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A Safety Study of Multiple Subcutaneous (s.c.) Injections of SHR-1314 in Adults With Moderate-to-severe Plaque Psoriasis

Primary Purpose

Moderate-to-severe Plaque Psoriasis

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SHR-1314
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate-to-severe Plaque Psoriasis focused on measuring SHR-1314 Phase 1

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female at age between 18 and 65 years old at screening.
  2. History of chronic plaque-type psoriasis for at least 6 months, with either documented medical history of psoriasis for at least 6 months or confirmation of the diagnosis by the Investigator at screening, if the subject was diagnosed by another physician.
  3. At the time of randomization, moderate to severe plaque psoriasis, defined by:

    • PASI score of 12 or greater and
    • PGA score of 3 or greater and
    • BSA affected by plaque-type psoriasis of 10% or greater.
  4. A subject is a candidate for systemic psoriasis therapy and/or phototherapy and/or chemo phototherapy.
  5. Body Mass Index (BMI) of 18 to 35 kg/m2 (inclusive) at screening.

Exclusion Criteria:

  1. Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic, and guttate psoriasis) at screening.
  2. Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) at randomization.
  3. Active systemic infections (other than common cold) during the two weeks before randomization (e.g., hepatitis), or serious infections requiring hospitalization and/or intravenous injection of antibiotic treatment within eight weeks prior to randomization.
  4. History of inflammatory bowel disease or have other ongoing active autoimmune diseases.
  5. At screening, history or symptoms of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  6. History of depression and/or suicidal ideation or any suicidal behavior based on clinical assessment by the investigator.
  7. Have a known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.
  8. Are currently enrolled in, or discontinued from a clinical trial involving an IP within the last 4 weeks or at least 5 half-lives of the last dosing prior to randomization, whichever is longer; or concurrently enrolled (at randomization) in any other trials.
  9. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or Day 0.
  10. Females of childbearing potential (defined as all females physiologically capable of becoming pregnant) and males who are unwilling or unable to use highly effective contraception during the study and 21 weeks after the last administration of IP (anticipated 5 half-lives).
  11. History of alcohol or illicit drug abuse within the year prior to screening.
  12. Have any other condition that precludes the subject from following and completing the protocol, in the opinion of the Investigator.

Sites / Locations

  • Huanshan Hospital , Shanghai Fudan UniversityRecruiting
  • Huanshan Hospital , Shanghai Fudan UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

Multiple subcutaneous injections of SHR-1314 at 160mg every two weeks

Multiple subcutaneous injections of SHR-1314 at 240mg every two weeks

Outcomes

Primary Outcome Measures

Incidence and severity of Treatment-Emergent Adverse Events [Safety and tolerability]
Incidence and severity of adverse events, change from baseline in vital signs and 12-lead electrocardiogram.
Incidence of development of Anti-drug Antibodies (ADAs) [Safety and Tolerability]
Incidence of development of Anti-drug Antibodies (ADAs) during the course of the study.

Secondary Outcome Measures

Assessment of PK parameter
time to maximum concentration (tmax)
Assessment of PK parameter
maximum concentration (Cmax)
Assessment of PK parameter
area under curve (AUC0-14days)
Assessment of development of Anti-drug Antibodies (ADAs)
Incidence of development of Anti-drug Antibodies (ADAs)

