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حالة التجربة السريرية NCT07445919 لـ التهاب الجلد التأتبي هي لم يبدأ القبول بعد. اطلعوا على جميع التفاصيل في عرض البطاقة الخاص برادار التجارب السريرية وأدوات اكتشاف الذكاء الاصطناعي. أو يمكنكم طرح أي سؤال هنا.
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A Clinical Study to Evaluate SM17 for Atopic Dermatitis المرحلة الثانية ٢٠٠ عشوائية مزدوجة التعمية مضبطة بدواء وهمي

لم يبدأ القبول بعد
تفاصيل التجربة السريرية متاحة بشكل أساسي باللغة الإنجليزية. ومع ذلك، يمكن لـ رادار التجارب AI مساعدتك؛ ما عليك سوى النقر على «وصف الدراسة» لعرض ومناقشة معلومات التجربة باللغة التي اخترتها.
التجربة السريرية NCT07445919 مصممة لدراسة علاج لـالتهاب الجلد التأتبي. هذه تجربة تدخُّلية من المرحلة الثانية وهي لم يبدأ القبول بعد. من المقرر أن يبدأ التسجيل في ١٧ شوال ١٤٤٧ هـ لتجنيد ٢٠٠ مشاركًا. تقودها SinoMab BioScience Ltd، ومن المتوقع اكتمالها بحلول ٢٥ محرم ١٤٤٩ هـ. تم تحديث البيانات الأخيرة من ClinicalTrials.gov في ١٥ رمضان ١٤٤٧ هـ.
الملخص
This trial is a phase 2, randomized, double-Blind, placebo-Controlled, dose-finding clinical study conducted in participants with moderate-to-severe atopic dermatitis.

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics , and pharmacodynamics of SM17 (subcutaneous injection) in participants with moderate to severe atopic dermatitis.

وصف مفصل
This is a randomized, double-blind, placebo-controlled, parallel-group, dose-finding Phase 2 clinical study of participants with moderate to severe AD to evaluate the efficacy, safety, PK, PD, and immunogenicity of SM17 after multiple SC doses with different dosage regimens. This study will also explore the optimal dosage regimen to provide the basis for dose selection in subsequent clinical studies.

Patients with m...

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العنوان الرسمي

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Finding Clinical Study to Evaluate the Efficacy and Safety of SM17 Monoclonal Antibody Injection (Subcutaneous Injection) in Participants With Moderate to Severe Atopic Dermatitis

