A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial Evaluating the Efficacy and Safety of TQH2929 Injection in Patients With Acute Exacerbations of Generalized Pustular Psoriasis
Overview
- Phase
- Phase 2
- Status
- Recruiting
- Enrollment
- 36
- Locations
- 31
- Primary Endpoint
- Percentage of patients with a score of 0 for the pustule subterm
Overview
Brief Summary
This is a multicenter, randomized, double-blind, placebo-controlled phase II clinical study, all subjects need to use TQH2929 injection/placebo. The aim was to demonstrate the efficacy and safety of TQH2929 injection in patients with acute exacerbations of generalized pustular psoriasis, with a total of 36 subjects.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 or ≤75 years old at screening, regardless of gender;
- •Meet the diagnostic criteria defined by the 2017 European Society for Clinical Nutrition and Metabolism (ESPEN) Research Workshop (ERASPEN) consensus and be diagnosed as (generalized pustular psoriasis(GPP);
- •Compliant with GPP acute onset;
- •Able to read and understand, and willing to sign the informed consent form;
- •Willing and compliant with study visits and related procedures;
- •Female subjects of childbearing age should agree that contraceptive measures must be used during the study and for 6 months after the end of the study;
Exclusion Criteria
- •Pustules are limited to psoriasis vulgaris on psoriasis plaques;
- •Concomitant skin disease or medical disease that may interfere with the investigator's evaluation of the subject's treatment response;
- •Presence of severe, progressive, or uncontrolled disease, or signs and symptoms that are not suitable for participation in the investigator, in the judgment of the investigator:
- •Serum virological abnormalities during the screening period;
- •Chest radiology examination shows that the subject has active tuberculosis or a history of contact with open tuberculosis subjects in the past 6 months or a positive Interferon-Gamma Release Assays(IGRA) test;
- •History of serious infection leading to hospitalization within 2 months prior to baseline;
- •Active infection requiring systemic antibiotics, systemic antifungals, or systemic antiviral therapy within 2 weeks prior to baseline, according to the investigator's assessment;
- •History of opportunistic infection within 6 months prior to baseline;
- •Received live (attenuated) vaccine treatment within 12 weeks prior to baseline;
- •Any major surgery within 4 weeks prior to baseline or planned major surgery during the study;
Arms & Interventions
TQH2929 Injections
Intravenous infusion, single dose
Intervention: TQH2929 Injections (Drug)
TQH2929 Placebo
Intravenous infusion, single dose
Intervention: TQH2929 Placebo (Drug)
Outcomes
Primary Outcomes
Percentage of patients with a score of 0 for the pustule subterm
Time Frame: 1 week
Percentage of patients with a Physician's Global Assessment of Generalized Pustular Psoriasis (GPPGA) pustular subitem of 0 (no visible pustules) at week 1 among all enrolled patients.
Secondary Outcomes
- Percentage of patients with a Generalized Pustular Psoriasis Physician Global Assessment(GPPGA) total score of 0 or 1(1 week and 4 weeks)
- Percentage change from baseline in Generalized Pustular Psoriasis Area and Severity Index (GPPASI) total score(1 week and 4 weeks)
- Change from baseline in Generalized Pustular Psoriasis Area and Severity Index(GPPASI) total score(1 week and 4 weeks)
- Change from baseline in disease life quality index (DLQI)(4 weeks)
- Serious Adverse Event (SAE)(113 days or 169 days)
- Percentage of patients with Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 50(1 week and 4 weeks)
- Percentage of patients with Generalized Pustular Psoriasis Area and Severity Index(GPPASI) 75(1 week and 4 weeks)
- Percentage of patients with pustule subterm achieving a score of 0(4 weeks)
- Change from baseline in Psoriasis Symptom Scale (PSS) score(4 weeks)
- Adverse Drug Event (AE)(113 days or 169 days)
- Treatment-Emergent Adverse Events (TEAES)(113 days or 169 days)
- Abnormal clinical laboratory examination indicators(113 days or 169 days)
- Maximum Concentration (Cmax)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Time of maximum concentration (Tmax)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Area Under the Curve (AUC)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Apparent Volume of Distribution(Vd/F)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Apparent Clearance (CL/F)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Plasma half-life time (t1/2)(1 hour pre-dose on day 1, immediately post dose, 1, 6, 24, 48, 168, 336, 504, 672, 1344, 2016, 2688 hours post dose. Day 8 Immediately after the end of salvage therapy administration, 1, 6, 24, 48 hours post dose)
- Anti-drug antibody (ADA)(Through study completion, an average of half a year)