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The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of SCTC21C in participants with systemic lupus erythematosus
This study contains phase Ib and phase II studies. In phase Ib study, participants will be assigned to receive sequentially higher doses of SCTC21C to determine the recomended dose of SCTC21C for the randomized dose optimation-stage. In phase 2 study, 2 dose levels will be uased. A total of 120 participants will be randomized in a 1:1:1 ration to dose 1, dose 2 or placebo groups to better understand the exposure/efficacy/toxicity relationship.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental: SCTC21C | Experimental | SCTC21C will be administered to participants for about 24 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SCTC21C | Biological | SCTC21C will be subcutaneously administered at a dose as specified in the respective dose-escalation cohorts. Then, the RP2D and other appropriate doses of SCTC21C will be applied for the dose-expansion cohorts |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: safety and tolerability of SCTC21C | To evaluate the incidence rates of treatment emergent adverse event (TEAE), treatment-related TEAE (TRAE), serious adverse event (SAE) and dose-limiting toxicity (DLT) | From first dose to Week 48 |
| Phase II: efficacy of SCTC21C | Percentage of participants who achiened an mSRI-4 response at W24 | Up to Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| dose escalation part#SRI4/5/6/7/8 | percentage of participants who achieved SRI4/5/6/7/8 response at specified time | up to Week 48 |
| Dose- escalation # mSRI4/5/6/7/8 | percentage of participants who achieved mSRI4/5/6/7/8 response at specified time |
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Inclusion Criteria:
Exclusion Criteria:
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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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| up to Week 48 |
| Dose-escalation part # BILAG | The BILAG improvement rate among participants with baseline BILAG score of A or B at specified time | up to Week 48 |
| Dose-escalation part # SLE flare | Time to first SLE flare | Up to Week 48 |
| Dose-escalation part # immunogenicity | Serum anti-SCTC21C antibody and anti-SCTC21C neutralization antibody levels | up to Week 48 |
| Dose-escalation part # SCTC21C | Serum SCTC21C levels at specified time | up to Week 48 |