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Clinical Study of B001 Injection in Subjects With Neuromyelitis Optic Spectrum Disorder (NMOSD)

Primary Purpose

NMO Spectrum Disorder

Status
Recruiting
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
B001 injection
Placebo
Sponsored by
Shanghai Pharmaceuticals Holding Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for NMO Spectrum Disorder

Eligibility Criteria

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

Inclusion Criteria:

  1. NMOSD as defined by either of the following 2015 criteria with anti-AQP4 antibody (Ab) seropositive status at screening
  2. Clinical evidence of at least 1 documented relapse in last 12 months prior to screening
  3. Expanded Disability Status Scale (EDSS) score from 0 to 7.5 inclusive at screening
  4. Age 18 to 70 years, inclusive at the time of informed consent

Exclusion Criteria:

  1. Any previous treatment with anti-CD20, eculizumab, anti-BLyS monoclonal antibody (e.g., belimumab), any other treatment for prevention of multiple sclerosis (MS) relapse (e.g., interferon, natalizumab, glatiramer acetate, fingolimod, teriflunomide or dimethyl fumarate) within 6 months prior to baseline.
  2. Received immunosuppression such as azathioprine, mycophenolate mofetil, methotrexate, cyclophosphamide, tacrolimus, mitoxantrone, cyclosporine A, etc, and rug therapy, biological agents such as satralizumab, tocilizumab, eculizumab, etc, 3 months prior to the first administration.
  3. Evidence of serious uncontrolled concomitant diseases that may preclude participant participation, as described; Other nervous system disease, cardiovascular disease, hematologic/hematopoiesis disease, respiratory disease, muscular disease, endocrine disease, renal/urologic disease, digestive system disease, congenital or acquired severe immunodeficiency.
  4. Known active infection within 3 months prior to baseline
  5. Pregnancy or lactation.
  6. History of severe allergic reaction to a biologic agent
  7. Evidence of chronic active hepatitis B or C
  8. Evidence of active tuberculosis
  9. Following laboratory abnormalities at screening*:

    1. White blood cells (WBC) <4.0 x10^3/microliter (μL)
    2. Absolute neutrophil count (ANC) <2.0 x10^3/μL
    3. Absolute lymphocyte count <0.5 x10^3/μL
    4. Platelet count <80 x 10^9/ L
    5. Aspartate aminotransferase (AST) or alanine aminotransferase
  10. History of drug or alcohol abuse within 6 months prior to baseline
  11. Receipt of any live or live attenuated vaccine within 4 weeks prior to baseline
  12. Uncontrolled systemic diseases, including hypertension that cannot be effectively controlled after treatment (systolic blood pressure ≥150 mmHg and/or diastolic blood pressure ≥100 mmHg), diabetes, gastrointestinal diseases, etc.; or the investigator believes that there is anything inappropriate reasons for selection.

Sites / Locations

  • Beijing Tiantan Hospital Capital Medical UniversityRecruiting
  • First Hospital of Shanxi Medical UniversityRecruiting
  • Tangdu hospital,fourth military medical universityRecruiting
  • Tianjin Medical University General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

B001 injection

Placebo

Arm Description

Subjects randomized to this arm will receive B001 twice, at day 1 and day 15, up to the end of the study.

Subjects randomized to this arm will receive Placebo twice, at day 1 and day 15, up to the end of the study.

Outcomes

Primary Outcome Measures

Dose-limiting toxicity (DLT)
Measurement of DLT in all subjects.
Maximum tolerated dose (MTD)
Measurement of MTD in all subjects.
Evaluate incidence of treatment-emergent adverse events [Safety and Tolerability].

Secondary Outcome Measures

Maximum serum concentration (Cmax) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Time of maximum serum concentration (Tmax) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-14D) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-Last) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-infinity) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Accumulation ratio of maximum serum concentration (Rac_Cmax) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Accumulation ratio of area under the serum concentration-time curve (Rac_AUC) of the Dosing Interval (0-14D) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Terminal rate constant(λz) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Half-life (t1/2) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Total clearance(CL) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Volume of distribution(Vz) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Percentage of area under the serum concentration-time curve (AUC 0-infinity) obtained by extrapolation (%AUCex) of B001.
To characterize the PK (Pharmacokinetics) of B001.
Percentage of subjects with ADA to B001 and neutralizing resistance (Nab)
Time to First Protocol-Defined Relapse (TFR) in the Double-Blind Period
Change in Expanded Disability Status Scale (EDSS) Score
The EDSS provides a total score on a scale that ranges from 0 to 10 in 0.5 increments that represent higher levels of disability. Increasing disability is reflected in an increasing EDSS score.
Time to EDSS Worsening