الحالات الطبية
التهاب الجلد التأتبي
معرّفات دراسة أخرى
  • SM17-201
NCT معرّف
تاريخ البدء (فعلي)
2026-04-05
آخر تحديث مُنشور
2026-03-04
تاريخ الاكتمال (المقدر)
2027-06-30
عدد المشاركين المخطط لهم
٢٠٠
نوع الدراسة
تدخُّلية
المرحلة
المرحلة الثانية
الحالة
لم يبدأ القبول بعد
الكلمات الرئيسية
AD
IL-17RB
IL-25 receptor
الغرض الأساسي
العلاج
طريقة توزيع المشاركين
عشوائي
نموذج التدخل
التصميم المتوازي
التعمية
رباعي
مجموعات/التدخلات
مجموعة المشاركين/الذراعالتدخل/العلاج
تجريبيةSM17 Group1
participants will receive Dose 1 of SM17 with fixed interval 1 from week 0 to week 15, with a loading dose at Week 0
SM17 for subcutaneous injection
SM17 monoclonal antibody for subcutaneous infusion use
SM17 placebo for subcutaneous injection
placebo to be compared with SM17, excipient solution of SM17 monoclonal antibody without protein
تجريبيةSM17 Group2
participants will receive Dose 2 of SM17 with fixed interval 1 from week 0 to week 15,without loading
SM17 for subcutaneous injection
SM17 monoclonal antibody for subcutaneous infusion use
SM17 placebo for subcutaneous injection
placebo to be compared with SM17, excipient solution of SM17 monoclonal antibody without protein
تجريبيةSM17 Group3
participants will receive Dose 3 of SM17 with fixed interval 1 from week 0 to week 15 , with a loading dose at week0
SM17 for subcutaneous injection
SM17 monoclonal antibody for subcutaneous infusion use
SM17 placebo for subcutaneous injection
placebo to be compared with SM17, excipient solution of SM17 monoclonal antibody without protein
تجريبيةSM17 Group4
participants will receive Dose 3 of SM17 with fixed interval 2 from week 0 to week 15, with a loading dose at Week 0
SM17 for subcutaneous injection
SM17 monoclonal antibody for subcutaneous infusion use
تجريبيةOpen labelled Period
Start from Week 16 , an open-label treatment period will be applied for all participants upon their discretion. Participants with IGA score 0/1 at week16 will receive Dose 3 of SM17 with Interval 3 until week 20; participants who doesn't reach IGA score 0/1 at week16 will receive Dose 4 of SM17 with Interval 4 until week 20;
SM17 for subcutaneous injection
SM17 monoclonal antibody for subcutaneous infusion use
مقارن بالدواء الوهميPlacebo group
Matching placebos for experimental arms 1\~4, participants will receive Dose of SM17 placebo with fixed interval 1 or interval 2 (ratio 3:1) from week 0 to week 15 , with a loading dose at Week 0
SM17 placebo for subcutaneous injection
placebo to be compared with SM17, excipient solution of SM17 monoclonal antibody without protein
النتيجة الرئيسية
مقياس النتيجةوصف القياسالإطار الزمني
Efficacy for treating AD - Eczema Area and Severity Index (EASI)
To evaluate the efficacy of SM17 in adult participants with moderate to severe atopic dermatitis (AD). Percentage change from baseline (CFB, ≥ -100%, with negatively higher percentage indicating a better response, zero or positive percentage indicating no response or worsening ) in Eczema Area and Severity Index (EASI) at Week 16.
Week 16
النتيجة الثانوية
مقياس النتيجةوصف القياسالإطار الزمني
Efficacy for treating AD - EASI 50%
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving EASI-50 (≥50% improvement from baseline in EASI) at Weeks 12, 16, and 24
Week 12, 16, 24
Efficacy for treating AD - EASI 75%
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving EASI-75 (≥75% improvement from baseline in EASI) at Weeks 12, 16, and 24
Week 12, 16, 24
Efficacy for treating AD - EASI 90%
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving EASI-90 (≥90% improvement from baseline in EASI) at Weeks 12, 16, and 24
Week 12, 16, 24
Efficacy for treating AD - EASI 100%
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving EASI-100 (100% improvement from baseline in EASI) at Weeks 12, 16, and 24.
Week 12, 16, 24
Efficacy for treating AD - IGA 0/1%
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving Investigator's Global Assessment (IGA) of 0/1 (a validated IGA for AD \[vIGA-AD\] of 0 or 1 and a decrease of at least 2 points from baseline) at Weeks 12, 16, and 24.
Week 12, 16, 24
Efficacy for treating AD - PP-NRS
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Proportion of participants achieving a ≥4-point improvement in the Numeric Rating Scale (NRS-4; a decrease of at least 4 points from baseline in weekly average Peak Pruritus-Numeric Rating Scale \[PP-NRS\] before the visit) at Weeks 12, 16, and 24
Week 12, 16, 24
Efficacy for treating AD-EASI score change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in EASI at Weeks 2, 4, 6, 8, 10, 12, 14, 20, and 24.
Week 2, 4, 6, 8, 10, 12, 14, 20, 24
Efficacy for treating AD- vIGA-AD change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in vIGA-AD at Weeks 2, 4, 6, 8, 10, 12, 14, 16, 20, and 24.
Week 2, 4, 6, 8, 10, 12, 14, 16, 20, 24
Efficacy for treating AD - PP-NRS biweekly change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in weekly average of daily PP-NRS at Weeks 2, 4, 6, 8, 10, 12, 14, 16, 20, and 24 (calculated on the basis of 7 consecutive days before the visit)
Week 2, 4, 6, 8, 10, 12, 14, 16, 20, 24
Efficacy for treating AD - PP-NRS weekly change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in weekly average of daily PP-NRS from Weeks 1 to 16 (calculated on the basis of 7 consecutive days per calendar week)
Week 1 to 16
Efficacy for treating AD - BSA change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in affected body surface area (BSA) at Weeks 2, 4, 6, 8, 10, 12, 16, 20, and 24
Week 2, 4, 6, 8, 10, 12, 16, 20, 24
Efficacy for treating AD - SCORAD change
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in Scoring Atopic Dermatitis (SCORAD) at each visit at Weeks 4, 8, 12, 16, 20, and 24
Week 4, 8, 12, 16, 20, 24
Efficacy for treating AD - POEM
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in Patient Oriented Eczema Measure (POEM) at Weeks 2, 4, 6, 8, 10, 12, 16, 20, and 24
Week 2, 4, 6, 8, 10, 12, 16, 20, 24
Efficacy for treating AD - DLQI
To further evaluate the efficacy of SM17 in adult participants with moderate to severe AD. Changes and percentage CFBs(0\~100%) in Dermatology Life Quality Index (DLQI) at Weeks 2, 4, 6, 8, 10, 12, 16, 20, and 24
Week 2, 4, 6, 8, 10, 12, 16, 20, 24
Incidence of treatment emergent AEs and SAEs
To evaluate the safety and tolerability of multiple doses of SM17 in adult participants with moderate to severe AD. Incidences of adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs) occurring during the period following the first dose to the end of the study. CFB in clinical laboratory assessments, vital signs, physical examination, and electrocardiogram during the period following the first dose to the end of the study.
Day0 to Day169
Area under the plasma concentration versus time curve (AUC)
To evaluate the PK parameter(AUC), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Peak Plasma Concentration (Cmax)
To evaluate the PK parameter(Cmax), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Time to peak (Tmax)
To evaluate the PK parameter(Tmax), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Elimination half-life (T1/2)
To evaluate the PK parameter(T 1/2), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Elimination Rate Constant (Kel)
To evaluate the PK parameter(Kel), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Total drug clearance from plasma (CL)
To evaluate the PK parameter(CL), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Apparent volume of distribution at steady state after extravascular administration (Vz)
To evaluate the PK parameter(Vz), which calculated from serum SM17 concentration, of multiple doses of SM17 in adult participants with moderate to severe AD. If applicable, the relationship of drug concentrations or PK parameters with efficacy and safety will be explored
Week 0, 1, 2, 4, 8, 12, 14, 15, 16, 20, 24
Immunogenicity
To evaluate the immunogenicity of SM17 in adult participants with moderate to severe AD. Incidence of treatment emergent anti-drug antibodies (ADAs) during the study
Week 0, 4, 8, 12, 16, 24
مساعد المشاركة
معايير الأهلية

