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A Study of MG-K10 in Subjects With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Active
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
MG-K10
Placebo
Sponsored by
Shanghai Mabgeek Biotech.Co.Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic dermatitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

key Inclusion Criteria:

  1. Aged 18 - 70 years (inclusive), male or female;
  2. Patients diagnosed with AD according to American Academy of Dermatology Consensus Criteria (2014) for at least 6 months prior to screening and meet the following criteria:

    • EASI score ≥ 16 at the screening and baseline visits;
    • IGA score ≥ 3 at the screening and baseline visits;
    • AD affected body surface area (BSA) percent ≥10% at the screening and baseline visits;
    • Documented recent history (within 6 months before the screening) of inadequate response to treatment with potent topical corticosteroids for at least 4 weeks or super-potent topical corticosteroids for at least 2 weeks, or topical calcineurin inhibitors for 4 weeks, or prior systemic use of corticosteroids or immunosuppressive agents for more than 2 weeks;

Key Exclusion Criteria:

  1. Subjects currently diagnosed with other active skin disorders (e.g., psoriasis or lupus erythematosus) that may affect AD evaluation;
  2. Subjects with concomitant diseases that may require systemic hormone therapy or other interventions or require active and frequent monitoring;
  3. Subjects with unstable or not well controlled apparent cardiac, pulmonary, gastrointestinal, hepatic, renal, hematological, neurological and psychological diseases that is considered by the investigator to be clinically significant;
  4. Patients with ocular diseases that are not suitable for enrollment by the investigator;
  5. Use of biological agents within 12 weeks prior to randomization or within 5 half-lives (whichever is longer);
  6. Use of topical corticosteroids, topical calcineurin inhibitors, antibiotic compound cream and other topical products for AD treatment within 1 week prior to randomization;
  7. chest X-ray or CT examination within 3 months prior to screening/during the screening period suggests the presence of active tuberculosis infection;
  8. History of parasitic infection or travel to endemic areas (South America and Africa) half a year prior to screening。

Sites / Locations

  • The First Affiliated Hospital of Bengbu Medical College
  • Huashan Hospital Affiliated to Fudan University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

MG-K10 Regimen 1

MG-K10 Regimen 2

MG-K10 Regimen 3

Placebo

Arm Description

subcutaneous injection every 4 weeks (placebo injections at 2, 6, 10, 14 weeks to maintain blindness)

subcutaneous injection every 2 weeks

subcutaneous injection every 4 weeks (placebo injections at 2, 6, 10, 14 weeks to maintain blindness)

subcutaneous injection every 2 weeks

Outcomes

Primary Outcome Measures

Percentage change from baseline in EASI
Percentage change from baseline in eczema area and severity index (EASI) score

Secondary Outcome Measures

Proportions of subjects achieving EASI-75
Proportions of subjects achieving EASI-75 (≥ 75% decrease from baseline in EASI score) at W16
Proportions of subjects achieving IGA score of 0/1 point and a decrease of ≥ 2 points from baseline
Proportions of subjects achieving IGA score of 0/1 point and a decrease of ≥ 2 points from baseline
The change in NRS weekly
The change in NRS weekly mean score and percentage change from baseline at W2, W4, W8, W12, W16, W20, and W24
Percentage change from baseline in EASI score
Percentage change from baseline in EASI score at Weeks W2, W4, W8, W12, W20, and W24
Proportions of subjects achieving EASI-50
Proportions of subjects achieving EASI-50 (≥ 50% decrease in EASI score from baseline) at W2, W4, W8, W12, W16, W20, and W24
Proportions of subjects achieving EASI-75
Proportions of subjects achieving EASI-75 at W2, W4, W8, W12, W20, and W24
Proportions of subjects achieving EASI-90
Proportions of subjects achieving EASI-90 (≥ 90% decrease in EASI score from baseline) at W2, W4, W8, W12, W16, W20, and W24
Absolute change from baseline in EASI scores
Absolute change from baseline in EASI scores at W2, W4, W8, W12, W16, W20, and W24
Absolute and percentage change from baseline in BSA score of Atopic Dermatitis
Absolute and percentage change from baseline in BSA score of Atopic Dermatitis at W2, W4, W8, W12, W16, W20, and W24
Proportions of subjects with a decrease in IGA score from baseline of ≥ 2
Proportions of subjects with a decrease in IGA score from baseline of ≥ 2 at W2, W4, W8, W12, W16, W20 and W24
Proportions of subjects with a decrease in IGA score from baseline of ≥ 3
Proportions of subjects with a decrease in IGA score from baseline of ≥ 3 at W2, W4, W8, W12, W16, W20 and W24
Absolute change in POEM from baseline
Absolute change in patient oriented eczema measure (POEM) from baseline at W2, W4, W8, W12, W16, W20 and W24
Absolute change in DLQI score from baseline
Absolute change in dermatology life quality index (DLQI) score from baseline at W2, W4, W8, W12, W16, W20 and W24
Pharmacokinetic concentration
To evaluate the Pharmacokinetic concentration of MG-K10
thymus activation regulated chemokine (TARC)
At each evaluation time point, the changes of thymus activation regulated chemokine (TARC) were compared with baseline
serum immunoglobulin E (IgE)
At each evaluation time point, the changes of serum immunoglobulin E (IgE)were compared with baseline
Incidence of Adverse events (AEs)
Including vital signs, physical examinations, laboratory tests, and 12-lead electrocardiograms (ECGs)
Anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs)
Incidence of anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs) (if applicable)

