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Tolerability, Safety and Pharmacokinetic Study of Humanized Anti-CD6 Monoclonal Antibody Injection in Chinese Psoriasis

Primary Purpose

Psoriasis

Status
Terminated
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
T1h
Sponsored by
Biotech Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring Tolerability, Safety, Pharmacokinetic Study, preliminary pharmacodynamic study, Humanized Anti-CD6 Monoclonal Antibody(T1h)

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age ranged from 18 to 55 years, males or females ( no less than 3 patients in each dose group)
  2. Patients with chronic plaque psoriasis for at least 6 months (until patients with an informed consent) with or without arthritis psoriasis
  3. BSA≥3% or PASI≥10
  4. PGA≥3
  5. Patients were eligible if wash-out period was no less than the time as follows:

    • 2 weeks for topical retinoic acid or glucocorticoid therapy
    • 6 months for retinoic acid of this kind drugs therapy
    • 2 weeks for light therapy
    • 4 weeks for Psoralen combined with UV-A therapy
    • 4 weeks for methotrexate(MTX),cyclophosphamide,cyclosporine and other immunosuppressive therapy
    • 7 half life time periods for other systemic immunosuppressive therapy
    • 8 weeks for Biological agents for psoriasis therapy
  6. Fertile males or females who are willing to adopt contraceptive methods (e.g. hormonal pitch, intrauterine device, condoms)
  7. Patients were voluntary to sign a written informed consent.

Exclusion Criteria:

  1. The females were pregnant, or lactating or showed positive urine pregnancy reaction during screening.
  2. Patients with erythroderma or pustular psoriasis.
  3. Patients receiving glucocorticoid systemic drug therapy.
  4. Patients previously or currently suffered from autoimmune disease (e.g., rheumatoid arthritis, systemic lupus erythematosus, inflammatory bowel disease, scleroderma, inflammatory myopathy, mixed connective tissue disease, overlap syndrome ), or suffering from primary or secondary immunodeficiency or human immunodeficiency virus
  5. Patients with any active infection (nail bed induced fungal infections were excluded), chronic infections, and tuberculosis history.
  6. Patients with severe heart disease, heart failure, asthma, chronic obstructive pulmonary disease or neuropsychiatric diseases.
  7. Patients previously or currently suffered from tumors including solid tumors, hematologic malignancies and carcinoma in situ.
  8. Patients with positive tests for hepatitis B surface antigen (HBsAg), hepatitis C serology (HCV-Ab) or human immunodeficiency virus (HIV-Ab)
  9. Patients with Hemoglobin < 90 g/L, white blood cell count <3.5 × 10^9 / L, neutrophil count <1.5 × 10^9 / L, or platelet count <80 × 10^9 / L
  10. Patients with more than doubled serum cereal third transaminase(ALT )and glutamic-oxaloacetic transaminase(AST) as the upper limit of the reference value or serum creatinine values were above the upper limit of the reference.
  11. Patients with a history of drug abuse or alcoholism
  12. Patients were allergic to a recombinant biologic agent or any component of proteins derived from murine
  13. Patients with surgery within three months or any planned surgery or laser skin treatment within six months
  14. Patients received any vaccination within 28 days
  15. Patients received any experimental drug treatment within three months
  16. Patients were not suitable determined by researchers

Sites / Locations

  • Beijing Chao-Yang Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group1

Group2

Group3

Group4

Arm Description

10 Psoriasis patients,T1h 0.2mg/kg,only single dose administration at week 1.

10 Psoriasis patients,T1h 0.4mg/kg ,first administration at week 1 and continous administration from fifth week for 9 weeks.

10 Psoriasis patients,T1h 0.8mg/kg,first administration at week 1 and continous administration from fifth week for 9 weeks.