الأعمار المؤهلة للدراسة
بالغ, كبار السن
العمر الأدنى للدراسة
18 Years
الجنس المؤهل
الكل

Participants must meet all of the following inclusion criteria to be eligible for study participation:

  1. Willing to sign the informed consent form (ICF), comply with the study procedures, and receive follow-up at the time points required in the protocol.

  2. Able to understand and complete the study-related questionnaires by themselves or with the assistance of their caregiver/support.

  3. Male or female, aged 18 to 70 years (inclusive) at the time of signing the ICF.

  4. Meets the diagnostic criteria for AD (as defined by the Hanifin & Rajka criteria) during the screening period, and had a history of AD or eczema for at least 1 year before the screening.

  5. Has an EASI score of ≥16 at screening and baseline.

  6. Has an Investigator's Global Assessment (IGA) score of ≥3 (on the basis of the 4 point vIGA-AD scale) at screening and baseline.

  7. A body surface area (BSA) of AD involvement ≥10% at screening and baseline.

  8. A mean maximum pruritus intensity score of Pruritus Numerical Rating Scale (PP-NRS) ≥4 at baseline.

    Notes: The baseline pruritus NRS score for maximum pruritus intensity will be determined on the basis of the mean of daily NRS scores for maximum pruritus intensity (score range of 0 to 10) within 7 days before randomization. At least 4 daily scores within 7 days before randomization are required to calculate the baseline mean score. For participants who do not report at least 4 daily scores within 7 days before the scheduled randomization date, randomization should be postponed until this requirement is met, but not exceeding the maximum screening period of 28 days.

