Efficacy and Safety of Substitution of Glucocorticoid for BDB-001 Injection in Patients With Anti-neutrophil Cytoplasmic Antibody(ANCA)-Associated Vasculitis
A Multicenter, Randomized, Open-lable, Parallel-controlled, Phase I/II Trial to Study Efficacy and Safety of Substitution of Glucocorticoid for BDB-001 Injection in Patients With ANCA-associated Vasculitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Zheng Xiaohong
- Phone Number: +86 13811686425
- Email: zhengxiaohong@staidson.com
Study Locations
-
-
Anhui
-
Hefei, Anhui, China, 230601
- The Second Hospital of Anhui Medical University
-
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Beijing
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Beijing, Beijing, China, 100034
- Peking University First Hospital
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Beijing, Beijing, China, 100005
- Peking Union Medical College Hospital
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Beijing, Beijing, China, 102206
- Peking University International Hospital
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Guangxi Zhuang Autonomous Region (GZAR)
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Nanning, Guangxi Zhuang Autonomous Region (GZAR), China, 530016
- Guangxi Academy of Medical Sciences,The People's Hospital of Guangxi Zhuang Autonomous Region
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Hebei
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Shijiazhuang, Hebei, China, 050051
- The Third Hospital of Hebei Medical University
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Shijiazhuang, Hebei, China, 050004
- The Second Hospital of Hebei Medical University
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Henan
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Luoyang, Henan, China, 471003
- The First Affiliated Hospital of Henan University of Science and Technology
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Zhengzhou, Henan, China, 450052
- The First Affiliated Hospital of Zhengzhou University
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Hubei
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Wuhan, Hubei, China, 100005
- Tongji Hospital,Tongji Medical college of Hust
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-
Hunan
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Changsha, Hunan, China, 410008
- Xiangya Hospital Central South University (Nephrology Department)
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Changsha, Hunan, China, 410008
- Xiangya Hospital Central South University(Rheumatism Immunity Branch)
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Changsha, Hunan, China, 410205
- The Third Xiangya Hospital of Central South University
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- The First Affiliated Hospital Of Nanchang University
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Liaoning
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Shengyang, Liaoning, China, 110004
- Shengjing Hospital of China Medical University
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Shenyang, Liaoning, China, 110001
- The First Hospital of China Medical University
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Ningxia Hui Autonomous Region(NHAR)
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Yinchuan, Ningxia Hui Autonomous Region(NHAR), China, 750003
- General Hospital of Ningxia Medical University
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Shanghai
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Shanghai, Shanghai, China, 200032
- Zhongshan Hospital,Fudan University
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Shanxi
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Xi'an, Shanxi, China, 710061
- The First Affiliated Hospital of Xi'an Jiao Tong University
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Xi'an, Shanxi, China, 710032
- Xijing Hospital
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Tianjin
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Tianjin, Tianjin, China, 300052
- Tianjin Medical University General Hospital
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Zhejiang
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Hangzhou, Zhejiang, China, 310003
- The First Affiliated Hospital, College of Medicine, Zhejiang University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years old≤Age≤75 years old, male or female;
- Diagnosis of granulomatosis with polyangiitis(GPA) or microscopic polyangiitis(MPA);
- Newly diagnosed or relapsed GPA or MPA that requires treatment with cyclophosphamide(CYC) and glucocorticoids(GCs);
- Positive test for anti-proteinase 3(PR3) or anti-myeloperoxidase (MPO);
- Estimated glomerular filtration rate ≥15 mL/minute/1.73 m^2;
- At least 1 major item, or at least 3 non-major items, or at least the 2 renal items on BVAS;
Exclusion Criteria:
- Active tuberculosis infection;
- Severe disease as determined by rapidly progressive glomerulonephritis, alveolar hemorrhage requiring pulmonary ventilation support, rapid-onset mononeuritis multiplex or central nervous system involvement;
