This is a Phase I, open-label, dose escalation, multicenter study to evaluate the safety, tolerability, preliminary efficacy, pharmacodynamics (PD), and pharmacokinetics (PK) of EA5 injection in adult participants with Antiphospholipid Syndrome (APS) and recurrent thrombosis who are receiving standard-of-care antithrombotic therapy. Approximately 12 participants will be enrolled. The whole study treatment cycle was 24 weeks. Administration of low-dose EA5: First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W). Administration of high-dose EA5: First, administer the loading dose regimen intravenously, then maintain administration subcutaneously every 2 weeks(Q2W).The primary objective is to assess safety and tolerability. Secondary objectives include evaluation of preliminary efficacy, immunogenicity, PK, PD (complement inhibition), and APS-related biomarker changes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Peking University People's Hospital
Beijing, Beijing Municipality, China
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
TEAEs were defined as AEs that occurred on or after the date and time of study drug administration, or those that first occurred before dosing but worsened in frequency or severity after study drug administration. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Time frame: Baseline up to Week28
Number of participants with adjudicated thrombotic events during the treatment period (including venous, arterial, and small-vessel thrombotic events)
Time frame: Baseline up to Week28
Number of adjudicated thrombotic events per participant
Time frame: Baseline up to Week28
Change in annualized thrombosis event rate compared to baseline (the 5-year period prior to treatment)
Time frame: Baseline up to Week28
Change in platelet count from baseline at each visit
Time frame: Baseline up to Week28
Situations requiring adjustment of antithrombotic treatment regimen during the treatment period
Time frame: Baseline up to Week28
Change in levels of sC5b-9 before and after dosing
Time frame: Baseline up to Week28
Change in levels of free C5 before and after dosing
Time frame: Baseline up to Week28
Incidence of anti-drug antibodies (ADA) against the humanized monoclonal antibody EA5
Time frame: Baseline up to Week28
Maximum Observed Serum Concentration (Cmax) of EA5
Blood samples were collected for analysis of Cmax
Time frame: Baseline up to Week28
Time To Maximum Observed Serum Concentration (Tmax) of EA5
Blood samples were collected for analysis of Tmax
Time frame: Baseline up to Week 28
Area Under The Serum Concentration Versus Time Curve From Time Zero To The Time of The Last Quantifiable Concentration (AUC0-t) of EA5
Blood samples were collected for analysis of AUC0-t
Time frame: Baseline up to Week 28
Terminal Elimination Rate Constant (λz) of Serum EA5
Blood samples were collected for analysis of λz
Time frame: Baseline up to Week 28
Terminal Elimination Half-life (t½) of Serum EA5
Blood samples were collected for analysis of t½
Time frame: Baseline up to Week 28
Total Clearance (CL) of EA5
Blood samples were collected for analysis of CL
Time frame: Baseline up to Week 28
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