TUL01101 片在类风湿性关节炎患者中单次/多次给药的安全性、耐受性、药代动力学和药效动力学研究及临床疗效初探临床试验

注册号:

Registration number:

ChiCTR2200060013 

最近更新日期:

Date of Last Refreshed on:

2023-03-04 20:28:31 

注册时间:

Date of Registration:

2022-05-14 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

TUL01101 片在类风湿性关节炎患者中单次/多次给药的安全性、耐受性、药代动力学和药效动力学研究及临床疗效初探临床试验

Public title:

Study on safety, tolerance, pharmacokinetics and pharmacodynamics of TUL01101 tablet in patients with rheumatoid arthritis after single/multiple administration and preliminary clinical trial of clinical efficacy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

TUL01101 片在类风湿性关节炎患者中单次/多次给药的安全性、耐受性、药代动力学和药效动力学研究及临床疗效初探临床试验

Scientific title:

Study on safety, tolerance, pharmacokinetics and pharmacodynamics of TUL01101 tablet in patients with rheumatoid arthritis after single/multiple administration and preliminary clinical trial of clinical efficacy

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

凌伟 

研究负责人:

刘毅、冯萍 

Applicant:

Ling Wei 

Study leader:

Liu Yi, Feng Ping 

申请注册联系人电话:

Applicant telephone:

+86 18607567517

研究负责人电话:

Study leader's
telephone:

+86 28 85423583

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lingwei@tul.com.cn

研究负责人电子邮件:

Study leader's E-mail:

617130961@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省中山市坦洲镇嘉联路12号

研究负责人通讯地址:

四川省成都市武侯区国学巷37号

Applicant address:

12 Jialian Road, Tanzhou Town, Zhongshan, Guangdong

Study leader's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

珠海联邦制药股份有限公司

Applicant's institution:

Zhuhai United Laboratories Co., Ltd.

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital, Sichuan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2021年临床试验(西药)审(348)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

四川大学华西医院临床试验伦理审查委员会

Name of the ethic committee:

West China Hospital, Sichuan University Clinical Trial Ethics Review Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2021-12-29 00:00:00

伦理委员会联系人:

韩玉榕

Contact Name of the ethic committee:

Han Yurong

伦理委员会联系地址:

四川省成都市武侯区国学巷37号

Contact Address of the ethic committee:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

四川大学华西医院

Primary sponsor:

West China Hospital, Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

珠海

Country:

China

Province:

Guangdong

City:

Zhuhai

单位(医院):

珠海联邦制药股份有限公司

具体地址:

金湾区三灶镇安基路2428号

Institution
hospital:

Zhuhai United Laboratories Co., Ltd.

Address:

2428 Anji Road, Sanzao Town, Jinwan District

经费或物资来源:

珠海联邦制药股份有限公司

Source(s) of funding:

Zhuhai United Laboratories Co., Ltd.

研究疾病:

类风湿性关节炎  

Target disease:

rheumatoid arthritis

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

评估类风湿性关节炎患者单次/多次服用TUL01101 片的安全性和耐受性。  

Objectives of Study:

