Evaluate the Efficacy and Safety of Orelabrutinib in Adult Patients With Systemic Lupus Erythematosus
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Orelabrutinib (Low Dose), Orelabrutinib (High Dose), Orelabrutinib Placebo.
- Кому может быть актуально
- Состояния в реестре: Systemic Lupus Erythematosus, SLE. Базовые параметры: 18 лет — 75 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Phase IIb, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Orelabrutinib in Adult Patients With Systemic Lupus Erythematosus
Обзор
This is a phase IIb, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy and safety of orelabrutinib in adult subjects with SLE who are receiving standard of care (SOC) therapy.
Вмешательства
- Препарат Orelabrutinib (Low Dose)
Subjects will be administered with lower dose of Orelabrutinib orally once daily in combination with SOC therapy - Препарат Orelabrutinib (High Dose)
Subjects will be administered with higher dose of Orelabrutinib orally once daily in combination with SOC therapy - Препарат Orelabrutinib Placebo
Subjects will be administered with Orelabrutinib Placebo orally once daily in combination with SOC therapy
Первичные конечные точки
- SLE Responder Index (SRI) - 4 response rate [Срок оценки: Week 48]
Вторичные конечные точки (7)
- SLE Responder Index (SRI) - 6 response rate [Срок оценки: Week 48]
- British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) response rate [Срок оценки: Week 48]
- Time to 1st flare [Срок оценки: Week 48]
- The proportion of subjects whose average prednisone dose has been reduced by≥25% from baseline to ≤7.5 mg/day [Срок оценки: Week 48]
- Changes from baseline in the levels of complement C3, complement C4, and anti-dsDNA antibody [Срок оценки: Week 48]
- Treatment Emergent Adverse Events, Treatment Related Adverse Events, Treatment Emergent Serious Adverse Events, Treatment Related Serious Adverse Events. [Срок оценки: Up to Week 52]
- Mean change from baseline in the 36-Item Short Form Health Survey (SF-36) scores (The SF-36 consists of eight domains. Each domain score ranges from 0-100. The higher the score, the better the health. ) [Срок оценки: Week 48]
Критерии участия
Критерии включения
- have had a detailed understanding of the nature, significance, potential benefits, potential risks, and procedures of the study, and voluntarily signed a written Informed Consent Form (ICF).
- Males or females aged≥18 and ≤75 years.
- Have a clinical diagnosis of SLE 6 months prior to signing the ICF, meeting at least 4 of the 11 American College of Rheumatology (ACR) classification criteria for SLE.
- SLEDAI-2K≥8 at screening.
- Are on a stable SLE SOC therapy consisting of any of the following medications for a period of at least 30 days prior to the first dose: glucocorticoid, and/or anti-malarials, and/or immunosuppressive agents.
- Have a positive test for anti-dsDNA antibody (> normal range) and/or anti-nuclear antibody (ANA) and/or anti-Smith antibody at screening.
- Women of childbearing potential must take a complementary barrier method of contraception in combination with a highly effective method of contraception at screening, throughout the trial, and within 90 days after the last dose of the investigational agent. In this trial.
Критерии исключения
Medical conditions:
- Pregnant or lactating women, and men or women who have birth plans in the past 12 months.
- Have neuropsychiatric systemic lupus erythematosus (NPSLE) within 6 months prior to the first dose, including seizures, psychosis, organic brain syndrome, cerebrovascular accident, cranial neuropathy, cerebritis, cerebral vasculitis or lupus headache.
- Have severe lupus nephritis, or have required hemodialysis or high-dose glucocorticoid within 90 days prior to the first dose.
- Have autoimmune diseases other than SLE (excluding secondary Sjogren's syndrome).
- Have a history of any non-SLE disease that has required treatment with oral or intravenous or intramuscular or subcutaneous injection glucocorticoids for more than a total of 2 weeks within the last 24 weeks prior to signing the ICF.
- Have a history of or current diagnosis of Central Nervous System (CNS) diseases.
- Have clinically documented cardiovascular diseases that are obviously unstable or not effectively treated.
- Have significant active lung diseases (e.g., interstitial lung disease, obstructive pulmonary disease).
- Have severe hepatobiliary diseases.
- Have a history of malignant neoplasm.
- Have a history of a major organ transplant or hematopoietic stem cell/marrow transplant.
- Have known allergies to any component of the investigational agent as described in the Protocol.
Concomitant medication and surgery:
- Have received rituximab, epratuzumab, or any other B cell-depleting therapy within 12 months prior to randomization.
- Have received cyclophosphamide and chlorambucil within 6 months prior to randomization.
- Have received belimumab, tumor necrosis factor (TNF) blockers, interleukin receptor blockers or other biological agents within 3 months prior to randomization (or 5 half-lives, whichever is longer).
Lab tests:
- Have a positive test for human immunodeficiency virus (HIV) antibody.
- Have a positive test for Hepatitis B Surface Antigen (HBsAg) or hepatitis C antibody, or have a positive test for hepatitis B virus (HBV) DNA by Polymerase Chain Reaction (PCR) if positive for Hepatitis B Core Antibody (HBcAb).
- Have abnormal tissue or organ function, meeting any of the following at screening:
- Absolute neutrophil count (ANC) < 1.5 × 10\^9/L; hemoglobin < 90 g/L; lymphocyte count < 0.8 × 10\^9 /L.
- Calculated estimated glomerular filtration rate (eGFR) using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation < 45 mL/min/1.73 m2.
Others:
- Have other conditions that are not appropriate for participation in the trial as considered by the investigator.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Тройное слепое
- Основная цель
- Лечение
Центры проведения
Китай · 41 центр
- The first affiliated hospital of bengbu medical college — Bengbu
- The First Affiliated Hospital of Anhui Medical University — Хэфэй
- Peking University People's Hospital — Пекин
- China-Japan Friendship Hospital — Пекин
- Beijing Friendship Hospital, Capital Medical University — Пекин
- The First Affiliated Hospital of XiaMen University — Xiamen
- The First Affiliated Hospital,Sun Yat-sen University — Гуанчжоу
- The first affiliated hospital of shantou university medical college — Shantou
- … и ещё 33 центра
Идентификаторы
NCT: NCT05688696 · ICP-CL-00124