Effects of SHR-1222 on Vascular Inflammatory Factors in Patients With Low Bone Mass
Primary Purpose
Osteoporosis, Osteopenia
Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
SHR-1222
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Osteoporosis, Osteopenia
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent;
- Male or postmenopausal female;
- Age ≥45 and ≤59 years old;
- The body mass index (BMI) ≥18.5kg/m2 and ≤28 kg/m2;
- T value of areal bone mineral density on any lumbar spine (L1-L4) or collum femoris>-2.5 and <-1;
- The comprehensive physical examination is eligible or slightly abnormal but the researchers determine no clinical implication;
- No smoking, alcohol or drugs abuse.
Exclusion Criteria:
- Any disease affecting bone metabolism;
- Past medical history of cerebral infarction or cerebral arterial thrombosis;
- Past medical history of myocardial infarction;
- Administration of the following drugs within 6m: Hormone replacement therapy, Calcitonin Parathyroid hormone (or any derivative), Supplemental Vitamin D>1,000 IU/day, Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed), Anabolic steroids, Calcitriol and available analogues, thiazide diuretics;
- Administration of the following drugs within 12m: Bisphosphonates, Fluoride for osteoporosis;
- A bone fracture within the previous 6 months;
- A lumbar spine L1-L4 or femoral neck T-score ≤-2.5;
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or gamma pancreatic acyl transferase (GGT) or total bilirubin, more than 1.5 x ULN during screening;
- 3 months prior to screening involved in any drug clinical subjects;
- Subjects determined by the researchers have any food, dietary supplement or drugs that affect SHR-1222 absorption, distribution, metabolism and excretion in 4 weeks prior to screening or within 5 half-lives;
- Serious infection, trauma or major surgery in 4 weeks prior to screening;
- A surgery plan during the study;
- Blood donation and transfusion in 3 months prior to screening;
- Unstable thyroid dysfunction in 6 months prior to screening;
- Human immunodeficiency virus antibody (HIV-ab), syphilis serological examination, hepatitis b virus surface antigen (HBsAg), hepatitis c virus antibody (HCV-ab) were positive;
- Intolerant to venous blood collection;
- A clinical history of drug allergy or a history of atopic allergic diseases (asthma, urticaria, eczema dermatitis) or a known allergy to experimental or similar;
- Subjects with any other situation should not be involved, which determined by the researchers.
Sites / Locations
- The Second Xiangya Hospital of Central South University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 5
Arm Description
A single subcutaneous injection of SHR-1222 dose 1 versus placebo
A single subcutaneous injection of SHR-1222 dose 2 versus placebo
A single subcutaneous injection of SHR-1222 dose 3 versus placebo
A single subcutaneous injection of SHR-1222 dose 4 versus placebo
A single subcutaneous injection of SHR-1222 dose 5 versus placebo
Outcomes
Primary Outcome Measures
Assessment of serum nitric oxide (NO) change after the administration of SHR-1222
NO level will be detected by nitrite/nitrate assay (colorimetric).
Assessment of serum Endothelin-1 (ET-1) change after the administration of SHR-1222
ET-1 level will be detected by ELISA.
Assessment of serum plasminogen activator inhibitor-1 (PAI-1) change after the administration of SHR-1222
PAI-1 level will be detected by ELISA.
Assessment of serum hypersensitivity C-reactive protein (hs-CRP) change after the administration of SHR-1222
hs-CRP level will be detected by immunoturbidimetry assay.
Secondary Outcome Measures
Full Information
NCT ID
NCT03898024
First Posted
March 26, 2019
Last Updated
June 29, 2022
Sponsor
Second Xiangya Hospital of Central South University
1. Study Identification
Unique Protocol Identification Number
NCT03898024
Brief Title
Effects of SHR-1222 on Vascular Inflammatory Factors in Patients With Low Bone Mass
Official Title
Effects of SHR-1222 on Vascular Inflammatory Factors in Patients With Low Bone Mass
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
April 15, 2019 (Actual)
Primary Completion Date
July 27, 2020 (Actual)
Study Completion Date
August 15, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Second Xiangya Hospital of Central South University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This study aims to investigate the effects of SHR-1222 on vascular inflammatory factors in patients with low bone mass.
