Overview

Study of AC0058TA in Patients With Systemic Lupus Erythematosus (SLE)

Status:
Recruiting
Trial end date:
2021-12-01
Target enrollment:
0
Participant gender:
All
Summary
This is a Phase 1b, double blind, randomized, placebo-controlled study of the safety and tolerability, pharmacokinetics and pharmacodynamics of AC0058TA in patients with systemic lupus erythematosus (SLE).
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
ACEA Therapeutics, Inc.
Collaborator:
Hangzhou ACEA Pharmaceutical Research Co., Ltd.
Criteria
Inclusion Criteria:

1. Clinical diagnosis of SLE according to ACR 1997 criteria or 2009 SLE-SLICC criteria
with ANA positive (≥ 1:40) patients who could receive hydroxychloroquine and/or
steroids treatment.

2. Adequate hematopoietic function, including:

- Platelet count > 75 × 10^9/L

- Leukocyte ≥ 2.0 × 10^9/L including CD19+ B cell counts of at least 50/μL

- Hemoglobin ≥ 10 g/dL

3. Adequate liver function

- Bilirubin: < 1.2 X upper limit of normal (ULN)

- AST: < 1.2 X upper limit of normal (ULN)

- ALT: < 1.2 X upper limit of normal (ULN)

4. Adequate renal function:

a. BUN and creatinine:< 1.5 X upper limit of normal (ULN)

5. Female of reproductive potential must agree to use two forms of contraception during
screening, during the study, and for at least 30 days after the last dose of AC0058TA.

6. Able to provide written informed consent in accordance with federal, local, and
institutional guidelines.

Exclusion Criteria:

1. Active central nervous system (CNS) lupus (including seizures, psychosis, organic
brain syndrome, cerebrovascular accident [CVA], cerebritis or CNS vasculitis) or
active bleeding disorder within 60 days prior to the first day of study treatment.

2. Clinical evidence of significant unstable or uncontrolled acute or chronic diseases
other than SLE which, in the opinion of the investigator, could confound the results
of the study, put the patient at undue risk, or interferes with protocol adherence, or
a subject's ability to give informed consent.

3. History or presence of congestive heart failure (New York Heart Association
[NYHA]Class III to IV), symptomatic ischemia, clinically significant conduction
abnormalities uncontrolled by conventional intervention, or myocardial infarction
within 6 months prior to the first day of study treatment.

4. Have severe lupus complications (Acute Lupus Pneumonitis, Diffuse Alveolar Hemorrhage,
Chronic Interstitial Pneumonia, Pulmonary Hypertension, Pulmonary Embolism) severe
lupus gastrointestinal diseases (Lupus Mesenteric Vasculitis, Protein-Losing
Enteropathy, Pancreatitis, Intestinal Pseudo-Obstruction).

5. History of any bleeding disorder secondary to SLE.

6. Have active, severe lupus kidney disease WHO III-V (Rapidly Progressive
Glomerulonephritis, Nephrotic Syndrome, Renal Tubular Acidosis, Renal Insufficiency),
proteinuria > 500 mg/day.

7. Acute or chronic infections requiring systemic antibiotic, antifungal, or antiviral
therapy within 60 days of the first day of study treatment.

8. Known HIV infection or positive for hepatitis B virus infection (HBsAg positive,
HBeAg, HBeAb or HBcAb positive and HBV DNA positive) or hepatitis C antibody positive
(HCV RNA positive).

9. Primary immunodeficiency other than complement deficiencies.

10. Active or latent tuberculosis within 6 months prior to the first day of study
treatment.

11. Receipt of a live-attenuated vaccine within 2 months prior to screening.

12. Within 2 weeks prior to screening:Use of injectable corticosteroids.

13. Within 2 months prior to screening: use of abatacept, anti-tumor necrosis factor alpha
agents, intravenous immunoglobulin, plasmapheresis, mycophenolate, MTX and leflunomide
or therapies not otherwise specified in protocol.

14. Use of cyclophosphamide or chlorambucil within five half-lives of screening.

15. Use of rituximab, belimumab, or any other B cell-depleting or modulating therapies
within 6 months of screening.

16. Female patients who are pregnant or breastfeeding.

17. Use of an investigational therapeutics within 30 days or 5 half-lives prior to
screening, whichever is greater.

18. Has a positive pregnancy test result at Screening or Check-in (females only).

19. Women with childbearing potential are defined as all women who are physiologically
able to have a pregnancy, unless they are using an efficient contraceptive method
during treatment and within 30 days after discontinuation of treatment as below.

1. Complete abstinence (if this is in line with the subject's preferred and usual
lifestyle). Periodic abstinence (e.g., calendaring method, ovulation method,
symptomatic body temperature method, post-ovulation method) and in vitro
ejaculation are unacceptable contraceptive methods.

2. Patients who have received female sterilization (bilateral ovariectomy with or
without hysterectomy) or tubal ligation for at least 6 weeks prior to study
treatment. In case of only unilateral ovariectomy, female fertility status must
be confirmed by follow-up assessment of hormone levels.

3. Combination of the following two methods:

- Intrauterine device (IUD) or intrauterine system (IUS).

- Barrier contraceptive methods: condoms or cervical cap (diaphragm or
cervical cap) coated with spermicidal foam/gel/cream/vaginal suppositories.
If women use oral contraceptives only, they should use the same
contraceptives at a stable dose for at least 3 months before starting the
study treatment.

4. If women have at least 12 months of natural amenorrhea and are clinically
compatible (e.g., at the corresponding age, with a history of vasomotor symptoms
or received bilateral ovariectomy with or without hysterectomy, they are regarded
as postmenopausal women with no childbearing potential. In case of only
unilateral ovariectomy, female fertility status must be confirmed by follow-up
assessment of hormone levels before the women can be considered to have no
childbearing potential.

20. Men who have sexual intercourse unless they use a condom during sexual intercourse and
must not donate sperm from the first dose of study drug until 30 days after
discontinuation of treatment and do not impregnate their sexual partners during the
period. Vasectomized males are also required to use condoms to prevent the
transmission of drugs through semen.

21. Subject who, in the opinion of the Investigator, should not participate in this study.