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Safety, Efficacy and Tolerability of Ianalumab Versus Placebo, Combination With SoC Therapy, in Participants With Active Lupus Nephritis

NCT05126277 · Novartis
In plain English

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Official title
A Randomized, Double-blind, Parallel Group, Placebo-controlled, Multicenter Phase 3 Trial to Evaluate Efficacy, Safety and Tolerability of Ianalumab on Top of Standard-of-care Therapy in Participants With Active Lupus Nephritis (SIRIUS-LN).
About this study
This trial will evaluate the efficacy, safety, and tolerability of subcutaneous (s.c.) ianalumab given every 4 weeks (q4w) or ianalumab given every 12 weeks (q12w) compared to placebo, in combination with SoC, in adult participants with active LN (ISN/RPS class III, IV active glomerulonephritis with or without co-existing class V features, or pure class V membranous). using the 2003 International Society for Nephrology (ISN)/Renal Pathology Society (RPS) criteria).
Eligibility criteria
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 League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Systemic Lupus Erythematosus (SLE) classification criteria * Have a positive anti-nuclear antibody (ANA) test result; ANA titer ≥ 1:80 at screening visit based on central or local laboratory result * Active LN at screening, as defined by meeting the 3 following criteria: * Renal biopsy within 6 months prior to screening period indicating ISN/RPS class III or IV active glomerulonephritis with or without co-existing class V features, or pure class V membranous LN. If no biopsy was performed within 6 months prior to screening period, a biopsy will need to be performed during the screening period after having met all other inclusion/exclusion criteria. * UPCR ≥ 1.0 g/g on 24h urine collection at Screening * eGFR ≥ 25mL/min/1.73 m2. Participants with eGFR \< 30 mL/min/1.73 m2 require renal biopsy during the screening period showing sclerosis in ≤ 50% of glomeruli * Newly diagnosed participants as well as pre-treated LN participants (including refractory cases) can be included, as long as they are currently on, or willing to initiate SoC induction therapy for LN using MPA * Induction therapy, as defined by treatment including both high dose corticosteroids and MPA, should be initiated prior to or on day of randomization * Anti-malarial treatment at stable dosing prior to randomization is strongly recommended, in the absence of contraindications * Participants on azathioprine treatment at Screening must be switched to MPA prior to randomization * Receipt of at least one dose of pulse methylprednisolone i.v. (250 - 1000 mg per day up to 3000 mg cumulative dose) or equivalent for treatment of current episode of active LN within 60 days prior randomization. Participant who cannot take the pulse i.v. corticosteroid therapy should directly start on 0.8-1.0 mg/day (max 80mg/day) oral predniso(lo)ne. * Able to communicate well with the Investigator to understand and comply with the requirements of the study Exclusion Criteria: Participants meeting any of the following criteria are not eligible for inclusion in this study: * Severe renal impairment as defined by i.) presence of oliguria (defined as a documented urine volume \<400 mL/24 hrs) or ii.) End-Stage Renal Disease (ESRD) requiring dialysis or transplantation * Sclerosis in \> 50% of glomeruli on renal biopsy * Use of other investigational drugs within 5 half-lives of enrollment, or within 30 days or until the expected pharmacodynamic effect has returned to baseline. Use of certain Traditional Chinese Medicines * Prior use of ianalumab (ever); or prior use other B cell depleting therapy within 36 weeks prior to randomization or if therapy was administered \< 36 weeks prior to randomization, B cell count less than the lower limit of normal or patient's own baseline value prior to having received an earlier B cell-depleting therapy * Prior treatment with any of the following within 12 weeks prior to randomization * Belimumab, telitacicept, abatacept, TNF-α mAb, immunoglobulins (i.v./s.c.) plasmapheresis * Any other immuno-suppressants (i.v. or oral cyclophosphamide, calcineurin inhibitors, JAK inhibitors or other kinase inhibitors) * Thalidomide treatment and/or methotrexate * Combination of DMARDs * Imidazole derivative (e.g., azathioprine, mizoribine) must be discontinued prior to starting treatment with MPA * Receipt of more than 3000 mg i.v. pulse methylprednisolone (cumulative dose) within 12 weeks prior to randomization * History of major organ transplant or hematopoietic stem cell/bone marrow transplant or are due to receive transplantation * Any one of the following laboratory values at screening: * Hemoglobin levels \< 8.0 g/dL (\< 5 mmol/L), or \< 7.0 g/dL (\< 4.3 mmol/L) if related to participant's SLE such as in active hemolytic anaemia * Platelet count \< 25 x 1000/µL * Absolute neutrophil count (ANC) \< 0.8 x 1000/µL * Active viral, bacterial or other infections requiring intravenous or intramuscular treatment for clinically significant infection or history of recurrent clinically significant infection which in the opinion of the investigator will place the participant at risk for participation. * History of known intolerance/hypersensitivity to MPA, oral corticosteroids, or any component of the study drug(s) or its excipients * Receipt of live/attenuated vaccine within a 4-week period prior to randomization * History of primary or secondary immunodeficiency, including a positive HIV test result * History of malignancy of any organ system (other than localized basal cell carcinoma or squamous cell carcinoma of the skin or or in-situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases * Any surgical, medical (e.g., uncontrolled hypertension, heart failure or diabetes), psychiatric or additional physical condition that the Investigator feels may jeopardize the participants in case of participation in this study * Chronic infection with hepatitis B (HBV) or hepatitis C (HCV). Positive serology for hepatitis B surface antigen (HBsAg) excludes the participant * Evidence of active tuberculosis (TB) infection (after anti-TB treatment, participants with history of TB may become eligible according to national local guidelines) * Pregnant or nursing (lactating) women * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 6 months after stopping of investigational medication * Sexually active male participants, who do not agree to use barrier protection during intercourse with women of child-bearing potential while taking study treatment Other protocol -defined Inclusion/Exclusion may apply.