Detailed Description
In this study, total 50 patients with low bone mass will be enrolled and divided into 5 dose groups. In the lowest dose group 6 subjects will be recruited, among whom 4 will receive SHR-1222 and the other 2 will receive placebo. In each of the other 4 groups, 11 subjects will be recruited, among whom 9 will be administered with SHR-1222 and the other 2 with placebo.
Levels of nitric oxide (NO), Endothelin-1 (ET-1), plasminogen activator inhibitor-1 (PAI-1) and hypersensitivity C-reactive protein (hs-CRP) will be detected in patients before and after the SHR-1222 injection.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis, Osteopenia
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
A single subcutaneous injection of SHR-1222 dose 1 versus placebo
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
A single subcutaneous injection of SHR-1222 dose 2 versus placebo
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
A single subcutaneous injection of SHR-1222 dose 3 versus placebo
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
A single subcutaneous injection of SHR-1222 dose 4 versus placebo
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
A single subcutaneous injection of SHR-1222 dose 5 versus placebo
Intervention Type
Drug
Intervention Name(s)
SHR-1222
Intervention Description
Pharmaceutical form: water injection; Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical form: water injection; Route of administration: subcutaneous
Primary Outcome Measure Information:
Title
Assessment of serum nitric oxide (NO) change after the administration of SHR-1222
Description
NO level will be detected by nitrite/nitrate assay (colorimetric).
Time Frame
Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration
Title
Assessment of serum Endothelin-1 (ET-1) change after the administration of SHR-1222
Description
ET-1 level will be detected by ELISA.
Time Frame
Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration
Title
Assessment of serum plasminogen activator inhibitor-1 (PAI-1) change after the administration of SHR-1222
Description
PAI-1 level will be detected by ELISA.
Time Frame
Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration
Title
Assessment of serum hypersensitivity C-reactive protein (hs-CRP) change after the administration of SHR-1222
Description
hs-CRP level will be detected by immunoturbidimetry assay.
Time Frame
Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
59 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Signed informed consent;
Male or postmenopausal female;
Age ≥45 and ≤59 years old;
The body mass index (BMI) ≥18.5kg/m2 and ≤28 kg/m2;
T value of areal bone mineral density on any lumbar spine (L1-L4) or collum femoris>-2.5 and <-1;
The comprehensive physical examination is eligible or slightly abnormal but the researchers determine no clinical implication;
No smoking, alcohol or drugs abuse.
Exclusion Criteria:
Any disease affecting bone metabolism;
Past medical history of cerebral infarction or cerebral arterial thrombosis;
Past medical history of myocardial infarction;
Administration of the following drugs within 6m: Hormone replacement therapy, Calcitonin Parathyroid hormone (or any derivative), Supplemental Vitamin D>1,000 IU/day, Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed), Anabolic steroids, Calcitriol and available analogues, thiazide diuretics;
Administration of the following drugs within 12m: Bisphosphonates, Fluoride for osteoporosis;
A bone fracture within the previous 6 months;
A lumbar spine L1-L4 or femoral neck T-score ≤-2.5;
Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or gamma pancreatic acyl transferase (GGT) or total bilirubin, more than 1.5 x ULN during screening;
3 months prior to screening involved in any drug clinical subjects;
Subjects determined by the researchers have any food, dietary supplement or drugs that affect SHR-1222 absorption, distribution, metabolism and excretion in 4 weeks prior to screening or within 5 half-lives;
Serious infection, trauma or major surgery in 4 weeks prior to screening;
A surgery plan during the study;
Blood donation and transfusion in 3 months prior to screening;
Unstable thyroid dysfunction in 6 months prior to screening;
Human immunodeficiency virus antibody (HIV-ab), syphilis serological examination, hepatitis b virus surface antigen (HBsAg), hepatitis c virus antibody (HCV-ab) were positive;
Intolerant to venous blood collection;
A clinical history of drug allergy or a history of atopic allergic diseases (asthma, urticaria, eczema dermatitis) or a known allergy to experimental or similar;
Subjects with any other situation should not be involved, which determined by the researchers.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhiguang Zhou, MD
Organizational Affiliation
Second Xiangya Hospital of Central South University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
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Effects of SHR-1222 on Vascular Inflammatory Factors in Patients With Low Bone Mass
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