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BCD-085-3 is a next step in clinical investigation of BCD-085. BCD-085 is a monoclonal antibody to interleukin 17. During the trial patients with active ankylosing spondylitis will receive 40, 80 or 120 mg of BCD-085 subcutaneously at weeks 0, 1, 2, 4, 6, 8, 10, 12. Efficacy and safety parameters will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCD-085, 40 mg | Experimental | Patient will receive 40 mg of BCD-085 subcutaneously at weeks 0, 1, 2, 4, 6, 8, 10, 12. |
|
| BCD-085, 80 mg | Experimental | Patient will receive 80 mg of BCD-085 subcutaneously at weeks 0, 1, 2, 4, 6, 8, 10, 12. |
|
| BCD-085, 120 mg | Experimental | Patient will receive 120 mg of BCD-085 subcutaneously at weeks 0, 1, 2, 4, 6, 8, 10, 12. |
|
| Placebo | Placebo Comparator | Patient will receive placebo subcutaneously at weeks 0, 1, 2, 4, 6, 8, 10, 12. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCD-085 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Ratio of patients with ASAS20 response after 16 weeks of therapy | Ratio of patients who developed a decrease in ankylosing spondylitis assessment score (ASAS) by 20% or more after 16 weeks of therapy with BCD-085. | Week 16 |
| Measure | Description | Time Frame |
|---|---|---|
| Ratio of patients with ASAS20 response after 4, 8, 12 weeks of therapy | Ratio of patients who developed a decrease in ankylosing spondylitis assessment score (ASAS) by 20% or more after 4, 8, 12 weeks of therapy with BCD-085. | Week 4, Week 8, Week 12 |
| Ratio of patients with ASAS40 response after 4, 8, 12, 16 weeks of therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roman Ivanov, PhD | JCS BIOCAD | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31025924 | Result | Erdes S, Nasonov E, Kunder E, Pristrom A, Soroka N, Shesternya P, Dubinina T, Smakotina S, Raskina T, Krechikova D, Povarova T, Plaksina T, Gordeev I, Mazurov V, Reshetko O, Zonova E, Eremeeva A, Chernyaeva E, Makulova T, Ivanov R. Primary efficacy of netakimab, a novel interleukin-17 inhibitor, in the treatment of active ankylosing spondylitis in adults. Clin Exp Rheumatol. 2020 Jan-Feb;38(1):27-34. Epub 2019 Apr 16. |
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| ID | Term |
|---|---|
| D013167 | Spondylitis, Ankylosing |
| ID | Term |
|---|---|
| D000089183 | Axial Spondyloarthritis |
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
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| Other |
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Ratio of patients who developed a decrease in ankylosing spondylitis assessment score (ASAS) by 40% or more after 4, 8, 12, 16 weeks of therapy with BCD-085. |
| Week 4, Week 8, Week 12, Week 16 |
| Ratio of patients with ASAS5/6 response after 4, 8, 12, 16 weeks of therapy | Ratio of patients who developed a response in at least 5 of 6 criteria of ankylosing spondylitis assessment score (ASAS) after 4, 8, 12, 16 weeks of therapy with BCD-085. | Week 4, Week 8, Week 12, Week 16 |
| Mean BASDAI score at screening and after 4, 8, 12, 16 weeks of therapy | Mean Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score at screening and after 4, 8, 12, 16 weeks of therapy | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean BASMI score at screening and after 4, 8, 12, 16 weeks of therapy | Mean Bath Ankylosing Spondylitis Metrology Index (BASMI) score at screening and after 4, 8, 12, 16 weeks of therapy | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean MASES score at screening and after 4, 8, 12, 16 weeks of therapy | Mean Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) at screening and after 4, 8, 12, 16 weeks of therapy | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean chest excursion at screening and after 4, 8, 12, 16 weeks of therapy | Mean chest excursion at screening and after 4, 8, 12, 16 weeks of therapy measured by Cloth Tape Measure Technique | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean BASFI score at screening and after 4, 8, 12, 16 weeks of therapy | Mean Bath Ankylosing Spondylitis Functional Index (BASFI) score at screening and after 4, 8, 12, 16 weeks of therapy | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean ASDAS-CRP score at screening and after 4, 8, 12, 16 weeks of therapy | Mean Ankylosing Spondylitis Disease Activity Score-C-reactive protein (ASDAS-CRP) score at screening and after 4, 8, 12, 16 weeks of therapy | Screening, Week 4, Week 8, Week 12, Week 16 |
| Mean SF-36 score at screening and after 8 and 16 weeks of therapy | Mean Short Form-36 (SF36) score at screening and after 8, 16 weeks of therapy | Screening, Week 8, Week 16 |
| Mean pain score during a day at screening and after 1, 2, 4, 8, 12, 16 weeks of therapy | Mean pain score during a day at screening and after 1, 2, 4, 8, 12, 16 weeks of therapy measured by Visual Analog Scale for Pain | Screening, Week 1, Week 2, Week 4, Week 8, Week 12, Week 16 |
| Proportion of patients with deterioration of roentgenologic signs of sacroileitis after 16 weeks of treatment | Week 16 |
| Mean C-reactive protein concentration at screening and after 4, 8, 12 and 16 weeks of treatment. | Screening, Week 4, Week 8, Week 12, Week 16 |
| Frequency of AE/SAE | 16 weeks |
| Frequency of local reactions | 16 weeks |
| Frequency of AE/SAE 3-4 grade CTCAE 4.03 | 16 weeks |
| Frequency of withdrawals due to AE/SAE | 16 weeks |
| Cmin | Minimal concentration of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| AUC (0-168h) | Area under curve from 0 to 168 hours of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| AUC0-∞ | Area under curve from 0 to infinity of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| Cmax | Maximal concentration of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| Тmax | Time before Cmax of BCD-085 is reached in blood after drug injection | 0 to 168 hours post-dose |
| Т½ | Half-life of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| Кel | Elimination rate constant of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| Cl | Clearance of BCD-085 in blood after drug injection | 0 to 168 hours post-dose |
| Proportion of patients who developed binding and neutralizing antibodies to BCD-085 | 16 weeks |
| D013122 |
| Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D000844 | Ankylosis |
| D007592 | Joint Diseases |
| D001168 | Arthritis |