A Clinical Trial of BAT4406F Injection in Patients With Neuromyelitis Optica Spectrum Disorders

NCT ID: NCT06044350

Last Updated: 2025-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2026-05-31

Brief Summary

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This is a phase II/III multicenter, randomized, double-blind, placebo-controlled study, to investigate the efficacy and safety of BAT4406F injection in patients with neuromyelitis optica lineage disease (NMOSD) who are positive for aquaporin 4 antibody (AQP4-IgG) .

Detailed Description

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This study was a phase II/III multicenter, randomized, double-blind, placebo-controlled study, which was divided into screening period (4 weeks) , randomized control period (RCP) , and open-label period (Olp)A total of 162 subjects were enrolled during the screening period and randomly assigned 2:1 to either the BAT4406F group or the placebo group after randomization on Day 1 of the RCP, subjects would receive BAT4406F (at a dose of 500mg) or placebo, intravenously, at D 1 and D 182, respectively.

If any of the following conditions occur, subjects can enter OLP from RCP: 1. Subjects who complete the 52-week RCP study without recurrence of NMOSD can enter Olp within 14 days after the end of the RCP study. 2. In the stage of RCP, NMOSD recurred. After rescue therapy, the patients with stable condition could enter OLP within 28 days after diagnosis. Subjects continued to participate in the RCP study if they were not identified by CEC as having a relapse upon examination. 3. When a protocol-defined first relapse event of 35 cases is observed, or when all 162 subjects have completed randomization and 12 months have elapsed since the first dose in the last of these subjects, or when recommended by the Independent Data Monitoring Committee (IDMC) , the RCP study should be stopped for enrolled subjects, and all enrolled subjects at the RCP stage should stop the RCP study within 14 days of entry into OLP, after which subjects will receive BAT4406F injection at the same dose as RCP, at d 1 of OLP. After termination of the RCP study with BAT4406F every 6 months, subjects were given the option of enrolling in the OLP study.

Conditions

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Optic Neuromyelitis Spectrum Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Experimental group:BAT4406F

RCP:Intravenous infusion; Dosage:500mg/time; Time of administration:The drug was given at D 1 and D 182 respectively OLP:Intravenous infusion; Dosage:500mg/time; Time of administration: After D1 dosing, Every 6 months to 1 times

Group Type EXPERIMENTAL

BAT4406F Injection

Intervention Type DRUG

Intravenous infusion; Dosage:500mg/time

Control group:BAT4406F Placebos

RCP:Intravenous infusion; Dosage:500mg/time; Time of administration:The drug was given at D 1 and D 182 respectively OLP:Intravenous infusion; Dosage:500mg/time; Time of administration: After D1 dosing, Every 6 months to 1 times

Group Type ACTIVE_COMPARATOR

BAT4406F Placebos

Intervention Type DRUG

Intravenous infusion; Dosage:500mg/time

Interventions

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BAT4406F Injection

Intravenous infusion; Dosage:500mg/time

Intervention Type DRUG

BAT4406F Placebos

Intravenous infusion; Dosage:500mg/time

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age greater than or equal to the age of 18 and less than or equal to 65 patients, gender not limited;
2. Met the 2015 international NMO diagnostic panel (IPND) criteria for NMOSD, And AQP4-IGG positive patients
3. Screening before 2 times at least 2 years experience with clinical records of relapse,or experienced at least 1 clinically documented recurrence within 1 year prior to screening
4. For subjects who had a relapse before screening, symptoms needed to be stable for at least 4 weeks before randomization
5. Into the group of former dosage of corticosteroids under 30 mg and prednisone equivalent,and the trial drug must be used within a month after the withdrawal of hormones
6. The score of EDSS 7 or less
7. Has the fertility of men and women must agree during treatment and 6 months after the last dose of using effective birth control method;
8. Agreed to participate in trials, and books to sign the informed consent

Exclusion Criteria

1. CD19 + b-cell count below the lower limit of normal, b-cell-scavenger drugs used 6 months before baseline or within 5 half-lives of the drug, whichever is older (including but not limited to Rituximab, enalizumab, etc.) ;
2. 6 months prior to the baseline used other monoclonal antibody therapy;Baseline used within five half-life before other biological preparation;
3. Used it for 3 months prior to the baseline McCaw phenol ester, azathioprine and methotrexate;6 months prior to the baseline using cyclophosphamide;Baseline before five half-life
4. Within a month before the filter used intravenous immunoglobulin (IVIG), plasma exchange (PE);
5. Within 4 weeks before screening received vaccine or live attenuated;Within 2 weeks before the baseline received inactivated vaccine;Baseline received within 4 weeks before the new coronavirus vaccine
6. In another clinical study and the baseline from the test drug treatment under three months or 5 half-life of the drug (the long time limit shall prevail);
7. This test for monoclonal antibody has a history of allergies, known in drug allergy patients;Serious drug allergy or for two or over two kinds of food or drugs;
8. 6 months prior to screening, except NMOSD need continuous oral or intravenous glucocorticoid dose \> 20 mg/day of any more than 21 days
9. Abnormal liver, kidney and bone marrow reserve
10. HIV positive at HIV history or enrollment screening; History of hepatitis B Andor hepatitis C or Hepatitis B surface antigen (HBSAG) positivity at screening \[ or Hepatitis B core antibody positive, hepatitis B surface antibody negative, Hepatitis B virus deoxynucleotides (HBV DNA) quantification exceeding normal range \] ; Or Hepatitis C virus (HCV) antibody positive \[ with HCV-rna quantitation exceeding the normal range \] , Treponema pallidum antibody positive at the time of enrollment;
11. Comply with any of the following subjects a latent or active TB infection related standards:

