratory parameter: activated partial thromboplastin time was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Basophils Change from baseline in clinical laboratory parameter: basophils was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Eosinophils Change from baseline in clinical laboratory parameter: eosinophils was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Hemoglobin Change from baseline in clinical laboratory parameter: erythrocytes mean corpuscular hemoglobin was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Mean Corpuscular Volume Change from baseline in clinical laboratory parameter: erythrocytes mean corpuscular volume was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Erythrocytes Change from baseline in clinical laboratory parameter: erythrocytes was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Hematocrit Change from baseline in clinical Laboratory parameter: hematocrit was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Hemoglobin Change from baseline in clinical laboratory parameter: hemoglobin was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter Leukocytes Change from baseline in clinical laboratory parameter: leukocytes was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Lymphocytes Change from baseline in clinical laboratory parameter: lymphocytes was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Monocytes Change from baseline in clinical laboratory parameter: monocytes was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Hematology Parameter: Segmented Neutrophils Change from baseline in clinical laboratory parameter: segmented neutrophils was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Platelets Change from baseline in clinical laboratory parameter: platelets was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Prothrombin International Normalized Ratio Change from baseline in clinical laboratory parameter: prothrombin international normalized ratio was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Prothrombin Time Change from baseline in clinical laboratory parameter: prothrombin time was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Reticulocytes/Erythrocytes Change from baseline in clinical laboratory hematology parameter:reticulocytes/erythrocytes was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Alanine Aminotransferase Change from baseline in clinical laboratory parameter: alanine aminotransferase was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Albumin Change from baseline in clinical laboratory parameter: albumin was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Alkaline Phosphatase Change from baseline in clinical laboratory parameter: alkaline phosphatase was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Aspartate Aminotransferase Change from baseline in clinical laboratory parameter: aspartate aminotransferase was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Bicarbonate Change from baseline in clinical laboratory parameter: bicarbonate was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Bilirubin Change from baseline in clinical laboratory parameter: bilirubin was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameters: Calcium Change from baseline in clinical laboratory parameter: calcium was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Chloride Change from baseline in clinical laboratory parameter: chloride was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameters: Cholesterol Change from baseline in clinical laboratory parameter: cholesterol was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Creatine Kinase Change from baseline in clinical laboratory parameter: creatine kinase was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Creatinine Change from baseline in clinical laboratory parameter: creatinine was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Protein Change from baseline in clinical laboratory parameter: protein was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Phosphate Change from baseline in clinical laboratory parameter: phosphate was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Sodium Change from baseline in clinical laboratory parameter: sodium was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameters: Potassium Change from baseline in clinical laboratory parameter: potassium was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameters: Urea Nitrogen Change from baseline in clinical laboratory parameter: urea nitrogen was reported. Baseline (Week 0), Week 24, and Week 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Glomerular Filtration Rate (GFR) From Creatinine Adjusted for Body Surface Area (BSA) Change from baseline in clinical laboratory parameter: GFR from Creatinine Adjusted for BSA was reported. Baseline (Week 0), Weeks 24 and 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Gamma Glutamyl and Transferase Lactate Dehydrogenase Change from baseline in clinical laboratory parameter: gamma glutamyl transferase and lactate dehydrogenase were reported. Baseline (Week 0), Weeks 24 and 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Glucose and Magnesium Change from baseline in clinical laboratory parameter: glucose and magnesium were reported. Baseline, Weeks 24, 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Protein Change from baseline in clinical laboratory parameter: protein was reported. Baseline (Week 0), Weeks 24 and 52
Secondary Change From Baseline in Chemistry Parameters: Protein/Creatinine Change from baseline in chemistry parameter: protein/creatinine was reported. Baseline, Weeks 24 and 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Urate Change from baseline in clinical laboratory parameter: urate was reported. Baseline, Weeks 24, 52
Secondary Change From Baseline in Clinical Laboratory Parameter: Urine Protein Change from baseline in clinical laboratory parameter: urine protein was reported. Baseline (Week 0), Weeks 24 and 52
Secondary Number of Participants With Maximum US National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Toxicity Grade (Grade 4) in Clinical Laboratory Parameters: Hematology and Chemistry Number of participants with maximum US NCI-CTCAE toxicity grade (Grade 4) in clinical laboratory parameters: hematology and chemistry were reported. Toxicity were graded as Grade 1: Mild, Grade 2: Moderate; Grade 3: Severe. Grade 4: Life-threatening and Grade 5: Death. DB period: From Week 0 up to 12 week safety follow-up (i.e., up to Week 60); LTE phase: From Week 52 up to LTE phase termination (i.e., up to Week 96)
Secondary Percentage of Participants With Abnormal Vital Signs: Systolic and Diastolic Blood Pressure Percentage of participants with abnormal vital signs: Systolic and Diastolic blood pressure were reported. Up to Week 60
Secondary Serum Concentration of Guselkumab Serum Concentration of guselkumab were reported. Predose: Weeks 0,4,8,12,16,20,24, 36; Post-dose: Week 0 (1 hour after intravenous administration), Day 2, Week 52 and 60
Secondary Number of Participants With Treatment-boosted Anti-drug Antibodies (ADA) Response Treatment-boosted ADA positive participants: participants who were positive at baseline and whose titers increased 2-fold at any time after treatment. Titer values were categorized as<=1:10, 10 to 100, 100 to 1000, >1000. From Baseline (Week 0) through Week 24 and Week 60
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