  9. Participants with a recent (within 6 months before the screening visit) medical history indicating that they have an inadequate response to topical medications or that the use of topical medications is medically inappropriate (eg, with important side effects or safety risks);

    1. Notes: Inadequate response is defined as failure to achieve or maintain disease remission or low disease activity (equivalent to IGA score of 0 \[= none\] to 2 \[= mild\]) even on a daily treatment regimen of moderate-to-strong topical corticosteroids (TCSs) (±topical calcineurin inhibitors \[TCIs\], if applicable) for at least 28 days or up to the maximum recommended course of treatment in the product prescription information (eg, 14 days for ultra-strong TCSs), whichever is shorter.
    2. Important side effects or safety risks are those that, as assessed by the investigator or the participant's attending physician, outweigh the potential benefit of treatment, including treatment intolerance, allergic reactions, significant skin atrophy, and systemic reactions.
  10. Those who use topical mild emollients (moisturizers) at least twice daily for at least 7 consecutive days before randomization. For restrictions on the types of emollients not allowed during the study, see exclusion criterion 5.

  11. Eligible participants of childbearing potential and their partners must agree to use a medically accepted contraceptive measure (eg, intra-uterine contraceptive device, anticonceptive or condom, or abstinence) during the study and for 6 months after the end of the study, with specific contraceptive measures detailed in the protocol; and have no plans to donate sperm/ova during the study and within 6 months after the end of the study.

Participants who meet any of the following criteria will not be enrolled in the study:

  1. Those with general conditions:

    1. Female participants who are pregnant (pregnancy is defined as the state from conception until the termination of pregnancy), lactating, or have a positive serum human chorionic gonadotropin test result;
    2. Alcohol abuse (ie, an average weekly consumption of >14 units of alcohol \[1 unit ≈ 360 mL of beer or 45 mL of spirits with 40% alcohol content or 150 mL of wine\]) and/or drug abuse within half a year before screening;
  2. Those who experience any of the following in laboratory tests and/or electrocardiogram (ECG) at screening or baseline (if necessary, a repeated test can be conducted for confirmation):

    1. Hemoglobin <100.0 g/L (males), or <90.0 g/L (females);
    2. White blood cell count <3.0 × 109/L;
    3. Neutrophil count <1.5 × 109/L;
    4. Platelet count <100 × 109/L;
    5. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 × ULN;
    6. Bilirubin total (T-BIL) >1.5 × ULN;
    7. Serum creatinine >1.5 × ULN;
    8. A positive hepatitis B surface antigen (HBsAg) test result, a positive hepatitis B core antibody (HbcAb) test result with HBV DNA level above the upper limit of the normal range, or the HIV and anti-hepatitis C virus (HCV) antibody test results are positive with positive HCV RNA, or syphilis infection is present (when the syphilis specific antibody test result is positive, the non-specific antibody test for syphilis shall be added for validation).
    9. ECG at screening indicates clinically significant abnormalities that may affect the safety of participants, including but not limited to acute myocardial ischemia, myocardial infarction, serious arrhythmia or significant QTcF prolongation (QT interval corrected by Fridericia's formula, QTcF ≥450 ms for males and ≥470 ms for females);
  3. Those with any of the following medical history or comorbidities:

