This is an open-label investigator-initiated trial (IIT) to assess the safety, efficacy, and PK(pharmacokinetic)/PD(pharmacodynamics ) of UB-VV410 in adult subjects with clinically active treatment-refractory SLE. The study population will include subjects with active LN (as defined by evidence of active inflammation on renal biopsy, referred to as the LN cohort) and subjects with active SLE without LN (ie, non-LN SLE, referred to as the non-LN cohort). It is expected that the safety profile of UB-VV410 will be similar in subjects with active LN and subjects with active non-LN SLE; thus, dose finding (DF) will be conducted in the 2 subpopulation cohorts combined. Dose expansion (DE) may be conducted separately in the LN and non-LN cohorts to characterize the preliminary efficacy of UB-VV410, as well as its safety and PK/PD, in each subpopulation. The objective of this study is to determine the MTD(maximum tolerated dose)/MAD(maximum administered dose) and the recommended dose for subsequent studies of UB-VV410 in subjects with active LN and in subjects with active non-LN SLE. The DF portion will evaluate the safety profile of UB-VV410 administered at various DLs(dose levels). The DE portion will further optimize the dose and define the safety profile and preliminary efficacy of UB VV410. The study will use the Bayesian optimal interval (BOIN) design to allocate subjects to various DLs to minimize exposure to subtherapeutic DLs while maintaining appropriate safety parameters. DF will be initiated with UB-VV410 administered IV and starting at DL1. During DF, additional subjects may be backfilled at DLs found to be safe per the BOIN design and with promising activity. After DF of UB-VV410 has been completed, DE with up to 14 subjects per DL within each subpopulation cohort (eg, LN and non-LN cohorts) may be implemented at DLs less than or equal to the MTD/MAD and demonstrating efficacy to further characterize the toxicity, tolerability, PK/PD, and preliminary efficacy of UB-VV410 at the selected DLs. The DE portion will further characterize product safety and preliminary efficacy in order to optimize benefit/risk. The number of DLs for DE will be determined based on the safety, activity and PK/PD data observed from DF. In addition, some subjects may receive retreatment with UB-VV410 if there are preliminary findings suggesting incomplete improvement and acceptable safety.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
21
Treatment with single dose of UB-VV410, intravenous injection at Day 1. Note: Subjects may receive retreatment with UB-VV410 if there are preliminary findings suggesting incomplete improvement and acceptable safety.
The First Affiliated Hospital of Nanjing Medical University
Nanjing, China
RECRUITINGNumber of participants with adverse events as assessed by CTCAE(Common Terminology Criteria for Adverse Events) v5.0
Type, frequency, and severity of adverse events (AEs) and laboratory abnormalities
Time frame: up to 24 months after UB-VV410 infusion
Maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended dose for subsequent study of UB-VV410
MTD/MAD and the recommended dose for subsequent study of UB-VV410
Time frame: up to 24 months after UB-VV410 infusion
clinical response of SLE to UB-VV410
Systemic Lupus Erythematosus Responder Index 4 (SRI-4) response at specified timepoints
Time frame: up to 24 months after UB-VV410 infusion
clinical response of SLE to UB-VV410
The proportion of subjects with low disease activity by Lupus Low Disease Activity State (LLDAS) at specified timepoints
Time frame: up to 24 months after UB-VV410 infusion
clinical response of SLE to UB-VV410
The proportion of subjects in remission as measured by Definition of Remission in SLE (DORIS) remission criteria at specified timepoints
Time frame: up to 24 months after UB-VV410 infusion
clinical response of LN to UB-VV410
Clinical responses at specified timepoints as evaluated by the proportions of subjects with LN who achieve complete renal response (CRR), primary efficacy renal response (PERR), and partial renal response (PRR)
Time frame: up to 24 months after UB-VV410 infusion
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