To evaluate the safety and tolerance of TUL01101 tablets in patients with rheumatoid arthritis.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1、已知有临床意义的药物过敏史或特应性变态反应性疾病史或已知对试验用药品成分或类似活性药物的药物过敏者;
2、既往使用以下任何一种药物或治疗者:
(1)首次给药前7个半衰期内接受过JAK 抑制剂或任何其它类似结构药物;
(2)首次给药前7个半衰期内使用过传统合成改善病情抗风湿药;
(3)首次给药前5 个半衰期内或3 个月内使用过生物制剂类改善病情抗风湿药;
(4)首次给药前4 周内接受过任何肠外或关节内皮质激素类药物;或正在使用口服皮质激素类药物且每日剂量>10 mg 强的松或至随机前4 周剂量未稳定,或在试验期间不能以原稳定剂量继续用药;
(5)正在使用非甾体类抗炎药如对乙酰氨基酚或阿片类等药物且至随机前4 周内剂量未稳定,或在试验期间不愿意以原稳定剂量继续用药;
(6)首次给药前4 周内接受过干扰素治疗或使用已知具有较强的免疫抑制或免疫调节作用的药物;
(7)首次给药前4 周内使用过任何可能对受试药物有影响的处方药、非处方药、中草药、食物或食物补充剂者;
(8)首次给药前3 个月内接种活疫苗或减毒活疫苗或1 个月内接种灭活疫苗或计划在试验期间接种活疫苗、减毒活疫苗或灭活疫苗;
3、有以下任何一种疾病的病史或证据者:
(1)有除RA 外的其他全身性炎症性疾病者;
(2)筛选前1 个月内发生过需要进行系统治疗的病毒、细菌、真菌、寄生虫、支原体或衣原体感染感染者;
(3)有反复发作的带状疱疹、播散性带状疱疹或播散性单纯疱疹病史者,或随机前2 个月内有带状疱疹或单纯疱疹病史者;
(4)有淋巴增殖性疾病病史,或有可能是淋巴增殖性疾病的各种体征或症状者;
(5)有严重的血液系统疾病或任何可引起溶血或红细胞不稳定的疾病,如疟疾、溶血性贫血,或经研究者判断可能影响药物的吸收、分布、代谢和排泄、或干扰结果评价者;
(6)有恶性肿瘤病史者;
(7)有结核病史或结核高危人群;
(8)有费尔蒂综合征者;
(9)免疫功能低下,研究者认为参加试验可能给受试者带来不可接受的风险者;
(10)随机前3个月内出现过失代偿性心力衰竭、不稳定性心绞痛、脑卒中或短暂性脑缺血发作、心肌梗死、持续性且有临床意义的心律失常、进行过冠状动脉旁路移植术或经皮冠状动脉介入术者;
(11)有呼吸系统、肝脏、肾脏、消化道、免疫、内分泌、代谢、精神神经等疾病或病史,且经研究者判断可能影响药物的吸收、分布、代谢和排泄、或干扰结果评价者;
4、筛选时有符合下列标准的任何检查异常且经研究者判断有临床意义者:
(1)血红蛋白<8.5 g/dL;
(2)白细胞总数<3.0×10^9/L;
(3)中性粒细胞数<1.2×10^9/L;
(4)血小板计数<0.7 倍LLN,或国际标准化比值>1.5 或活化部分凝血活酶时间>正常上限10s;
(5)丙氨酸氨基转移酶或天门冬氨酸氨基转移酶>2.0 倍ULN;总胆红素>1.5 倍ULN;
(6)血肌酐> 1.5 × ULN 或肌酐清除率<50 ml/min;
(7)糖化血红蛋白> 7%;
(8)血电解质异常降低且有临床意义者;
(9)研究者认为可能对本研究结果评价产生干扰的任何有临床意义的实验室异常值。
5、筛选时乙型肝炎表面抗原检查阳性、丙型肝炎病毒抗体检查阳性、人免疫缺陷病毒抗体检查阳性或梅毒抗体检查阳性者;
6、筛选前6 个月内接受过任何手术者;
7、筛选前3 个月内失血或献血超过400 mL,或接受过血液或血液成份输注者;
8、筛选前 3 个月内参加过任何药物或医疗器械的临床试验且给药者;
9、既往有药物滥用史,或尿药筛查阳性者;
10、首次给药前3 个月内每日吸烟超过5 支香烟或等量烟草的或者试验期间不能戒烟者;
11、首次给药前28 天内女性每周饮酒超过7 杯或男性每周饮酒超过14 杯,或首次给药前48 小时内服用过任何含酒精的制品,或基线访视时酒精呼气试验为阳性者,或试验期间不能禁酒者;
12、首次给药前14 天内饮用过量茶、咖啡或含咖啡因的饮料,或食用葡萄柚、或富含黄嘌呤的食物或饮料者,或单次给药前 48 小时内及试验期间不能停止食用富含黄嘌呤成分的食物或饮料、或葡萄柚或柚子以及含葡萄柚或柚子成分的产品者;
13、参加研究期间仍需或计划从事剧烈体力活动或运动者;
14、“哺乳期女性”或“妊娠期女性”者;
15、不能耐受静脉穿刺者,有晕针或晕血史者;
16、研究者认为不适合参加临床试验的其他情况。

Exclusion criteria:

