WCN26-3469 Binutuzumab induces histologic remission and deep kidney parenchymal b-cell depletion in patients with lupus nephritis: exploratory analyses from the regency trial

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2026

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Rovin, Brad H.
Martins, Elsa
Austin, Cary D.
Raghu, Harini
Chan, Caleb
Chang, Patrick
Alberton, Valeria
Santiago, Mittermayer
Aroca-Martinez, Gustavo
Alfaro, Jose

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International Society of Nephrology ISN

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The REGENCY trial (NCT04221477) demonstrated superiority of obinutuzumab (OBI) plus standard therapy (+ST) vs placebo (PBO) +ST in achieving complete renal response (CRR) at Week 76 (W76) in adults with active lupus nephritis (LN). It was postulated that OBI+ST would yield greater rates of histologic remission and kidney tissue-level B-cell depletion at W76 than PBO+ST, which would portend more favorable long-term kidney outcomes, such as reduced LN flare risk and preserved kidney function. These exploratory analyses aimed to evaluate histologic remission and kidney tissue-level B-cell depletion at W76 in patients treated with OBI+ST vs PBO+ST.

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