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| Name | Class |
|---|---|
| The First Affiliated Hospital with Nanjing Medical University | OTHER |
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This is an open-label investigator-initiated trial (IIT) to assess the safety, efficacy, and PK(pharmacokinetic)/PD(pharmacodynamics ) of UB-VV410 in adult subjects with clinically active treatment-refractory SLE. The study population will include subjects with active LN (as defined by evidence of active inflammation on renal biopsy, referred to as the LN cohort) and subjects with active SLE without LN (ie, non-LN SLE, referred to as the non-LN cohort). It is expected that the safety profile of UB-VV410 will be similar in subjects with active LN and subjects with active non-LN SLE; thus, dose finding (DF) will be conducted in the 2 subpopulation cohorts combined. Dose expansion (DE) may be conducted separately in the LN and non-LN cohorts to characterize the preliminary efficacy of UB-VV410, as well as its safety and PK/PD, in each subpopulation.
The objective of this study is to determine the MTD(maximum tolerated dose)/MAD(maximum administered dose) and the recommended dose for subsequent studies of UB-VV410 in subjects with active LN and in subjects with active non-LN SLE. The DF portion will evaluate the safety profile of UB-VV410 administered at various DLs(dose levels). The DE portion will further optimize the dose and define the safety profile and preliminary efficacy of UB VV410. The study will use the Bayesian optimal interval (BOIN) design to allocate subjects to various DLs to minimize exposure to subtherapeutic DLs while maintaining appropriate safety parameters. DF will be initiated with UB-VV410 administered IV and starting at DL1.
During DF, additional subjects may be backfilled at DLs found to be safe per the BOIN design and with promising activity. After DF of UB-VV410 has been completed, DE with up to 14 subjects per DL within each subpopulation cohort (eg, LN and non-LN cohorts) may be implemented at DLs less than or equal to the MTD/MAD and demonstrating efficacy to further characterize the toxicity, tolerability, PK/PD, and preliminary efficacy of UB-VV410 at the selected DLs. The DE portion will further characterize product safety and preliminary efficacy in order to optimize benefit/risk. The number of DLs for DE will be determined based on the safety, activity and PK/PD data observed from DF.
In addition, some subjects may receive retreatment with UB-VV410 if there are preliminary findings suggesting incomplete improvement and acceptable safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| UB-VV410(treatment group) | Experimental | Interventions: UB-VV410. Subjects will be consented and screened. Once subject eligibility is confirmed, the Investigator will be notified which dose the subject is assigned to receive. Eligible subjects will receive UB-VV410 at the assigned DL(dose level) on Study Day 1 (Day 1). Dose-limiting toxicities (DLTs) will be assessed for 28 days after UB-VV410 treatment. Safety will be assessed throughout the study. SLE/LN disease activity will be evaluated at approximately 1, 2, 3, 6, 9, 12, 18, and 24 months following UB VV410 administration. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UB-VV410 | Drug | Treatment with single dose of UB-VV410, intravenous injection at Day 1. Note: Subjects may receive retreatment with UB-VV410 if there are preliminary findings suggesting incomplete improvement and acceptable safety. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events as assessed by CTCAE(Common Terminology Criteria for Adverse Events) v5.0 | Type, frequency, and severity of adverse events (AEs) and laboratory abnormalities | up to 24 months after UB-VV410 infusion |
| Maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended dose for subsequent study of UB-VV410 | MTD/MAD and the recommended dose for subsequent study of UB-VV410 | up to 24 months after UB-VV410 infusion |
| Measure | Description | Time Frame |
|---|---|---|
| clinical response of SLE to UB-VV410 | Systemic Lupus Erythematosus Responder Index 4 (SRI-4) response at specified timepoints | up to 24 months after UB-VV410 infusion |
| clinical response of SLE to UB-VV410 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yue Wan, Bachelor | Contact | +86-18896500535 | yue.wan@iasobio.com |
| Name | Affiliation | Role |
|---|---|---|
| Huijuan Mao, Doctor | Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Nanjing Medical University | Recruiting | Nanjing | China |
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| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| D008181 | Lupus Nephritis |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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Eligible subjects will receive UB-VV410
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The proportion of subjects with low disease activity by Lupus Low Disease Activity State (LLDAS) at specified timepoints
| up to 24 months after UB-VV410 infusion |
| clinical response of SLE to UB-VV410 | The proportion of subjects in remission as measured by Definition of Remission in SLE (DORIS) remission criteria at specified timepoints | up to 24 months after UB-VV410 infusion |
| clinical response of LN to UB-VV410 | Clinical responses at specified timepoints as evaluated by the proportions of subjects with LN who achieve complete renal response (CRR), primary efficacy renal response (PERR), and partial renal response (PRR) | up to 24 months after UB-VV410 infusion |
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |