A Study of IMM0306 in IgG4-Related Disease
A Phase II/III Clinical Study to Evaluate the Efficacy and Safety of IMM0306 in Participants With IgG4-Related Disease (IgG4-RD)
The goal of this clinical trial is to learn if IMM0306 works to reduce the risk of disease relapse in participants with IgG4-related disease (IgG4-RD). It will also learn about the safety and tolerability of IMM0306. The main questions it aims to answer are:
- Does IMM0306 reduce the risk of disease relapse in participants with IgG4-RD?
- What medical problems do participants have when receiving IMM0306?
- How does IMM0306 behave in the body, and does the body develop anti-drug antibodies against IMM0306? In the Phase II part, all participants will receive IMM0306. In the Phase III part, researchers will compare IMM0306 with placebo to evaluate whether IMM0306 reduces the risk of disease relapse in participants with IgG4-RD.
Participants will:
- Receive IMM0306 or placebo by intravenous infusion once weekly for 4 consecutive weeks, with the same treatment repeated 6 months later
- Start a planned glucocorticoid taper from Day 1 and gradually reduce oral prednisone or equivalent until complete discontinuation after 8 weeks
- Visit the study site for efficacy and safety assessments, including disease relapse assessment, IgG4-RD responder index assessment, laboratory tests, imaging examinations, electrocardiograms, pharmacokinetic sampling, immunogenicity sampling, biomarker sampling, and adverse event assessment.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Wei Han
- Phone Number: +8618646329327
- Email: wei.han@immuneonco.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of IgG4-RD;
- Meeting 2019 ACR/EULAR classification criteria with an inclusion score ≥20;
- At least two organs/sites involved during the disease course;
- Prior or recent IgG4-RD flare requiring initiation or continuation of GC treatment at informed consent.
Exclusion Criteria:
- Fibrotic manifestation as the only clinical manifestation of the current relapse;
- Significant hematologic or hepatic abnormalities;
- Recent B-cell-depleting therapy, alkylating agents, DMARDs or immunosuppressants;
- Other chronic active immune diseases requiring long-term use of immunosuppressants;
- Active malignancy or active malignancy within 10 years;
- Significant cardiac disease;
- Active infection or active TB;
- Severe pulmonary disease;
- Recent opportunistic infection;
- Alcohol/drug abuse;
- Pregnancy, lactation or failure to meet contraception requirements.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Phase II single arm
|
1.6mg/kg by intravenous infusion once weekly for 4 consecutive weeks, with the same treatment repeated 6 months later
|
|
Experimental: Phase III treatment arm
|
1.6mg/kg by intravenous infusion once weekly for 4 consecutive weeks, with the same treatment repeated 6 months later
|
|
Placebo Comparator: Phase III control arm
|
1.6 mg/kg by intravenous infusion once weekly for 4 consecutive weeks, with the same treatment repeated 6 months later
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time to disease relapse
Time Frame: From Day 1 to the end of Week 26/52
|
From Day 1 to the end of Week 26/52
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Annualized relapse rate
Time Frame: From Day 1 to the end of Week 26/52
|
From Day 1 to the end of Week 26/52
|
|
Cumulative glucocorticoid dose
Time Frame: From Day 1 to the end of Week 52
|
From Day 1 to the end of Week 52
|
|
Proportion of relapse-free and glucocorticoid-free complete remission
Time Frame: At Week 26/52
|
At Week 26/52
|
|
Incidence of AEs
Time Frame: From Day 1 to the end of Week 52
|
From Day 1 to the end of Week 52
|
|
Incidence of ADA
Time Frame: From Day 1 to the end of Week 38
|
From Day 1 to the end of Week 38
|
|
Cmax
Time Frame: From Day 1 to the end of Week 29
|
From Day 1 to the end of Week 29
|
|
Cmin
Time Frame: From Day 1 to the end of Week 29
|
From Day 1 to the end of Week 29
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in B-cell subsets
Time Frame: From Day 1 to the end of Week 52
|
From Day 1 to the end of Week 52
|
|
Change from baseline in complement levels
Time Frame: From screening to the end of Week 52
|
From screening to the end of Week 52
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
- IMM0306-IgG4RD-301
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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