Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 70

SHR-2173 injection for adults with active lupus nephritis

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Clinical Study to Evaluate the Efficacy and Safety of SHR-2173 Injection in Patients With Active Lupus Nephritis

Run by Guangdong Hengrui Pharmaceutical Co., Ltd · NCT07229742 · Data updated 2026-11-12

This Phase II trial will test whether SHR-2173 injections help adults with active lupus nephritis improve kidney inflammation and function compared with placebo.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment51 (estimated)
SponsorGuangdong Hengrui Pharmaceutical Co., Ltd
Industry-sponsored
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedNovember 22, 2025
Main results expectedJune 2027
Study endsMarch 2028
Registry record updatedDecember 1, 2025
Trial IDNCT07229742 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–70 with biopsy-confirmed active class III or IV ± V lupus nephritis within the past year, positive lupus serology (e.g., ANA or anti-dsDNA), and meeting the study weight/BMI criteria are the intended participants.

Probably not a fit

Patients who recently required dialysis or are expected to need dialysis/transplant soon, those with >50% globally sclerosed glomeruli on biopsy, active severe neuropsychiatric SLE, or catastrophic antiphospholipid syndrome are excluded and unlikely to receive benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, double-blind, placebo-controlled Phase II trial enrolls adults with biopsy-confirmed class III or IV ± V lupus nephritis to compare SHR-2173 injections against a blinded placebo preparation. Participants are randomized to receive SHR-2173 or blank preparation across participating centers and are followed for measures of kidney response and safety. Primary outcomes focus on renal response/remission rates and adverse events, with secondary measures such as proteinuria and serologic markers. The goal is to determine whether SHR-2173 produces clinically meaningful kidney benefits that would support larger trials.

Why it matters

Potential benefit: If effective, SHR-2173 could reduce kidney inflammation and proteinuria, helping preserve kidney function and potentially lowering the need for more toxic therapies.

How similar studies have gone: Other targeted therapies for lupus nephritis (such as belimumab and voclosporin) have shown benefit in randomized trials, but SHR-2173 is a newer agent with limited published clinical data so far.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 18-70 years (inclusive) at informed consent signing, regardless of sex;
2. Body weight ≥ 40.0 kg and body mass index (BMI) ≥ 16 kg/m² to ≤ 28 kg/m² at screening;
3. Diagnosed with systemic lupus erythematosus (SLE) per 1997 ACR criteria or 2019 EULAR/ACR classification criteria;
4. Positive antinuclear antibody (titer ≥ 1:80) and/or anti-dsDNA antibody and/or anti-Sm antibody at screening;
5. Histologically confirmed active lupus nephritis (LN) class III or IV ± class V by renal biopsy, per 2018 International Society of Nephrology/Renal Pathology Society (ISN/RPS) standards within 1 year preceding or during screening.

Exclusion Criteria:

1. Received renal dialysis within 12 months preceding screening, or anticipated requirement for dialysis/renal transplantation within 6 months post-enrollment;
2. Renal biopsy demonstrating \> 50% globally sclerosed glomeruli;
3. Active severe/unstable neuropsychiatric SLE (NPSLE);
4. Catastrophic antiphospholipid syndrome (APS) within 12 months pre-screening, or APS-related thrombotic events (except non-catastrophic/mild APS cases with stable anticoagulation ≥12 weeks prior to screening);
5. Non-LN renal diseases potentially confounding disease assessment (e.g., diabetic nephropathy per investigator judgment);
6. Inflammatory/autoimmune diseases beyond SLE/LN that may interfere with efficacy/safety interpretation.

Where it's running

  • The General Hospital of the Eastern Theater Command of the People's Liberation Army of China
    Nanjing, Jiangsu, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.