A Phase I Clinical Study of Recombinant Humanized Anti-CD20(B-lymphocyte Antigen CD20) Monoclonal Antibody Subcutaneous Injection in the Treatment of Primary Membranous Nephropathy
A Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profiles and Preliminary Efficacy of Subcutaneous Injection of Recombinant Humanized Anti-CD20 Monoclonal Antibody in the Treatment of Primary Membranous Nephropathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Minghui Zhao
- Phone Number: 0086-13501243815
- Email: mhzhao@bjmu.edu.cn
Study Locations
-
-
-
Beijing, China, 100010
- Recruiting
- Peking University First Hospital
-
Contact:
- Minghui Zhao
- Phone Number: 0086-13501243815
- Email: mhzhao@bjmu.edu.cn
-
Shanghai, China, 200032
- Recruiting
- Longhua Hospital Shanghai University of Traditional Chinese Medicine
-
Contact:
- Yueyi Deng
- Phone Number: 0086-021-64385700
- Email: lhgcpoffice@126.com
-
-
He'nan
-
Zhengzhou, He'nan, China, 410100
- Recruiting
- The First Affiliated Hospital of Zhengzhou University
-
Contact:
- Zhangsuo Liu
- Phone Number: 0086-0371-66913114
- Email: 66862001@163.com
-
-
Hebei
-
Shijiazhuang, Hebei, China, 050057
- Recruiting
- Hebei General Hospital
-
Contact:
- Kai Niu
- Phone Number: 0086-0311-85989696
- Email: hbpphosp@126.com
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310003
- Recruiting
- The First Affiliated Hospital,College of Medicine,Zhejiang University
-
Contact:
- Heng Li
- Phone Number: 0086-0571-87236114
- Email: zdyy6616@126.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects who have fully understood this study and voluntarily signed the informed consent form;
- Male or female subjects, aged between 18 and 75 years;
- Subjects with primary membranous nephropathy pathologically confirmed by renal biopsy;
- Subjects with systolic blood pressure ≤ 140 mmHg and diastolic blood pressure ≤ 90 mmHg at screening;
- If taking ACEI(Angiotensin converting enzyme inhibitors), ARB(Angiotensin receptor blocker), a stable dose within 4 weeks before screening is required;
- Subjects who are able to follow the study protocol as judged by the investigator.
Exclusion Criteria:
- Subjects with secondary membranous nephropathy;
- Subjects with uncontrolled blood pressure as judged by the investigator within 3 months before screening;
- Subjects with decreases in urine protein ≥ 50% within 6 months before screening;
- Subjects who have received or are receiving renal replacement therapy;
- Subjects with type 1 diabetes mellitus, or those with type 2 diabetes mellitus who are diagnosed as diabetic nephropathy by percutaneous renal biopsy;
- Subjects who have a clear history of tuberculosis or have received anti-tuberculosis treatment;
- Subjects with active bacterial, viral, fungal, mycobacterial, parasitic or other infections requiring systemic antibiotics or antiviral therapy;
- Subjects with known history of severe allergic reactions to humanized monoclonal antibodies;
- Subjects who received live vaccination, major surgery, or participated in other clinical trials within 28 days before receiving the study drug;
- Pregnant or lactating women; women of childbearing potential who have not been sterilized do not agree to use appropriate contraceptive measures during treatment and for at least 12 months after the last dose of the study drug;
- Subjects with serious, progressive, or uncontrolled disease that may increase risks during the participation in the study as assessed by the investigator;
- Subjects with a history of alcoholism or drug abuse within 12 months;
- Subjects with positive hepatitis B surface antigen; those with positive hepatitis C virus antibody; those with a history of immunodeficiency;
- Subjects with CD4+ T lymphocyte count < 300 cells/μL;
- Other conditions unsuitable for participation in this study determined by the Investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: B007:350mg
B007:350mg Subcutaneous injection was administered on days 1 and 15 B007 matched Placebo Subcutaneous injection was administered on days 1 and 15 |
Drug: B007 injection Drug: Placebo injection
|
|
Experimental: B007:700mg
B007: 700mg Subcutaneous injection was administered on days 1 and 15 B007 matched Placebo Subcutaneous injection was administered on days 1 and 15 |
Drug: B007 injection Drug: Placebo injection
|
|
Experimental: B007:1000mg
B007: 1000mg Subcutaneous injection was administered on days 1 and 15 B007 matched Placebo Subcutaneous injection was administered on days 1 and 15 |
Drug: B007 injection Drug: Placebo injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose limiting toxicity(DLT)
Time Frame: Approximately 1 years
|
Adverse reactions that are certainly or possibly related to the drug being tested during the dose escalation phase.
|
Approximately 1 years
|
|
Security: Incidence of Treatment-Emergent Adverse Events
Time Frame: Approximately 2 years
|
Adverse event type, incidence, duration, correlation with study drug
|
Approximately 2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PK (Pharmacokinetics)
Time Frame: Approximately 1 years
|
Cmax
|
Approximately 1 years
|
|
PK (Pharmacokinetics)
Time Frame: Approximately 1 years
|
Tmax
|
Approximately 1 years
|
|
PK (Pharmacokinetics)
Time Frame: Approximately 1 years
|
AUC0-last(Area Under Curve of 0-last)
|
Approximately 1 years
|
|
Biomarkers
Time Frame: Approximately 1 years
|
Changes in serum anti-PLA2R(Antiphospholipase A2 receptor) antibody levels relative to baseline
|
Approximately 1 years
|
|
Immunogenicity
Time Frame: Approximately 1 years
|
Incidence of ADA(Adenosine deaminase)
|
Approximately 1 years
|
|
Dynamics of pharmacodynamics
Time Frame: Approximately 1 years
|
Changes of peripheral blood CD19+B cells(B-lymphocyte antigen CD19) relative to baseline
|
Approximately 1 years
|
|
Proportion of subjects achieving clinical remission
Time Frame: Approximately 2 years
|
Proportion of subjects achieving clinical remission
|
Approximately 2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- B007-102
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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