A Clinical Trial of TQH2929 Injection in Patients With Acute Flare-up of Generalized Pustular Psoriasis
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial Evaluating the Efficacy and Safety of TQH2929 Injection in Patients With Acute Exacerbations of Generalized Pustular Psoriasis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Hang Li, Doctor
- Phone Number: 13693058190
- Email: drlihang@126.com
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100191
- Peking University Third Hospital
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Beijing, Beijing Municipality, China, 100034
- Peking University First Hospita
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Fujian
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Fuzhou, Fujian, China, 350000
- The First Affiliated Hospital of Fujian Medical University
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Guangdong
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Guangzhou, Guangdong, China, 510120
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Guangzhou, Guangdong, China, 510091
- Southern Medical University Dermatology Hospital
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Guizhou
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Guiyang, Guizhou, China, 550004
- The Affiliated Hospital of Guizhou Medical University
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Hebei
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Shijiazhuang, Hebei, China, 050000
- The Second Hospital of Hebei Medical University
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Henan
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Luoyang, Henan, China, 471000
- The Second Affiliated Hospital of Henan University of Science and Technology
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Zhengzhou, Henan, China, 450003
- Henan Provincial People's Hospital
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Zhengzhou, Henan, China, 450000
- Zhengzhou Central Hospital
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Zhengzhou, Henan, China, 450052
- The Fifth Affiliated Hospital of Zhengzhou University
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Hubei
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Shiyan, Hubei, China, 442000
- Shiyan Renmin Hospital
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Wuhan, Hubei, China, 430060
- Renmin Hospital of Wuhan University
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Hunan
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Changsha, Hunan, China, 410008
- Xiangya Hospital of Central South University
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Changsha, Hunan, China, 410007
- The First Hospital of Hunan University of Chinese Medicine
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Huaihua, Hunan, China, 41800
- The General Hospital of Hunan University of Medicine
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Jilin
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Changchun, Jilin, China, 130012
- The First Hospital of Jilin University
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Liaoning
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Shenyang, Liaoning, China, 110001
- The First Hospital of China Medical University
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Shandong
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Jinan, Shandong, China, 250022
- Shandong First Medical University Affiliated Dermatology Hospital
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200443
- Shanghai Skin Disease Hospital
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Shanxi
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Xi’an, Shanxi, China, 710061
- The Second Affiliated Hospital of Xi'an Jiaotong University
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Sichuan
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Chengdu, Sichuan, China, 610000
- Chengdu second people's hospital
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Chengdu, Sichuan, China, 610000
- Sichuan Provincial People' s Hospital
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Luzhou, Sichuan, China, 646000
- The Affiliated Hospital of Southwest Medical University
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China, 300052
- Tianjin Medical University General Hospital
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Tianjin, Tianjin Municipality, China, 300120
- Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital
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Xinjiang
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Ürümqi, Xinjiang, China, 830001
- People's Hospital of Xinjiang Uygur Autonomous Region
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Ürümqi, Xinjiang, China, 830013
- The First Affiliated Hospital of Xinjiang Medical University
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Yunnan
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Kunming, Yunnan, China, 650032
- The First Affiliated Hospital of Kunming Medical University
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Zhejiang
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Jiaxing, Zhejiang, China, 314001
- Jiaxing First Hospital
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Ningbo, Zhejiang, China, 315020
- The First Affiliated Hospital of Ningbo University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 or ≤75 years old at screening, regardless of gender;
- Meet the diagnostic criteria defined by the 2017 European Society for Clinical Nutrition and Metabolism (ESPEN) Research Workshop (ERASPEN) consensus and be diagnosed as (generalized pustular psoriasis(GPP);
- Compliant with GPP acute onset;
- Able to read and understand, and willing to sign the informed consent form;
- Willing and compliant with study visits and related procedures;
- Female subjects of childbearing age should agree that contraceptive measures must be used during the study and for 6 months after the end of the study;
Exclusion Criteria:
- Pustules are limited to psoriasis vulgaris on psoriasis plaques;
- Concomitant skin disease or medical disease that may interfere with the investigator's evaluation of the subject's treatment response;
- Presence of severe, progressive, or uncontrolled disease, or signs and symptoms that are not suitable for participation in the investigator, in the judgment of the investigator:
- Serum virological abnormalities during the screening period;
- Chest radiology examination shows that the subject has active tuberculosis or a history of contact with open tuberculosis subjects in the past 6 months or a positive Interferon-Gamma Release Assays(IGRA) test;
- History of serious infection leading to hospitalization within 2 months prior to baseline;
- Active infection requiring systemic antibiotics, systemic antifungals, or systemic antiviral therapy within 2 weeks prior to baseline, according to the investigator's assessment;
- History of opportunistic infection within 6 months prior to baseline;
- Received live (attenuated) vaccine treatment within 12 weeks prior to baseline;
- Any major surgery within 4 weeks prior to baseline or planned major surgery during the study;
- Received blood transfusion within 4 weeks prior to baseline;
- Participated in clinical trials of other drugs or medical devices within 4 weeks before baseline;
- Any known or suspected congenital or acquired immunodeficiency state or condition that may compromise the subject's immune status;
- Subjects with any type of active malignancy or a history of malignancy;
- Alcohol, drug and known drug dependence;
- Pregnant or lactating women;
- Subjects cannot tolerate intravenous infusion administration.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: TQH2929 Injections
Intravenous infusion, single dose
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TQH2929 is a humanized monoclonal antibody that interfering with the signal cascade.
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Placebo Comparator: TQH2929 Placebo
Intravenous infusion, single dose
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Placebo contains no active substance.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of patients with a score of 0 for the pustule subterm
Time Frame: 1 week
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Percentage of patients with a Physician's Global Assessment of Generalized Pustular Psoriasis (GPPGA) pustular subitem of 0 (no visible pustules) at week 1 among all enrolled patients.
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1 week
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of patients with a Generalized Pustular Psoriasis Physician Global Assessment(GPPGA) total score of 0 or 1
Time Frame: 1 week and 4 weeks
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Percentage of patients with a total Generalized Pustular Psoriasis Physician Global Assessment (GPPGA) score of 0 (clear) or 1 (almost clear) at weeks 1 and 4.
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1 week and 4 weeks
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Percentage change from baseline in Generalized Pustular Psoriasis Area and Severity Index (GPPASI) total score
Time Frame: 1 week and 4 weeks
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Percentage change from baseline in the total score of generalized pustular psoriasis area and severity index (GPPASI) at week 1 and week 4.
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1 week and 4 weeks
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Change from baseline in Generalized Pustular Psoriasis Area and Severity Index(GPPASI) total score
Time Frame: 1 week and 4 weeks
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Change from baseline in Generalized Pustular Psoriasis Area and Severity Index(GPPAS) total score at week 1 and week 4.
If lower than the baseline score, indicate a certain degree of disease relief; conversely, if higher, it indicates an aggravation of the disease symptoms.
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1 week and 4 weeks
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Percentage of patients with Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 50
Time Frame: 1 week and 4 weeks
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Percentage of patients who achieved Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 50 at week 1 and week 4.
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1 week and 4 weeks
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Percentage of patients with Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 75
Time Frame: 1 week and 4 weeks
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Percentage of patients who achieved Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 75 at week 1 and week 4
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1 week and 4 weeks
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Percentage of patients with pustule subterm achieving a score of 0
Time Frame: 4 weeks
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Percentage of patients with Generalized Pustular Psoriasis Physician Global Assessment(GPPGA) pustule subterm achieving a score of 0 (no visible pustules) at week 4.
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4 weeks
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Change from baseline in Psoriasis Symptom Scale (PSS) score
Time Frame: 4 weeks
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Change from baseline in Psoriasis Symptom Scale (PSS) score at week 4
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4 weeks
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Change from baseline in disease life quality index (DLQI)
Time Frame: 4 weeks
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Change from baseline in skin disease life quality index (DLQI) at week 4.
If lower than the baseline score, indicate a certain degree of disease relief; conversely, if higher, it indicates an aggravation of the disease symptoms.
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4 weeks
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Adverse Drug Event (AE)
Time Frame: 113 days or 169 days
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Any untoward medical occurrence of a subject following drug treatment or exposure to an experimental factor, whether or not causally related to treatment or exposure.
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113 days or 169 days
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Serious Adverse Event (SAE)
Time Frame: 113 days or 169 days
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An event that occurs in the course of a clinical trial that results in the death of a subject or patient, serious deterioration in health, hospitalization or prolongation of hospitalization, permanent disability or loss of function, or serious consequences such as birth defects or birth defects.
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113 days or 169 days
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Treatment-Emergent Adverse Events (TEAES)
Time Frame: 113 days or 169 days
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Adverse events that occur during treatment, including from the start of treatment to a certain period of time after the end of treatment, may be directly or indirectly related to treatment.
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113 days or 169 days
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Abnormal clinical laboratory examination indicators
Time Frame: 113 days or 169 days
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Any laboratory abnormalities that occur during the test.
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113 days or 169 days
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Time of maximum concentration (Tmax)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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It refers to the time it takes for the human blood concentration curve to reach the highest concentration (peak concentration) after a single dose, measured in hours or minutes.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Maximum Concentration (Cmax)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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The highest blood concentration reached after the drug is absorbed in the body.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Area Under the Curve (AUC)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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It refers to the area covered by the concentration of a drug in the blood under the curve of changes over time.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Apparent Volume of Distribution(Vd/F)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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When the drug reaches dynamic equilibrium in the body, the ratio of the amount of drug in the body to the blood concentration is called the apparent volume of distribution.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Apparent Clearance (CL/F)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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The sum of drug clearance rates of liver and kidney, etc.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Plasma half-life time (t1/2)
Time Frame: 1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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The time it takes for the concentration of the drug in the plasma to drop by half.
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1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose
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Anti-drug antibody (ADA)
Time Frame: Through study completion, an average of half a year
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Incidence of anti-drug antibodies (ADA) in subjects.
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Through study completion, an average of half a year
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Collaborators and Investigators
Sponsor
Sponsor
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
Other Study ID Numbers
Other Study ID Numbers
- TQH2929-II-01
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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