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This is a multicenter, randomized, double-blind, placebo-controlled Phase II clinical study designed to evaluate the clinical efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity of multiple local injections of different doses of LP-005 injection in patients with moderate-to-severe periodontitis, and to investigate changes in biomarker levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LP-005 Low-dose cohort | Experimental | Participants in this arm will receive LP-005 injection at a dose of 2.5 mg per injection site, with 2 injection sites per treated tooth, administered at a volume of 150 μL per site, once every 4 weeks for a total of 3 doses. |
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| LP-005 Medium-dose cohort | Experimental | Participants in this arm will receive LP-005 injection at a dose of 5.0 mg per injection site, with 2 injection sites per treated tooth, administered at a volume of 150 μL per site, once every 4 weeks for a total of 3 doses. |
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| LP-005 High-dose cohort | Experimental | Participants in this arm will receive LP-005 injection at a dose of 7.5 mg per injection site, with 2 injection sites per treated tooth, administered at a volume of 150 μL per site, once every 4 weeks for a total of 3 doses. |
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| Placebo cohort | Placebo Comparator | Participants in this arm will receive placebo injection at a dose of 0 mg per injection site, with 2 injection sites per treated tooth, administered at a volume of 150 μL per site, once every 4 weeks for a total of 3 doses. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LP-005 Injection | Drug | LP-005 is a bifunctional antibody fusion protein consisting of an anti-human C5 monoclonal antibody and a human complement regulatory protein, formulated as a sterile injectable solution. Each vial contains 300 mg of LP-005 in 6 mL (50 mg/mL). The LP-005 is administered via interdental papilla injection. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Gingival Index (GI) | GI is measured using the Löe-Silness scale (range: 0-3), where higher scores indicate more severe gingival inflammation (worse outcome). Changes from baseline in gingival index (GI) scores are measured at Day 43, Day 85, Day 127, and Day 169 after the first administration of LP-005 injection. | Day 43, Day 85, Day 127, and Day 169 |
| Change from Baseline in Bleeding Index (BI) | BI is measured using the Caton-Paton scale (range: 0-4), where higher scores indicate more severe gingival bleeding (worse outcome). Changes from baseline in BI scores are measured at Day 43, Day 85, Day 127, and Day 169 after the first administration of LP-005 injection. | Day 43, Day 85, Day 127, and Day 169 |
| Change from Baseline in Probing Pocket Depth (PD) | Changes from baseline in probing pocket depth (PD) are measured at Day 43, Day 85, Day 127, and Day 169 after the first administration of LP-005 injection. | Day 43, Day 85, Day 127, and Day 169 |
| Change from Baseline in Clinical Attachment Loss (AL) | Clinical AL is evaluated by standardized periodontal probing: after measuring probing depth, the probe tip is withdrawn along the root surface to identify the cemento-enamel junction (CEJ). The distance from the CEJ to the gingival margin (GM) is recorded. AL is calculated by subtracting this distance from the probing depth. A result of zero or an undetectable CEJ indicates no attachment loss. In cases of gingival recession where the gingival margin is apical to the CEJ, AL is determined by summing the two measurements. Six sites per tooth are examined, and AL values are recorded at all measured sites, with units expressed in millimeters (mm); larger values represent more severe periodontal attachment destruction. Changes from baseline in AL are measured at Day 43, Day 85, Day 127, and Day 169 after the first administration of LP-005 injection. | Day 43, Day 85, and Day 127, Day 169 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Gingival Crevicular Fluid (GCF) Biomarker Levels | GCF samples will be collected in participants' GCF after local administration of LP-005 to assess changes from baseline in a predefined panel of inflammatory and tissue-degrading biomarkers, including C3b, C5a, IL-1β, IL-6, TNF-α, MMP-8, and MMP-9. All biomarkers are quantified in standardized protein concentration units within GCF, and individual biomarker changes will be reported separately without aggregation. |
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Inclusion Criteria:
Exclusion Criteria:
At the time of screening, the target tooth and/or adjacent teeth (as determined by the investigator to affect the target tooth) exhibit periapical periodontitis, pericoronitis, or combined pulp-periodontal lesions; or the participant has orthodontic appliances (including fixed lingual retainers, etc.);
At screening, the target tooth and/or adjacent teeth (as determined by the investigator to affect the target tooth) are found by the investigator to have severe caries or caries requiring immediate treatment;
At screening, the participant has a periodontal or dental abscess, or a tumor of the oral soft or hard tissues;