- Any other known multi-system autoimmune disease including eosinophilic granulomatosis with polyangiitis (Churg-Strauss), systemic lupus erythematosus, IgA vasculitis (Henoch-Schönlein), rheumatoid vasculitis,anti-glomerular basement membrane disease, or cryoglobulinemic vasculitis;
- HBsAg positive,or HBcAb positive and HBV-DNA positive;
- Received CYC within 3 months before the first administration or Received rituximab(RTX) within 12 months before the first administration;
- Received glucocorticoid shock therapy within 4 weeks before the first administration;
- Received an oral daily dose of a GC of > 10 mg prednisone-equivalent for more than 6 weeks continuously before the first administration;
- Received a anti-tumor necrosis factor and other biological agents treatment within 12 weeks before the first administration;
- Received Continuous dialysis treatment for 12 weeks or more before the first administration; Received Dialysis within 1 week before the first administration;
- Received intravenous immunoglobulin (Ig) or plasma exchange within 4 weeks before the first administration;
- Pregnant or lactating.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group A
BDB-001 injection low dose plus reduced dose glucocorticoids in combination with cyclophosphamide
|
Intravenously administered
Intravenously administered
Orally administered
Other Names:
|
|
Experimental: Group B
BDB-001 injection high dose plus reduced dose glucocorticoids in combination with cyclophosphamide
|
Intravenously administered
Intravenously administered
Orally administered
Other Names:
|
|
Active Comparator: Group C
Standard dose glucocorticoids in combination with cyclophosphamide
|
Intravenously administered
Orally administered
Other Names:
|
|
Experimental: Group D
BDB-001 injection low dose in combination with cyclophosphamide
|
Intravenously administered
Intravenously administered
|
|
Experimental: Group E
BDB-001 injection high dose in combination with cyclophosphamide
|
Intravenously administered
Intravenously administered
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The proportion of patients achieving disease complete remission or partial remission assessed by Birmingham Vasculitis Activity Score (BVAS)
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The proportion of patients achieving disease complete remission assessed by Birmingham Vasculitis Activity Score (BVAS)
Time Frame: 12 weeks
|
12 weeks
|
|
|
Change from baseline in the Birmingham Vasculitis Activity Score (BVAS)
Time Frame: 4 weeks、8 weeks、12 weeks
|
4 weeks、8 weeks、12 weeks
|
|
|
Change from baseline in the Vasculitis Damage Index (VDI)
Time Frame: 12 weeks
|
12 weeks
|
|
|
Change from baseline in Estimated glomerular filtration rate (eGFR)、Urinary albumin:creatinine ratio (UACR)、Urine erythrocyte
Time Frame: 4 weeks、8 weeks、12 weeks
|
4 weeks、8 weeks、12 weeks
|
|
|
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.
Time Frame: 0-24weeks
|
Safety and tolerability indexes of BDB-001 injection for multiple administration of ANCA-associated vasculitis(AAV) patients
|
0-24weeks
|
|
Number of Participants developing anti-BDB-001 antibodies.
Time Frame: 0-24weeks
|
Safety and tolerability indexes of BDB-001 injection for multiple administration of ANCA-associated vasculitis(AAV) patients
|
0-24weeks
|
|
Area under the plasma concentration versus time curve (AUC) of BDB-001.
Time Frame: 0-12 weeks
|
Pharmacokinetic characteristics of BDB-001 injection in AAV patients were characterized based on population pharmacokinetic (PopPK) analysis.
|
0-12 weeks
|
|
Peak Plasma Concentration (Cmax) of BDB-001 and time to reach Cmax.
Time Frame: 0-12 weeks
|
Pharmacokinetic characteristics of BDB-001 injection in AAV patients were characterized based on population pharmacokinetic (PopPK) analysis.
|
0-12 weeks
|
|
Minimal Plasma Concentration (Cmin) of BDB-001.
Time Frame: 0-12 weeks
|
Pharmacokinetic characteristics of BDB-001 injection in AAV patients were characterized based on population pharmacokinetic (PopPK) analysis.
|
0-12 weeks
|
|
Terminal phase half-life.
Time Frame: 0-12 weeks
|
Pharmacokinetic characteristics of BDB-001 injection in AAV patients were characterized based on population pharmacokinetic (PopPK) analysis.
|
0-12 weeks
|
|
Change from baseline in C5a (mg/dL) concentration.
Time Frame: 0-12 weeks
|
0-12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Minghui Zhao, Postdoc, Peking University First Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Autoimmune Diseases
- Immune System Diseases
- Skin Diseases
- Skin Diseases, Vascular
- Systemic Vasculitis
- Vasculitis
- Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Inflammatory Agents
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Antirheumatic Agents
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Prednisone
- Cyclophosphamide
- Glucocorticoids
Other Study ID Numbers
Other Study ID Numbers
- STS-BDB001-07
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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