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This study is a prospective, single-arm, open-label exploratory clinical study conducted in subjects with ANCA-associated nephritis (AAGN), aiming to evaluate the efficacy and safety of Telitacicept in the treatment of AAGN.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The Telitacicept treatment group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telitacicept 160mg | Drug | Telitacicept for Injection combined with standard therapy (Prednisone and Cyclophosphamide) for the treatment of ANCA-associated nephritis (AAGN). |
|
| Measure | Description | Time Frame |
|---|---|---|
| The complete remission rate of AAGN | The complete remission of AAGN is defined as no manifestations of glomerulonephritis (the renal item score of Birmingham vasculitis activity score [BVAS] is 0); the renal item score of BVAS can range from 0 to 58. | 24 weeks |
| The partial remission rate of AAGN | The partial remission refers to no active urinary sediment, stable or decreased Scr level, or a reduction of more than 50% in the renal item score of Birmingham vasculitis activity score [BVAS]; the renal item score of BVAS can range from 0 to 58. | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The complete remission rate of ANCA | The changes of Birmingham vasculitis activity score (BVAS) relative to baseline were calculated, and the proportion of subjects who achieved complete response (BVAS=0); when calculating the total BVAS score, the maximum score for each organ is 12, the total scores can range from 0 to 63. | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in renal function compared with baseline during follow-up | Renal function measures included: 24h urinary total protein (UTP, g/24h), estimated glomerular filtration rate (eGFR, ml/min), serum creatinine (SCr, μmol/L), blood urea nitrogen (BUN, mmol/L), urinary microalbumin/urinary creatinine (UACR, mg/g). | 48 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renmin hospital of Wuhan University | Wuhan | Hubei | China |
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|
| Prednisone (and methylprednisolone) | Drug | Methylprednisone shock therapy (500mg, 3 times), followed by Prednisone (1 mg·kg·d and a pre-determined tapering guideline [PEXIVAS regimen]). |
|
| Cyclophosphamide | Drug | Cyclophosphamide, intravenous injection, once every 2 to 3 weeks, 0.75 g/m² each time, the maximum cumulative dose of 8g |
|
| The partial remission rate of ANCA |
The partial response (BVAS score decreased by more than 50%) was calculated. The Birmingham Vasculitis Activity Score (BVAS): when calculating the total BVAS score, the maximum score for each organ is 12, the total scores can range from 0 to 63. |
| 24 weeks |
| Safety and tolerability of patients, occurrence and recurrence of adverse events during the trial | This trial specifies that the recording of adverse events shall be recorded as a medical history from the time the subject receives the treatment administration, and from the time of signing the informed consent form until the clinical diagnosis, abnormal signs and symptoms, and examination findings occurring prior to the administration of the induction phase treatment. | 24 weeks |
| Occurrence of adverse events during follow-up |
All adverse events were recorded during follow-up, including infection, diarrhea, nausea, rash, prurient, joint pain, dizziness, abnormal liver function, and other drug-related adverse events. |
| 48 weeks |
| Recurrence of patients during follow-up. | Recurrence is defined by a Birmingham vasculitis activity score (BVAS) >15; when calculating the total BVAS score, the maximum score for each organ is 12, the total scores can range from 0 to 63. | 48 weeks |
| ID | Term |
|---|---|
| D056648 | Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis |
| ID | Term |
|---|---|
| D056647 | Systemic Vasculitis |
| D014657 | Vasculitis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C000722462 | telitacicept |
| D011241 | Prednisone |
| D003520 | Cyclophosphamide |
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
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