    1. History of vernal keratoconjunctivitis (VKC) and/or atopic keratoconjunctivitis (AKC); or active dermatosis that may confound the diagnosis of AD or interfere with the evaluation of treatment (eg, psoriasis, body tinea, cutaneous lupus erythematosus), generalized pigmentation or extensive scarring, or other types of eczema (allergic contact dermatitis);
    2. Known or suspected history of immunosuppressive diseases, including history of invasive opportunistic infections (eg, tuberculosis, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, or aspergillosis), although having been relieved; or abnormally frequent, recurrent or long-term infections as judged by the investigator;
    3. Participants with chronic active or acute infections requiring systemic treatment with antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before screening or from screening to baseline;
    4. Those with current evidence of active tuberculosis (TB) or occult TB infections (abnormal chest CT results determined by research show the presence of active TB, and suspected latent or old TB lesions can be confirmed by QuantiFERON Gold test at the discretion of the investigator);
    5. Those definitively diagnosed with lymphoma, leukemia, or any malignant tumor within 5 years before screening (except squamous cell carcinoma of skin, basal cell carcinoma, or carcinoma cervix in situ that is completely resected without evidence of recurrence);
    6. Previous or current significant medical diseases that will interfere with the study process and/or evaluation, as considered by the investigator, including but not limited to cardio-cerebrovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, nervous system and psychiatric diseases, as well as other conditions that are inappropriate for participation in the study, as judged by the investigator;
    7. The participant has a history of allergy to SM17 or its components, or a history of immediate allergy to other drugs (as defined by Sampson criteria), a history of allergy to monoclonal antibodies and their components, clinically significant multiple or severe drug allergies, or severe post-treatment hypersensitivity (including but not limited to severe erythema multiforme, toxic epidermal necrolysis or Stevens-Johnson syndrome, and dermatitis exfoliative); Notes: Sampson criteria: 1.) Acute onset of an illness with involvement of the skin, mucosal tissue or both, and at least one of respiratory compromises, reduced blood pressure (BP) or associated symptoms of end-organ dysfunction; 2.) Any 2 or more of the above symptoms that occur rapidly after exposure to a likely allergen for that patient; 3.) Reduced BP after exposure to known allergen for that participant.
  4. Those who use any of the following medications/treatments and are not expected to withdraw/discontinue such treatment(s) throughout the study:

    1. Systemic application of corticosteroids, immunosuppressants, Janus kinase inhibitors for AD within 4 weeks before baseline;
    2. Antihistamines or inhaled corticosteroids within 1 week before baseline (those who have been treated with antihistamines or inhaled corticosteroids at a stable dose for at least 7 days before baseline and are scheduled to continue to use them during the study may be enrolled);
    3. Systemic herbal therapy for AD within 4 weeks before baseline;
    4. Ultraviolet therapies for AD (including but not limited to narrow-band ultraviolet B \[NB-UVB\] or medium-to high-dose UVA1) or regular use of artificial sunbathing for AD within 4 weeks before baseline;
    5. ≥2 bleach baths within 2 weeks before baseline;
    6. The following topical medications for the treatment of AD within 1 week before baseline: a) Topical corticosteroids or topical calcineurin inhibitors; b) Other alternative therapy including topical traditional Chinese medicines; c) Other topical medications (including but not limited to topical phosphodiesterase-4 \[PDE-4\] inhibitors);
    7. Those who have received biologics for AD before baseline: a) Any cell scavenger and/or cell depleting agent, including but not limited to rituximab; b) Other biologics: within 5 half-lives (if known) or 16 weeks before baseline, whichever is longer;
    8. Those who have received allergen-specific immunotherapies within 6 months before baseline;
  5. Those who have used prescription emollients or emollients containing active ingredients (eg, ceramides, hyaluronic acid, urea, or filaggrin degradation products) within 1 week before baseline;

  6. Those who have undergone major surgery within 3 months before baseline or who have not yet recovered after the surgery, or who plan to undergo major surgery during the study;

  7. Those who have a history of blood donation or severe blood loss (total blood volume ≥500 mL) within 1 month before screening, or have received transfusion within 2 months before screening; or who have donated bone marrow stem cells within 3 months before screening;

  8. Those who have received an attenuate live vaccine within 3 months before baseline, or plan to receive an attenuated live vaccine during the study;

  9. Those who have participated in other interventional clinical studies (have signed an ICF and received active drug/device treatment) within 6 months before baseline;

  10. Those who have participated in an anti-IL-25 antibody, or anti-IL-17RB antibody (including SM17) clinical study; Those who have had other conditions within 12 months before screening that, in the opinion of the investigator, may pose a risk to the participants' participation in this study or may interfere with study procedures

SinoMab BioScience Ltd logoSinoMab BioScience Ltd
جهة اتصال مركزية للدراسة
جهة اتصال: Guolin XU, 852-34269833, [email protected]
1 مواقع الدراسة في 1 بلدان
Peking University People's Hospital, Beijing, China
Jianzhong Zhang, Dr., جهة اتصال
Cheng Zhou, جهة اتصال