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This is a phase IIb, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy and safety of orelabrutinib in adult subjects with SLE who are receiving standard of care (SOC) therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Orelabrutinib Lower Dose | Experimental |
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| Orelabrutinib Higher Dose | Experimental |
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| Placebo | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Orelabrutinib (Low Dose) | Drug | Subjects will be administered with lower dose of Orelabrutinib orally once daily in combination with SOC therapy |
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| Measure | Description | Time Frame |
|---|---|---|
| SLE Responder Index (SRI) - 4 response rate | SRI-4 response is defined as: 1)≥4 point reduction from baseline in SLE disease activity index-2000 (SLEDAI-2K) score; 2) no worsening (increase of <0.3 points from baseline) in Physician's Global Assessment (PGA); 3) no new A organ domain score or no more than 1 new B organ domain scores compared with baseline in British Isles Lupus Assessment Group (BILAG)-2004. | Week 48 |
| Measure | Description | Time Frame |
|---|---|---|
| SLE Responder Index (SRI) - 6 response rate | SRI-6 response is defined as: 1)≥6 point reduction from baseline in SLE disease activity index-2000 (SLEDAI-2K) score; 2) no worsening (increase of <0.3 points from baseline) in Physician's Global Assessment (PGA); 3) no new A organ domain score or no more than 1 new B organ domain scores compared with baseline in British Isles Lupus Assessment Group (BILAG)-2004. |
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Inclusion Criteria:
Exclusion Criteria:
Medical conditions:
Pregnant or lactating women, and men or women who have birth plans in the past 12 months.
Have neuropsychiatric systemic lupus erythematosus (NPSLE) within 6 months prior to the first dose, including seizures, psychosis, organic brain syndrome, cerebrovascular accident, cranial neuropathy, cerebritis, cerebral vasculitis or lupus headache.
Have severe lupus nephritis, or have required hemodialysis or high-dose glucocorticoid within 90 days prior to the first dose.
Have autoimmune diseases other than SLE (excluding secondary Sjogren's syndrome).
Have a history of any non-SLE disease that has required treatment with oral or intravenous or intramuscular or subcutaneous injection glucocorticoids for more than a total of 2 weeks within the last 24 weeks prior to signing the ICF.
Have a history of or current diagnosis of Central Nervous System (CNS) diseases.
Have clinically documented cardiovascular diseases that are obviously unstable or not effectively treated.
Have significant active lung diseases (e.g., interstitial lung disease, obstructive pulmonary disease).
Have severe hepatobiliary diseases.
Have a history of malignant neoplasm.
Have a history of a major organ transplant or hematopoietic stem cell/marrow transplant.
Have known allergies to any component of the investigational agent as described in the Protocol.
Concomitant medication and surgery:
Have received rituximab, epratuzumab, or any other B cell-depleting therapy within 12 months prior to randomization.
Have received cyclophosphamide and chlorambucil within 6 months prior to randomization.
Have received belimumab, tumor necrosis factor (TNF) blockers, interleukin receptor blockers or other biological agents within 3 months prior to randomization (or 5 half-lives, whichever is longer).
Lab tests:
Have a positive test for human immunodeficiency virus (HIV) antibody.
Have a positive test for Hepatitis B Surface Antigen (HBsAg) or hepatitis C antibody, or have a positive test for hepatitis B virus (HBV) DNA by Polymerase Chain Reaction (PCR) if positive for Hepatitis B Core Antibody (HBcAb).
