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A Study to Investigate the Tolerability, Safety,Pharmacokinetics and efficacy of GR1603 in subjects with Systemic Lupus Erythematosus ; GR1603 injection is a monoclonal antibody targeting IFNAR1, which can block IFNAR binding to type I interferons such as IFNα and be used to treat systemic lupus erythematosus.
This is a Phase Ib/Ⅱ,double blind, multiple-dose study to evaluate the pharmacokinetics (PK), safety,tolerability and efficacy of intravenously administered GR1603 in participants with active SLE despite receiving standard of care .
Phase Ib is a multi-dose escalation phase in which 16 subjects are scheduled to enroll.
A total of 120 subjects were randomly assigned to GR1603 injection low dose group, high dose group or placebo group in phase Ⅱ.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group 1-Ⅰb | Experimental | 6 subjects in GR1603 low dose,2 subjects in placebo |
|
| Treatment group 2-Ⅰb | Experimental | 6 subjects in GR1603 high dose,2 subjects in placebo |
|
| treatment group 3-Ⅱ | Experimental | low dose GR1603 monthly |
|
| treatment group 4-Ⅱ | Experimental | high dose GR1603 monthly |
|
| treatment group 5-Ⅱ | Placebo Comparator | placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| low dose GR1603 in phase Ⅰb | Biological | 6 subjects in GR1603 low dose,2 subjects in placebo |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events(phase Ib) | to characterise the safety and tolerability of GR1603,including abnormal vital signs,laboratory tests,electrocardiogram and physical examination | up to week 16 |
| Number of participants who achieved BICLA response (phase Ⅱ) | BICLA respnse:reduction of all baseline BILAG-2004 A to B/C/D and baseline BILAG-2004 B to C/D, and no BILAG-2004 worsening in other organ systems, as defined by ≥1 new BILAG-2004 A or ≥2 new BILAG-2004 B | week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| AUC0-t(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| xiaofeng zeng, PHD | Peking Union Medical College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking union Medical Hosipital | Beijing | Beijing Municipality | 100730 | China |
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| high dose GR1603 in phaseⅠb | Biological | 6 subjects in GR1603 high dose,2 subjects in placebo |
|
| low dose GR1603 in phase Ⅱ | Biological | low dose GR1603 monthly |
|
| high dose GR1603 in phase Ⅱ | Biological | high dose GR1603 monthly |
|
| Placebo in phase Ⅱ | Biological | Placebo |
|
| AUC0-∞(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| AUCss(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| Tmax(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| t1/2z(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| Vz(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| CLz(phaseⅠb) | Pharmacokinetic indices | up to week 16 |
| Number of participants who achieved SRI (4)(phase Ⅱ) | An SRI (4) responder defined as a participant who had a reduction in baseline Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of greater than or equal to 4 points; | up to week 28 |
| Number of participants who achieved BICLA response(phase Ⅱ) | BICLA respnse:reduction of all baseline BILAG-2004 A to B/C/D and baseline BILAG-2004 B to C/D, and no BILAG-2004 worsening in other organ systems, as defined by ≥1 new BILAG-2004 A or ≥2 new BILAG-2004 B | up to week 28 |
| Number of participants with a ≥50% reduction in CLASI activity score (phase Ⅱ) | CLASI:Cutaneous Lupus Erythematosus Disease Area and Severity Index | up to week 28 |
| Flare rate(phase Ⅱ) | A flare was defined as either 1 or more new BILAG-2004 A or 2 or more new BILAG-2004 B items compared to the previous visit | up to week 28 |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| D001327 | Autoimmune Diseases |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007154 | Immune System Diseases |
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