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Study of Efficacy and Safety of GR1501 in Patients With Radiographic Axial Spondyloarthritis

Phase 3
Active, not recruiting
Conditions
Axial Spondyloarthritis
Interventions
Biological: GR1501 low dose
Biological: placebo
Biological: GR1501 high dose
Registration Number
NCT05881785
Lead Sponsor
Genrix (Shanghai) Biopharmaceutical Co., Ltd.
Brief Summary

The purpose of this trial is to demonstrate the clinical efficacy of GR1501 at week 16; and to demonstrate safety and tolerability of GR1501 compared to placebo in patients with Radiographic Axial Spondyloarthritis at week 16 and long term safety up to Week 48。 The main question it aims to answer is whether GR1501 injection was superior to placebo in the proportion of subjects with ASAS20 response at week 16 in patients with Radiographic Axial Spondyloarthritis.

Detailed Description

This is a randomized, double-blind, placebo-controlled, multicenter clinical study to evaluate the efficacy and safety of GR1501 injection in Radiographic Axial Spondyloarthritis, as well as a confirmatory clinical trial of immunogenicity.

This clinical trial was divided into four stages, namely screening period (W-4\~W0), core treatment period (W0\~W16), maintenance treatment period (W16\~W32), and follow-up period (W32\~W48).

target population: radiographic axial spondyloarthritis who had a inadequate response to NSAIDs or have a history of intolerance to NSAIDs.

primary outcome measure:percentage of participants achieving an ASAS20 response in week 16.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
465
Inclusion Criteria
  • diagnosis of radiographic axial spondyloarthritis (r-xSpA) with sacroiliitis defined radiographically according to the modified New York criteria.
  • inadequate response, contraindications or intolerance to NSAIDs
Exclusion Criteria
  • Total ankylosis of the spine
  • Ongoing or serious infection
  • Either a current diagnosis or a recent history of malignant disease
  • Are pregnant or breastfeeding

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment group 1GR1501 low doseGR1501 low dose
treatment group 3placeboplacebo
Treatment group 2GR1501 high doseGR1501 high dose
Primary Outcome Measures
NameTimeMethod
The Proportion of Participants Who Achieve an ASAS 20 Responseweek 16

ASAS20 response is defined as an improvement of ≥20% and ≥1 units in at least three of the four ASAS main domains

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Maastricht Ankylosing Spondylitis Enthesitis Score (MASES)week 16,32,48

The MASES assesses 13 sites for enthesitis using a score of "0" for no activity or "1" for activity

Change From Baseline in Bath Ankylosing Spondylitis Functional Index (BASFI)week 16,32,48

10 questions to assess the disease severity, including the first 8 questions regarding to functional anatomy related activities and the remaining 2 questions related to daily activities

Change From Baseline in Ankylosing Spondylitis Disease Activity Score (ASDAS)week 16,32,48

ASDAS is a composite index to assess disease activity in AS

Change From Baseline in Mobility on the BASMIweek 16,32,48

5 clinical measurements Bath Ankylosing Spondylitis Metrology Index

Change From Baseline in BASDAI Responseweek 16,32,48

6 questions that relate to 5 major symptoms relevant to radiographic axial spondyloarthritis

The Proportion of Participants Who Achieve an ASAS 20 Responseweek 2 to 48

ASAS20 response is defined as an improvement of ≥20% and ≥1 units in at least three of the four ASAS main domains

The Proportion of Participants Who Achieve an ASAS 40 Responseweek 2 to 48

ASAS40 response is defined as an improvement of ≥40% and ≥2 units in at least three of the four ASAS main domains

The Proportion of Participants Who Achieve an ASAS 5/6 Responseweek 16,32,48

The ASAS 5/6 improvement criteria is an improvement of ≥20% in at least five of all six domains

Trial Locations

Locations (1)

Peking union Medical Hosipital

🇨🇳

Beijing, Beijing, China

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