Full Information

First Posted
July 13, 2022
Last Updated
August 31, 2023
Sponsor
Shanghai Mabgeek Biotech.Co.Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05466877
Brief Title
A Study of MG-K10 in Subjects With Atopic Dermatitis
Official Title
Phase II Clinical Trial of Safety, Pharmacokinetics and Preliminary Efficacy of MG-K10 Humanized Monoclonal Antibody Injection in Adult Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 31, 2022 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
February 26, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Mabgeek Biotech.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 study evaluates the preliminary efficacy of MG-K10 in subjects with moderate to severe asthma, and provides a basis for the design and dosing regimen of phase III clinical trials.
Detailed Description
This study is a multicenter, randomized, double-blind, placebo-controlled Phase II study. It is planned to enroll approximately 160 adult patients with moderate-to-severe AD uncontrolled by topical therapy, who will receive multiple subcutaneous injections. The study was divided into a screening period (1-5 weeks), a treatment period (16 weeks), and a safety follow-up (8 weeks).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Atopic dermatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
A Phase II Study of the Safety, Pharmacokinetics, Dose-Ranging and Preliminary Efficacy of MG-K10 Humanized Monoclonal Antibody Injection in Adult Patients with Moderate-to-Severe Atopic Dermatitis
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
163 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MG-K10 Regimen 1
Arm Type
Experimental
Arm Description
subcutaneous injection every 4 weeks (placebo injections at 2, 6, 10, 14 weeks to maintain blindness)
Arm Title
MG-K10 Regimen 2
Arm Type
Experimental
Arm Description
subcutaneous injection every 2 weeks
Arm Title
MG-K10 Regimen 3
Arm Type
Experimental
Arm Description
subcutaneous injection every 4 weeks (placebo injections at 2, 6, 10, 14 weeks to maintain blindness)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
subcutaneous injection every 2 weeks
Intervention Type
Drug
Intervention Name(s)
MG-K10
Intervention Description
MG-K10 Humanized Monoclonal Antibody Injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
MG-K10 Humanized Monoclonal Antibody Injection
Primary Outcome Measure Information:
Title
Percentage change from baseline in EASI
Description
Percentage change from baseline in eczema area and severity index (EASI) score
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Proportions of subjects achieving EASI-75
Description
Proportions of subjects achieving EASI-75 (≥ 75% decrease from baseline in EASI score) at W16
Time Frame
16 weeks
Title
Proportions of subjects achieving IGA score of 0/1 point and a decrease of ≥ 2 points from baseline
Description
Proportions of subjects achieving IGA score of 0/1 point and a decrease of ≥ 2 points from baseline
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
The change in NRS weekly
Description
The change in NRS weekly mean score and percentage change from baseline at W2, W4, W8, W12, W16, W20, and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Percentage change from baseline in EASI score
Description
Percentage change from baseline in EASI score at Weeks W2, W4, W8, W12, W20, and W24
Time Frame
2, 4, 8, 12, 20 ,24 weeks
Title
Proportions of subjects achieving EASI-50
Description
Proportions of subjects achieving EASI-50 (≥ 50% decrease in EASI score from baseline) at W2, W4, W8, W12, W16, W20, and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Proportions of subjects achieving EASI-75
Description
Proportions of subjects achieving EASI-75 at W2, W4, W8, W12, W20, and W24
Time Frame
2, 4, 8, 12, 20 ,24 weeks
Title
Proportions of subjects achieving EASI-90
Description
Proportions of subjects achieving EASI-90 (≥ 90% decrease in EASI score from baseline) at W2, W4, W8, W12, W16, W20, and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Absolute change from baseline in EASI scores
Description
Absolute change from baseline in EASI scores at W2, W4, W8, W12, W16, W20, and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Absolute and percentage change from baseline in BSA score of Atopic Dermatitis
Description
