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| Name | Class |
|---|---|
| Baili-Bio (Chengdu) Pharmaceutical Co., Ltd. | INDUSTRY |
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This study is a randomized, controlled, phase I clinical study with safety, efficacy, and pharmacokinetic/pharmacodynamic characteristics in patients with systemic lupus erythematosus.
This study is divided into Phase Ia and Phase Ib studies. The Phase Ia study adopts a single-arm design, while the Phase Ib study will be conducted on the basis of the Phase Ia study and features an open-label, randomized, active-controlled design, with belimumab as the control agent.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GNC-038 | Experimental | Participants receive GNC-038 in the first cycle. Participants with clinical benefit could receive additional treatment for more cycles. The administration will be terminated because of disease progression or intolerable toxicity occurring or other reasons. |
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| Belimumab | Active Comparator | The control group will be set up in phase Ib, participants will receive Belimumab. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GNC-038 | Drug | Administration by intravenous infusion. Once a week (IV, QW), twice in total. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Phase Ia: Dose limiting toxicity (DLT) | DLTs are assessed according to NCI-CTCAE v5.0 during the first cycle and defined as occurrence of any of the toxicities in DLT definition if judged by the investigator to be possibly, probably or definitely related to study drug administration. | Up to approximately 28 days |
| Phase Ia: Maximum tolerated dose (MTD) | MTD is defined as the highest dose level at which no more than 1 in 6 participants experienced a DLT during the first cycle. | Up to approximately 28 days |
| Phase Ia: Treatment-Emergent Adverse Event (TEAE) | TEAE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally emerging, or any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition during the treatment of GNC-038. The type, frequency and severity of TEAE will be evaluated during the treatment of GNC-038. | Up to approximately 24 months |
| Phase Ia: Cmax | Maximum serum concentration (Cmax) of GNC-038 will be investigated. | Up to approximately 24 months |
| Phase Ia: Tmax | Time to maximum serum concentration (Tmax) of GNC-038 will be investigated. | Up to approximately 24 months |
| Phase Ia: T1/2 | Half-life (T1/2) of GNC-038 will be investigated. | Up to approximately 24 months |
| Phase Ia: AUC0-t |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-drug antibody (ADA) | Frequency of anti-GNC-038 antibody (ADA) will be investigated. | Up to approximately 24 months |
| Phase Ia: Receptor Occupancy (RO) | Receptor Occupancy (RO) will be investigated. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sa Xiao, PHD | Contact | 15013238943 | xiaosa@baili-pharm.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renji Hospital, Shanghai Jiao Tong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 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 |
|---|---|
| C511911 | belimumab |
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| Belimumab |
| Drug |
The first 3 doses are administered once every 2 weeks; starting from the 4th dose, once every 4 weeks. |
|
AUC0-t is defined as area under the serum concentration-time curve from time 0 to the time of the last measurable concentration. |
| Up to approximately 24 months |
| Phase Ia: CL (Clearance) | CL in the serum of GNC-038 per unit of time will be investigated. | Up to approximately 24 months |
| Phase Ib: Recommended Phase II Dose (RP2D) | The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for phase II study, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation study of GNC-038. | Up to approximately 24 months |
| Phase Ib: SRI-4 response rate | SRI-4 response rate will be investigated. | Up to approximately 24 months |
| Up to approximately 24 months |
| Phase Ib: Change from baseline in SLEDAI-2K | Change from baseline in SLEDAI-2K will be investigated. | Up to approximately 24 months |
| Phase Ib: Changes in Quality of Life (SF-36) | Changes in Quality of Life (SF-36) will be investigated. | Up to approximately 24 months |
| Phase Ib: Proportion of subjects achieving Lupus Low Disease Activity Status (LLDAS) | Proportion of subjects achieving Lupus Low Disease Activity Status (LLDAS) will be investigated. | Up to approximately 24 months |
| Phase Ib: Proportion of subjects achieving disease remission (DORIS) | Proportion of subjects achieving disease remission (DORIS) will be investigated. | Up to approximately 24 months |