| 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
|
|
|
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
|
|
|
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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response (Others) - Proposals should be directed to rkl.sriya@gmail.com
- 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.
- 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. |