Primary Objectives:To investigate the safety and tolerability of HBM 9161 in patients with attack of NMOSD in China
This is an open-label, dose exploration study.The investigational drug is HBM9161 injection, and the indication is NMOSD. HBM9161(HL161BKN) is a human monoclonal antibody. HBM9161 targets the neonatal Fc receptor (FcRn) . By blocking the FcRn IgG-Fc binding site and accelerating the degradation of IgG, it can significantly reduce the total IgG level in blood (including pathological IgG).The serum aquaporin 4 antibody (AQP4-IgG) associated with NMOSD is a pathological IgG, so the combination of standard of care which is intravenous methylprednisolone (ivMP) with HBM9161 is expected to rapidly reduce AQP4-IgG levels. Two dose groups (340 mg and 680 mg) were planned, and each dose group plans to enroll approximately 6 subjects. All subjects are weekly administered the HBM9161 by subcutaneous injection for a period of 4 weeks, together with standard of care which is of intravenous methylprednisolone (ivMP) by subcutaneous for a period of 4 weeks. The study will investigate the safety, and tolerability, pharmacodynamics and efficacy of HBM 9161 in patients with attack of NMOSD in China.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Subcutaneous injection; Weekly administered for a period of 4 weeks. All subjects are treated with the testing drug, add on intravenous methylprednisolone (ivMP) with gradually reduce the dose then to oral prednisone. After the administration of the testing drug, if the subject's symptoms get worsen, a rescue therapy need to be adopted as based on Investigator's judgement, the testing drug injection should be discontinued.
Nanfang Hospital
Guangzhou, Guangdong, China
Number of treatment related adverse events (AEs)
Number of treatment related adverse events (AEs)
Time frame: 189 days
Immunoglobins changes from baseline to week 27
Change of concentration of immunoglobins in mg/ml overtime after administration of HBM9161 from baseline to week 27
Time frame: 189 days
Neurological Disability changes from baseline to week 27
Neurological Disability changes from baseline to week 27 as measured by Expanded Disability Scale Score (EDSS, Score 0-10, higher means a worse outcome)
Time frame: 189 days
Low Contrast Visual Acuity (LCVA) changes from baseline to week 27
Low Contrast Visual Acuity (LCVA) changes from baseline to week 27 as measured by Sloan Low Contrast Letter Scale (SLCLS Letter, Score 0-70, higher means a better outcome)
Time frame: 189 days
Patient reported improvement changes from baseline to week 27
Patient reported improvement changes from baseline to week 27 as measured by Patient Global Impression-Improvement (PGI-I, Score 1-7, higher means a worse outcome)
Time frame: 189 days
Percentage of patients who received rescue therapy
Percentage of patients who received rescue therapy
Time frame: 189 days
Percentage of patients who have relapse
Percentage of patients who have relapse
Time frame: 189 days
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Walking ability changes from baseline to week 27
Walking ability changes from baseline to week 27 as measured by time used for 25-foot Walk (applicable for patients who are able to walk)
Time frame: 189 days
The seropositive rate of anti-HBM9161 antibody after treatment
Evaluation of the seropositive rate of anti-HBM9161 antibody after treatment
Time frame: 189 days