Molecular Biomarkers for Discriminating Lupus Nephritis in SLE
Systemic Lupus Erythematosus Nephritis · Systemic Lupus Erthematosus (SLE)
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Observational
- Phase
- Not applicable / not listed
- Age range
- 18 years - 65 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 40 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
Lupus nephritis (LN) is a major cause of renal morbidity in systemic lupus erythematosus (SLE). Conventional clinical, renal, and serological parameters may not fully distinguish patients with renal involvement from those with SLE without LN. This cross-sectional observational study aims to evaluate a predefined panel of eight molecular biomarkers and determine their ability to discriminate between patients with established SLE with and without LN. The panel includes the non-coding RNA markers MALAT1, GAS5, miR-155, and miR-223; the inflammatory biomarkers interferon-beta (IFN-β), lipocalin-2 (LCN2), and interleukin-23 (IL-23); and the tissue-remodeling biomarker matrix metalloproteinase-9 (MMP-9). The study will also assess associations between these biomarkers and conventional clinical and laboratory parameters, disease activity, cumulative organ damage, and available renal histopathological findings. The discriminatory performance of conventional clinical assessment, the molecular biomarker panel, and their integrated combination will be evaluated.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- Adults aged 18 years or older.
- Patients with an established diagnosis of systemic lupus erythematosus (SLE), according to the diagnostic/classification criteria adopted by the treating clinicians and documented in the medical records.
- Patients classified into either of the following groups:
SLE with established lupus nephritis (LN). SLE without evidence of lupus nephritis.
- Availability of clinical and laboratory data sufficient for characterization of SLE disease status and renal involvement.
- Availability of blood samples suitable for the planned molecular biomarker assessment.
Exclusion Criteria:
- Patients with an uncertain or undocumented diagnosis of SLE.
- Patients with an unclear renal status that prevents reliable classification into the LN or non-LN group.
- Patients with another active autoimmune or systemic inflammatory disease that could substantially interfere with interpretation of the investigated biomarkers.
- Patients with an active infection at the time of sample collection.
- Patients with a concurrent malignancy or another major condition likely to substantially affect the measured inflammatory or molecular biomarkers.
- Patients with insufficient clinical information or inadequate biological samples for the planned analyses.
Study population
Adult patients with an established diagnosis of SLE attending or receiving care at the participating center(s) were considered for inclusion. Eligible participants were classified into two groups according to the presence or absence of clinically established LN: SLE+LN group; patients with SLE and LN and SLE Group; patients with SLE without LN.
Understand screeningTreatment, groups and participation
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- Assignment
- Not reported
- Masking
- Not reported
Group 1: SLE with Lupus Nephritis
Patients with established systemic lupus erythematosus and established lupus nephritis.
Diagnostic Test: predefined molecular biomarker panel
Group 2: SLE without Lupus Nephritis
Patients with established systemic lupus erythematosus without lupus nephritis.
Diagnostic Test: predefined molecular biomarker panel
predefined molecular biomarker panel DIAGNOSTIC_TEST
Non-coding RNA biomarkers Expression levels of metastasis-associated lung adenocarcinoma transcript 1 (MALAT1), growth arrest-specific 5 (GAS5), microRNA-155 (miR-155), and microRNA-223 (miR-223) were assessed using quantitative reverse-transcription polymerase chain reaction (qRT-PCR).
The immune-inflammatory and tissue-remodeling biomarkers IFN-β, LCN2, IL-23, and MMP-9 were assessed using enzyme-linked immunosorbent assay (ELISA).
Renal histopathological information was obtained from available kidney biopsy reports and records.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Discriminatory performance of the predefined molecular biomarker panel for distinguishing SLE patients with established LN from those without LN
Time frame: baseline at day 1
Evaluated using receiver operating characteristic (ROC) analysis and the area under the ROC curve (AUC).
Secondary measures
Associations between individual biomarkers and conventional clinical, renal, and immunological parameters, including serum creatinine, urinary protein excretion, C3, C4, and anti-dsDNA.
Time frame: baseline at day 1
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (0)
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No locations are listed. Use the official study contact.
Study team and timeline
- Lead sponsor
- Egyptian Chinese University
- Study start
- Oct 25, 2026 Estimated
- Primary completion
- Dec 1, 2026 Estimated
- Study completion
- Jan 1, 2027 Estimated
- First posted
- Nov 10, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
Integrated Clinical and Molecular Biomarker Models for Discriminating Lupus Nephritis in Patients With Systemic Lupus Erythematosus: A Cross-Sectional Study
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 11, 2026 · Last registry update: Nov 10, 2026
