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临床试验/NCT04956484
NCT04956484已完成4 期

A Single Arm, 24 Weeks, Pilot Study of Belimumab In Treatment of Early Systemic Lupus Erythematosus

Peking Union Medical College Hospital1 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2021年9月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
入组人数
16
试验地点
1
主要终点
LLDAS

研究概览

简要总结

To investigate the efficacy of belimumab in early SLE patients (disease duration less than 6 months).

详细描述

This is a single arm, 24 weeks, pilot trial. All patients will be treated with standard of care plus Belimumab (at a dose of 10 mg per kilogram of body weight) .

The primary endpoint is the proportion of LLDAS in week 24.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Clinical diagnosis of SLE according to the 1997 American College of Rheumatology (ACR) classification criteria or 2019 EULAR/ACR classification criteria within three months, which is autoantibody-positive (antinuclear antibody titers ≥1:80, anti-double-stranded DNA antibodies, or both)
  • 18-75 years of age
  • body weight 45-80kg
  • Disease duration of SLE ≤ 6months
  • SELENA-2K score ≥6 scores
  • Negative pregnancy test for child-bearing women at screening and baseline
  • Provide written informed consent

排除标准

  • Known to be allergic to Prednisone Acetate, Meprednisone, Hydroxychloroquine, and Immunosuppressants including Mycophenolate Mofetil, Cyclophosphamide,et al
  • Active serious neuropsychiatric systemic lupus erythematosus or other severe situations of SLE who need pulse steroid treatment
  • Abnormal liver function (ALT or AST is 2 times higher than normal)
  • Pregnancy or breastfeeding women;
  • Have a history of malignant tumors;
  • Have any serious acute, chronic or recurrent infectious disease (such as pneumonia or active stage of pyelitis, recurrent pneumonia, chronic bronchiectasis and tuberculosis)
  • Chronic infections, such as Hepatitis B virus or hepatitis B and C and HIV;
  • Previous visual obstruction, monocular dysfunction and cataract;
  • Cardiac insufficiency with metabolic imbalance or severe high blood pressure (systolic pressure > 160mmHg or diastolic pressure > 100mmHg) or diabetics;
  • Active hemorrhage or peptic ulcer;
  • With other concommitant autoimmune disease;
  • Receipt of B-cell-targeted therapy (including belimumab) within 1 year before randomization.
  • Participated in other drugs clinical trials within 4 weeks.

研究组 & 干预措施

Belimumab 10 mg/kg plus standard of care

Experimental

Standard of care and Belimumab: 10 mg per kilogram of body weight,days 1 (baseline), 15, and 29 and every 28 days thereafter to week 24

干预措施: Belimumab (Biological)

Belimumab 10 mg/kg plus standard of care

Experimental

Standard of care and Belimumab: 10 mg per kilogram of body weight,days 1 (baseline), 15, and 29 and every 28 days thereafter to week 24

干预措施: Standard of care (Drug)

结局指标

主要结局

LLDAS

时间窗: week 24

Lupus low disease activity status (LLDAS) was defined as SLEDAI-2K ≤4, no activity in any major organ, no new disease activity feature, PGA ≤1, prednisone ≤7.5 mg/day, and allowance for maintenance of IS and antimalarials

次要结局

  • LLDAS(week 12)
  • Serologies(week 12, week 24)
  • Dynamics of immune cell subsets(week 12, week 24)
  • Remission(week 12, week 24)
  • Complement levels(week 12, week 24)
  • Glucocorticoid tapering(week 12, week 24)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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