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Clinical Trials/NCT06281704
NCT06281704
Completed
Phase 1

A Phase Ib Study to Evaluate the Safety, Tolerance, Pharmacokinetics and Preliminary Efficacy of Single and Multiple Administration of AK101 in Subjects With Moderately to Severely Active Ulcerative Colitis

Akeso12 sites in 1 country34 target enrollmentNovember 26, 2020

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
Ulcerative Colitis
Sponsor
Akeso
Enrollment
34
Locations
12
Primary Endpoint
Mean residence time (MRT) of AK101
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

This is a Phase Ib clinical study to evaluate the safety, tolerance, pharmacokinetics and efficacy of AK101 in subjects with moderately to severely active ulcerative colitis.

Detailed Description

This is a phase Ib, randomized, double-blind, placebo-controlled, dose-escalation, two-phase study evaluating the safety, tolerability, pharmacokinetics, and pharmacodynamics of AK101 in subjects with moderately to severely active ulcerative colitis. The study consists of two parts. Part 1 is single-ascending-dose induction phase study, and Part 2 is a multiple subcutaneous maintenance therapy study followed by a single-dose induction treatment.

Registry
clinicaltrials.gov
Start Date
November 26, 2020
End Date
December 31, 2022
Last Updated
2 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Akeso
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Body mass index (BMI) ≥ 18 and ≤ 28 kg /m2 for male or female patients aged between 18 and 65 years (including upper and lower limits).
  • Confirmed diagnosis of ulcerative colitis (UC) for at least 3 months before screening, and the diagnosis of UC must be confirmed by endoscopic and histological evidence.
  • Has moderately to severely active UC,defined as the adapted Mayo score (excluding PGA) of 5-9 (including upper and lower limits), Mayo endoscopic subscore ≥ 2 within 10 days before the first administrationof study drug and rectal bleeding subscore ≥
  • Have evidence of ulcerative colitis extending proximal to the rectum (≥15 cm of involved colon).
  • Demonstrated intolerance or inadequate response to conventional therapy and tofacitinib (not a biologic) and biologic therapies.
  • For women with fertility, the serum pregnancy test must be negative during the screening period; Or women without fertility.If male and female subjects with sexual life and fertility voluntarily take contraceptive measures during the treatment and at least 6 months after the last Administration.

Exclusion Criteria

  • Suspected or confirmed Crohn's disease (CD), undiagnosed type of colitis.
  • Suffering from severe generalized colitis.
  • Previous colectomy (total or subtotal resection) with ileal pouch, Kock pouch or ileostomy for ulcerative colitis.
  • Patients who have received IL-12 / 23 or IL-23 target drug treatment.
  • Received Natalizumab or other drugs that regulate B cells or T cells within 12 months before randomization, such as Rituximab, Alemtuzumab, Abatacept treatment.
  • Received infliximab and adalimumab 2 months before randomization, and received Vedolizumab and other biological treatments 3 months before randomization.
  • Patients with active hepatitis B virus (HBV) infection or active hepatitis C virus (HCV).
  • Suffering from human immunodeficiency virus (HIV) or syphilis.
  • Active tuberculosis or Latent tuberculosis infection.
  • Has a history of, or ongoing, chronic or recurrent infectious disease.,

Outcomes

Primary Outcomes

Mean residence time (MRT) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of mean residence time (MRT) of AK101

Adverse Events

Time Frame: From the time of signing the informed consent form till last follow-up visit (Up to Week 12 or Week36)

Percentage of subjects with treatment-emergent serious adverse events (SAEs) during the study.

Elimination half-life (T1/2) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of half-life (T1/2) of AK101

Area under curve (AUC) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of area under curve (AUC) of AK101

Systemic clearance (CL/F) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of systemic clearance (CL/F) of AK101

Apparent distribution volume (VD/F) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of apparent distribution volume (VD/F) of AK101

Maximum (peak) plasma concentration (Cmax) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of maximum (peak) plasma concentration (Cmax)

Time to maximum plasma concentration (Tmax) of AK101

Time Frame: Baseline till last follow-up visit (Up to Week12 or Week36)

Assessment of Time to maximum plasma concentration (Tmax)

Secondary Outcomes

  • Proportion of subjects with clinical response at Week8(per Adapted Mayo Score without physician's global assessment).(At week 8)
  • Proportion of subjects with clinical response at Week8(per the Mayo score).(At week 8)
  • Immunogenicity index(Baseline till last follow-up visit (Up to Week 12 or Week36))

Study Sites (12)

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