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Effects of SHR-1222 on Vascular Inflammatory Factors in Patients With Low Bone Mass

Not Applicable
Completed
Conditions
Osteoporosis, Osteopenia
Interventions
Drug: Placebo
Registration Number
NCT03898024
Lead Sponsor
Second Xiangya Hospital of Central South University
Brief Summary

This study aims to investigate the effects of SHR-1222 on vascular inflammatory factors in patients with low bone mass.

Detailed Description

In this study, total 50 patients with low bone mass will be enrolled and divided into 5 dose groups. In the lowest dose group 6 subjects will be recruited, among whom 4 will receive SHR-1222 and the other 2 will receive placebo. In each of the other 4 groups, 11 subjects will be recruited, among whom 9 will be administered with SHR-1222 and the other 2 with placebo.

Levels of nitric oxide (NO), Endothelin-1 (ET-1), plasminogen activator inhibitor-1 (PAI-1) and hypersensitivity C-reactive protein (hs-CRP) will be detected in patients before and after the SHR-1222 injection.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Signed informed consent;
  • Male or postmenopausal female;
  • Age ≥45 and ≤59 years old;
  • The body mass index (BMI) ≥18.5kg/m2 and ≤28 kg/m2;
  • T value of areal bone mineral density on any lumbar spine (L1-L4) or collum femoris>-2.5 and <-1;
  • The comprehensive physical examination is eligible or slightly abnormal but the researchers determine no clinical implication;
  • No smoking, alcohol or drugs abuse.
Exclusion Criteria
  • Any disease affecting bone metabolism;
  • Past medical history of cerebral infarction or cerebral arterial thrombosis;
  • Past medical history of myocardial infarction;
  • Administration of the following drugs within 6m: Hormone replacement therapy, Calcitonin Parathyroid hormone (or any derivative), Supplemental Vitamin D>1,000 IU/day, Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed), Anabolic steroids, Calcitriol and available analogues, thiazide diuretics;
  • Administration of the following drugs within 12m: Bisphosphonates, Fluoride for osteoporosis;
  • A bone fracture within the previous 6 months;
  • A lumbar spine L1-L4 or femoral neck T-score ≤-2.5;
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or gamma pancreatic acyl transferase (GGT) or total bilirubin, more than 1.5 x ULN during screening;
  • 3 months prior to screening involved in any drug clinical subjects;
  • Subjects determined by the researchers have any food, dietary supplement or drugs that affect SHR-1222 absorption, distribution, metabolism and excretion in 4 weeks prior to screening or within 5 half-lives;
  • Serious infection, trauma or major surgery in 4 weeks prior to screening;
  • A surgery plan during the study;
  • Blood donation and transfusion in 3 months prior to screening;
  • Unstable thyroid dysfunction in 6 months prior to screening;
  • Human immunodeficiency virus antibody (HIV-ab), syphilis serological examination, hepatitis b virus surface antigen (HBsAg), hepatitis c virus antibody (HCV-ab) were positive;
  • Intolerant to venous blood collection;
  • A clinical history of drug allergy or a history of atopic allergic diseases (asthma, urticaria, eczema dermatitis) or a known allergy to experimental or similar;
  • Subjects with any other situation should not be involved, which determined by the researchers.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1SHR-1222A single subcutaneous injection of SHR-1222 dose 1 versus placebo
Cohort 3PlaceboA single subcutaneous injection of SHR-1222 dose 3 versus placebo
Cohort 2PlaceboA single subcutaneous injection of SHR-1222 dose 2 versus placebo
Cohort 5PlaceboA single subcutaneous injection of SHR-1222 dose 5 versus placebo
Cohort 4SHR-1222A single subcutaneous injection of SHR-1222 dose 4 versus placebo
Cohort 2SHR-1222A single subcutaneous injection of SHR-1222 dose 2 versus placebo
Cohort 3SHR-1222A single subcutaneous injection of SHR-1222 dose 3 versus placebo
Cohort 4PlaceboA single subcutaneous injection of SHR-1222 dose 4 versus placebo
Cohort 1PlaceboA single subcutaneous injection of SHR-1222 dose 1 versus placebo
Cohort 5SHR-1222A single subcutaneous injection of SHR-1222 dose 5 versus placebo
Primary Outcome Measures
NameTimeMethod
Assessment of serum Endothelin-1 (ET-1) change after the administration of SHR-1222Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration

ET-1 level will be detected by ELISA.

Assessment of serum hypersensitivity C-reactive protein (hs-CRP) change after the administration of SHR-1222Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration

hs-CRP level will be detected by immunoturbidimetry assay.

Assessment of serum nitric oxide (NO) change after the administration of SHR-1222Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration

NO level will be detected by nitrite/nitrate assay (colorimetric).

Assessment of serum plasminogen activator inhibitor-1 (PAI-1) change after the administration of SHR-1222Day0 before the administration and Day 2, 4, 7, 15, 29, 43, 57 after the administration

PAI-1 level will be detected by ELISA.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

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