A Phase III Study to Evaluate the Efficacy and Safety of AK111 in Subjects With Active Ankylosing Spondylitis

NCT ID: NCT06378697

Last Updated: 2024-04-22

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

510 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-10

Study Completion Date

2026-04-30

Brief Summary

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This is a randomized, double-blind, placebo-controlled, multi-center phase III clinical study to evaluate the efficacy and safety of AK111 in the treatment of subjects with active ankylosing spondylitis.

Detailed Description

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The study consists of 3 parts. Part 1 is screening period, Part 2 is Placebo control period and part 3 is Long term treatment follow-up period. The research period is 61 weeks in total.

Conditions

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Ankylosing Spondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AK111

AK111 150 mg will be administered by subcutaneous injection at Week 0, 1 and 4 , followed by dosing every 4 weeks until Week 48.

Group Type EXPERIMENTAL

AK111

Intervention Type DRUG

Drug: AK111 subcutaneous injection at week 0,1, 4 and 4-weekly thereafter until week 48.

placebo

Placebo+AK111 placebo subcutaneous injection at week 0,1, 4,8 and 12 follow AK111 4-weekly thereafter until week 48.

Group Type PLACEBO_COMPARATOR

Placebo+AK111

Intervention Type DRUG

Placebo+AK111 placebo subcutaneous injection at week 0,1, 4,8 and 12 follow AK111 4-weekly thereafter until week 48.

Interventions

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AK111

Drug: AK111 subcutaneous injection at week 0,1, 4 and 4-weekly thereafter until week 48.

Intervention Type DRUG

Placebo+AK111

Placebo+AK111 placebo subcutaneous injection at week 0,1, 4,8 and 12 follow AK111 4-weekly thereafter until week 48.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects aged ≥18 years old.
* Subjects with confirmed ankylosing spondylitis before screening.
* During screening and before randomization, BASDAI score ≥ 4, total back pain score≥ 4.
* Subjects received at least 2 kind of non-steroidal anti-inflammatory drugs (NSAIDs), prior to randomization with an inadequate response or failure to respond, or with contraindications or intolerance to the use of NSAIDs.
* Subjects who are regularly taking NSAIDs, weak opioids or oral glucocorticoids(The daily dose should be ≤10mg prednisone or equivalent dose of glucocorticoid) as part of their AS therapy are required to be on a stable dose for at least 14 days before randomization. If the drug has been discontinued, at least 2 weeks washout period is required before randomization.
* Subjects taking methotrexate (MTX) (≤25mg/week) or Sulfasalazine (≤3g/day) are allowed to continue their medication if started at least 12 weeks prior to baseline, with a stable dose for at least 4 weeks before randomization. If the drug has been discontinued, at least 4 weeks washout period is required before randomization.
* Subjects who are able to understand and voluntarily sign the ICF and complete the study procedure.

Exclusion Criteria

* Subjects with symptom of pain that affected the evaluation of efficacy.
* Subjects with other inflammatory diseases or autoimmune diseases except Ankylosing spondylitis (AS).
* Subjects who are using strong opioid analgesics.
* Received glucocorticoid intramuscular or intravenous injection within 2 weeks prior to randomization; Received intraarticular or paraspinal glucocorticoid therapy within 4 weeks before randomization.
* Received other antirheumatic drugs (except methotrexate, sulfasalazine), proprietary Chinese medicine or traditional Chinese medicine decoction, JAK inhibitor treatment for AS within 4 weeks before randomization.
* Received Natalizumab or other B cell or T cell modulator in the 12 months prior to randomization.
* Previous exposure to secukinumab, ixekizumab or any other biologic drug directly targeting IL-17 or IL-17 receptor.
* Received multiple tumor necrosis factor α (TNF-α) inhibitors; The eluting period of biologics received before randomization is shorter than the protocol.
* Participated in a clinical study of any other drug or medical device within 1 month (≤30 days) prior to randomization, or last received the investigational drug within 5 half-lives.
* The presence of any other systemic disease or laboratory abnormalities that the investigator has judged unsuitable for clinical trials.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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1006-The First Affiliated Hospital of Bengbu Medical University

