The goal of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics(PK), pharmacodynamics (PD), immunogenicity, and preliminary efficacy of YK012 in participants with primary membranous nephropathy (pMN).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
66
YK012 is a bispecific antibody targeting CD19 on B cells and CD3 on T cells leading to T cell-mediated cytotoxicity of malignant B cells
Ia: Dose-Limiting Toxicity (DLT)
Time frame: up to 28 days after the first dose
Adverse Event (AE)
Time frame: From the first induction to the end of the trial at 53 weeks
Severe Adverse Event
Time frame: From the first induction to the end of the trial at 53 weeks
Area under the concentration-time curve (AUC0-t)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Area under the concentration-time curve from time 0 to ∞ (AUC0-∞)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Maximum plasma concentration (Cmax)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Time to reach maximum concentration (Tmax)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Half-life (t1/2)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Apparent clearance (CL)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
apparent volume of distribution (Vd)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
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Minimum plasma concentration (Cmin)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Time to onset and duration of peripheral blood B-cell and B-cell subset depletion
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Changes in peripheral blood Natural Killer (NK) cells
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Changes in peripheral blood T cells and T cell subsets (CD4+ T cells, CD8+ T cells)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
The profile of cytokine changes
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Positive rates of blood anti-drug antibody (ADA) and neutralizing antibody (Nab)
Time frame: From 1 hour before the first infusion of YK012 to the end of trial at 53 or 77 weeks
Changes from baseline in 24-hour urine protein during the trial period
Time frame: From screening to the end of the trial at 53 or 77 weeks
Changes from baseline in estimated glomerular filtration rate (eGFR) during the trial period
Time frame: From screening to the end of the trial at 53 or 77 weeks
Changes from baseline in anti-phospholipase A2 receptor (PLA2R) antibody titer during the trial period
Time frame: From screening to the end of the trial at 53 or 77 weeks
Proportion of participants achieving overall renal remission (ORR)
Time frame: From screening to the end of the trial at 53 or 77 weeks
Proportion of participants achieving Complete Response (CR) and Partial Response (PR)
Time frame: From screening to the end of the trial at 53 or 77 weeks
Proportion of participants achieving immunological remission
Time frame: From screening to the end of the trial at 53 or 77 weeks
Time to achieve CR
Time frame: From screening to the end of the trial at 53 or 77 weeks
Time to achieve ORR
Time frame: From screening to the end of the trial at 53 or 77 weeks
Duration of CR
Time frame: From screening to the end of the trial at 53 or 77 weeks
Duration of ORR
Time frame: From screening to the end of the trial at 53 or 77 weeks
Proportion of participants with treatment failure
Time frame: From screening to the end of the trial at 53 or 77 weeks
Proportion of participants who relapsed
Time frame: From screening to the end of the trial at 53 or 77 weeks