This study is a randomized, controlled, phase I clinical study with safety, efficacy, and pharmacokinetic/pharmacodynamic characteristics in patients with systemic lupus erythematosus.
This study is divided into Phase Ia and Phase Ib studies. The Phase Ia study adopts a single-arm design, while the Phase Ib study will be conducted on the basis of the Phase Ia study and features an open-label, randomized, active-controlled design, with belimumab as the control agent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
84
Renji Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
RECRUITINGPhase Ia: Dose limiting toxicity (DLT)
DLTs are assessed according to NCI-CTCAE v5.0 during the first cycle and defined as occurrence of any of the toxicities in DLT definition if judged by the investigator to be possibly, probably or definitely related to study drug administration.
Time frame: Up to approximately 28 days
Phase Ia: Maximum tolerated dose (MTD)
MTD is defined as the highest dose level at which no more than 1 in 6 participants experienced a DLT during the first cycle.
Time frame: Up to approximately 28 days
Phase Ia: Treatment-Emergent Adverse Event (TEAE)
TEAE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally emerging, or any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition during the treatment of GNC-038. The type, frequency and severity of TEAE will be evaluated during the treatment of GNC-038.
Time frame: Up to approximately 24 months
Phase Ia: Cmax
Maximum serum concentration (Cmax) of GNC-038 will be investigated.
Time frame: Up to approximately 24 months
Phase Ia: Tmax
Time to maximum serum concentration (Tmax) of GNC-038 will be investigated.
Time frame: Up to approximately 24 months
Phase Ia: T1/2
Half-life (T1/2) of GNC-038 will be investigated.
Time frame: Up to approximately 24 months
Phase Ia: AUC0-t
AUC0-t is defined as area under the serum concentration-time curve from time 0 to the time of the last measurable concentration.
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Time frame: Up to approximately 24 months
Phase Ia: CL (Clearance)
CL in the serum of GNC-038 per unit of time will be investigated.
Time frame: Up to approximately 24 months
Phase Ib: Recommended Phase II Dose (RP2D)
The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for phase II study, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation study of GNC-038.
Time frame: Up to approximately 24 months
Phase Ib: SRI-4 response rate
SRI-4 response rate will be investigated.
Time frame: Up to approximately 24 months
Anti-drug antibody (ADA)
Frequency of anti-GNC-038 antibody (ADA) will be investigated.
Time frame: Up to approximately 24 months
Phase Ia: Receptor Occupancy (RO)
Receptor Occupancy (RO) will be investigated.
Time frame: Up to approximately 24 months
Phase Ib: Change from baseline in SLEDAI-2K
Change from baseline in SLEDAI-2K will be investigated.
Time frame: Up to approximately 24 months
Phase Ib: Changes in Quality of Life (SF-36)
Changes in Quality of Life (SF-36) will be investigated.
Time frame: Up to approximately 24 months
Phase Ib: Proportion of subjects achieving Lupus Low Disease Activity Status (LLDAS)
Proportion of subjects achieving Lupus Low Disease Activity Status (LLDAS) will be investigated.
Time frame: Up to approximately 24 months
Phase Ib: Proportion of subjects achieving disease remission (DORIS)
Proportion of subjects achieving disease remission (DORIS) will be investigated.
Time frame: Up to approximately 24 months