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临床试验/NCT06378697
NCT06378697
已完成
3 期

A Randomized, Double-blind, Placebo-controlled, Multicenter Phase III Clinical Study to Evaluate the Efficacy and Safety of AK111 in the Treatment of Subjects With Active Ankylosing Spondylitis

Akeso54 个研究点 分布在 1 个国家目标入组 510 人2023年11月22日

概览

阶段
3 期
干预措施
AK111
疾病 / 适应症
Ankylosing Spondylitis
发起方
Akeso
入组人数
510
试验地点
54
主要终点
the response rate of ASAS20
状态
已完成
最后更新
上个月

概览

简要总结

This is a randomized, double-blind, placebo-controlled, multi-center phase III clinical study to evaluate the efficacy and safety of AK111 in the treatment of subjects with active ankylosing spondylitis.

详细描述

The study consists of 3 parts. Part 1 is screening period, Part 2 is Placebo control period and part 3 is Long term treatment follow-up period. The research period is 61 weeks in total.

注册库
clinicaltrials.gov
开始日期
2023年11月22日
结束日期
2025年11月7日
最后更新
上个月
研究类型
Interventional
研究设计
Parallel
性别
All

研究者

发起方
Akeso
责任方
Sponsor

入排标准

入选标准

  • Male or female subjects aged ≥18 years old.
  • Subjects with confirmed ankylosing spondylitis before screening.
  • During screening and before randomization, BASDAI score ≥ 4, total back pain score≥
  • Subjects received at least 2 kind of non-steroidal anti-inflammatory drugs (NSAIDs), prior to randomization with an inadequate response or failure to respond, or with contraindications or intolerance to the use of NSAIDs.
  • Subjects who are regularly taking NSAIDs, weak opioids or oral glucocorticoids(The daily dose should be ≤10mg prednisone or equivalent dose of glucocorticoid) as part of their AS therapy are required to be on a stable dose for at least 14 days before randomization. If the drug has been discontinued, at least 2 weeks washout period is required before randomization.
  • Subjects taking methotrexate (MTX) (≤25mg/week) or Sulfasalazine (≤3g/day) are allowed to continue their medication if started at least 12 weeks prior to baseline, with a stable dose for at least 4 weeks before randomization. If the drug has been discontinued, at least 4 weeks washout period is required before randomization.
  • Subjects who are able to understand and voluntarily sign the ICF and complete the study procedure.

排除标准

  • Subjects with symptom of pain that affected the evaluation of efficacy.
  • Subjects with other inflammatory diseases or autoimmune diseases except Ankylosing spondylitis (AS).
  • Subjects who are using strong opioid analgesics.
  • Received glucocorticoid intramuscular or intravenous injection within 2 weeks prior to randomization; Received intraarticular or paraspinal glucocorticoid therapy within 4 weeks before randomization.
  • Received other antirheumatic drugs (except methotrexate, sulfasalazine), proprietary Chinese medicine or traditional Chinese medicine decoction, JAK inhibitor treatment for AS within 4 weeks before randomization.
  • Received Natalizumab or other B cell or T cell modulator in the 12 months prior to randomization.
  • Previous exposure to secukinumab, ixekizumab or any other biologic drug directly targeting IL-17 or IL-17 receptor.
  • Received multiple tumor necrosis factor α (TNF-α) inhibitors; The eluting period of biologics received before randomization is shorter than the protocol.
  • Participated in a clinical study of any other drug or medical device within 1 month (≤30 days) prior to randomization, or last received the investigational drug within 5 half-lives.
  • The presence of any other systemic disease or laboratory abnormalities that the investigator has judged unsuitable for clinical trials.

研究组 & 干预措施

AK111

AK111 150 mg will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week 48.

干预措施: AK111

placebo

Placebo+AK111 placebo subcutaneous injection at week 0,1, 4,8 and 12 follow AK111 4-weekly thereafter until week 48.

干预措施: Placebo+AK111

结局指标

主要结局

the response rate of ASAS20

时间窗: week 16

Percentage of subjects who achieve Assessment of SpondyloArthritis International Society 20% improvement (ASAS20) response at Week 16.

次要结局

  • The response rate of ASAS20(baseline to week 52)
  • Change from baseline on the SF-36 PCS(baseline, week 16 and week 52)
  • The response rate of ASAS40(baseline to week 52)
  • Change from baseline on the ASDAS-CRP(baseline to week 52)
  • Change from baseline on the ASQoL scores(baseline, week 16 and week 52)
  • Treatment-emergent adverse events(baseline to week 52)
  • Serious adverse events(baseline to week 52)
  • Clinically significant examination results(baseline to week 52)
  • The response rate of ASAS5/6(baseline to week 52)
  • The response rate of ASAS40(week 16)

研究点 (54)

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