Absolute and percentage change from baseline in BSA score of Atopic Dermatitis at W2, W4, W8, W12, W16, W20, and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Proportions of subjects with a decrease in IGA score from baseline of ≥ 2
Description
Proportions of subjects with a decrease in IGA score from baseline of ≥ 2 at W2, W4, W8, W12, W16, W20 and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Proportions of subjects with a decrease in IGA score from baseline of ≥ 3
Description
Proportions of subjects with a decrease in IGA score from baseline of ≥ 3 at W2, W4, W8, W12, W16, W20 and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Absolute change in POEM from baseline
Description
Absolute change in patient oriented eczema measure (POEM) from baseline at W2, W4, W8, W12, W16, W20 and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Absolute change in DLQI score from baseline
Description
Absolute change in dermatology life quality index (DLQI) score from baseline at W2, W4, W8, W12, W16, W20 and W24
Time Frame
2, 4, 8, 12, 16, 20 ,24 weeks
Title
Pharmacokinetic concentration
Description
To evaluate the Pharmacokinetic concentration of MG-K10
Time Frame
24 weeks
Title
thymus activation regulated chemokine (TARC)
Description
At each evaluation time point, the changes of thymus activation regulated chemokine (TARC) were compared with baseline
Time Frame
24 weeks
Title
serum immunoglobulin E (IgE)
Description
At each evaluation time point, the changes of serum immunoglobulin E (IgE)were compared with baseline
Time Frame
24 weeks
Title
Incidence of Adverse events (AEs)
Description
Including vital signs, physical examinations, laboratory tests, and 12-lead electrocardiograms (ECGs)
Time Frame
24 weeks
Title
Anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs)
Description
Incidence of anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs) (if applicable)
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
key Inclusion Criteria: Aged 18 - 70 years (inclusive), male or female; Patients diagnosed with AD according to American Academy of Dermatology Consensus Criteria (2014) for at least 6 months prior to screening and meet the following criteria: EASI score ≥ 16 at the screening and baseline visits; IGA score ≥ 3 at the screening and baseline visits; AD affected body surface area (BSA) percent ≥10% at the screening and baseline visits; Documented recent history (within 6 months before the screening) of inadequate response to treatment with potent topical corticosteroids for at least 4 weeks or super-potent topical corticosteroids for at least 2 weeks, or topical calcineurin inhibitors for 4 weeks, or prior systemic use of corticosteroids or immunosuppressive agents for more than 2 weeks; Key Exclusion Criteria: Subjects currently diagnosed with other active skin disorders (e.g., psoriasis or lupus erythematosus) that may affect AD evaluation; Subjects with concomitant diseases that may require systemic hormone therapy or other interventions or require active and frequent monitoring; Subjects with unstable or not well controlled apparent cardiac, pulmonary, gastrointestinal, hepatic, renal, hematological, neurological and psychological diseases that is considered by the investigator to be clinically significant; Patients with ocular diseases that are not suitable for enrollment by the investigator; Use of biological agents within 12 weeks prior to randomization or within 5 half-lives (whichever is longer); Use of topical corticosteroids, topical calcineurin inhibitors, antibiotic compound cream and other topical products for AD treatment within 1 week prior to randomization; chest X-ray or CT examination within 3 months prior to screening/during the screening period suggests the presence of active tuberculosis infection; History of parasitic infection or travel to endemic areas (South America and Africa) half a year prior to screening。
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jinhua Xu, Medical Ph.D
Organizational Affiliation
Huashan Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Bengbu Medical College
City
Bengbu
Country
China
Facility Name
Huashan Hospital Affiliated to Fudan University
City
Shanghai
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of MG-K10 in Subjects With Atopic Dermatitis

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