1. Known history of drug allergy or atopic allergic disease of clinical significance, or known allergy to experimental drug ingredients or similar active drugs;
2. Previous users of any of the following drugs or treatments:
(1) Receiving a JAK inhibitor or any other drug of similar structure within 7 half-lives prior to initial dosing;
(2) Traditional synthetic antirheumatic drugs had been used within 7 half-lives prior to initial administration;
(3) Use of biologically-modified anti-rheumatic drugs within 5 half-lives or 3 months before the first administration;
(4) Received any parenteral or intraarticular corticohormones within 4 weeks prior to initial administration;Or are using oral corticosteroids with a daily dose of >10 mg prednisone or the dose was not stabilized until 4 weeks before randomization, or could not be continued at the original stable dose during the trial;
(5) Patients who are using non-steroidal anti-inflammatory drugs such as acetaminophen or opioids and the dose has not stabilized within 4 weeks before randomization, or are unwilling to continue taking the original stable dose during the trial;
(6) Received interferon therapy or used drugs known to have strong immunosuppressive or immunomodulatory effects within 4 weeks prior to the first administration;
(7) Use of any prescription drug, over-the-counter drug, Chinese herb, food or food supplement that may affect the drug under study within 4 weeks prior to the initial dosing;
(8) Receive live or attenuated vaccine or inactivated vaccine within 3 months before the first dose or plan to receive live, attenuated or inactivated vaccine during the trial period;
3. History or evidence of any of the following diseases:
(1) Patients with other systemic inflammatory diseases except RA;
(2) Infected persons with viral, bacterial, fungal, parasitic, mycoplasma or chlamydia infections that require systematic treatment within 1 month prior to screening;
(3) Patients with a history of recurrent herpes zoster, disseminated herpes zoster, or disseminated herpes simplex, or with a history of herpes zoster or disseminated herpes simplex within 2 months prior to randomization;
(4) Have a history of lymphoproliferative diseases, or have various signs or symptoms that may be lymphoproliferative diseases;
(5) Having a serious hematological disease or any disease that can cause hemolysis or erythrocyte instability, such as malaria, hemolytic anemia, or which, in the judgment of the investigator, may affect the absorption, distribution, metabolism and excretion of drugs, or interfere with the evaluation of results;
(6) Patients with a history of malignant tumor;
(7) Patients with a history of tuberculosis or high risk of tuberculosis;
(8) Patients with Ferty syndrome;
(9) Immunocompromised individuals who, according to the investigator, may pose an unacceptable risk to the subject by participating in the study;
(10) Patients with compensatory heart failure, unstable angina pectoris, stroke or transient ischemic attack, myocardial infarction, persistent and clinically significant arrhythmia, coronary artery bypass grafting or percutaneous coronary intervention in the 3 months before randomization;
(11) Patients with respiratory system, liver, kidney, digestive tract, immune, endocrine, metabolic, psychiatric and other diseases or medical history, which researchers judge may affect drug absorption, distribution, metabolism and excretion, or interfere with the evaluation results;
4. Patients with any abnormal examination in line with the following criteria and judged by the researcher to have clinical significance during screening:
(1) Hemoglobin < 8.5g /dL;
(2) Total leukocyte count <3.0x10^9/L;
(3) Neutrophil count <1.2x10^9/L;
(4) Platelet count < 0.7x LLN, or international normalized ratio >1.5, or activated partial thromboplastin time > 10s;
(5) Alanine aminotransferase or aspartate aminotransferase >2.0 times ULN; Total bilirubin >1.5 ULN;
(6) Creatinine > 1.5 x ULN or creatinine clearance <50 ml/min;
(7) Glycosylated hemoglobin > 7%;
(8) Decreased blood electrolyte abnormalities with clinical significance;
(9) Any clinically significant laboratory outliers that the investigator believes may interfere with the evaluation of the study results.
5. Patients who are tested positive for hepatitis B surface antigen, hepatitis C virus antibody, human immunodeficiency virus antibody or syphilis antibody during screening;
6. Patients who have received any surgery within 6 months before screening;
7. Patients who have lost blood or donated more than 400 mL in the 3 months before screening, or who have received transfusion of blood or blood components;
8. Participated in clinical trials and administration of any drug or medical device within 3 months prior to screening;
9. Previous drug abuse history, or positive urine drug screening;
10. Smokers who smoked more than 5 cigarettes or equivalent cigarettes per day in the 3 months before the first dose or who could not quit during the trial;
11. Had consumed more than 7 drinks per week for women or more than 14 drinks per week for men within 28 days before the first dose, or had consumed any alcohol-based product within 48 hours before the first dose, had a positive alcohol breath test at the baseline visit, or could not abstain from alcohol during the trial;
12. Excessive consumption of tea, coffee or caffeinated beverages, or consumption of grapefruit, or xanthine-rich food or drink, or consumption of xanthine-rich food or drink, or grapefruit or pomelo, or products containing grapefruit or pomelo, within 14 days before the first dose and during the trial period;
13. Patients who still need or plan to engage in vigorous physical activity or exercise during the study period;
14. Lactating or pregnant patients;
15. Patients who cannot tolerate venipunction and have a history of fainting needle or fainting blood;
16. Other conditions deemed unsuitable for clinical trial participation by the investigator.

