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注册号: Registration number: |
ChiCTR2600124334 |
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最近更新日期: Date of Last Refreshed on: |
2026-05-11 10:31:04 |
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注册时间: Date of Registration: |
2026-05-11 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
重组抗人IL-17A/F人源化单克隆抗体注射液治疗中重度活动性强直性脊柱炎(AS)的多中心、随机、双盲、安慰剂对照的III期临床试验 |
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Public title: |
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase III Clinical Study of Recombinant Anti-human IL-17A/F Humanized Monoclonal Antibody Injection in the Treatment of Moderate-to-Severe Active Ankylosing Spondylitis (AS) |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
重组抗人IL-17A/F人源化单克隆抗体注射液治疗中重度活动性强直性脊柱炎(AS)的多中心、随机、双盲、安慰剂对照的III期临床试验 |
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Scientific title: |
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase III Clinical Study of Recombinant Anti-human IL-17A/F Humanized Monoclonal Antibody Injection in the Treatment of Moderate-to-Severe Active Ankylosing Spondylitis (AS) |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
徐沪济 |
研究负责人: |
徐沪济 |
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Applicant: |
Huji Xu |
Study leader: |
Huji Xu |
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申请注册联系人电话: Applicant telephone: |
+86 13671609764 |
研究负责人电话:
Study leader's |
+86 21 81885511 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
xuhuji@smmu.edu.cn |
研究负责人电子邮件: Study leader's E-mail: |
xuhuji@smmu.edu.cn |
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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): |
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申请注册联系人通讯地址: |
上海市黄浦区凤阳路415号 |
研究负责人通讯地址: |
上海市黄浦区凤阳路415号 |
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Applicant address: |
415 Fengyang Road, Huangpu District, Shanghai |
Study leader's address: |
415 Fengyang Road, Huangpu District, Shanghai |
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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: |
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申请人所在单位: |
上海长征医院 |
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Applicant's institution: |
Shanghai Changzheng Hospital |
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研究负责人所在单位: |
海军军医大学第二附属医院 |
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Affiliation of the Leader: |
The Second Affiliated Hospital of Naval Medical University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2023-03; 2023-03-01 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
上海长征医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Shanghai Changzheng Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2023-07-24 00:00:00 | ||
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伦理委员会联系人: |
张潘潘 |
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Contact Name of the ethic committee: |
Zhang Panpan |
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伦理委员会联系地址: |
上海市黄浦区凤阳路415号 |
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Contact Address of the ethic committee: |
415 Fengyang Road, Huangpu District, Shanghai |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 81886191 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
czywlunli@163.com |
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研究实施负责(组长)单位: |
海军军医大学第二附属医院 |
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Primary sponsor: |
The Second Affiliated Hospital of Naval Medical University |
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研究实施负责(组长)单位地址: |
上海市黄浦区凤阳路415号 |
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Primary sponsor's address: |
415 Fengyang Road, Huangpu District, Shanghai |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
北京鑫康合生物医药科技有限公司 |
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Source(s) of funding: |
Beijing Kanova Biopharmaceutical Co., Ltd. |
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研究疾病: |
中重度活动性强直性脊柱炎(AS) |
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Target disease: |
Moderate to severe active ankylosing spondylitis (AS) |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
主要目的: • 以治疗16周时达到ASAS 40的患者比例评价XKH004治疗中重度活动性AS的疗效。 关键次要目的: • 以治疗16周时达到ASAS 20的患者比例评价XKH004治疗中重度活动性AS的疗效。 其他次要目的: • 以其他疗效指标评价XKH004治疗中重度活动性AS的疗效; • 评价XKH004对中重度活动性AS患者生活质量的改善作用; • 评价XKH004在活动性AS患者中的群体药代动力学(PPK)特征; • 进一步评价XKH004在活动性AS患者中的安全性和免疫原性。 |
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Objectives of Study: |
1.Primary Objective: To evaluate the efficacy of XKH004 in the treatment of moderate to severe active AS based on the proportion of patients achieving ASAS 40 at 16 weeks of treatment 2.Key secondary objective: To evaluate the efficacy of XKH004 in the treatment of moderate to severe active AS based on the proportion of patients achieving ASAS 20 at 16 weeks of treatment 3.Other secondary objectives: To evaluate the efficacy of XKH004 in the treatment of moderate to severe active AS based on other efficacy endpoints; To evaluate the effect of XKH004 on quality of life improvement in patients with moderate-to-severe active AS; To evaluate the population pharmacokinetic (PPK) profiles of XKH004 in patients with active AS; To further evaluate the safety and immunogenicity of XKH004 in patients with active AS. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1. 孕妇,或哺乳妇女,或计划在研究期间或末次用药后6个月内妊娠的女性; |
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Exclusion criteria: |
