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Kidney & Renal

Lupus Nephritis (LN) Clinical Trials and Treatments

Also called LN, Lupus Kidney Disease, Lupus Glomerulonephritis, SLE Nephritis, Lupus Nephropathy, Kidney Lupus

Lupus is an autoimmune disease, and in lupus nephritis the immune attack reaches the glomeruli, the tiny filters that clean the blood. Damaged filters let protein and blood leak into the urine, and over time kidney function can fall.

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About Lupus Nephritis

Lupus is an autoimmune disease, and in lupus nephritis the immune attack reaches the glomeruli, the tiny filters that clean the blood. Damaged filters let protein and blood leak into the urine, and over time kidney function can fall. Doctors look for it with urine tests for protein and blood and with blood tests of kidney function. A kidney biopsy confirms it and sorts it into classes I to VI, which guide treatment; the active forms (classes III, IV and V) are usually treated with medicines that calm the immune system.

Under the American College of Rheumatology's 2024 guideline, treatment of active lupus nephritis is one continuous course rather than separate phases: high-dose steroids tapered to a low dose, plus 2 other immune-calming medicines, kept up for 3 to 5 years once the kidneys respond fully. Most people with lupus also take hydroxychloroquine, and blood pressure medicines that protect the kidneys are often added. Three medicines carry an FDA label for lupus nephritis: Benlysta (belimumab), Lupkynis (voclosporin), approved January 22, 2021, and Gazyva (obinutuzumab), approved in October 2025. A steady response matters, because the goal is to keep the kidneys working and avoid dialysis or a transplant.

Common Symptoms of Lupus Nephritis

Recognizing the signs of Lupus Nephritis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Foamy urine, from protein leaking into it
  • Blood in the urine, or brown urine
  • Swelling in the legs, feet, ankles, hands, face or around the eyes
  • High blood pressure
  • Often no symptoms early on, so it is found through urine and blood tests

Who Lupus Nephritis Affects

Lupus nephritis develops in people with lupus, and 9 in 10 people with lupus are women. It is more likely in Black, Hispanic and Asian American people (NIDDK). In a Minnesota study, 76% of people diagnosed with lupus nephritis were female and the average age at diagnosis was 38. Children with lupus are more likely than adults to develop kidney disease.

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FDA-Approved Treatments for Lupus Nephritis

There are currently 3 FDA-approved medications for Lupus Nephritis. These therapies represent the current standard of care and may be used alongside or compared against investigational treatments in active clinical trials.

voclosporin
Aurinia Pharmaceuticals
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belimumab
GlaxoSmithKline
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obinutuzumab
Genentech (Roche)
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

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Help Paying for Lupus Nephritis Treatment

Charity funds and drugmaker programs for Lupus Nephritis, checked at the source.

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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Lupus Nephritis Resources

Reputable organizations and medical references for learning more about Lupus Nephritis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Lupus Nephritis

Use this Lupus Nephritis clinical trial finder to see the 25 studies recruiting patients in the United States and worldwide, with eligibility criteria in plain English. Of these, 21 test a treatment and 4 are observational studies or registries; each card says which. These studies play a critical role in advancing care for kidney & renal conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

New to trials? What Placebos and Randomization Actually Mean for You (In Plain English) · 4 min readWorried about cost? The Hidden Costs of Joining a Clinical Trial (And How to Get Help Paying for Them) · 4 min read
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Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

101 active trials worldwide
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RECRUITINGTreatment trialPhase 1/2Recently updatedNCT06121297

RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Systemic Lupus Erythematosus

Intervention: CABA-201, CABA-201

Sponsor: Cabaletta Bio

RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Systemic Lupus Erythematosus

Ages 12 Years to 65 Years23 locations
Started Feb 2024Updated 1 week agoEst. Dec 2029 (~3y 2m)
RECRUITINGTreatment trialPhase 2Recently updatedNCT05039619

A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Obinutuzumab in Adolescents With Active Class III or IV Lupus Nephritis and the Safety and PK of Obinutuzumab in Pediatric Participants

Intervention: Obinutuzumab, Placebo, Mycophenolate Mofetil, Acetaminophen/paracetamol, Diphenhydramine hydrochloride (HCl), Methylprednisolone, Prednisone

Sponsor: Hoffmann-La Roche · Genentech, Inc.

This phase II, randomized, double-blind, placebo-controlled study is designed to evaluate the safety, efficacy and pharmacokinetics (PK) of obinutuzumab in adolescent participants (AP) aged 12 to less than 18 with biopsy-confirmed proliferative lupus nephritis (LN). It will also ...

Ages 5 Years to 17 Years44 locations
Started May 2022Updated 1 week agoEst. Jun 2028 (~1y 8m)
RECRUITINGTreatment trialPhase 1/2Recently updatedNCT06434363

Phase I/II Study of AD-PluReceptor Plus Tafasitamab-cxix and Lymphodepleting Chemotherapy in Patients With Autoimmune Disorders

Intervention: Tafasitamab, Fludarabine phosphate, Cyclophosphamide, Tafasitamab and NK cells

Sponsor: M.D. Anderson Cancer Center

The goal of Safety Lead-In is to confirm the safety of tafasitamab when given to patients with SSc, SLE, and LN.

Ages 18 Years+2 locations
Started Jul 2024Updated 1 week agoEst. Dec 2028 (~2y 2m)
RECRUITINGTreatment trialPhase 2Recently updatedNCT05268289

Study of Efficacy and Safety of LNP023 in Participants With Active Lupus Nephritis Class III-IV, +/- V

Intervention: Iptacopan (part 1), Iptacopan (part 2), Placebo + standard of care, Iptacopan + placebo

Sponsor: Novartis Pharmaceuticals

The overall purpose of this two-part study is to evaluate the efficacy, safety and tolerability of iptacopan (LNP023) in addition to standard of care treatment.

Ages 18 Years to 100 Years103 locations
Started Aug 2022Updated 1 week agoEst. Mar 2026
RECRUITINGTreatment trialPhase 2Recently updatedNCT06419205

A Phase 2 Study to Evaluate the Safety, PD, PK, and Clinical Activity of ADX-097 in Participants With IgAN, LN or C3G

Intervention: ADX-097

Sponsor: Akebia Therapeutics

A Phase 2 Study to Evaluate the Safety, Pharmacodynamics, Pharmacokinetics, and Clinical Activity of ADX-097 Administered Subcutaneously in Male and Female Participants Aged 16 Years or Older with Immunoglobulin A Nephropathy (IgAN), Lupus Nephritis (LN), or Complement Component 3 Glomerulopathy (C3G)

Ages 16 Years+4 locations
Started Jul 2026Updated 1 week agoEst. Feb 2028 (~1y 4m)
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Active trial locations109 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

Patient Communities

Connect with other Lupus Nephritis patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about Lupus Nephritis treatments, clinical trial participation, and day-to-day disease management.

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Related Conditions

Conditions that share genes, symptoms or treatments with Lupus Nephritis, followed by others in the kidney & renal category. Patients with Lupus Nephritis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Frequently Asked Questions About Lupus Nephritis