About this trial
The purpose of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, and preliminary efficacy of YKST02 administered alone or in combination with YK012 in participants with active or refractory systemic lupus erythematosus (SLE).
The main questions this study aims to address are:
* Whether YKST02 alone or in combination with YK012 is safe and well tolerated in participants with active or refractory SLE * Whether YKST02 alone or in combination with YK012 demonstrates preliminary efficacy in treating SLE * What the PK and PD characteristics of YKST02 are when administered alone or in combination with YK012 * Whether treatment with YKST02 induces anti-drug antibody responses
Participants will:
* Receive intravenous infusions of YKST02 alone or in combination with YK012 according to the assigned cohort * Undergo safety assessments, including monitoring for adverse events * Provide blood samples for PK, PD, and immunogenicity analyses * Be followed for approximately 49 weeks to assess safety and efficacy
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with systemic lupus erythematosus (SLE) according to the 2019 EULAR/ACR classification criteria, with active disease defined as SLEDAI-2K ≥6 at screening, and considered to have inadequate response, intolerance, or ineligibility to standard therapy.
Have received standard therapy for SLE for at least 12 weeks prior to screening (including corticosteroids and at least one immunosuppressant and/or biologic agent), or are intolerant to or unsuitable for such therapies.
Receiving stable background therapy prior to enrollment, including stable doses of corticosteroids (within 2 weeks prior to enrollment), and/or antimalarial agents or one immunosuppressant (within 4 weeks prior to enrollment).
Positive for at least one lupus-related autoantibody at screening (e.g., anti-dsDNA, antinuclear antibody, or anti-Smith antibody).
Disqualifiers
Known hypersensitivity to monoclonal antibodies, immunoglobulins, or any component of the study drug.
Prior treatment with B cell-depleting therapies, B cell-targeting biologics, or other biologic or targeted therapies within protocol-defined washout periods.
Receipt of intravenous immunoglobulin or plasma exchange within protocol-defined washout periods.
Receipt of live or attenuated vaccines within 4 weeks prior to enrollment.
Trial design
Sequential
Treatments tested in this trial
YKST02
DrugYKST02 is administered by intravenous (IV) infusion.
YK012
DrugYK012 is administered by intravenous (IV) infusion in combination with YKST02.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Dose-Limiting Toxicities (DLTs)
Number and proportion of participants experiencing dose-limiting toxicities (DLTs) as defined in the protocol.
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number and proportion of participants experiencing adverse events (AEs) and serious adverse events (SAEs), graded according to CTCAE criteria.
Secondary outcomes
Pharmacokinetic (PK) Parameters
Pharmacokinetic parameters of study drug, including maximum observed concentration and overall exposure.
Changes in Peripheral B Cell and T Cell Populations
Changes from baseline in peripheral blood B cells, T cells, and their subsets.
Change from Baseline in Urinary Protein
Change from baseline in urinary protein (24-hour urine protein) in participants with baseline proteinuria (\>0.5 g/24h).
Change from Baseline in Anti-dsDNA Antibodies
Change from baseline in anti-double stranded DNA (anti-dsDNA) antibody levels.
Sponsors and contacts
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