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The purpose of this study is to evaluate the efficacy and safety of IMC-002 and IMM0306S in the treatment of active SLE.
This two-stage study consists of a multicenter dose-escalation study(Phase Ib)and a multicenter randomized, double-blind, placebo-controlled study(Phase II).
Primary objectives of the dose-finding stage: 1) Evaluate the efficacy, safety, pharmacokinetic (PK) and pharmacodynamic (PD) profiles of intravenous IMC-002 and subcutaneous IMM0306S in adult patients with active systemic lupus erythematosus (SLE); 2) Determine the absolute bioavailability of subcutaneous IMM0306S relative to intravenous IMC-002 in adults with moderate-to-severe active SLE; 3) Select the recommended Phase II dose (RP2D).
Primary objectives of the proof-of-concept (PoC) stage: Compare the efficacy of 1.2 mg/kg or 1.6 mg/kg IMC-002 versus placebo in adults with moderate-to-severe active SLE, and assess the efficacy and population PK (popPK) profiles of IMM0306S in patients with active SLE.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IMC-002 + SOC | Experimental |
| |
| Placebo + SOC | Placebo Comparator |
| |
| IMM0306S + SOC | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IMC-002 + SOC | Drug | intravenous injection of 0.8mg/kg、1.2mg/kg and1.6mg/kg |
|
| Measure | Description | Time Frame |
|---|---|---|
| SLE Responder Index (SRI-4) | Proportion of patients achieving a response in SRI-4 | week 24 |
| AEs and SAEs | The proportion of patients with AEs and SAEs | week 52 |
| Pharmacokinetics profiles | To characterize PK profiles and absolute bioavailability. | week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| SLE Responder Index (SRI-4) | Proportion of patients achieving a response in SRI-4 | week 12 and 52 |
| Lupus Low Disease Activity State (LLDAS) | Proportion of patients achieving a response in LLDAS. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Recruiting | Beijing | 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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| Placebo + SOC | Drug | intravenous or subcutaneous injection of Placebo |
|
| IMM0306S + SOC | Drug | subcutaneous injection of 2.0 mg/kg,4.0 mg/kg and 6.0mg/kg |
|
| week 24 and 52 |
| Definition of Remission In SLE (DORIS) | Proportion of patients achieving a response in DORIS. | week 24 and 52 |
| SLEDAI-2000, PGA, BILAG-2004 and EQ-5D | Changes from baseline in SLEDAI-2000, PGA, BILAG-2004 and EQ-5D. | week 52 |
| Achieve and sustain a low dose of corticosteroid | Changes in corticosteroid dosage at each visit and proportion of patients who achieve or maintain prednisone ≤ 7.5 mg/d. | week 52 |
| Achieve low level of urine protein | Changes in 24-hour urinary protein at each visit among trial patients with elevated 24-hour urinary protein at baseline (≥0.5 g) and proportion of patients who achieve to reduce urine protein level. | week 52 |
| Immunogenicity profiles | Positive rate and titers of anti-drug antibodies (ADA); neutralizing antibodies (NAb) may be further evaluated. | week 52 |
| Serologic laboratory parameters | Changes from baseline in serologic laboratory parameters (antinuclear antibodies, anti-ds-DNA antibodies, complement C3 and C4). | week 52 |
| Pharmacodynamic (PD) assessments and biomarker evaluations | Changes in TBNK subsets (CD3, CD4, CD56, CD16, Treg, etc.), B-cell subsets (CD19, CD20, CD27, CD38, CD24, etc.), IL-6 and IgG. | week 52 |