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This multicentre, randomised, double-blind, dose-finding, active- and placebo-controlled Phase II clinical trial will evaluate the safety, efficacy, pharmacokinetic profile, and immunogenicity of KJ101 for the debridement of deep second-degree burns. The trial will provide supporting evidence for subsequent Phase III trials.
This multicentre, randomised, double-blind, dose-finding, active- and placebo-controlled Phase II clinical trial will evaluate the safety, efficacy, pharmacokinetic profile, and immunogenicity of KJ101 in the debridement of deep second-degree burns. The aim is to provide supporting evidence for subsequent Phase III clinical trial.
The study comprises four treatment groups: KJ101 at a dose of 800 U/mL; KJ101 at a dose of 1200 U/mL; an active comparator group receiving chymotrypsin at a dose of 800 U/mL; and a placebo control group.
Approximately 144 screened and qualified subjects will be randomised at a ratio of 1:1:1:1 to one of the four groups. All interventions will be administered locally to the target wound at the following frequencies: once daily prior to complete necrotic tissue debridement, and then every other day post-debridement.
Treatment will continue until complete wound healing is achieved (with a maximum treatment duration of 28 days), after which there will be a one-week safety follow-up period will be conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental-KJ101-Dose Group -1 | Experimental | KJ101 , Dose Group -1 (800 U/mL) |
|
| Experimental-KJ101-Dose Group -2 | Experimental | KJ101 , Dose Group -2 (1200 U/mL) |
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| Active comparator | Active Comparator | Chymotrypsin (800 U/mL) |
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| Placebo Comparator | Placebo Comparator | Placebo |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KJ101 | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Assessing the incidence and severity of adverse events (AEs) and serious adverse events (SAEs) via the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. | day 35 |
| Measure | Description | Time Frame |
|---|---|---|
| The time required for burn wounds to heal completely. | The time taken for the burn wound to reach full epithelialisation, i.e. complete healing. | day 3 to day 28 |
| Rate of complete healing of burn wounds. |
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Inclusion criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ruijin Hospital, Shanghai Jiao Tong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200000 | China |
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| ID | Term |
|---|---|
| D002056 | Burns |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D002918 | Chymotrypsin |
| ID | Term |
|---|---|
| D012697 | Serine Endopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
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| Chymotrypsin | Drug |
|
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| Placebo (Sodium Chloride Injection 0.9%) | Drug |
|
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The complete burn wound healing rate was calculated as follows:
(Number of subjects with complete burn wound healing within 28 days of randomisation/Total number of subjects) x 100%.
Complete wound healing of burn wounds in patients was assessed using the criterion of 100% epithelialisation of the burn wound.
| day 28 |
| The time it takes to completely remove necrotic tissue from burn wound. | Necrotic tissue in a wound was defined as inactive tissue that had lost its ability to heal due to irreversible cell death caused by thermal injury. The complete removal of necrotic tissue from a burn wound was defined as the point at which the wound was fully cleared of necrotic tissue, the base was clean, and new tissue had formed. | day 3 to day 28 |
| Pain intensity evaluation (VAS score) | A visual analogue scale (VAS) is used to assess pain. The basic method involves a 10 cm scale divided into 10 points, with '0' and '10' at each end. '0' represents no pain, while '10' represents the most severe and intolerable pain possible. | day 1 to day 28 |
| Pharmacokinetics of KJ101 (Cmax) | Maximum observed serum concentration of KJ101 following dosing (Cmax) | day 28 |
| Pharmacokinetics of KJ101 (AUC) | Area under the serum concentration versustime curve (AUC) | day 28 |
| Pharmacokinetics of KJ101 (t1/2) | Half-life of KJ101 | day 28 |
| Pharmacokinetics of KJ101 (CL) | Clearance(CL) is a measure of the ability of the body to clear KJ101 | day 28 |
| Pharmacokinetics of KJ101 (Vz) | Vz = Volume of distribution during the elimination phase | day 28 |
| Immunogenicity | Immunogenicity of KJ101 (Anti-KJ101 antibody) in patients | day 28 |
| D004798 |
| Enzymes |
| D045762 | Enzymes and Coenzymes |
| D057057 | Serine Proteases |