10 Psoriasis patients,T1h 1.6mg/kg,first administration at week 1 and biweekly from fifth week for 9 weeks. .

Outcomes

Primary Outcome Measures

Adverse events

Secondary Outcome Measures

single-dose ,Peak plasma concentration (Cmax) of T1h
single-dose, Area under the plasma concentration versus time curve( AUC(0-t)) of T1h
single-dose, Area under the plasma concentration versus time curve(AUC(0-∞))of T1h
single-dose, Time to peak(Tmax) of T1h
single-dose,Elimination rate constant (kel)of T1h
single-dose,Half time (t1/2) of T1h
single-dose,Total body clearance (CLs)of T1h
single-dose,Apparent volume of distribution(Vd) of T1h
single-dose,Mean residence time(MRT) of T1h
multiple dose,Time to peak(Tmax) of T1h
multiple dose,Peak plasma concentration in steady state(Css_max) of T1h
multiple dose,Minimum plasma concentration in steady state(Css_min) of T1h
multiple dose,Average plasma concentration in steady state(Css_avg) of T1h
multiple dose, Area under the plasma concentration versus time curve in steady state(AUCss) of T1h
multiple dose,Apparent volume of distribution in steady state (Vss) of T1h
multiple dose,Degree of fluctuation (DF) of T1h
multiple dose,Accumulation Index(AI) of T1h
Erythrocyte sedimentation rate(ESR)
C-reactive protein(CRP)
Tumor Necrosis Factor -alpha(TNF-α)
Interleukin (il)-6 (IL-6)
interferon--γ (IFN-γ)
CD6
Psoriasis Area and Severity Index(PASI)
Physician's Global Assessment(PGA)
Body surface area(BSA)

