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CTRI Number  CTRI/2025/10/096189 [Registered on: 17/10/2025] Trial Registered Prospectively
Last Modified On: 03/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Process of Care Changes 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A study to find out if Dapagliflozin can improve kidney function and immune status in patients with SLE with renal involvement. 
Scientific Title of Study   A randomized controlled trial of Dapagliflozin added to standard of care in proliferative lupus nephritis: Assessment of renal and immunological outcomes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sriyanka Mohapatra  
Designation  Senior Resident  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research  
Address  Department of Clinical Immunology, Level-4, Super Speciality Block, JIPMER, Gorimedu, Dhanvantri Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8249029686  
Fax    
Email  rkl.sriya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Molly Mary Thabah 
Designation  Professor 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research  
Address  Department of Clinical Immunology, Level-4, Super Speciality Block, JIPMER, Gorimedu, Dhanvantri Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8903200854  
Fax    
Email  mollymthabah@jipmer.ac.in  
 
Details of Contact Person
Public Query
 
Name  Sriyanka Mohapatra  
Designation  Senior Resident  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research  
Address  Department of Clinical Immunology, Level-4, Super Speciality Block, JIPMER, Gorimedu, Dhanvantri Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8249029686  
Fax    
Email  rkl.sriya@gmail.com  
 
Source of Monetary or Material Support  
JIPMER Intramural Fund, Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Dhanvantri Nagar, Pin- 605006 Puducherry, India 
 
Primary Sponsor  
Name  JIPMER, Puducherry 
Address  JIPMER Puducherry Hospital, Gorimedu, Dhanvantari Nagar, Puducherry, 605006 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sriyanka Mohapatra   JIPMER  Department of Clinical Immunology, Level 4, Superspecialty Block, JIPMER, Gorimedu, Dhanvantri Nagar, Pin- 605006, Puducherry
Pondicherry
PONDICHERRY 
8249029686

rkl.sriya@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee- Interventional Studies, JIPMER, Puducherry  Approved 
Institutional Ethics Committee- Interventional Studies, JIPMER, Puducherry  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M321||Systemic lupus erythematosus withorgan or system involvement,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dapagliflozin  10mg OD, oral for 6 months 
Comparator Agent  Placebo  1 tablet OD, oral for 6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients of SLE greater than 18 years satisfying the ACR and EULAR 2019 criteria with biopsy-proven pro-liferative lupus nephritis (Class III or IV or III+V or IV+V) 
 
ExclusionCriteria 
Details 
1)Patients who are pregnant or lactating or planning to get pregnant in the study period.
2)Acutely ill patients with infections or sepsis or dialysis or having a life-threatening manifestation that will confound the effect of the study medication.
3)Patients with poor renal functions (eGFR less than 25ml per min per 1.73m2) and or baseline serum creatinine of greater than 3mg/dL and or other standard contraindications to SGLT2 inhibition
4)Refractory lupus nephritis: defined as those patients who have failed to achieve renal response with two or more induction treatments.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of patients who achieve the KDIGO 2024-defined complete renal response at 6 months.   Proportion of patients who achieve the KDIGO 2024-defined complete renal response at 6 months.  
 
Secondary Outcome  
Outcome  TimePoints 
1.To compare the rates of partial renal response at the end of 6 months between the two groups
2.To assess the renal (complete and partial) response as per KDIGO 2024 definition at the end of 1 year in the study group.
3.To compare rates of flares in both groups as per SELENA-SLEDAI Flare Index at 1 year
4.To compare rates of adverse events in both groups defined according to CTCAE, 2017.
5.To determine the overall differences in peripheral blood immune cell populations in both groups before and at 6 months after Dapagliflozin
 
1. 6 months
2. 1 year
3. 1 year
4. 6 months
5. 6 months 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response (Others) -  Proposals should be directed to rkl.sriya@gmail.com

  6. For how long will this data be available start date provided 31-07-2027 and end date provided 31-12-2029?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary
Modification(s)  

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease in which renal involvement in the form of Lupus Nephritis contributes significantly to morbidity and mortality. Current standard treatments include corticosteroids and immunosuppressants, but a proportion of patients fail to achieve adequate renal response, and long-term toxicity due to corticosteroid use remains a major concern. Sodium-glucose cotransporter-2 (SGLT2) inhibitors such as Dapagliflozin have shown kidney-protective effects in diabetes and chronic kidney disease, but data in lupus nephritis are limited.

This study is a randomized, open-label, trial evaluating the addition of Dapagliflozin to standard of care in patients with proliferative lupus nephritis. 84 patients who are more than or equal to 18 years old with biopsy-proven proliferative lupus nephritis (class III/IV/III+V/IV+V) will be enrolled and randomized in a 1:1 ratio to receive Dapagliflozin 10 mg once daily plus standard of care, or just standard of care.

The primary objective is to compare the rate of complete renal response at 6 months between the two groups as per KDIGO 2024 criteria. Secondary objectives include assessing partial renal response in both groups at 6 months, renal response including partial and complete remission in the study group at 12 months, rates of lupus flares at 1 year, adverse events, and immunological changes in peripheral blood cell subsets at beginning and at the end of 6 months after intervention.

The study duration will be 18 months including recruitment and follow-up. This trial aims to provide important data on the safety and efficacy of Dapagliflozin as an adjunct therapy in proliferative lupus nephritis.

 
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