Bengbu, Anhui, China

Site Status RECRUITING

1038-Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

1001-Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

1002-Xuanwu Hospital Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

1042-Peking University Shougang Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

1049-The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

1027-Lanzhou University Second Hospital

Lanzhou, Gansu, China

Site Status RECRUITING

1005-Nanfang Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

1025-Guangzhou First People's Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

1030-Jieyang People's Hospital

Jieyang, Guangdong, China

Site Status RECRUITING

1008-The Seventh Affiliated Hospital, Sun Yat-sen University

Shenzhen, Guangdong, China

Site Status RECRUITING

1026-Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status RECRUITING

1056-Zhongshan Traditional Chinese Medicine Hospital

Zhongshan, Guangdong, China

Site Status RECRUITING

1024-Liuzhou People's Hospital

Liuzhou, Guangxi, China

Site Status RECRUITING

1021-The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status RECRUITING

1022-The First Affiliated Hospital of Hainan Medical University

Haikou, Hainan, China

Site Status RECRUITING

1034-Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status RECRUITING

1012-Hebei Petro China Central Hospital

Langfang, Hebei, China

Site Status RECRUITING

1029-Hebei General Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

1033-The First Hospital of Qiqihar

Qiqihar, Heilongjiang, China

Site Status RECRUITING

1045-The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

Site Status RECRUITING

1053-Nanyang Central Hospital

Nanyang, Henan, China

Site Status RECRUITING

1051-Shiyan People's Hospital

Shiyan, Hubei, China

Site Status RECRUITING

1031-The First Affiliated Hospital of University of South China

Hengyang, Hunan, China

Site Status RECRUITING

1032-Yueyang Central Hospital

Yueyang, Hunan, China

Site Status RECRUITING

1011-Zhuzhou Central Hospital

Zhuzhou, Hunan, China

Site Status RECRUITING

1017-Changzhou NO.2 People's Hospital

Changzhou, Jiangsu, China

Site Status RECRUITING

1037-The Second People's Hospital of Lianyungang

Lianyungang, Jiangsu, China

Site Status RECRUITING

1004-Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

1007-Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

1036-Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

1018-Affiliated Hospital of Nantong University

Nantong, Jiangsu, China

Site Status RECRUITING

1035-Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

1013-Xuzhou Central Hospital

Xuzhou, Jiangsu, China

Site Status RECRUITING

1014-Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Site Status RECRUITING

1047-The First Affiliated Hospital of Gannan Medical College

Ganzhou, Jiangxi, China

Site Status RECRUITING

1020-The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

1039-The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

1046-Pingxiang People's Hospital

Pingxiang, Jiangxi, China

Site Status RECRUITING

1044-Jilin Provincial People's Hospital

Changchun, Jilin, China

Site Status RECRUITING

1028- Jining First People's Hospital

Jining, Shandong, China

Site Status RECRUITING

1019-Linyi City People Hospital

Linyi, Shandong, China

Site Status RECRUITING

1055-Weifang People's Hospital

Weifang, Shandong, China

Site Status RECRUITING

1016-Zaozhuang Municipal Hospital

Zaozhuang, Shandong, China

Site Status RECRUITING

1054-Linfen Central Hospital

Linfen, Shanxi, China

Site Status RECRUITING

1009-Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status RECRUITING

1043-Yuncheng Central Hospital

Yuncheng, Shanxi, China

Site Status RECRUITING

1010-West China Hospital,Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

1048-Mianyang Central Hospital

Mianyang, Sichuan, China

Site Status RECRUITING

1041-Affiliated Hospital of North Sichuan Medical College

Nanchong, Sichuan, China

Site Status RECRUITING

1023-The People's Hospital of Xinjiang Uyghur Autonomous Region

Ürümqi, Xinjiang, China

Site Status RECRUITING

1040- Huzhou Third People's Hospital

Huzhou, Zhejiang, China

Site Status RECRUITING

1015-Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status RECRUITING

1050-The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Guoqin Wang

Role: CONTACT

+86 (0760) 8987 3999

Other Identifiers

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AK111-303

Identifier Type: -

Identifier Source: org_study_id

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