Full Information

First Posted
May 12, 2015
Last Updated
April 26, 2023
Sponsor
Biotech Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02649270
Brief Title
Tolerability, Safety and Pharmacokinetic Study of Humanized Anti-CD6 Monoclonal Antibody Injection in Chinese Psoriasis
Official Title
Single and Multiple Dose -Based Tolerability, Safety and Pharmacokinetic Phase 1 Study of Humanized Anti-CD6 Monoclonal Antibody Injection in Chinese Patients With Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Terminated
Why Stopped
company strategy
Study Start Date
October 2014 (Actual)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
October 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biotech Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The humanized recombinant anti-CD6 monoclonal antibody Injection (T1h) has been approved for psoriasis in India. The first trial in China is to evaluate the tolerability, safety, pharmacodynamic, pharmacokinetics and preliminary efficacy of T1h for patients with psoriasis.
Detailed Description
The humanized recombinant anti-CD6 monoclonal antibody (T1h) is developed whose ligand binding properties of the original murine monoclonal antibody are preserved on the CD6 molecule. T1h monoclonal antibody has been approved for clinical studies of autoimmune diseases in Cuba and India, such as psoriasis and rheumatoid arthritis (RA). Single and multiple dose based tolerability, safety and pharmacokinetic phase 1 Study of Humanized Anti-CD6 Monoclonal Antibody Injection in Chinese patients with psoriasis, 40 patients are enrolled. They are divided into 4 groups (0.2mg/kg, 0.4mg/kg, 0.8mg/kg, 1.6mg/kg) and each group includes 10 patients. First, these doses are all single-dose administration gradually from low then the doses 0.4mg/kg, 0.8mg/kg and 1.6mg/kg are multi-dose administration gradually from low.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
Tolerability, Safety, Pharmacokinetic Study, preliminary pharmacodynamic study, Humanized Anti-CD6 Monoclonal Antibody(T1h)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group1
Arm Type
Experimental
Arm Description
10 Psoriasis patients,T1h 0.2mg/kg,only single dose administration at week 1.
Arm Title
Group2
Arm Type
Experimental
Arm Description
10 Psoriasis patients,T1h 0.4mg/kg ,first administration at week 1 and continous administration from fifth week for 9 weeks.
Arm Title
Group3
Arm Type
Experimental
Arm Description
10 Psoriasis patients,T1h 0.8mg/kg,first administration at week 1 and continous administration from fifth week for 9 weeks.
Arm Title
Group4
Arm Type
Experimental
Arm Description
10 Psoriasis patients,T1h 1.6mg/kg,first administration at week 1 and biweekly from fifth week for 9 weeks. .
Intervention Type
Biological
Intervention Name(s)
T1h
Other Intervention Name(s)
Anti-CD6 Monoclonal Antibody
Intervention Description
Given T1h for different groups by vein to evaluate safety and tolerability;Collecting blood samples for pharmacokinetics and pharmacodynamics after administration.
Primary Outcome Measure Information:
Title
Adverse events
Time Frame
from patients with informed consents to 30 days after the last administration
Secondary Outcome Measure Information:
Title
single-dose ,Peak plasma concentration (Cmax) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose, Area under the plasma concentration versus time curve( AUC(0-t)) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose, Area under the plasma concentration versus time curve(AUC(0-∞))of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose, Time to peak(Tmax) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose,Elimination rate constant (kel)of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose,Half time (t1/2) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose,Total body clearance (CLs)of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose,Apparent volume of distribution(Vd) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
single-dose,Mean residence time(MRT) of T1h
Time Frame
-2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after administration
Title
multiple dose,Time to peak(Tmax) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Peak plasma concentration in steady state(Css_max) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Minimum plasma concentration in steady state(Css_min) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Average plasma concentration in steady state(Css_avg) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose, Area under the plasma concentration versus time curve in steady state(AUCss) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Apparent volume of distribution in steady state (Vss) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Degree of fluctuation (DF) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
multiple dose,Accumulation Index(AI) of T1h
Time Frame
-2h,0h at week5,6,7,8,9,10,11,12;2h、-1h、-0.5h、0h、1h、2h、6h、12h、24h、2d、3d、7d、14d、21d、28d after week13
Title
Erythrocyte sedimentation rate(ESR)
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
C-reactive protein(CRP)
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
Tumor Necrosis Factor -alpha(TNF-α)
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
Interleukin (il)-6 (IL-6)
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
interferon--γ (IFN-γ)
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
CD6
Time Frame
week7,9 at -2h;week13 at -2h,24h,7d,14d,21d,28d after administration
Title
Psoriasis Area and Severity Index(PASI)
Time Frame
at the end of 4th week,8th week,12th week after administration
Title
Physician's Global Assessment(PGA)
Time Frame
The 29th day,The 57th day,The 85th day and The 113th day after administration
Title
Body surface area(BSA)
Time Frame
The 29th day,The 57th day,The 85th day and The 113th day after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ranged from 18 to 55 years, males or females ( no less than 3 patients in each dose group) Patients with chronic plaque psoriasis for at least 6 months (until patients with an informed consent) with or without arthritis psoriasis BSA≥3% or PASI≥10 PGA≥3 Patients were eligible if wash-out period was no less than the time as follows: 2 weeks for topical retinoic acid or glucocorticoid therapy 6 months for retinoic acid of this kind drugs therapy 2 weeks for light therapy 4 weeks for Psoralen combined with UV-A therapy 4 weeks for methotrexate(MTX),cyclophosphamide,cyclosporine and other immunosuppressive therapy 7 half life time periods for other systemic immunosuppressive therapy 8 weeks for Biological agents for psoriasis therapy Fertile males or females who are willing to adopt contraceptive methods (e.g. hormonal pitch, intrauterine device, condoms) Patients were voluntary to sign a written informed consent. Exclusion Criteria: The females were pregnant, or lactating or showed positive urine pregnancy reaction during screening. Patients with erythroderma or pustular psoriasis. Patients receiving glucocorticoid systemic drug therapy. Patients previously or currently suffered from autoimmune disease (e.g., rheumatoid arthritis, systemic lupus erythematosus, inflammatory bowel disease, scleroderma, inflammatory myopathy, mixed connective tissue disease, overlap syndrome ), or suffering from primary or secondary immunodeficiency or human immunodeficiency virus Patients with any active infection (nail bed induced fungal infections were excluded), chronic infections, and tuberculosis history. Patients with severe heart disease, heart failure, asthma, chronic obstructive pulmonary disease or neuropsychiatric diseases. Patients previously or currently suffered from tumors including solid tumors, hematologic malignancies and carcinoma in situ. Patients with positive tests for hepatitis B surface antigen (HBsAg), hepatitis C serology (HCV-Ab) or human immunodeficiency virus (HIV-Ab) Patients with Hemoglobin < 90 g/L, white blood cell count <3.5 × 10^9 / L, neutrophil count <1.5 × 10^9 / L, or platelet count <80 × 10^9 / L Patients with more than doubled serum cereal third transaminase(ALT )and glutamic-oxaloacetic transaminase(AST) as the upper limit of the reference value or serum creatinine values were above the upper limit of the reference. Patients with a history of drug abuse or alcoholism Patients were allergic to a recombinant biologic agent or any component of proteins derived from murine Patients with surgery within three months or any planned surgery or laser skin treatment within six months Patients received any vaccination within 28 days Patients received any experimental drug treatment within three months Patients were not suitable determined by researchers
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
lihong liu
Organizational Affiliation
Beijing Chao Yang Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
yanling he
Organizational Affiliation
Beijing Chao Yang Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Chao-Yang Hospital
City
BeiJing
State/Province
Beijing
ZIP/Postal Code
100020
Country
China

12. IPD Sharing Statement

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Tolerability, Safety and Pharmacokinetic Study of Humanized Anti-CD6 Monoclonal Antibody Injection in Chinese Psoriasis

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