Participants who have previously undergone periodontal surgery on the target teeth and/or adjacent teeth (as determined by the investigator to affect the target teeth), or who have undergone subgingival scaling and root planning (SRP) within 6 months prior to screening;
Participants with a history of Neisseria meningitidis infection;
Participants with a history of splenectomy or congenital asplenia;
Participants with impaired immune function (e.g., HIV infection, neutropenia, complement deficiency, etc.);
Participants with autoimmune diseases that the investigator determines may interfere with the evaluation of the study disease, such as Sjögren's syndrome, systemic lupus erythematosus, psoriasis, rheumatoid arthritis, etc.;
Participants with poorly controlled blood pressure at screening, such as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg;
Participants with glycated hemoglobin (HbA1c) >7.5% or severe diabetic complications at screening;
Participants with severe or poorly controlled systemic diseases at screening, as determined by the investigator, such as respiratory, gastrointestinal, cardiovascular, hematological, urological, neurological, or psychiatric disorders;
Participants who have continuously taken medications deemed by the investigator to interfere with the study within 1 month prior to screening, such as nifedipine, phenytoin, or anticoagulants (e.g., warfarin);
Participants who have received systemic antibiotic therapy within 3 months prior to screening;
Participants who have taken nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids on a long-term basis (≥3 times per week) prior to screening;
Participants with any of the following laboratory test results at the time of screening:
Participants who test positive for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV-Ab), human immunodeficiency virus antibody (HIV-Ab), or Treponema pallidum antibody (TP-Ab) at screening;
Participants with a history of malignant tumors within 5 years prior to screening;
Participants with a history of heavy smoking (≥10 cigarettes per day) within 12 months prior to screening;
Participants with known allergies to any drugs or materials used during surgery;
Pregnant or breastfeeding women;
Participants who have participated in other clinical trials within 30 days prior to screening or who plan to participate in other clinical trials during the study period;
Participants assessed by the investigator as having other conditions rendering them unsuitable for participation in the clinical study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jie Yang | Contact | +86 021-58372390 | yangj@longbiopharma.com |
| Name | Affiliation | Role |
|---|---|---|
| Hong Hua | Peking University School and Hospital of Stomatology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University School and Hospital of Stomatology | Beijing | Beijing Municipality | China |
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| ID | Term |
|---|---|
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| Placebo Injection | Drug | Placebo is a sterile injectable solution matched to LP-005 for appearance, formulation, and administration, with 0 mg of active ingredient per 6 mL vial. |
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| Change from Baseline in Plaque Index (PI) | PI is measured using the Silness-Löe scale (range: 0-3), higher scores indicate thicker dental plaque accumulation and more severe periodontal plaque condition. Changes from baseline in plaque index (PI) scores are measured at Day 43, Day 85, Day 127, and Day 169 after the first administration of LP-005 injection. | Day 43, Day 85, Day 127, and Day 169 |
| Change from Baseline in Alveolar Bone Defect Height | Changes from baseline in alveolar bone defect height are measured at Day 85 and Day 169 after the first administration of LP-005 injection, assessed via cone-beam computed tomography (CBCT). | Day 85, and Day 169 |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | Incidence and severity of TEAEs from first dose to end of study are recorded. | Up to approximately 24 weeks |
| Detect Pharmacokinetic (PK) Characteristics of LP-005 | Assess detectable serum concentration of LP-005 after local administration; if sufficient systemic exposure is detected, evaluate the systemic plasma PK characteristics of LP-005. | Up to approximately 24 weeks |
| Gingival Crevicular Fluid (GCF) Concentration of LP-005 | GCF samples to evaluate changes in LP-005 concentration in participants' GCF after local administration. | Up to approximately 24 weeks |
| Detect Pharmacodynamics (PD) Characteristics of LP-005 | Collect systemic venous blood samples to evaluate changes in participants' serum complement hemolytic activity (CH50), free C5 level, and C3b deposition after local administration of LP-005. | Up to approximately 24 weeks |
| Anti-Drug Antibody (ADA) and Neutralizing Antibody (NAb) Assessment | Collect systemic venous blood samples to evaluate the positivity rate of ADA in participants, the titer of ADA-positive samples, and further detect NAb in ADA-positive samples. | Up to approximately 24 weeks |
| Up to approximately 24 weeks |