1. Current or past people with active TB;
2. In history and/or physical examination during filter tip physical signs or symptoms of active TB;
3. Recent close contact with people with active TB;
4. At the time of screening, the positive result of TB infected T cells was found. A test could be repeated if the subject's first tb-infected t-cell test result was inconclusive, and the patient was excluded from this study if the test result was inconclusive (or positive) again.
12. Covid-19 infection was diagnosed with clinical symptoms or signs consistent with 2019 coronavirus (COVID-19) infection (eg, fever, dry cough, dyspnea, sore throat, and fatigue) within 4 weeks before screening or during screening, or upon appropriate laboratory testing (at the discretion of the investigator or in accordance with local regulations) . If COVID-19 infection is confirmed before screening, appropriate laboratory testing is required to confirm that the infection has been cured;
13. Suffering from metabolic, hematological, renal, hepatic, pulmonary, neuroendocrine, cardiac, infectious, gastrointestinal or other autoimmune diseases, the researchers believe there is an unacceptable risk to patients, or it may affect NMOSD assessment;
14. According to the researchers, there was a history of drug and alcohol abuse (drinking 14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits, or 125 mL of wine) in the 12 months before screening;
15. Subjects who are unable to undergo an MRI scan (for example, are allergic to Gd-containing MRI contrast media, have a pacemaker, defibrillator, or other metallic object with internal or external limitations to performing an MRI scan) ;
16. Pregnant or lactating women, and screening or baseline pregnancy test positive female subjects;
17. Researchers think that the other does not fit to participate in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bio-Thera Solutions

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiangjun Chen, Doctor

Role: PRINCIPAL_INVESTIGATOR

Huashan Hospital

Chunfeng Liu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital of Suzhou University

Qun Xue, Doctor

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Suzhou University

Yan Jiang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Anhui Provincial Hospital

Yuying Zhao, Doctor

Role: PRINCIPAL_INVESTIGATOR

Shandong University Qilu Hospital

Li Guo, Doctor

Role: PRINCIPAL_INVESTIGATOR

Second Hebei Medical University Hospital

Meini Zhang, Doctor

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Shanxi Medical University

Huan Yang, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Central South University Xiang Ya Hospital

Daishi Tian, Doctor

Role: PRINCIPAL_INVESTIGATOR

Tongji hospital affiliated to Tongji Medical College

Yuming Xu, Doctor

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Zhengzhou University

Jianglong Tu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital of Nanchang University

Wei Qiu, Doctor

Role: PRINCIPAL_INVESTIGATOR

The third hospital affiliated to sun yat-sen university

Yamei Tang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Honghao Wang, Doctor

Role: PRINCIPAL_INVESTIGATOR

The First People's Hospital of Guangzhou

Xiaoling Luo, Doctor

Role: PRINCIPAL_INVESTIGATOR

Shenzhen city people's hospital

Aiyu Lin, Doctor

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Fujian Medical University

Chunming Xie, Doctor

Role: PRINCIPAL_INVESTIGATOR

China University Hospital of Southeast University

Xiang Li, Doctor

Role: PRINCIPAL_INVESTIGATOR

The first hospital affiliated to wenzhou medical college

Lan Tan, Doctor

Role: PRINCIPAL_INVESTIGATOR

Qingdao City Hospital

Fudong Shi, Doctor

Role: PRINCIPAL_INVESTIGATOR

Tianjin Medical University General Hospital

Juming Yu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Affiliated Hospital of North Sichuan Medical College

Jun Guo, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Second Affiliated Hospital of the PLA Air Force Military Medical University

Jiewen Zhang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Henan Provincial People's Hospital

Yanghua Tian, Doctor

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital of Anhui Medical University

Jing Ding, Doctor

Role: PRINCIPAL_INVESTIGATOR

Shanghai Zhongshan Hospital

Ping Chen, Doctor

Role: PRINCIPAL_INVESTIGATOR

Xianyang yanan university hospital co., LTD

Zunbo Li, Doctor

Role: PRINCIPAL_INVESTIGATOR

Xi'an high-tech Hospital Co. , Ltd.

Qihe Dai, Doctor

Role: PRINCIPAL_INVESTIGATOR

Jingzhou city central hospital

Dan Liu, Doctor

Role: PRINCIPAL_INVESTIGATOR

the first hospital of Baotou medicine college

Junyan Liu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Hebei Medical University Third Hospital

Yiqi Wang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Zhejiang Province People's Hospital

Bo Hu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Xiehe hospital affiliated to tongji medical college

Yanbing Han, Doctor

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of the Kunming Medical University

Feng Wang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Wuxi city people's hospital

Zhanhua Liang, Doctor

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Dalian Medical University

Weihe Zhang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Sino-Japanese Friendship Hospital

Xiangyang Zhu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Nantong First People's Hospital

Xinfeng Liu, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Chinese people's liberation army general hospital in eastern theater

Weidong Pan, Doctor

Role: PRINCIPAL_INVESTIGATOR

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Wei Lu, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Central South University Xiang YA II hospital

Huiyu Feng, Doctor

Role: PRINCIPAL_INVESTIGATOR

The first hospital affiliated to sun yat-sen university

Feng Gao, Doctor

Role: PRINCIPAL_INVESTIGATOR

The first hospital of Peking University

Yun Xu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Drum tower hospital affiliated to nanjing university school of medicine

Locations

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The First Affiliated Hospital of the Baotou Medical College of Inner Mongolia University of Science and Technology

Baotou, , China

Site Status

Beijing Hospital

Beijing, , China

Site Status

China-japan friendship Hospital

Beijing, , China

Site Status

The first hospital of Peking University

Beijing, , China

Site Status

The Central South University Xiang Ya Hospital

Changsha, , China

Site Status

Xiangya 2nd hospital of central south university

Changsha, , China

Site Status

First affiliated hospital of chongqing medical university

Chongqing, , China

Site Status

The first affiliated hospital of Dalian Medical University

Dalian, , China

Site Status

First affiliated hospital of fujian medical university

Fuzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

The first hospital affiliated to sun yat-sen university

Guangzhou, , China

Site Status

The first People's Hospital of Guangzhou

Guangzhou, , China

Site Status

The third hospital affiliated to sun yat-sen university

Guangzhou, , China

Site Status

People's Hospital of Zhejiang province

Hangzhou, , China

Site Status

Anhui Provincial Hospital

Hefei, , China

Site Status

Second Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

Shandong University Qilu Hospital

Jinan, , China

Site Status

Jingzhou Central Hospital

Jingzhou, , China

Site Status

First Affiliated Hospital of the Kunming Medical University

Kunming, , China

Site Status

Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Affiliated Hospital of North Sichuan Medical College

Nanchong, , China

Site Status

Drum Tower Hospital affiliated to Medical College of Nanjing University

Nanjing, , China

Site Status

Southeast university affiliated zhongda hospital

Nanjing, , China

Site Status

The Chinese people's liberation army general hospital in eastern theater

Nanjing, , China

Site Status

The first People's Hospital of Nantong

Nantong, , China

Site Status

Qingdao municipal hospital

Qingdao, , China

Site Status

Mount Hua Hospital affiliated to Fudan University

Shanghai, , China

Site Status

Shuguang hospital affiliated to Shanghai University of Traditional Chinese medicine

Shanghai, , China

Site Status

Zhongshan hospital affiliated to Fudan University

Shanghai, , China

Site Status

Shenzhen city people's hospital

Shenzhen, , China

Site Status

Second Hebei Medical University Hospital

Shijia Zhuang, , China

Site Status

The Third Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status

First Affiliated Hospital of Suzhou University

Suzhou, , China

Site Status

The Second Affiliated Hospital of Suzhou University

Suzhou, , China

Site Status

The first hospital of shanxi medical university

Taiyuan, , China

Site Status

Tianjin Medical University General Hospital

Tianjin, , China

Site Status

The first hospital affiliated to wenzhou medical college

Wenzhou, , China

Site Status

Tongji hospital affiliated to tongji medical college huazhong university of science and technology

Wuhan, , China

Site Status

Xiehe hospital affiliated to tongji medical college huazhong university of science and technology

Wuhan, , China

Site Status

Wuxi city people's hospital

Wuxi, , China

Site Status

Second Affiliated Hospital of the People's Liberation Army Air Force Military Medical University

Xi'an, , China

Site Status

Xi'an high-tech Hospital Co. , Ltd.

Xi'an, , China

Site Status

Yan 'an University Xianyang Hospital Co. , Ltd.

Xianyang, , China

Site Status

Henan province people's hospital

Zhengzhou, , China

Site Status

Zhengzhou university first affiliated hospital

Zhenzhou, , China

Site Status

Countries

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China

Other Identifiers

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BAT-4406F-002-CR

Identifier Type: -

Identifier Source: org_study_id

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