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This is a phase 2, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy and safety of AK111 in subjects with active ankylosing spondylitis.
The purpose of this study is to evaluate the efficacy and safety of AK111 in the treatment of subjects with active ankylosing spondylitis. Subjects will be randomized to receive AK111 or placebo following subcutaneous injection. The study period for each subject will be 25 weeks, including a screening period of up to 35 days, followed by a treatment period of 12 weeks and a follow up period of 8 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AK111 75mg | Experimental | AK111 75mg will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week12. |
|
| AK111 150mg | Experimental | AK111 150mg will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week12. |
|
| AK111 300mg | Experimental | AK111 300mg will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week12. |
|
| Placebo | Placebo Comparator | Placebo will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week12. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AK111 | Biological | AK111 administered subcutaneously at Week 0, 1, and 4, then every 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of subjects who achieve Assessment of SpondyloArthritis International Society 20% improvement (ASAS20) response at Week 16. | ASAS measures symptomatic improvement in Ankylosing Spondylitis (AS) subjects. ASAS has 4 domains: patient global, pain, function (assessed by BASFI) and inflammation (mean of Ankylosing Spondylitis Disease Activity Index [BASDAI] question 5 and 6 ). ASAS20 response is defined as improvement of ≥ 20% and ≥1 unit in at least 3 domains (on a scale of 0 [least] to 10 [worst]) and no worsening of ≥20% and ≥1 unit in the remaining domain. | Week16 |
| Percentage of subjects with treatment-emergent adverse events (TEAEs) during the study. | Baseline to Week20 | |
| Percentage of subjects with treatment-emergent serious adverse events (SAEs) during the study. | Baseline to Week20 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of subjects who achieve SpondyloArthritis International Society 40% improvement (ASAS40) response at Week 16. | ASAS measures symptomatic improvement in Ankylosing Spondylitis (AS) subjects. ASAS has 4 domains: patient global, pain, function (assessed by BASFI) and inflammation (mean of Ankylosing Spondylitis Disease Activity Index [BASDAI] question 5 and 6 ). ASAS40 response is defined as improvement of ≥40% and ≥2 units in at least 3 domains (on a scale of 0 [least] to 10 [worst]) and no worsening in the remaining domain. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The first affiliated hospital of Bengbu medical college | Bengbu | Anhui | China | |||
| Peking university people's hospital |
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| ID | Term |
|---|---|
| D013167 | Spondylitis, Ankylosing |
| ID | Term |
|---|---|
| D000089183 | Axial Spondyloarthritis |
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
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| Placebo | Biological | Placebo administered subcutaneously at Week 0, 1, and 4, then every 4 weeks |
|
| Week 16 |
| Percentage of subjects who achieve ASAS20 response at each visit from baseline. | ASAS measures symptomatic improvement in Ankylosing Spondylitis (AS) subjects. ASAS has 4 domains: patient global, pain, function (assessed by BASFI) and inflammation (mean of Ankylosing Spondylitis Disease Activity Index [BASDAI] question 5 and 6 ). ASAS20 response is defined as improvement of ≥ 20% and ≥1 unit in at least 3 domains (on a scale of 0 [least] to 10 [worst]) and no worsening of ≥20% and ≥1 unit in the remaining domain. | Baseline to Week 20 |
| Percentage of subjects who achieve ASAS40 at each visit from baseline. | ASAS measures symptomatic improvement in Ankylosing Spondylitis (AS) subjects. ASAS has 4 domains: patient global, pain, function (assessed by BASFI) and inflammation (mean of Ankylosing Spondylitis Disease Activity Index [BASDAI] question 5 and 6 ). ASAS40 response is defined as improvement of ≥40% and ≥2 units in at least 3 domains (on a scale of 0 [least] to 10 [worst]) and no worsening in the remaining domain. | Baseline to Week 20 |
| Change from baseline in Ankylosing Spondylitis Quality of Life (ASQoL) at each visit from baseline. | The Ankylosing Spondylitis Quality of Life (ASQoL), a validated disease-specific 18-item questionnaire, has been developed specifically for measuring health-related quality of life (HRQoL) in subjects with ankylosing spondylitis (AS) . The ASQoL score ranges from 0 to 18 with a higher score indicating worse HRQoL. | Baseline to Week 20 |
| pharmacodynamics(PD) parameters: Changes of Interleukin-17A (IL-17A) level in peripheral serum compared with baseline and its relationship with AK111 exposure. | Baseline to Week 20 |
| Immunogenicity: Number and percentage of subjects with detectable anti-AK111 antibody (ADA). | Baseline to Week 20 |
| Change from baseline on the 36-item Short-Form (SF-36) Health Survey at each visit from baseline. | The SF-36 is a 36-item generic health status measure. It measures 8 general health domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Each of the 8 domain scores and the component summary scores range from 0 to 100, with higher scores indicating better health status. | Baseline to Week 20 |
| Area under the curve from 0 to the time of the last quantifiable concentration (AUC0-t) | Baseline to Week 20 |
| Maximum observed concentration (Cmax) | Baseline to Week 20 |
| Terminal elimination half-life (T1/2) | Baseline to Week 20 |
| Time of occurrence of Cmax (Tmax) | Baseline to Week 20 |
| Beijing |
| Beijing Municipality |
| China |
| Peking University Shougang hospital | Beijing | Beijing Municipality | China |
| Peking University Third Hospital | Beijing | Beijing Municipality | China |
| Xuanwu hospital capital medical university | Beijing | Beijing Municipality | China |
| Guangdong provincial people's hospital | Guangzhou | Guangdong | China |
| Nanfang Hospital | Guangzhou | Guangdong | China |
| The first affiliated hospital of Zhengzhou University | Zhengzhou | Henan | China |
| Jiangsu Province Hospital | Nanjing | Jiangsu | China |
| Nanjing Drum Tower hospital | Nanjing | Jiangsu | China |
| Zhongda Hospital Southeast University | Nanjing | Jiangsu | China |
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | China |
| The first Bethune hospital of Jilin university | Changchun | Jilin | China |
| Second hospital of Shanxi Medical university | Taiyuan | Shanxi | China |
| The seventh affiliated hospital, Sun Yat-sen university | Shenzhen | Shenzhen | China |
| D013122 |
| Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D000844 | Ankylosis |
| D007592 | Joint Diseases |
| D001168 | Arthritis |