Trial Outcomes & Findings for Obinutuzumab in Primary FSGS (NCT NCT04983888)

NCT ID: NCT04983888

Last Updated: 2026-06-25

Results Overview

Measured using 24 hour urine collection reported in g/d

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

Baseline, 12 months, 24 months

Results posted on

2026-06-25

Participant Flow

\[Not Specified\]

\[Not Specified\]

Participant milestones

Participant milestones
Measure
Obinutuzumab
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Overall Study
STARTED
20
Overall Study
COMPLETED
19
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Obinutuzumab in Primary FSGS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Primary Focal Segmental Glomerulosclerosis (FSGS)
n=20 Participants
Subjects with immunosuppression-dependent or immunosuppression/treatment-resistant primary FSGS or contraindication/patient refusal to take high dose corticosteroids, will receive obinutuzumab 1 gram on day 1 and 1 gram on day 15, given intravenously and then an identical course at 6 months.
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Age, Continuous
45.3 years
STANDARD_DEVIATION 17.5 • n=20 Participants
Sex: Female, Male
Female
9 Participants
n=20 Participants
Sex: Female, Male
Male
11 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
1 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=20 Participants
Race (NIH/OMB)
White
19 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Region of Enrollment
United States
19 Participants
n=20 Participants
Region of Enrollment
Israel
1 Participants
n=20 Participants

PRIMARY outcome

Timeframe: Baseline, 12 months, 24 months

Measured using 24 hour urine collection reported in g/d

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Change in Proteinuria
Proteinuria at baseline
10.7 g/d
Inter-Quartile Range 7.5 to 13.7 • Interval 7.5 to 13.7
Change in Proteinuria
Proteinuria at 12 months
3.9 g/d
Inter-Quartile Range 1.5 to 8.6 • Interval 1.5 to 8.6
Change in Proteinuria
Proteinuria at 24 months
1.1 g/d
Inter-Quartile Range 0.5 to 5.9 • Interval 0.5 to 5.9

SECONDARY outcome

Timeframe: 12 months

The number of subjects to reach either complete remission or partial remission at 12 months after infusion. Complete remission defined as proteinuria \< 0.3g/24 hrs. and no more than 20% decline in eGFR. Partial remission defined as 50% reduction in proteinuria and proteinuria \< 3.5 g/24hrs and no more than 20% decline in eGFR.

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Remission Status at 12 Months
9 Participants

SECONDARY outcome

Timeframe: Baseline, 12 months, 24 months

Blood serum collected and reported in g/dL

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Change in Serum Albumin
Serum albumin at baseline
2.5 g/dL
Standard Deviation 0.6
Change in Serum Albumin
Serum albumin at 12 months
3.5 g/dL
Standard Deviation 0.8
Change in Serum Albumin
Serum albumin at 24 months
3.9 g/dL
Standard Deviation 0.7

SECONDARY outcome

Timeframe: 24 months

Number of subjects to experience serious adverse events including serious infection defined as severe UTI or pyelonephritis, pneumonias or other systemic infections requiring hospitalization

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Serious Adverse Events (SAEs)
3 Serious Adverse Events

SECONDARY outcome

Timeframe: 18 months

Measured using 24 hour urine collection reported in g/d

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Proteinuria at 18 Months
2.7 g/d
Interval 0.8 to 5.6

SECONDARY outcome

Timeframe: 24 months

Measured using 24 hour urine collection reported in g/d

Outcome measures

Outcome measures
Measure
Obinutuzumab
n=20 Participants
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Proteinuria at 24 Months
1.1 g/d
Interval 0.6 to 5.5

Adverse Events

Obinutuzumab

Serious events: 2 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Obinutuzumab
n=20 participants at risk
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
Psychiatric disorders
suicidal ideation
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Psychiatric disorders
pseudo-seizures
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Blood and lymphatic system disorders
follicular lymphoma
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.

Other adverse events

Other adverse events
Measure
Obinutuzumab
n=20 participants at risk
Subjects will receive obinutuzumab intravenously at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6. Obinutuzumab: Intravenously (IV) at a dose of 1g on day one and 1g on day 15, followed by identical course at month 6.
General disorders
Brittle fingernails
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Fatigue
50.0%
10/20 • Number of events 10 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Lightheadedness
25.0%
5/20 • Number of events 5 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Musculoskeletal and connective tissue disorders
Joint Stiffness
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Hair loss
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Body numbness
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Covid-19
20.0%
4/20 • Number of events 4 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Blood and lymphatic system disorders
Worsening Anemia
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelofibrosis
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Shortness of breath
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Respiratory, thoracic and mediastinal disorders
Congestion
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Nausea
60.0%
12/20 • Number of events 13 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Vomiting
25.0%
5/20 • Number of events 5 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Mouth Ulcers
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Fever
15.0%
3/20 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Bradycardia during infusion
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Nervous system disorders
Headache
35.0%
7/20 • Number of events 7 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Eye disorders
Blurred vision
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Shingles
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Hypertension during infusion
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Skin and subcutaneous tissue disorders
Body itching
20.0%
4/20 • Number of events 4 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Vascular disorders
Increased blood pressure
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Nervous system disorders
Forgetfulness
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Metabolism and nutrition disorders
Decreased appetite
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Musculoskeletal and connective tissue disorders
Physical weakness
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Nervous system disorders
Unsteady gait
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Dysphonia
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Cardiac disorders
Bradycardia
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Chills
20.0%
4/20 • Number of events 4 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Metabolism and nutrition disorders
Hypokalemia
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Metabolism and nutrition disorders
Weight loss
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Eye disorders
Eye swelling
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Musculoskeletal and connective tissue disorders
Back pain
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Renal and urinary disorders
Dysuria
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Musculoskeletal and connective tissue disorders
Muscle Soreness
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Sore throat
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Teeth Soreness
5.0%
1/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Cardiac disorders
Tachycardia
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Chest tightness
15.0%
3/20 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Social circumstances
Increased anxiety
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Restless legs
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Facial flushing
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Stomach pain
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Pneumonia
10.0%
2/20 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Blood and lymphatic system disorders
Swollen lymph nodes
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Thrush
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Upper respiratory infection
10.0%
2/20 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
General disorders
Night sweats
10.0%
2/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Flu like symptoms
5.0%
1/20 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Renal and urinary disorders
Fluid overload
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Musculoskeletal and connective tissue disorders
Hip pain
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.
Infections and infestations
Influenza A
5.0%
1/20 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 2 years on all participants.

Additional Information

Dr. Fernando Fervenza

Mayo Clinic

Phone: 507-284-3479

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place