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
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.
Investigators
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))