Study design
Enrollment target: 462 participants
Allocation: randomized
Masking: quadruple
Age groups: adult, older_adult
Timeline
Starts: 2022-07-14
Estimated completion: 2031-02-11
Last updated: 2026-03-18
Interventions
Drug: ianalumab s.c. q4wDrug: ianalumab s.c. q12wDrug: placebo s.c.
Primary outcomes
  • Frequency and percentage of participants achieving stable Complete Renal Response (CRR) (Week 72)
Sponsor
Novartis Pharmaceuticals · industry
Contacts & investigators
ContactNovartis Pharmaceuticals · contact · novartis.email@novartis.com · 1-888-669-6682
ContactNovartis Pharmaceuticals · contact · +41613241111
InvestigatorNovartis Pharmaceuticals · study_director, Novartis Pharmaceuticals
All locations (188)
University Of AlabamaRecruiting
Birmingham, Alabama, United States
Advanced Medical ResearchRecruiting
La Palma, California, United States
Wallace Rheumatic Study CenterWithdrawn
Los Angeles, California, United States
University of California LARecruiting
Los Angeles, California, United States
University of California IrvineRecruiting
Orange, California, United States
School Of MedicineRecruiting
Sacramento, California, United States
University of California San DiegoRecruiting
San Diego, California, United States
Kaiser PermanenteRecruiting
San Diego, California, United States
Mayo Clinic JacksonvilleRecruiting
Jacksonville, Florida, United States
University Of MiamiRecruiting
Miami, Florida, United States
Emory University School of MedicineRecruiting
Atlanta, Georgia, United States
Fides Clinical ResearchRecruiting
Atlanta, Georgia, United States
Parris and Associates RheumatologyRecruiting
Lawrenceville, Georgia, United States
University of Kansas HospitalWithdrawn
Kansas City, Kansas, United States
Accurate Clinical ResearchRecruiting
Lake Charles, Louisiana, United States
UMC New OrleansRecruiting
New Orleans, Louisiana, United States
Wayne State UniversityRecruiting
Detroit, Michigan, United States
Univ of Nevada School of MedRecruiting
Las Vegas, Nevada, United States
Sahni Rheumatology and TherapyWithdrawn
West Long Branch, New Jersey, United States
VA NM Healthcare SystemRecruiting
Albuquerque, New Mexico, United States
NY NephrologyRecruiting
Clifton Park, New York, United States
Hospital for Special SurgeryRecruiting
New York, New York, United States
Northwell HealthRecruiting
New York, New York, United States
Circuit ClinicalRecruiting
Orchard Park, New York, United States
James J Peters VA Medical CenterRecruiting
The Bronx, New York, United States
Brookview Hills Research AssocWithdrawn
Winston-Salem, North Carolina, United States
University Of CincinnatiActive Not Recruiting
Cincinnati, Ohio, United States
Univ of Pennsylvania Medical CenterActive Not Recruiting
Philadelphia, Pennsylvania, United States
Arthritis and Rheumatology InsRecruiting
Allen, Texas, United States
Precision Comprehensive ResearchActive Not Recruiting
Colleyville, Texas, United States
Liberty Research CenterRecruiting
Dallas, Texas, United States
Univof Texas Southwestern Med CntrRecruiting
Dallas, Texas, United States
University of Texas Medical BranchWithdrawn
Galveston, Texas, United States
Uni of Texas Health Science CenterRecruiting
San Antonio, Texas, United States
Baylor Scott and White ResearchRecruiting
Temple, Texas, United States
Northern Assoc of Northern VARecruiting
Fairfax, Virginia, United States
Uni Wisconsin School Med Pub HealthRecruiting
Madison, Wisconsin, United States
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CABA, Buenos Aires, Argentina
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Caba, Buenos Aires, Argentina
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La Plata, Buenos Aires, Argentina
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Caba, Argentina
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CABA, Argentina
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San Miguel de Tucumán, Argentina
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Vitória, Espírito Santo, Brazil
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Salvador, Estado de Bahia, Brazil
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São Luís, Maranhão, Brazil
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Belo Horizonte, Minas Gerais, Brazil
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Juiz de Fora, Minas Gerais, Brazil
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Curitiba, Paraná, Brazil
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Recife, Pernambuco, Brazil
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Porto Alegre, Rio Grande do Sul, Brazil
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Porto Alegre, Rio Grande do Sul, Brazil
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Santo André, São Paulo, Brazil
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Salvador, Brazil
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Calgary, Alberta, Canada
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Vancouver, British Columbia, Canada
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Winnipeg, Manitoba, Canada
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Etobicoke, Ontario, Canada
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London, Ontario, Canada
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Toronto, Ontario, Canada
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Montreal, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Santiago, RM, Chile
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Temuco, Chile
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Hefei, Anhui, China
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Guangzhou, Guangdong, China
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Guangzhou, Guangdong, China
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Guangzhou, Guangdong, China
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Shantou, Guangdong, China
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Shenzhen, Guangdong, China
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Shenzhen, Guangdong, China
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Liuchow, Guangxi, China
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Haikou, Hainan, China
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Wuhan, Hubei, China
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Wuhan, Hubei, China
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Changsha, Hunan, China
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Nanjing, Jiangsu, China
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Nanchang, Jiangxi, China
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Changchun, Jilin, China
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Shenyang, Liaoning, China
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Binzhou, Shandong, China
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Linyi, Shandong, China
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Xian, Shanxi, China
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Chengdu, Sichuan, China
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Ningbo, Zhejiang, China
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Beijing, China
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Chongqing, China
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Guangzhou, China
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Guangzhou, China
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Shanghai, China