1. Pregnant or lactating women, or women who plan to become pregnant during the study or within 6 months after the last dose; 2. Have participated in a clinical study of XKH004 and received at least 1 dose (including placebo); 3. Allergy to the ingredients or excipients of XKH004,allergy to biologics or allergic constitution; 4. Have participated in another drug clinical study within 3 months or at least 5 half-lives (whichever is longer) before screening, or participated in any medical device clinical study within 1 month before screening; 5. Complete rigidity of the spine or complete fusion of the bilateral sacroiliac joints; 6. Symptoms of fibromyalgia or osteoarthritis that may interfere with the efficacy evaluation as considered by the Investigator; 7. Acute uveitis anterior within 6 weeks before randomization; 8. Patients who have received more than 1 TNFi, or more than 2 non-TNF-α targeted biological immunomodulators, or any biological immunomodulators targeting IL-17 or IL-17R; 9. Patients who are taking or have taken prohibited drugs listed in Table 2, with the mandatory washout period not reached relative to randomization (baseline visit) (5 half-lives of washout for unlisted biologics/drugs); 10. Have received live vaccines (including attenuated vaccines) 2 months before randomization or are planned to receive live vaccines (including attenuated vaccines) during the study. Subjects who had received COVID-19 vaccine within 1 week prior to randomization; 11. Subjects with tuberculosis (TB) infection, or at high risk for acquired TB infection, or with present nontuberculous mycobacteria (NTMB) infection or previous NTMB infection; * Patients with latent tuberculosis (LTB) [IGRA positive and diagnosed as LTB by a TB specialist] who did not develop hepatotoxicity (alanine aminotransferase [ALT]/aspartate aminotransferase [AST] maintained <=3 × ULN) before the first dose of the investigational drug after at least 4 weeks of appropriate anti-TB treatment may be rescreened once. Positive IGRA at the second screening is not an exclusion criterion. ** Patients with a prior history of active TB involving any organ system were excluded, except in cases where they were deemed as fully recovered by local treatment guidelines after adequate treatment. 12. Patients with the following active infections or a history of infections: (1) Active infection (except for common cold) within 14 days before randomization; (2) Severe infection requiring hospitalization or intravenous infusion of anti-infective drugs within 2 months before randomization; (3) Previous opportunistic infections and recurrent or chronic infectious diseases. Opportunistic infections are infections caused by uncommon pathogens (e.g., Pneumocystis carinii, Cryptococcus and Candida) or unusually severe infections caused by common pathogens (e.g., Cytomegalovirus and Herpes Zoster Virus); 13. Acute or chronic viral hepatitis B or C, or HIV infection; *Subjects with evidence or positive results for hepatitis B or C were excluded from the study. A positive hepatitis B (HBV) test is defined as a positive hepatitis B surface antigen (HBsAg+); or a positive anti-hepatitis B core antibody (HBcAb+) and an HBV-DNA test >ULN. **A positive hepatitis C (HCV) test is defined as a positive hepatitis C antibody (HCV-Ab) and a positive HCV-RNA by quantitative determination. 14. Subjects with a history of lymphoproliferative diseases such as lymphoma or current signs and symptoms suggestive of lymphoproliferative diseases; 15. Subjects with any active malignant tumors or history of malignancy within 5 years before the screening visit, except for treated and considered cured skin squamous or basal cell carcinoma or cervical cancer in situ; 16. Inflammatory diseases other than AS (including but not limited to Rh arthritis, sarcoidosis (nodule disease), systemic lupus erythematosus or arthritis reactive). Patients diagnosed with Crohn's disease or colitis ulcerative or other IBD may also be included in this study if they have no active symptoms at screening or baseline; 17. Myocardial infarction or stroke within 6 months before screening; 18. Major surgery (including joint surgery) within 3 months before randomization, or surgery planned within 6 months after entering the study; 19. Patients with any uncontrolled, unstable or clinically significant progressive systemic diseases (i.e. cardiovascular, neurological, renal, hepatic, metabolic, gastrointestinal, hematological, immune, etc.) as judged by the Investigator during the study; 20. Subjects with the following laboratory abnormalities at screening, including: (1) ALT, AST or ALP >=3.0 x ULN; or total bilirubin (TBIL) > ULN (TBIL >= 1.5 x ULN if known to have Gilbert's syndrome); (2) White blood cell (WBC) count <3000/μL; (3) Absolute neutrophil count <1500/μL; (4) Absolute lymphocyte count < 500/μL; (5) Hemoglobin (HGB) < 8.5 g/dL or 85 g/L; (6) Blood creatinine > 2 mg/dL (176.8 μmol/L); (7) Any other laboratory abnormalities that may preclude the patient from completing the study or interfere with the interpretation of the study results as judged by the Investigator; *If the result of a single laboratory test at screening is suspected to be an error value, or a boundary value, or the value does not allow for the determination of a subject's eligibility for inclusion in the study, the test may be repeated once (only once) during screening to confirm the diagnosis. If the retest result still exceeds the threshold, the patient fails screening. 21. Moderate to severe depressive disorder, i.e. Patient Health Questionnaire-9 (PHQ-9) score >= 15. The dosing of antidepressant drugs shall remain stable within 8 weeks before randomization; 22. History of attempted suicide, or suicidal ideation within 1 month prior to the screening visit, i.e., affirmative response ('Yes') to Question 4 or 5 of the C-SSRS (Columbia-Suicide Severity Rating Scale); 23. Patients with other physical or mental conditions that are not suitable for the study as judged by the Investigator. |
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研究实施时间: Study execute time: |
从 From 2023-05-01 00:00:00至 To 2025-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2023-09-21 00:00:00 至 To 2024-06-30 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
结束 /Completed |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
由独立于本试验的随机统计师通过SAS 9.4及以上版本统计分析软件,生成随机编码表。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The randomization statistician independent of the study generated a randomization schedule using statistical analysis software (SAS9.4 or above). |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
对研究参与者、研究者设盲 |
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Blinding: |
Blinding of study participants and researchers |
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是否共享原始数据: IPD sharing |
是Yes |
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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): |
文章发表后6个月内,经研究者同意后可邮箱申请获取方式; |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Within 6 months after the article is published, the method of obtaining it can be requested by email with the researcher's consent. |
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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: |
电子采集和管理系统 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Electronic Data Capture |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |