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A Phase 1/2 Study of PRO-203 in Healthy Volunteers and Participants With Systemic Sclerosis.

2026年9月3日 更新者：Prolium Bioscience, Inc

A Two-part, Phase 1/2, Randomized, Double-blind, Placebo-controlled, Single-ascending-dose Study of PRO-203 in Healthy Adult Volunteers Followed by an Open-label, Single-ascending-dose With Priming Study of PRO-203 in Participants With Systemic Sclerosis

A two-part study of PRO-203 administered subcutaneously in healthy adult volunteers and participants with Systemic Sclerosis (SSc).

研究概览

地位

招聘中

条件

干预/治疗

详细说明

This two-part study is designed to characterize the first-in-human safety, tolerability, PK, and PD profile of PRO-203 across ascending dose levels.

Part 1 - Healthy Volunteers (HV) Part 1 enrollment is complete and has enrolled 20 healthy volunteers across 3 cohorts. Participants within each cohort received a single SC dose of PRO-203 or matching placebo. Part 1 has completed enrollment.

Part 2 - Systemic Sclerosis (SSc) Up to 24 participants with SSc will be enrolled in multiple cohorts (with optional additional cohorts) Participants within each cohort will receive a single SC cycle of PRO-203. Part 2 includes a Main Study and an optional Long-term Extension (LTE). In the LTE, eligible participants may receive retreatment if they meet retreatment criteria. Total study duration per participant is up to 53 weeks.

研究类型

介入性

注册 (估计的)

44

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

  • 中国
      • Beijing、中国
        • 招聘中
        • Peking University Third Hospital
        • 接触：
      • Guangzhou、中国
        • 招聘中
        • The third affiliated hospital of Sun Yat-Sen University
        • 接触：
      • Guangzhou、中国
        • 招聘中
        • Guangdong Provincial People's Hospital
        • 接触：
      • Nanchang、中国
        • 招聘中
        • The First Affiliated Hospital of Nanchang University
        • 接触：
      • Nanchang、中国
        • 招聘中
        • The Second Affiliated Hospital of Nanchang University
        • 接触：
      • Nanjing、中国
        • 招聘中
        • Nanjing Drum Tower Hospital
        • 接触：
      • Pingxiang、中国
        • 招聘中
        • Pingxiang People's Hospital
        • 接触：
  • 墨西哥
      • Chihuahua City、墨西哥
        • 招聘中
        • Hospital Angeles Chihuahua
        • 接触：
      • San Nicolás de los Garza、墨西哥
        • 招聘中
        • Unidad Médica para la Salud Integral (UMSI)
        • 接触：
  • 澳大利亚
    • Victoria
      • Melbourne、Victoria、澳大利亚、3004
        • 完全的
        • Nucleus Network
  • 韩国
      • Seoul、韩国
        • 招聘中
        • Seoul National University Hospital
        • 接触：

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Key Inclusion Criteria (All Participants)

  • Is male or female, age 18 to 65 years, inclusive, at Screening.
  • Able to provide Informed Consent.
  • Absolute B cell count > 25 cells/uL.

Additional Inclusion for Part 1 (Closed to Enrollment)

  • In good general health, determined by no clinically significant findings in the of the investigator from medical history, physical examination, 12-lead ECG, clinical laboratory findings, and vital signs at Screening and Day -1 (participants with Gilbert's disease with associated abnormalities of liver function tests are eligible for enrollment).
  • Up to date vaccination status per local guidelines (including but not limited to influenza vaccine, COVID booster and hepatitis B vaccine).

