The primary objectives of this clinical trial is to evaluate the safety and tolerability of HLX79 in combination with HLX01 versus placebo in combination with HLX01 in the treatment of glomerulonephritis. The secondary objective are to evaluate the pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of HLX79 and HLX01, the clinical efficacy, the dynamic changes of biomarkers of HLX79 in combination with HLX01 in the treatment of glomerulonephritis. The subjects will receive different doses of HLX79 (10, 20, or 30 mg/kg) or placebo, all in combination with HLX01. After the end of the first treatment period, subjects will enter a 20-week follow-up period and then undergo pre-second treatment period assessments. If the investigator determines that the subject does not require the second treatment period, the subject will continue in follow-up until completing the total 48-week follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
24
Subjects with MN will receive HLX79 10mg/kg or placebo, combine with HLX01 375 mg/m2
Subjects with MN will receive HLX79 20mg/kg or placebo combined with HLX01 375 mg/m2
Subjects with MN will receive HLX79 30mg/kg or placebo combined with HLX01 375 mg/m2
Beijing Tsinghua Changgung Hospital
Beijing, China
NOT_YET_RECRUITINGPeking University People's Hospital
Beijing, China
NOT_YET_RECRUITINGXiangya Hospital Of Gentral South University
Changsha, China
NOT_YET_RECRUITINGGuangdong Provincial People's Hospital
Guangzhou, China
NOT_YET_RECRUITINGSun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, China
NOT_YET_RECRUITINGThe First Affiliated Hospital Zhejiang University School Of Medicine
Hangzhou, China
NOT_YET_RECRUITINGThe Second Hospital of Anhui Medical University
Hefei, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Henan University of Science and Technology
Luoyang, China
NOT_YET_RECRUITINGJiangxi Provincial People's Hospital
Nanchang, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Nanchang University
Nanchang, China
NOT_YET_RECRUITING...and 7 more locations
Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment
Including incidence, nature, and severity of adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0, and the incidence of serious adverse events (SAEs), adverse events of special interest (AESIs), abnormal laboratory tests, vital signs, physical examination, and 12-lead ECG
Time frame: 24 weeks
Assessment of safety
Safety: Proportion of subjects with at least one Grade 3 or greater infection-related AE in each dose group according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE, and higher grades mean a worse outcome.
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Peak concentration (Cmax, Cmax, ss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Time to peak (Tmax, Tmax, ss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Area under the concentration-time curve (AUC0-inf, AUC0-t, AUC0-tau, AUCss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Elimination half-life (t1/2, t1/2, ss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Clearance (CL, CLss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Volume of distribution (Vz, Vss)
Time frame: 52 weeks
Plasma concentrations and PK parameters of HLX79 and HLX01
Accumulation ratio (Rac)
Time frame: 52 weeks
PD
Proportion of subjects with peripheral blood CD19+ B lymphocyte count ≤ 5/μL at weeks 12, 24, 36, and 52 of treatment, and proportion of subjects with peripheral blood CD20+ B lymphocyte count ≤ 1/μL at weeks 12, 24, 36, and 52 of treatment
Time frame: 52 weeks
Immunogenicity evaluation
Positive rates of anti-drug antibody (ADA) and neutralizing antibody (NAb, if applicable) for HLX79 and HLX01
Time frame: 52 weeks
Assessment of clinical efficacy
Proportion of subjects achieving complete remission (CR) or partial remission (PR) at weeks 12, 24, 36, and 52 of treatment.
Time frame: 52 weeks
Assessment of clinical efficacy
Proportion of subjects negative for anti-M-type phospholipase A2 receptor (PLA2R) antibodies at weeks 12, 24, 36, and 52 of treatment.
Time frame: 52 weeks
Assessment of clinical efficacy
Changes in anti-PLA2R antibody level from baseline at weeks 12, 24, 36, and 52 of treatment.
Time frame: 52 weeks
Explore the biomarkers
Peripheral blood B lymphocyte counts or B lymphocyte kinetics: including the depletion kinetics of B lymphocytes and their subsets (CD20+ B lymphocytes, CD19+ B lymphocytes, and memory B lymphocytes)
Time frame: 52 weeks
Explore the biomarkers
Peripheral blood B lymphocyte counts or B lymphocyte kinetics: the recovery kinetics of B lymphocytes and their subsets (e.g., CD20+ B lymphocytes, CD19+ B lymphocytes, and memory B lymphocytes).
Time frame: 52 weeks
Explore the biomarkers
Serum immunoglobulins (IgA, IgG, and IgM).
Time frame: 52 weeks
Explore the biomarkers
Serum complements (C3 and C4).
Time frame: 52 weeks
Explore the biomarkers
Urine CD163
Time frame: 52 weeks
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