The purpose of this study is to evaluate the efficacy and safety of IMC-002 and IMM0306S in the treatment of active SLE.
This two-stage study consists of a multicenter dose-escalation study(Phase Ib)and a multicenter randomized, double-blind, placebo-controlled study(Phase II). Primary objectives of the dose-finding stage: 1) Evaluate the efficacy, safety, pharmacokinetic (PK) and pharmacodynamic (PD) profiles of intravenous IMC-002 and subcutaneous IMM0306S in adult patients with active systemic lupus erythematosus (SLE); 2) Determine the absolute bioavailability of subcutaneous IMM0306S relative to intravenous IMC-002 in adults with moderate-to-severe active SLE; 3) Select the recommended Phase II dose (RP2D). Primary objectives of the proof-of-concept (PoC) stage: Compare the efficacy of 1.2 mg/kg or 1.6 mg/kg IMC-002 versus placebo in adults with moderate-to-severe active SLE, and assess the efficacy and population PK (popPK) profiles of IMM0306S in patients with active SLE.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
218
intravenous injection of 0.8mg/kg、1.2mg/kg and1.6mg/kg
intravenous or subcutaneous injection of Placebo
subcutaneous injection of 2.0 mg/kg,4.0 mg/kg and 6.0mg/kg
Peking University People's Hospital
Beijing, China
RECRUITINGSLE Responder Index (SRI-4)
Proportion of patients achieving a response in SRI-4
Time frame: week 24
AEs and SAEs
The proportion of patients with AEs and SAEs
Time frame: week 52
Pharmacokinetics profiles
To characterize PK profiles and absolute bioavailability.
Time frame: week 52
SLE Responder Index (SRI-4)
Proportion of patients achieving a response in SRI-4
Time frame: week 12 and 52
Lupus Low Disease Activity State (LLDAS)
Proportion of patients achieving a response in LLDAS.
Time frame: week 24 and 52
Definition of Remission In SLE (DORIS)
Proportion of patients achieving a response in DORIS.
Time frame: week 24 and 52
SLEDAI-2000, PGA, BILAG-2004 and EQ-5D
Changes from baseline in SLEDAI-2000, PGA, BILAG-2004 and EQ-5D.
Time frame: week 52
Achieve and sustain a low dose of corticosteroid
Changes in corticosteroid dosage at each visit and proportion of patients who achieve or maintain prednisone ≤ 7.5 mg/d.
Time frame: week 52
Achieve low level of urine protein
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Changes in 24-hour urinary protein at each visit among trial patients with elevated 24-hour urinary protein at baseline (≥0.5 g) and proportion of patients who achieve to reduce urine protein level.
Time frame: week 52
Immunogenicity profiles
Positive rate and titers of anti-drug antibodies (ADA); neutralizing antibodies (NAb) may be further evaluated.
Time frame: week 52
Serologic laboratory parameters
Changes from baseline in serologic laboratory parameters (antinuclear antibodies, anti-ds-DNA antibodies, complement C3 and C4).
Time frame: week 52
Pharmacodynamic (PD) assessments and biomarker evaluations
Changes in TBNK subsets (CD3, CD4, CD56, CD16, Treg, etc.), B-cell subsets (CD19, CD20, CD27, CD38, CD24, etc.), IL-6 and IgG.
Time frame: week 52