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This is a first-in-human (FIH), randomized, double-blind, placebo-controlled, single-center phase I clinical trial of JS026 and JS026 + JS016 Injection. The objective of the study is to evaluate the safety, tolerability, PK profile and immunogenicity of a single intravenous infusion of JS026 and JS026 + JS016 Injection in healthy subjects.
In this study, the single ascending dose design will be adopted, JS026 will be administered sequentially from low dose group to high dose group, and each subject can only receive an intravenous infusion at one dose level. Five dose groups (30 mg, 100 mg, 300 mg, 600 mg, and 1000 mg) will be set to receive an intravenous infusion of JS026, and two dose groups (300 mg JS026 + 1200 mg JS016, and 600 mg JS026+ 1200 mg JS016) will be set for JS026 + JS016. The investigational product and placebo will be distributed in each dose group in a ratio of 3:1. Four subjects will be enrolled in each of JS026 30 mg and 100 mg groups, and 8 subjects will be enrolled in each of other dose groups, totally 48 subjects.
The entire trial period consists of a screening period of up to 14 days, a single dosing day (D1), and a 12-week follow-up period (84 days after dosing). Subjects will be admitted to the phase I clinical trial ward on the day before administration (D-1), and discharged after all examinations and assessments are completed on D4 after administration. Moreover, they will return to thestudy site for follow-up visits and relevant procedures and assessments as scheduled in the protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| JS026/placebo 30 mg | Placebo Comparator | 4 patients will be enrolled in this arm. |
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| JS026/placebo 100 mg | Placebo Comparator | 4 patients will be enrolled in this arm. |
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| JS026/placebo 300 mg | Placebo Comparator | 8 patients will be enrolled in this arm. |
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| JS026/placebo 600 mg | Placebo Comparator | 8 patients will be enrolled in this arm. |
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| JS026/placebo 1000 mg | Placebo Comparator | 8 patients will be enrolled in this arm. |
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| JS026/placebo 300 mg + JS016/placebo1200 mg |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JS026/placebo | Biological | Five dose groups (30 mg, 100 mg, 300 mg, 600 mg, and 1000 mg) will be set to receive an intravenous infusion of JS026/placebo on Day1, and two dose groups (300 mg JS026 + 1200 mg JS016, and 600 mg JS026+ 1200 mg JS016) will be set to receive an intravenous infusion of JS026/placebo + JS016/placebo on Day1. The investigational product and placebo will be distributed in each dose group in a ratio of 3:1. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: Incidence and severity of any adverse events (AEs) occurring during the clinical trial per CTCAE V5.0 | Incidence and severity of any adverse events (AEs) occurring during the clinical trial, including serious adverse events (SAEs), and adverse events of special interest (AESIs), as well as abnormalities in clinical symptoms, vital signs, physical examination, laboratory tests (complete blood cell count, serum chemistry, routine urinalysis, coagulation function, etc.) and 12-lead ECGs will be observed for all the subjects, the their clinical manifestations and features, severity, time to onset, end time, therapeutic measures and outcomes will be recorded, and the correlation of the adverse events with the investigational product will be judged. | 85 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics: AUC | Area under the plasma concentration-time curve from the time of dosing to the last measurable concentration time t (AUC0-last) | Day 1 to D85 |
| Pharmacokinetics: Tmax | Time to maximum concentration (Tmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huashan Hospital affiliated to Fudan University | Shanghai | Shanghai Municipality | 200040 | China |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C000721988 | JS026 |
| C000711968 | etesevimab |
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8 patients will be enrolled in this arm. |
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| JS026/placebo 600 mg + JS016/placebo 1200 mg | Placebo Comparator | 8 patients will be enrolled in this arm. |
|
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| JS016/placebo | Biological | Two dose groups (300 mg + 1200 mg, and 600 mg + 1200 mg) will be set to receive an intravenous infusion of JS026/placebo + JS016/placebo on Day1. The investigational product and placebo will be distributed in each dose group in a ratio of 3:1. |
|
| Day 1 to D85 |
| Pharmacokinetics: Cmax | Maximum concentration (Cmax) | Day 1 to D85 |
| Pharmacokinetics: Vd | Apparent volume of distribution (Vd) | Day 1 to D85 |
| Pharmacokinetics: CLt | Terminal clearance (CLt) | Day 1 to D85 |
| Pharmacokinetics: t1/2 | Elimination half-life (t1/2) | Day 1 to D85 |
| Immunogenicity: ADA | Incidence of anti-drug antibodies (ADA) | Day 1 to D85 |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |