Neuromyelitis Optica Spectrum Disorder (NMOSD)
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy and safety of IMC-002 in the treatment of NMOSD.
Detailed description
This is a phase Ib/III study, including 2 stage, phase Ib study to find the dose for phase II study between 0.8mg/kg、1.2mg/kg dose level, Phase III study is a multi-center, randomized, double-blind, positive control study to evaluate the safety and efficacy of IMC-002 in Neuromyelitis Optica Spectrum Disorder (NMOSD)
Interventions
intravenous injection: Weekly administered for a period of first 4 weeks, then rest for 20 weeks. After the administration of the testing drug, if the subject's symptoms get worsen, a rescue therapy need to be adopted as based on Investigator's judgement, the testing drug injection should be discontinued.
daily oral 0.2g
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 70 years, inclusive, at the time of informed consent * Have a diagnosis of AQP4 antibody seropositive NMOSD according to the International Panel for NMO Diagnosis (IPND) criteria * Confirmation of NMOSD diagnosis with AQP4+ antibodies * The EDSS score should be ≤7.0 * Have clinical evidence of at least 1 documented attack or relapse (including first attack) in the last 2 years prior to screening
Exclusion criteria
* Have received rituximab or other anti-CD20 drugs treatment within 6 months * Have been used any monoclonal antibodies or research drugs for immunomodulatory effects within 3 months or within 5 half-life periods of the drug. * Females who are pregnant or lactating. * Have active infection at screening, or recent serious infection (i.e., requiring intravenous antimicrobial therapy or hospitalization) ; history of or existing infection of human immunodeficiency virus(HIV), hepatitis C virus (HCV), or Mycobacterium tuberculosis. Patients must have negative test results for HCV antibody, HIV 1 and HIV 2 antibodies, and a mycobacterium tuberculosis test (test method to be determined).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of relapse-free patients | Up to Week 24 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to first relapse (TFR) | Up to Week 24 | — |
| Mean change from baseline in Expanded Disability Status Scale (EDSS) score over the course of the study | Baseline (Day -28 to Day -1) to Week 24 | The Expanded Disability Status Scale ranges from 0 to 10 in 0.5 unit increments. Higher results represent higher levels of disability |