Have abnormal tissue or organ function, meeting any of the following at screening:
Others:
Have other conditions that are not appropriate for participation in the trial as considered by the investigator.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhanguo Li, PhD | Contact | 010-88324172 | Zgli@yahoo.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The first affiliated hospital of bengbu medical college | Recruiting | Bengbu | Anhui | 233099 | China |
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| Orelabrutinib (High Dose) | Drug | Subjects will be administered with higher dose of Orelabrutinib orally once daily in combination with SOC therapy |
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| Orelabrutinib Placebo | Drug | Subjects will be administered with Orelabrutinib Placebo orally once daily in combination with SOC therapy |
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| Week 48 |
| British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) response rate | BICLA response is defined as: 1) In BILAG-2004, reduction of all baseline A to B/C/D and baseline B to C/D, and no worsening in other organ systems (as defined by no new A organ domain score or no more than 1 new B organ domain scores); 2) No worsening from baseline in SLEDAI-2K, where worsening is defined as an increase from baseline of >0 points in SLEDAI-2K; 3) No worsening (increase of <0.3 points from baseline) in PGA. | Week 48 |
| Time to 1st flare | Week 48 |
| The proportion of subjects whose average prednisone dose has been reduced by≥25% from baseline to ≤7.5 mg/day | Week 48 |
| Changes from baseline in the levels of complement C3, complement C4, and anti-dsDNA antibody | Adopt the unified unit standard of central laboratory testing | Week 48 |
| Treatment Emergent Adverse Events, Treatment Related Adverse Events, Treatment Emergent Serious Adverse Events, Treatment Related Serious Adverse Events. | Up to Week 52 |
| Mean change from baseline in the 36-Item Short Form Health Survey (SF-36) scores (The SF-36 consists of eight domains. Each domain score ranges from 0-100. The higher the score, the better the health. ) | Week 48 |
| The First Affiliated Hospital of Anhui Medical University | Recruiting | Hefei | Anhui | 230022 | China |
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| Peking University People's Hospital | Recruiting | Beijing | Beijing Municipality | 100000 | China |
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| China-Japan Friendship Hospital | Not yet recruiting | Beijing | Beijing Municipality | 100029 | China |
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| Beijing Friendship Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | 100050 | China |
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| The First Affiliated Hospital of XiaMen University | Recruiting | Xiamen | Fujian | 361009 | China |
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| The First Affiliated Hospital,Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | 510080 | China |
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| The first affiliated hospital of shantou university medical college | Recruiting | Shantou | Guangdong | 515041 | China |
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| The Seventh Affiliated Hospital, Sun Yat-sen University | Recruiting | Shenzhen | Guangdong | 518107 | China |
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| Affiliated Hospital of Guilin Medical University | Recruiting | Guilin | Guangxi | 541001 | China |
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| Affiliated Hospital of HeBei University | Recruiting | Baoding | Hebei | 071030 | China |
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| Hebei People's Hospital | Recruiting | Shijiazhuang | Hebei | 050051 | China |
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| Daqing Oilfield General Hospital | Recruiting | Daqing | Heilongjiang | Contact: Junsong Li | China |
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| The first hospital of Qiqihar | Recruiting | Qiqihar | Heilongjiang | 161005 | China |
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| The First Affiliated Hospital of Henan University of Science and Technology | Recruiting | Luoyang | Henan | 471003 | China |
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| First Affiliated Hospital of Zhengzhou University | Recruiting | Zhengzhou | Henan | 450052 | China |
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| Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology | Recruiting | Wuhan | Hubei | 430022 | China |
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| The Second XIANGYA Hospital Of Central South University | Not yet recruiting | Changsha | Hunan | 410000 | China |
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| Yiyang Central Hospital | Recruiting | Yiyang | Hunan | 413000 | China |
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| Zhuzhou Central Hospital | Recruiting | Zhuzhou | Hunan | 412000 | China |
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| The Second Affiliated Hospital of Soochow University | Recruiting | Suzhou | Jiangsu | 215004 | China |
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| Xuzhou Central Hospital | Recruiting | Xuzhou | Jiangsu | 221000 | China |
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| Jiujiang NO.1 People's Hospital | Recruiting | Jiujiang | Jiangxi | 332000 | China |
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| The First Affiliated Hospital of Nanchang University | Recruiting | Nanchang | Jiangxi | 330006 | China |
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| Jilin Provincial People's Hospital | Recruiting | Changchun | Jilin | 130021 | China |
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| Shengjing Hospital of china medical university | Recruiting | Shenyang | Liaoning | 110004 | China |
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| Affiliated Hospital of Inner Mongolia Medical University | Not yet recruiting | Hohhot | Nei Monggol Autonomous Region | 010000 | China |
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| Affiliated Hospital of Binzhou Medical College | Recruiting | Binzhou | Shandong | 256699 | China |
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| Jining First People's Hospital | Recruiting | Jining | Shandong | 272002 | China |
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| Linyi People's Hospital | Recruiting | Linyi | Shandong | 276034 | China |
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| Changhai Hospital of Shanghai | Recruiting | Shanghai | Shanghai Municipality | 200000 | China |
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| Renji Hospital, Shanghai Jiao Tong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200000 | China |
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| The First Hospital of Shanxi Medical University | Recruiting | Taiyuan | Shanxi | 030001 | China |
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| The Second Hospital of Shanxi Medical University | Recruiting | Taiyuan | Shanxi | 030001 | China |
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| The First Affiliated Hospital of Xi 'an Jiaotong University | Recruiting | Xi’an | Shanxi | 710061 | China |
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| Tianjin Medical University General Hospital | Not yet recruiting | Tianjin | Tianjin Municipality | 300000 | China |
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| Xinjiang Uygur Autonomous Region People's Hospital | Recruiting | Ürümqi | Xinjiang | 830000 | China |
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| The Third People's Hospital of Huzhou | Recruiting | Huzhou | Zhejiang | 313002 | China |
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| The First Hospital of Ningbo | Recruiting | Ningbo | Zhejiang | 315010 | China |
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| The First People's Hospital of Wenling | Recruiting | Wenling | Zhejiang | 317500 | China |
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| Wenzhou People's Hospital | Recruiting | Wenzhou | Zhejiang | 325099 | China |
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| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C000729508 | orelabrutinib |
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