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Shanghai, China
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Shanghai, China
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Medellín, Antioquia, Colombia
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Barranquilla, Atlántico, Colombia
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Bogota, Cundinamarca, Colombia
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Olomouc, Czechia
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Prague, Czechia
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Tallinn, Estonia
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Tallinn, Estonia
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Angers, France
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Besançon, France
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Bordeaux, France
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Grenoble, France
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Lyon, France
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Marseille, France
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Poitiers, France
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Toulouse, France
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Vandœuvre-lès-Nancy, France
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Regensburg, Bavaria, Germany
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Aachen, Germany
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Bochum, Germany
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Münster, Germany
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Guatemala City, Guatemala
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Quetzaltenango, Guatemala
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Kwun Tong, Kowloon, Hong Kong
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Tuenmen, Hong Kong
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Debrecen, Hajdu Bihar Megye, Hungary
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Budapest, Hungary
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Budapest, Hungary
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Kaposvár, Hungary
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Bangalore, Karnataka, India
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Secunderabad, Telangana, India
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Secunderabad, Telangana, India
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Lucknow, Uttar Pradesh, India
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Chandigarh, India
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Cagliari, CA, Italy
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Foggia, FG, Italy
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Florence, FI, Italy
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Milan, MI, Italy
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Pavia, PV, Italy
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Roma, RM, Italy
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Torino, TO, Italy
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Udine, UD, Italy
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Naples, Italy
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Kaunas, LTU, Lithuania
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Vilnius, Lithuania
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Kuala Lumpur, Kuala Lumpur, Malaysia
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Sibu, Sarawak, Malaysia
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Kuala Terengganu, Terengganu, Malaysia
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León, Guanajuato, Mexico
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Monterrey, Nuevo León, Mexico
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Oaxaca City, Mexico
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Querétaro, Mexico
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Querétaro, Mexico
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Cluj-Napoca, Cluj, Romania
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Oradea, Jud Bihor, Romania
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Timișoara, Timiș County, Romania
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Râmnicu Vâlcea, Vâlcea County, Romania
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Bucharest, Romania
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Bucharest, Romania
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Singapore, Singapore
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Singapore, Singapore
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Bundang Gu, Gyeonggi-do, South Korea
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Suwon, Gyeonggi-do, South Korea
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Daejeon, Korea, South Korea
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Busan, South Korea
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Daegu, South Korea
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Gwangju, South Korea
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Seoul, South Korea
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Seoul, South Korea
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Seoul, South Korea
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Seoul, South Korea
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Seoul, South Korea
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Santiago Compostela, A Coruna, Spain
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Barcelona, Catalonia, Spain
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El Palmar, Murcia, Spain
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Pamplona, Navarre, Spain
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Vigo, Pontevedra, Spain
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San Cristóbal de La Laguna, Santa Cruz De Tenerife, Spain
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Valencia, Valencia, Spain
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Barcelona, Spain
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Madrid, Spain
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Madrid, Spain
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Madrid, Spain
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Kaohsiung City, Taiwan
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Taichung, Taiwan
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Taichung, Taiwan
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Taipei, Taiwan
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Songkhla, Hat Yai, Thailand
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Bangkok, Thailand
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Bangkok, Thailand
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Bangkok, Thailand
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Chiang Mai, Thailand
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Bradford, West Yorkshire, United Kingdom
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London, United Kingdom
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Hanoi, Vietnam
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Ho Chi Minh City, Vietnam
Safety, Efficacy and Tolerability of Ianalumab Versus Placebo, Combination With SoC Therapy, in Participants With Active Lupus Nephritis · TrialPath