Full Information

First Posted
September 6, 2018
Last Updated
October 17, 2018
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03710681
Brief Title
A Safety Study of Multiple Subcutaneous (s.c.) Injections of SHR-1314 in Adults With Moderate-to-severe Plaque Psoriasis
Official Title
Safety, Tolerability and Pharmacokinetics Studies Following Multiple Subcutaneous Injections of SHR-1314 in Adults With Moderate-to-severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Unknown status
Study Start Date
August 2, 2018 (Actual)
Primary Completion Date
April 21, 2019 (Anticipated)
Study Completion Date
July 30, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multiple dose escalating and open labeled clinical trial to evaluate the safety, tolerability, and pharmacokinetics (PK) of multiple subcutaneous (s.c.) injections of SHR-1314 in adults with moderate-to-severe plaque psoriasis. The primary objective of this study is to investigate the safety and tolerability of multiple doses of subcutaneous SHR-1314 in subjects with moderate-to-severe plaque psoriasis. Secondary objectives are to determine the pharmacokinetics (PK) and immunogenicity profile of SHR-1314 in subjects with moderate-to-severe plaque psoriasis.
Detailed Description
16 subjects with 2 dose groups will be enrolled in the study, all of whom received the SHR-1314 without placebo control. There are 8 subjects in each cohort. The dose will be started at 160mg and will be escalated by following dose escalating rules. The primary endpoint is the safety and tolerability : adverse events, vital signs, physical examination, laboratory examination, 12 lead electrocardiogram, injection site reactions, etc.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Moderate-to-severe Plaque Psoriasis
Keywords
SHR-1314 Phase 1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 at 160mg every two weeks
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 at 240mg every two weeks
Intervention Type
Biological
Intervention Name(s)
SHR-1314
Intervention Description
Pharmaceutical form: Injection solution. Route of administration: subcutaneous injection.
Primary Outcome Measure Information:
Title
Incidence and severity of Treatment-Emergent Adverse Events [Safety and tolerability]
Description
Incidence and severity of adverse events, change from baseline in vital signs and 12-lead electrocardiogram.
Time Frame
Baseline to 168 days after first dose administration
Title
Incidence of development of Anti-drug Antibodies (ADAs) [Safety and Tolerability]
Description
Incidence of development of Anti-drug Antibodies (ADAs) during the course of the study.
Time Frame
Baseline to 168 days after first dose administration
Secondary Outcome Measure Information:
Title
Assessment of PK parameter
Description
time to maximum concentration (tmax)
Time Frame
Baseline to 168 days after first dose administration
Title
Assessment of PK parameter
Description
maximum concentration (Cmax)
Time Frame
Baseline to 168 days after first dose administration
Title
Assessment of PK parameter
Description
area under curve (AUC0-14days)
Time Frame
Baseline to 168 days after first dose administration
Title
Assessment of development of Anti-drug Antibodies (ADAs)
Description
Incidence of development of Anti-drug Antibodies (ADAs)
Time Frame
Baseline to 168 days after first dose administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female at age between 18 and 65 years old at screening. History of chronic plaque-type psoriasis for at least 6 months, with either documented medical history of psoriasis for at least 6 months or confirmation of the diagnosis by the Investigator at screening, if the subject was diagnosed by another physician. At the time of randomization, moderate to severe plaque psoriasis, defined by: PASI score of 12 or greater and PGA score of 3 or greater and BSA affected by plaque-type psoriasis of 10% or greater. A subject is a candidate for systemic psoriasis therapy and/or phototherapy and/or chemo phototherapy. Body Mass Index (BMI) of 18 to 35 kg/m2 (inclusive) at screening. Exclusion Criteria: Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic, and guttate psoriasis) at screening. Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) at randomization. Active systemic infections (other than common cold) during the two weeks before randomization (e.g., hepatitis), or serious infections requiring hospitalization and/or intravenous injection of antibiotic treatment within eight weeks prior to randomization. History of inflammatory bowel disease or have other ongoing active autoimmune diseases. At screening, history or symptoms of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. History of depression and/or suicidal ideation or any suicidal behavior based on clinical assessment by the investigator. Have a known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study. Are currently enrolled in, or discontinued from a clinical trial involving an IP within the last 4 weeks or at least 5 half-lives of the last dosing prior to randomization, whichever is longer; or concurrently enrolled (at randomization) in any other trials. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or Day 0. Females of childbearing potential (defined as all females physiologically capable of becoming pregnant) and males who are unwilling or unable to use highly effective contraception during the study and 21 weeks after the last administration of IP (anticipated 5 half-lives). History of alcohol or illicit drug abuse within the year prior to screening. Have any other condition that precludes the subject from following and completing the protocol, in the opinion of the Investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianwen Chen, M.D. Ph.D
Phone
+86-18036611985
Email
chenjianwen@hrglobe.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Qian Xu, M.D. Ph.D
Phone
+86- 18721043271
Email
xuqian@hrglobe.cn
Facility Information:
Facility Name
Huanshan Hospital , Shanghai Fudan University
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
100037
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinhua Xu, M.D. Ph.D
Phone
+86-13818978539
Email
xjhhsyy@163.com
First Name & Middle Initial & Last Name & Degree
Guoying Cao, M.D. Master
Phone
+86-13651900963
Email
sherley_76@163.com
Facility Name
Huanshan Hospital , Shanghai Fudan University
City
Shanghai
ZIP/Postal Code
100037
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinhua Xu, M.D. Ph.D
Phone
+86-13818978539
Email
xjhhsyy@163.com
First Name & Middle Initial & Last Name & Degree
Guoying Cao, M.D. Master
Phone
+86-13651900963
Email
sherley_76@163.com

12. IPD Sharing Statement

Learn more about this trial

A Safety Study of Multiple Subcutaneous (s.c.) Injections of SHR-1314 in Adults With Moderate-to-severe Plaque Psoriasis

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