Additional Inclusion for Part 2

  • Fulfill 2013 ACR/ EULAR criteria for classification of SSc with a total score of ≥ 9.
  • Active disease defined as at least two of the following at screening:
  • Disease duration ≤ 2 years (since onset of first-non-Raynaud-symptom), or
  • Elevated acute phase reactant levels (CRP ≥ 6 mg/L, erythrocytes sedimentation rate [ESR] ≥ 28 mm/1h, or platelet count ≥ 330,000/µL), or
  • Baseline mRSS ≥10 with evidence of progression, defined as mRSS increase at least 3 units, or involvement of 1 new body area and mRSS increase at least 2 units, or involvement of 2 new body areas (each within the previous 6 months), or
  • ≥ 1 tendon friction rub, or
  • Elevation of CK or aldolase > 2 × the upper limit of normal (ULN) consistent with SSc-related myopathy, or

  • Progressive fibrosing interstitial lung disease (ILD) as defined by at least one of the following criteria at any time within the prior 2 years:

    1. relative decline in forced vital capacity (FVC) % predicted ≥ 10%, or
    2. relative decline in FVC % predicted ≥ 5% to <10% and worsened respiratory symptoms, or
    3. relative decline in FVC % predicted ≥ 5% to <10% and increased extent of fibrosis on high-resolution computed tomography (HRCT), or
    4. worsened respiratory symptoms and increased extent of fibrosis on HRCT
  • Intolerant or refractory to at least 1 line of standard therapy, including methotrexate, azathioprine, IVIG, mycophenolic acid derivatives, cyclophosphamide, TNF-inhibitors, rituximab, or tocilizumab.

Key Exclusion Criteria (All Participants)

  • Any clinically significant underlying illness in the opinion of the investigator.
  • Active infection within 4 weeks prior to screening. Participants receiving IV antibiotics or having received IV antibiotics within 14 days prior to enrollment are excluded.
  • Positive QuantiFERON-Gold TB test at screening.
  • Plan to receive live, attenuated vaccine after signing ICF (inactive vaccines, such as the flu vaccine, are allowed).
  • Evidence of malignant disease or malignancies diagnosed within the previous 5 years (except for treated local basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix uteri that had been excised and cured).
  • Currently enrolled in another investigational device or drug study, or less than 30 days or 5 half-lives of the prior investigational agent (whichever is longer) have passed since ending another investigational device or drug study or plans to enroll in another investigational device or drug study during the course of this study.
  • Social smokers e.g. up to 10 cigarettes per week (or equivalent amounts of nicotine containing products) and willing to abstain during inpatient stay, are allowed

Additional Exclusion Criteria for Part 1 (Closed to Enrollment)

  • Use of any prescription medication within 14 days and OTC medications, vitamins, herbal medications (e.g., St. John's wort), or cannabis, except for contraceptive medications and as needed (prn) acetaminophen/paracetamol (not exceeding 2 grams/day) within 7 days prior to administration of the study drug and throughout the study.

Additional Exclusion Criteria for Part 2

  • Rheumatic autoimmune disease other than SSc.
  • Positive anti-centromere antibodies.
  • Pulmonary disease with FVC ≤ 45% of predicted, or DLCO ≤ 35% of predicted.
  • Class 2 or higher pulmonary arterial hypertension or evidence of other moderately severe pulmonary disease.
  • Renal crisis within 6 months prior to Screening.
  • Prior treatment with cellular immunotherapy (eg, CAR-T) or gene therapy product directed at any target.
  • Previous treatment with chlorambucil, bone marrow transplantation, or total lymphoid irradiation.
  • Previous treatment with thalidomide, anti-thymocyte globulin, plasmapheresis, or extracorporeal photopheresis.
  • Unable to washout current immunosuppressive therapy within 2 months
  • Has received anti-CD19 or CD20 therapies, within 6 months prior to start of therapy
  • Plan to receive live or live-attenuated vaccines within 8 weeks prior to first dose of study drug and during treatment until B cell reconstitution to 80% of baseline (inactive vaccines, such as the flu vaccine, are allowed)

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：顺序分配
  • 屏蔽：三倍

武器和干预

参与者组/臂
干预/治疗
安慰剂比较：Part 1: Placebo
Matching SC placebo administered to randomized Part 1 participants
其他：Placebo
Matching placebo comparator for Part 1 participants.
实验性的：Part 1: PRO-203
Healthy participants receive single ascending dose of PRO-203 in dose escalation cohorts
药品：PRO-203
PRO-203 administered as escalating single dose in healthy participants or as a single cycle in participants with systemic sclerosis.
实验性的：Part 2: Multiple Doses of PRO-203
Participants with systemic sclerosis receive a single cycle of PRO-203 across cohorts, including additional treatment as needed.
药品：PRO-203
PRO-203 administered as escalating single dose in healthy participants or as a single cycle in participants with systemic sclerosis.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Incidence of Adverse Events and Laboratory Abnormalities [Safety and Tolerability]
大体时间：13 weeks (Part 1) / 49 weeks (Part 2)
Incidence and severity of treatment-emergent adverse events, serious adverse events, and dose-limiting toxicities, including changes in clinical laboratory values, ECGs, and vital signs.
13 weeks (Part 1) / 49 weeks (Part 2)

次要结果测量

结果测量
措施说明
大体时间
Pharmacokinetics of PRO-203
大体时间：13 weeks (Part 1) / 49 weeks (Part 2)
Serum drug levels of PRO-203 over time
13 weeks (Part 1) / 49 weeks (Part 2)
Pharmacodynamic-related biomarkers of PRO-203
大体时间：13 weeks (Part 1) / 49 weeks (Part 2)
Peripheral blood B lymphocyte levels over time
13 weeks (Part 1) / 49 weeks (Part 2)
Immunogenicity of PRO-203
大体时间：13 weeks (Part 1) / 49 weeks (Part 2)
Level of anti-drug antibodies
13 weeks (Part 1) / 49 weeks (Part 2)

其他结果措施

结果测量
措施说明
大体时间
FVC % Predicted (Part 2)
大体时间：13 weeks / 49 weeks
Change from baseline in forced vital capacity (FVC) as a percentage of predicted normal.
13 weeks / 49 weeks
Diffusing Capacity for Carbon Monoxide (DLCO) (Part 2)
大体时间：13 weeks / 49 weeks
Change from baseline in diffusing capacity for carbon monoxide (DLCO) as a percentage of predicted normal.
13 weeks / 49 weeks
Modified Rodnan Skin Score (mRSS) (Part 2)
大体时间：13 weeks /49 weeks
Change from baseline in Modified Rodnan Skin Score (mRSS) on a scale of 0 to 51, with a higher score indicating greater skin thickening.
13 weeks /49 weeks
Revised Composite Response Index in Systemic Sclerosis (rCRISS) (Part 2)
大体时间：13 weeks / 49 weeks
Change from baseline in disease response as measured by the Revised Composite Response Index in Systemic Sclerosis (rCRISS), where a higher score indicates a better outcome.
13 weeks / 49 weeks
European Scleroderma Trials and Research Group Activity Index (EUSTAR-AI) (Part 2)
大体时间：13 weeks / 49 weeks
Change from baseline in disease activity as measured by the European Scleroderma Trials and Research Group Activity Index (EUSTAR-AI) on a scale of 0 to 10, where a higher score indicates greater disease activity.
13 weeks / 49 weeks
Health Assessment Questionnaire - Disability Index (HAQ-DI) (Part 2)
大体时间：13 weeks / 49 weeks
Change from baseline in physical function and disability as measured by the Health Assessment Questionnaire - Disability Index (HAQ-DI) on a scale of 0 to 3, where a higher score indicates greater difficulty with daily activities.
13 weeks / 49 weeks

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Prolium Bioscience, Inc

调查人员

  • 研究主任：Salim Mujais、Prolium Bioscience, Inc

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2025年10月27日

初级完成 (估计的)

2027年1月1日

研究完成 (估计的)

2028年1月1日

研究注册日期

首次提交

2025年12月10日

首先提交符合 QC 标准的

2026年6月7日

首次发布 (实际的)

2026年6月11日

研究记录更新

最后更新发布 (实际的)

2026年9月8日

上次提交的符合 QC 标准的更新

2026年9月3日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • PRO-203-101

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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