Efficacy and Safety of Stapokibart for Primary Cutaneous Amyloidosis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorFirst Affiliated Hospital of Chongqing Medical University

About this trial

This trial is planned to investigate the efficacy and safety of Stapokibart (an IL-4 receptor antagonist) in patients with PCA.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Males or females aged 18 to 75 years, with a diagnosis of PCA confirmed by skin biopsy, and an IGA score of ≥3, a AASI score of ≥5, and a BSA involvement of ≥5%.

Subjects who have received at least 4 weeks of mid-to-high potency or at least 2 weeks of very high potency topical corticosteroids (TCS) or an adequate course of systemic corticosteroids within the 6 months prior to screening, but with an inadequate response; or subjects who are unable to receive the above treatments due to adverse reactions or potential risks.

Prior to the first dose, subjects must have used a moisturizer continuously for at least 1 week, once daily, and must continue to use it throughout the study period.

Able to understand and complete study-related questionnaires.

Disqualifiers

Use of any of the following treatments within 4 weeks prior to randomization: a. Immunosuppressants or immunomodulators, such as systemic corticosteroids, cyclosporine, mycophenolate mofetil, interferon gamma (IFN-γ), azathioprine, methotrexate, and Janus kinase (JAK) inhibitors; b. UV phototherapy; c. Systemic traditional Chinese medicine (TCM) treatment.

Use of topical corticosteroids (TCS), topical calcineurin inhibitors (TCI), TCM, or phosphodiesterase 4 (PDE-4) inhibitors within 2 weeks prior to randomization.

Receipt of anti-IL-4R monoclonal antibodies, anti-IgE monoclonal antibodies, or other biologics within 12 weeks or 5 half-lives (whichever is longer) prior to randomization.

Receipt of live attenuated vaccines within 12 weeks prior to randomization or planned vaccination during the study period.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Stapokibart

    Biological/Vaccine

    A humanized monoclonal antibody that targets the interleukin (IL)-4 receptor subunit alpha

  • Placebo drug

    Other intervention

    Placebo drugs without Stapokibart

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: StapokibartExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

The percentage of subjects achieving AASI-75 at Week 16 of treatment

AASI: Amyloidosis Area and Severity Index. The minimum and maximum values: 0-72. Higher scores mean more serious situations. AASI-75: A 75% or greater improvement from baseline in the AASI. The minimum and maximum values: 0%-100%. Higher scores mean a better outcome.

Time frame
At the end of treatment at 16 weeks

Secondary outcomes

1

The percentage of subjects with a weekly average reduction of≥4 points in PP-NRS score at Week 16 of treatment compared to baseline

PP-NRS: Peak Pruritus Numerical Rating Scale. The minimum and maximum values: 0-10. Higher scores mean more serious situations.

Time frame
At the end of treatment at 16 weeks
2

The percentage of subjects with an IGA score of 0 or 1 and a reduction of≥2 points compared to baseline.

IGA: Investigator Global Assessment. The minimum and maximum values: 0-4. Higher scores mean more serious situations.

Time frame
At the end of treatment at 16 weeks
3

The percentage of subjects achieving AASI-50 compared to baseline.

AASI: Amyloidosis Area and Severity Index. The minimum and maximum values: 0-72. Higher scores mean more serious situations. AASI-50: A 50% or greater improvement from baseline in the AASI. The minimum and maximum values: 0%-100%. Higher scores mean a better outcome.

Time frame
At the end of treatment at 16 weeks
4

The percentage of subjects with a weekly average reduction of≥3 points in PP-NRS score compared to baseline

PP-NRS: Peak Pruritus Numerical Rating Scale. The minimum and maximum values: 0-10. Higher scores mean more serious situations.

Time frame
At the end of treatment at 16 weeks

Other outcomes

1

Safety Endpoints:Including the occurrence of AEs(Adverse Events),and abnormalities in laboratory tests,physical examinations,and vital signs.

Time frame
At the end of treatment at 16 weeks

Locations

This trial has no locations.

Sponsors and contacts

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