研究实施时间:

Study execute time:

From 2022-05-13 00:00:00 To 2025-02-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-05-13 00:00:00 To 2023-02-01 00:00:00

干预措施:

Interventions:

组别:

1组

样本量:

12

Group:

Group 1

Sample size:

干预措施:

20mg剂量给药

干预措施代码:

Intervention:

20mg dose

Intervention code:

组别:

2组

样本量:

12

Group:

Group 2

Sample size:

干预措施:

50mg剂量给药

干预措施代码:

Intervention:

50mg dose

Intervention code:

组别:

3组

样本量:

12

Group:

Group 3

Sample size:

干预措施:

70mg剂量给药

干预措施代码:

Intervention:

70mg dose

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川 

市(区县):

成都 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院 

单位级别:

三级甲等 

Institution
hospital:

West China Hospital of Sichuan University

Level of the institution:

Teritary A

国家:

中国

省(直辖市):

湖南 

市(区县):

长沙 

Country:

China

Province:

Hu'nan

City:

Changsha

单位(医院):

中南大学湘雅三医院 

单位级别:

三级甲等 

Institution
hospital:

The Third Xiangya Hospital of Central South University

Level of the institution:

Teritary A

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广东省人民医院 

单位级别:

三级甲等 

Institution
hospital:

Guangdong Provincial People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

南方医科大学南方医院 

单位级别:

三级甲等 

Institution
hospital:

Southern Hospital of Southern Medical University

Level of the institution:

Teritary A

国家:

中国

省(直辖市):

山西 

市(区县):

太原 

Country:

China

Province:

Shanxi

City:

Taiyuan

单位(医院):

山西医科大学第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital of Shanxi Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽 

市(区县):

蚌埠 

Country:

China

Province:

Anhui

City:

Bengbu

单位(医院):

蚌埠医学院第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Bengbu Medical College

Level of the institution:

Teritary A

测量指标:

Outcomes:

指标中文名:

不良事件

指标类型:

主要指标

Outcome:

adverse events

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应

指标类型:

主要指标

Outcome:

adverse effect

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

严重不良事件

指标类型:

主要指标

Outcome:

serious adverse events

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

给药后达峰时间

指标类型:

次要指标

Outcome:

peak time after administration

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

给药后达峰浓度

指标类型:

次要指标

Outcome:

peak concentration after administration

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血药浓度-时间曲线下面积

指标类型:

次要指标

Outcome:

area under the concentration and time curve

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

表观分布容积

指标类型:

次要指标

Outcome:

apparent volume of distribution

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血浆清除率

指标类型:

次要指标

Outcome:

plasma clearance

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

消除速率常数

指标类型:

次要指标

Outcome:

elimination rate constant

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血浆终末端消除半衰期

指标类型:

次要指标

Outcome:

plasma terminal elimination half-life

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

平均滞留时间

指标类型:

次要指标

Outcome:

mean retention time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

尿液

组织:

Sample Name:

urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

粪便

组织:

Sample Name:

feces

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

采用区组随机化方法,各中心竞争入组。以SAS软件产生随机号以及随机号所对应治疗组别。

Randomization Procedure (please state who generates the random number sequence and by what method):

With the method of block randomization, each center competed for the group. SAS software is used to generate random numbers and treatment groups corresponding to the random numbers.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

NA

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

NA

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采用EDC系统进行数据采集和管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

EDC system is adopted for data acquisition and management.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2022-05-14 23:28:34