Safety, Tolerability and PK of SHR1314 in axSpA
Primary Purpose
Axial Spondyloarthritis
Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SHR-1314
Sponsored by
About this trial
This is an interventional treatment trial for Axial Spondyloarthritis focused on measuring SHR1314
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of axial spondyloarthritis (axSpA) and fulfilling the 2009 ASAS classification criteria.
- Have a history of back pain ≥3 months with age at onset <45 years.
- Have active axSpA defined as BASDAI ≥4 at screening and baseline.
- Have objective signs of inflammation by presence of elevated ESR and/or presence of elevated CRP.
- In the past had an inadequate response to at least 1 or 2 non-steroidal anti-inflammatory drugs (NSAIDS) for duration of 4 weeks or cannot tolerate NSAIDS.
- If taking NSAIDS be on stable dose for at least 2 weeks prior to randomization.
Exclusion Criteria:
- History of ongoing, chronic or recurrent infectious disease or evidence of tuberculosis infection.
- Previous exposure to other biologic drug directly targeting Interleukin (IL)-17 or Interleukin (IL)-17 receptor.
- Total ankylosis of the spine.
- Have recently received biologics, tumor necrosis factor inhibitors or other immunomodulatory agents within 12 weeks.
- Have either a current diagnosis or a recent history of malignant disease.
- Are pregnant or breastfeeding.
Sites / Locations
- Jianwen Chen
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
Multiple subcutaneous injections of SHR-1314 dose 1
Multiple subcutaneous injections of SHR-1314 dose 2
Multiple subcutaneous injections of SHR-1314 dose 3
Multiple subcutaneous injections of SHR-1314 dose 4
Multiple subcutaneous injections of SHR-1314 dose 5
Outcomes
Primary Outcome Measures
The safety and tolerability of multiple subcutaneous injections of SHR1314 in adult patients with axial spondyloarthritis 1.Incidence of Treatment-Emergent Adverse Events 2.Incidence of Injection site reaction
Safety and tolerability of multiple subcutaneous injections of SHR1314 assessed by adverse events and serious adverse events.
Incidence of Treatment-Emergent Adverse Events
Incidence of Injection site reaction
Secondary Outcome Measures
Maximum observed serum concentration (Cmax) of SHR-1314
maximum concentration (Cmax)
Time to maximum observed serum concentration (tmax) of SHR-1314
Time to maximum concentration (Tmax)
Time to elimination half-life (t1/2) of SHR-1314
t1/2
Assessment of development of Anti-drug Antibodies (ADAs)
Incidence of development of Anti-drug Antibodies (ADAs)
Proportion of Participants Achieving an ASAS20 Response
ASAS20 Response
Full Information
NCT ID
NCT03704428
First Posted
September 24, 2018
Last Updated
January 11, 2021
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT03704428
Brief Title
Safety, Tolerability and PK of SHR1314 in axSpA
Official Title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, MAD Study to Evaluation of Safety, Tolerability and PK of SHR1314 With Axial Spondyloarthritis
Study Type
Interventional
2. Study Status
Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
April 19, 2018 (Actual)
Primary Completion Date
January 14, 2020 (Actual)
Study Completion Date
January 14, 2020 (Actual)
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
The main purpose of this study is to evaluate the safety, Tolerability and Pharmacokinetics (PK) of SHR1314 with axial spondyloarthritis.
Detailed Description
This was a phase I, multicenter, double-blind, randomized, placebo-controlled study. The study originally planned to enroll 5 cohorts of 8 subjects each (N=40).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Axial Spondyloarthritis
Keywords
SHR1314
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
45 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 dose 1
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 dose 2
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 dose 3
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 dose 4
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
Multiple subcutaneous injections of SHR-1314 dose 5
Intervention Type
Drug
Intervention Name(s)
SHR-1314
Other Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical form: Injection solution. Route of administration: subcutaneous injection.
Primary Outcome Measure Information:
Title
The safety and tolerability of multiple subcutaneous injections of SHR1314 in adult patients with axial spondyloarthritis 1.Incidence of Treatment-Emergent Adverse Events 2.Incidence of Injection site reaction
Description
Safety and tolerability of multiple subcutaneous injections of SHR1314 assessed by adverse events and serious adverse events.
Incidence of Treatment-Emergent Adverse Events
Incidence of Injection site reaction
Time Frame
Baseline to 169 days after dose administration
Secondary Outcome Measure Information:
Title
Maximum observed serum concentration (Cmax) of SHR-1314
Description
maximum concentration (Cmax)
Time Frame
Baseline to 169 days after dose administration
Title
Time to maximum observed serum concentration (tmax) of SHR-1314
Description
Time to maximum concentration (Tmax)
Time Frame
Baseline to 169 days after dose administration
Title
Time to elimination half-life (t1/2) of SHR-1314
Description
t1/2
Time Frame
Baseline to 169 days after dose administration
Title
Assessment of development of Anti-drug Antibodies (ADAs)
Description
Incidence of development of Anti-drug Antibodies (ADAs)
Time Frame
Baseline to 169 days after dose administration
Title
Proportion of Participants Achieving an ASAS20 Response
Description
ASAS20 Response
Time Frame
Week2, 4, 6, 8, 12,16
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of axial spondyloarthritis (axSpA) and fulfilling the 2009 ASAS classification criteria.
Have a history of back pain ≥3 months with age at onset <45 years.
Have active axSpA defined as BASDAI ≥4 at screening and baseline.
Have objective signs of inflammation by presence of elevated ESR and/or presence of elevated CRP.
In the past had an inadequate response to at least 1 or 2 non-steroidal anti-inflammatory drugs (NSAIDS) for duration of 4 weeks or cannot tolerate NSAIDS.
If taking NSAIDS be on stable dose for at least 2 weeks prior to randomization.
Exclusion Criteria:
History of ongoing, chronic or recurrent infectious disease or evidence of tuberculosis infection.
Previous exposure to other biologic drug directly targeting Interleukin (IL)-17 or Interleukin (IL)-17 receptor.
Total ankylosis of the spine.
Have recently received biologics, tumor necrosis factor inhibitors or other immunomodulatory agents within 12 weeks.
Have either a current diagnosis or a recent history of malignant disease.
Are pregnant or breastfeeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fei Sun, MD
Organizational Affiliation
People's Liberation Army General Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Xin Chang, MD
Organizational Affiliation
The First Affiliated Hospital of Soochow University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jianwen Chen
City
Shanghai
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
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Safety, Tolerability and PK of SHR1314 in axSpA
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