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This is a Phase I, open-label, dose escalation, multicenter study to evaluate the safety, tolerability, preliminary efficacy, pharmacodynamics (PD), and pharmacokinetics (PK) of EA5 injection in adult participants with Antiphospholipid Syndrome (APS) and recurrent thrombosis who are receiving standard-of-care antithrombotic therapy. Approximately 12 participants will be enrolled. The whole study treatment cycle was 24 weeks. Administration of low-dose EA5: First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W). Administration of high-dose EA5: First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W).The primary objective is to assess safety and tolerability. Secondary objectives include evaluation of preliminary efficacy, immunogenicity, PK, PD (complement inhibition), and APS-related biomarker changes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Queue 1: Administration of low-dose EA5 First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W). |
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| Cohort 2 | Experimental | Queue 2: Administration of high-dose EA5 First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EA5 | Biological | Administer the loading dose regimen intravenously, then maintain administration subcutaneously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs were defined as AEs that occurred on or after the date and time of study drug administration, or those that first occurred before dosing but worsened in frequency or severity after study drug administration. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. | Baseline up to Week28 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adjudicated thrombotic events during the treatment period (including venous, arterial, and small-vessel thrombotic events) | Baseline up to Week28 | |
| Number of adjudicated thrombotic events per participant | Baseline up to Week28 |
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Inclusion Criteria:
(1)Male Participants: Male participants must agree to use effective contraception during the treatment period and for at least 6 months after the last dose of the study intervention, and to refrain from donating sperm during this time.
(2)Female Participants: Non-pregnant, non-lactating female participants are eligible to participate if they meet at least one of the following conditions: use of an effective or acceptable contraceptive method during the treatment period and for at least 6 months after the last dose of the study drug.
Capable of understanding the study procedures and methods, willing to sign the ICF, and able to strictly adhere to the clinical study protocol to complete the study.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Beijing | Beijing Municipality | 100044 | China |
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| ID | Term |
|---|---|
| D016736 | Antiphospholipid Syndrome |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
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| EA5 | Biological | Administer the loading dose regimen intravenously, then maintain administration subcutaneously |
|
| Change in annualized thrombosis event rate compared to baseline (the 5-year period prior to treatment) | Baseline up to Week28 |
| Change in platelet count from baseline at each visit | Baseline up to Week28 |
| Situations requiring adjustment of antithrombotic treatment regimen during the treatment period | Baseline up to Week28 |
| Change in levels of sC5b-9 before and after dosing | Baseline up to Week28 |
| Change in levels of free C5 before and after dosing | Baseline up to Week28 |
| Incidence of anti-drug antibodies (ADA) against the humanized monoclonal antibody EA5 | Baseline up to Week28 |
| Maximum Observed Serum Concentration (Cmax) of EA5 | Blood samples were collected for analysis of Cmax | Baseline up to Week28 |
| Time To Maximum Observed Serum Concentration (Tmax) of EA5 | Blood samples were collected for analysis of Tmax | Baseline up to Week 28 |
| Area Under The Serum Concentration Versus Time Curve From Time Zero To The Time of The Last Quantifiable Concentration (AUC0-t) of EA5 | Blood samples were collected for analysis of AUC0-t | Baseline up to Week 28 |
| Terminal Elimination Rate Constant (λz) of Serum EA5 | Blood samples were collected for analysis of λz | Baseline up to Week 28 |
| Terminal Elimination Half-life (t½) of Serum EA5 | Blood samples were collected for analysis of t½ | Baseline up to Week 28 |
| Total Clearance (CL) of EA5 | Blood samples were collected for analysis of CL | Baseline up to Week 28 |
| D002318 |
| Cardiovascular Diseases |