Belimumab with Rituximab for Primary Membranous Nephropathy

This study is testing if a combination of two medicines, belimumab and rituximab, is more effective than rituximab alone for adults with primary membranous nephropathy (a kidney disease where your immune system attacks your kidneys, causing protein loss in urine). Researchers want to see if this combination can help more people achieve complete or partial remission (improvement) of their condition. You may be able to join if you are between 18 and 75 years old and have primary membranous nephropathy confirmed by a kidney biopsy. The study aims to enroll 58 participants and will measure how many achieve remission after 104 weeks.

Study design
This is an interventional study with an unspecified phase, involving 58 participants. It includes an open-label phase (Part A) where all participants receive belimumab, followed by a comparison of belimumab and rituximab versus rituximab alone.
What's involved
Participants in Part A will receive weekly subcutaneous belimumab for 52 weeks, along with two doses of intravenous rituximab at weeks 4 and 6. Blood samples will be taken weekly for the first four doses of belimumab.
Compensation
Not stated in the trial record.
Follow-up
Participants are followed after the 52-week treatment period on no study medication until week 156. The primary outcome is measured at Week 104.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT03949855

Belimumab With Rituximab for Primary Membranous Nephropathy

Recruiting
PHASE2Ages 18–75InterventionalTreatment
National Institute of Allergy and Infectious Diseases (NIAID)
~58 participants
Updated 2026-07-21 on ClinicalTrials.gov
What's tested:BelimumabPlacebo for BelimumabRituximab

At a glance

Recruiting sites
20 of 20 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Proportion of Participants in Complete or Partial Remission (CR or PR) at Week 104.
Measured over Week 104
Membranous Nephropathy
Nephrotic Syndrome
20 sites across 15 states
California3
Florida2
Maryland2
Ohio2
Alabama1
Arkansas1
Colorado1
Michigan1
  • Patrick Nachman · STUDY_CHAIR · University of Minnesota, Department of Medicine, Division of Renal Diseases and Hypertension
  • Iñaki Sanz · STUDY_CHAIR · Emory University, Department of Medicine, Division of Rheumatology

Opens a ready-to-send draft in your own email app — review before sending.

  • Proportion of Participants in Complete or Partial Remission (CR or PR) at Week 104.Week 104

    . CR is defined as proteinuria of ≤ 0.3 g/day with a serum albumin ≥ 3.5 g/dL. PR is defined as a 50% or greater decrease in proteinuria compared to baseline and proteinuria \< 3.5 g/day glomerular filtration rate (eGFR) from baseline.