Full Information

First Posted
November 21, 2021
Last Updated
August 23, 2023
Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05145361
Brief Title
Clinical Study of B001 Injection in Subjects With Neuromyelitis Optic Spectrum Disorder (NMOSD)
Official Title
A Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of B001 in Subjects With Aquaporin-4 Antibody (AQP4-IgG) Positive Neuromyelitis Optic Spectrum Disorder (NMOSD)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 7, 2022 (Actual)
Primary Completion Date
December 15, 2023 (Anticipated)
Study Completion Date
December 15, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Pharmaceuticals Holding 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
The objectives of this phase Ib study are to evaluate the efficacy, safety, pharmacokinetics, pharmacodynamics and immunogenic profiles of B001 in subjects with aquaporin-4 antibody (AQP4-IgG) positive NMOSD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
NMO Spectrum Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
B001 injection
Arm Type
Experimental
Arm Description
Subjects randomized to this arm will receive B001 twice, at day 1 and day 15, up to the end of the study.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects randomized to this arm will receive Placebo twice, at day 1 and day 15, up to the end of the study.
Intervention Type
Drug
Intervention Name(s)
B001 injection
Intervention Description
B001 injection 50mg/5mL Intravenous solution
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo 5mL Intravenous solution
Primary Outcome Measure Information:
Title
Dose-limiting toxicity (DLT)
Description
Measurement of DLT in all subjects.
Time Frame
Up to 18 days.
Title
Maximum tolerated dose (MTD)
Description
Measurement of MTD in all subjects.
Time Frame
Up to 18 days.
Title
Evaluate incidence of treatment-emergent adverse events [Safety and Tolerability].
Time Frame
Up to 1 year
Secondary Outcome Measure Information:
Title
Maximum serum concentration (Cmax) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Time of maximum serum concentration (Tmax) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-14D) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-Last) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-infinity) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Accumulation ratio of maximum serum concentration (Rac_Cmax) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Accumulation ratio of area under the serum concentration-time curve (Rac_AUC) of the Dosing Interval (0-14D) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Terminal rate constant(λz) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Half-life (t1/2) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Total clearance(CL) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Volume of distribution(Vz) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Percentage of area under the serum concentration-time curve (AUC 0-infinity) obtained by extrapolation (%AUCex) of B001.
Description
To characterize the PK (Pharmacokinetics) of B001.
Time Frame
Through study completion, up to 2 years
Title
Percentage of subjects with ADA to B001 and neutralizing resistance (Nab)
Time Frame
Through study completion, up to 2 years
Title
Time to First Protocol-Defined Relapse (TFR) in the Double-Blind Period
Time Frame
Through study completion, up to 2 years
Title
Change in Expanded Disability Status Scale (EDSS) Score
Description
The EDSS provides a total score on a scale that ranges from 0 to 10 in 0.5 increments that represent higher levels of disability. Increasing disability is reflected in an increasing EDSS score.
Time Frame
Through study completion, up to 2 years
Title
Time to EDSS Worsening
Time Frame
Through study completion, up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: NMOSD as defined by either of the following 2015 criteria with anti-AQP4 antibody (Ab) seropositive status at screening Clinical evidence of at least 1 documented relapse in last 12 months prior to screening Expanded Disability Status Scale (EDSS) score from 0 to 7.5 inclusive at screening Age 18 to 70 years, inclusive at the time of informed consent Exclusion Criteria: Any previous treatment with anti-CD20, eculizumab, anti-BLyS monoclonal antibody (e.g., belimumab), any other treatment for prevention of multiple sclerosis (MS) relapse (e.g., interferon, natalizumab, glatiramer acetate, fingolimod, teriflunomide or dimethyl fumarate) within 6 months prior to baseline. Received immunosuppression such as azathioprine, mycophenolate mofetil, methotrexate, cyclophosphamide, tacrolimus, mitoxantrone, cyclosporine A, etc, and rug therapy, biological agents such as satralizumab, tocilizumab, eculizumab, etc, 3 months prior to the first administration. Evidence of serious uncontrolled concomitant diseases that may preclude participant participation, as described; Other nervous system disease, cardiovascular disease, hematologic/hematopoiesis disease, respiratory disease, muscular disease, endocrine disease, renal/urologic disease, digestive system disease, congenital or acquired severe immunodeficiency. Known active infection within 3 months prior to baseline Pregnancy or lactation. History of severe allergic reaction to a biologic agent Evidence of chronic active hepatitis B or C Evidence of active tuberculosis Following laboratory abnormalities at screening*: White blood cells (WBC) <4.0 x10^3/microliter (μL) Absolute neutrophil count (ANC) <2.0 x10^3/μL Absolute lymphocyte count <0.5 x10^3/μL Platelet count <80 x 10^9/ L Aspartate aminotransferase (AST) or alanine aminotransferase History of drug or alcohol abuse within 6 months prior to baseline Receipt of any live or live attenuated vaccine within 4 weeks prior to baseline Uncontrolled systemic diseases, including hypertension that cannot be effectively controlled after treatment (systolic blood pressure ≥150 mmHg and/or diastolic blood pressure ≥100 mmHg), diabetes, gastrointestinal diseases, etc.; or the investigator believes that there is anything inappropriate reasons for selection.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Fu-Dong Shi, MD,PhD
Phone
022-60814587
Email
Shifudong219@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fu-Dong Shi, MD,PhD
Organizational Affiliation
Tianjin Medical University General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Tiantan Hospital Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100050
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yunxing Song
Phone
+86 17813230827
Email
songyx@sphchina.com
First Name & Middle Initial & Last Name & Degree
Xinghu Zhang
Facility Name
First Hospital of Shanxi Medical University
City
Taiyuan
State/Province
Shanxi
ZIP/Postal Code
030001
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yunxing Song
Phone
+86 17813230827
Email
songyx@sphchina.com
First Name & Middle Initial & Last Name & Degree
Meini Zhang
Facility Name
Tangdu hospital,fourth military medical university
City
Xi'an
State/Province
Shanxi
ZIP/Postal Code
710038
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shicao Li
Phone
0086-029-84717761
Email
tangduec@126.com
First Name & Middle Initial & Last Name & Degree
Jun Guo
Facility Name
Tianjin Medical University General Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300052
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chao Zhang, MD
Phone
022-60814587
Email
chaozhang@tmu.edu.can
First Name & Middle Initial & Last Name & Degree
Fu-Dong Shi, MD,PhD

12. IPD Sharing Statement

Learn more about this trial

Clinical Study of B001 Injection in Subjects With Neuromyelitis Optic Spectrum Disorder (NMOSD)

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