JS005-002 is a randomized, double-blinded, placebo-controlled phase Ib/II clinical study to evaluate the safety, tolerability, efficacy and pharmacokinetic profiles of multiple doses of JS005 (recombinant humanized anti-IL-17A monoclonal antibody) Injection in patients with moderate to severe psoriasis.
This study includes a total of two parts, the first part is a double-blinded, placebo-controlled, multi-dose escalation study to evaluate the safety, preliminary efficacy and pharmacokinetic profiles after multiple doses in patients with moderate to severe psoriasis; the second part is a randomized, double-blinded, controlled study, with proposed high-, middle- and low-dose groups and placebo group based on the clinical effective dose determined in the first part, to evaluate the efficacy and safety of multiple doses of test drug in patients with moderate to severe psoriasis. Part I of study (phase Ib): A total of 4 dose groups are pre-specified in Part I of this study, i.e., 60 mg, 150 mg, 300 mg and 600 mg; multiple doses will be administered subcutaneously on abdomen. A total of 40 patients are planned to be enrolled, including 6 and 2 patients receiving test drug and placebo in 60 mg and 600 mg dose groups, respectively, 9 and 3 patients receiving test drug and placebo in the other two dose groups, respectively. Each patient can receive multiple doses at only one dose level. Part II of study (phase II): Based on the safety data of phase Ib study and the efficacy analysis of ER modeling, 300mg and 150mg of the test drug will be selected. A multi-center, double-blind, placebo-controlled phase II study was conducted. The patients will be radomized in a 1:1:1 ratio to receive 300mg, 150mg doses of the study drug or placebo. A total of 126 patients will be enrolled in phase II study, with 42 patients in each group. 300mg, 150mg doses of the study drug or placebo will be administered abdominal subcutaneously with multiple dosing. Each patient can receive multiple doses at only one dose level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
183
Subcutaneous injection
Subcutaneous injection
Chinese PLA General Hospital
the numbers of adverse event(AE)
Safety evaluation will be documented as numbers of adverse event(AE)
Time frame: 0-24 weeks
II: The proportion of patients with at least PASI 75 at Week 12
The Proportion of patients with at least 75% improvement in PASI (PASI 75) at Week 12
Time frame: From week 0 to week 12
Ib: PK evaluation: Cmax
Maximum Plasma Concentration (Cmax)
Time frame: 0-24 weeks
Ib: PD evaluation: level of IL-17A
Population pharmacokinetic parameters will be provided and individual pharmacokinetic reports will be provided
Time frame: 0-24 weeks
Ib: PASI score response criteria
Mean change in PASI score from baseline at Week 12, 16 and 24.
Time frame: 0-24 weeks
Ib: Proportion of Patients achieving PASI 75
Proportion of patients achieving PASI 75 at Week 12, 16 and 24.
Time frame: 0-24 weeks
Ib: Proportion of Patients achieving PASI 90/100
Proportion of patients achieving PASI 90/100 at Week 12, 16 and 24.
Time frame: 0-24 weeks
Ib: Proportion of patients with PGA score
Proportion of patients with PGA score of 0 or 1 at Week 12
Time frame: 0-12 weeks
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Beijing, Beijing Municipality, China
Peking University People's Hospital
Beijing, Beijing Municipality, China
Peking University Third Hospital
Beijing, Beijing Municipality, China
Beijing Tsinghua Changgung Hospita
Beijing, Beijing Municipality, China
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China
Dermatology Hospital of Southern Medical University
Guangzhou, Guangdong, China
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
Second Affiliated Hospital of Harbin Medical University
Haerbin, Heilongjiang, China
Dermatology Hospital, Chinese Academy of Medical Sciences
Nanjing, Jiangsu, China
...and 12 more locations
Ib: Mean change from baseline in body surface area (BSA)
Mean change from baseline in body surface area (BSA) affected by psoriasis at Week 12, 16 and 24
Time frame: 0-24 weeks
Ib: Proportion of patients with DLQI score
Proportion of patients with DLQI score of 0 or 1 at Week 12, 16 and 24
Time frame: 0-24 weeks
Ib: Time to ADA occurrence after drug administration
Time to ADA occurrence after drug administration.
Time frame: 0-24 weeks
Ib: Time to Nab occurrence after drug administration.
Time to Nab occurrence after drug administration.
Time frame: 0-24 weeks
II: Proportion of Patients achieving PASI 90
Proportion of PASI 90 patients at week 12, 16, and 20
Time frame: 0-20 weeks
II: Proportion of patients with PGA score
Proportion of patients with PGA score of 0 or 1 at Week 12, 16 and 20
Time frame: 0-20 weeks
II: Patients achieving PASI 75
Proportion of patients achieving PASI 75 at Week 16 and 20.
Time frame: 0-20 weeks
II: PASI score response criteria
Mean change in PASI score from baseline at Week 12, 16 and 20.
Time frame: 0-20 weeks
II: PASI and/or with PGA score response criteria
Proportion of patients meeting PASI75/90/100 and/or with PGA score of 0 or 1 at Week 12, 16 and 20
Time frame: 0-20 weeks
II: BSA response criteria
Change in BSA from baseline at Week 12, 16 and 20
Time frame: 0-20 weeks
Proportion of patients with DLQI score
Proportion of patients with DLQI score of 0 or 1 at Week 12, 16 and 20
Time frame: 0-20 weeks
II: The numbers of adverse event(AE).
Safety evaluation will be documented as numbers of adverse event(AE).
Time frame: 0-20 weeks
II: PK evaluation: Cmax
Maximum Plasma Concentration (Cmax)
Time frame: 0-20 weeks
II: PD evaluation: IL-17A
Population pharmacokinetic parameters will be provided and individual pharmacokinetic reports will be provided
Time frame: 0-20 weeks
II: Time to ADA occurrence after drug administration.
Time to ADA occurrence after drug administration.
Time frame: 0-20 weeks
Ib:PK evaluation: AUC0-inf
Area under the plasma concentration versus time curve (AUC0-inf)
Time frame: 0-24 weeks
Ib: Percentage of patients with positive ADA after drug administration.
Analysis of anti-drug antibody (ADA)
Time frame: 0-24 weeks
Ib: Percentage of patients with positive Nab after drug administration.
Detection of neutralizing antibody (Nab)
Time frame: 0-24 weeks
II: PK evaluation: AUC0-inf
Area under the plasma concentration versus time curve (AUC0-inf)
Time frame: 0-20 weeks
II: Percentage of patients with positive ADA after drug administration.
Analysis of anti-drug antibody (ADA)
Time frame: 0-20 weeks