This study consists of a randomized, double-blind, placebo-controlled Phase Ia part and an open-label Phase Ib part. The Phase Ia part is a single ascending-dose study of subcutaneous QLS2404 Injection in healthy participants, designed to evaluate the safety and tolerability of QLS2404 Injection in healthy participants. The Phase Ib part is a multiple ascending-dose study of subcutaneous QLS2404 Injection in participants with systemic lupus erythematosus and primary Sjögren's syndrome, designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of QLS2404 Injection.
The Phase Ia single-dose ascending stage will include five dose groups. The study plans to enroll 40 adult healthy participants, with 8 participants in each dose group, who will be randomized in a 3:1 ratio to receive QLS2404 Injection or placebo. Dose escalation will be conducted sequentially from the initial dose to higher dose levels in accordance with the dose-escalation principle. During the study, a Safety Monitoring Committee (SMC), composed of the investigators, the sponsor, or sponsor-designated personnel, will review the safety data generated during the trial. After the last participant in each dose group has completed the 14-day tolerability observation period following dosing, the SMC will review the safety data of participants in each cohort and conduct an integrated assessment of the available pharmacokinetic (PK) and pharmacodynamic (PD) data. The SMC will then provide recommendations regarding dose escalation or, if necessary, adjustments to the dose-escalation scheme. The Phase Ib part will be a multiple ascending-dose study of subcutaneous QLS2404 Injection in participants with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS), designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of QLS2404 Injection. Three dose groups are planned, with approximately 24 participants to be enrolled in total and 8 participants in each dose group. All participants will receive three subcutaneous doses of QLS2404 Injection, administered at 4-week intervals. Each dose group must include at least 6 participants with SLE, and the study will be conducted in strict accordance with the dose-escalation principle.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
64
a single subcutaneous dose of QLS2404 Injection in healthy participants
a single subcutaneous dose of QLS2404 Injection in healthy participants
a single subcutaneous dose of QLS2404 Injection in healthy participants
a single subcutaneous dose of QLS2404 Injection in healthy participants
a single subcutaneous dose of QLS2404 Injection in healthy participants
multiple subcutaneous doses of QLS2404 Injection in participants with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS)
multiple subcutaneous doses of QLS2404 Injection in participants with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS)
multiple subcutaneous doses of QLS2404 Injection in participants with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS)
West China Hospital of Sichuan University
Chengdu, Sichuan, China
Ia:the safety and tolerability of a single subcutaneous dose of QLS2404 Injection in healthy participants
Number of participants with Adverse events and Serious adverse events
Time frame: from the first single subcutaneous Inject of QLS2404 up to Day85
Ib:To evaluate the Adverse events of multiple subcutaneous injections of QLS2404 Injection in participants with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS).
Number of participants with Adverse events and Serious adverse events
Time frame: from the first single subcutaneous Inject of QLS2404 up to Day141.
Ia Outcome 1:To evaluate the pharmacokinetic (PK) characteristics of a single subcutaneous injection of QLS2404 Injection in healthy participants.
include serum QLS2404 concentrations such as peak plasma concentration (Cmax)
Time frame: from the first single subcutaneous Inject of QLS2404 up to Day85
Ia Outcome 2:To evaluate the pharmacodynamic (PD) characteristics of a single subcutaneous injection of QLS2404 Injection in healthy participants.
assessments include serum levels of IgM, IgG, and IgA at each scheduled time point before and after dosing
Time frame: from the first single subcutaneous Inject of QLS2404 up to Day85.
Ia Outcome 3:To evaluate the immunogenicity of a single subcutaneous injection of QLS2404 Injection in healthy participants.
include the incidence and titers of anti-drug antibodies (ADAs) against QLS2404 Injection in healthy participants, and the incidence of neutralizing antibodies (NAbs), if data permit.
Time frame: from the first single subcutaneous Inject of QLS2404 up to Day85
Ib Outcome 1:Applicable to participants with SLE: The proportion of participants with a ≥ 4-point decrease from baseline in SLE Disease Activity Index 2000 (SLEDAI-2K).
SLEDAI-2K Description: The minimum SLEDAI-2K score is 0, and the maximum theoretical SLEDAI-2K score is 105. A score of 0 indicates no active disease; a greater score indicates higher systemic lupus erythematosus disease activity.
Time frame: from the first subcutaneous Inject of QLS2404 up to Day141.
Ib Outcome 2:To evaluate the pharmacokinetic (PK) characteristics of multiple subcutaneous injections of QLS2404 Injection in participants .
Serum drug concentrations after administration peak plasma concentration (Cmax)
Time frame: from the first subcutaneous Inject of QLS2404 up to Day141
Ib Outcome 3:Evaluate the PD characteristics of multiple subcutaneous injections of QLS2404 Injection in participants with SLE and pSS;
Serum IgM, IgG, and IgA levels at each assessment time point, and the percentage change from baseline;
Time frame: from the first subcutaneous Inject of QLS2404 up to Day141
Ib Outcome 4:Evaluate the immunogenicity of multiple subcutaneous injections of QLS2404 Injection in participants with SLE and pSS;
Incidence and titers of anti-drug antibodies (ADA) to QLS2404 Injection in participants with SLE and pSS; incidence of neutralizing antibodies (NAb), if data permit.
Time frame: from the first subcutaneous Inject of QLS2404 up to Day141
Applicable to participants with pSS: The proportion of participants with a ≥ 3-point ESSDAI
Description: The minimum ESSDAI score is 0, and the maximum ESSDAI score is 123. A score of 0 indicates no systemic disease activity; a greater score indicates higher systemic disease activity in Sjögren's syndrome.
Time frame: from the first subcutaneous Inject of QLS2404 up to Day141.
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