Scar
Conditions
Brief summary
This is a randomized, double-blind, placebo-controlled Phase II study to evaluate the efficacy, safety, tolerability, pharmacokinetics, and immunogenicity of 9MW3811 in patients with pathological scar.
Interventions
9MW3811 is a recombinant humanized monoclonal antibody targeting interleukin-11 (IL-11). It is administered intravenously.
Matching placebo solution with no active ingredient, administered intravenously.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 years * Pathological scar with no spontaneous regression over the prior 6 months * At least one scar with modified Vancouver Scar Scale (mVSS) score ≥9 * Willing to use effective contraception for 6 months after last dose (if of childbearing potential) * Provide written informed consent
Exclusion criteria
* Contracture scar causing deformity * All eligible scars either \>10 cm in length and \>5 cm in width, or located exclusively on sun-exposed areas (head, face, hands) * Evidence of scar infection or active systemic infection requiring treatment * Use of anti-scar medications (e.g., corticosteroids, immunosuppressants) or anti-scar procedures (surgery, laser, radiation, etc.) within 4 weeks prior to first dose * Prior treatment with IL-11 cytokine or IL-6 family targeted therapy (e.g., tocilizumab) within specified washout periods * Participation in another interventional study within 28 days * Positive serology for HBV, HCV, HIV, or syphilis with clinical significance * History of severe allergy or known hypersensitivity to study drug components * Clinically significant laboratory abnormalities (eGFR \<90 mL/min/1.73m², PLT \<100×10⁹/L, QTc \>450/470 ms, bilirubin \>1.5×ULN, AST/ALT \>1.5×ULN) * Alcohol or drug abuse within 1 year * Pregnancy, breastfeeding, or unwillingness to use contraception * Any other condition that, in the investigator's judgment, would compromise subject safety or study compliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with abnormal vital signs | Up to Week 12 | Vital signs: include pulse, respiration, body temperature and blood pressure |
| Number of participants with abnormal Physical examination findings | Up to Week 12 | Physical examination: include height, weight, head and neck, mouth, chest, abdomen, lymph nodes, nerves and mind, limbs and other sites |
| Number of participants with abnormal 12-lead ECG readings | Up to Week 12 | 12-lead ECG: HR, PR, QRS, QT, QTcF, |
| Number of participants with abnormal laboratory test results | Up to Week 12 | Laboratory tests: include blood routine examination, blood biochemistry, urine routine test and coagulation function |
| Change from baseline in modified Vancouver Scar Scale (mVSS) score | Up to Week 12 | There are 6 items in the mVSS scale (modified Vancouver Scar Scale), pigmentation, vascularity, pliability, thickness, pain, and itching. A total of 18 points, with minimum 0 indicating normal skin and maximum 18 indicating the most scarring and worst appearance. Change from baseline will be evaluated. |
| Assessment of adverse events (AE) / serious adverse events (SAEs) | Up to Week 12 | Adverse Events occurring from ICF to last visit will be assessed and graded according to Common Terminology Criteria for Adverse Events version 6.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Apparent clearance (CL) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| Volume of distribution (Vz) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| Immunogenicity: incidence of anti-drug antibodies (ADA) | Up to Day 85 | Percentage of participants who develop detectable ADA against 9MW3811. |
| Change from baseline in Patient and Observer Scar Assessment Scale (POSAS) score | Up to Week 12 | POSAS includes observer scale (vascularity, pigmentation, thickness, relief, pliability, surface area) and patient scale (pain, itching, color, stiffness, thickness, irregularity). Lower scores indicate improvement. |
| Maximum Plasma Concentration (Cmax) | Up to Day 85 | To determine the pharmacokinetic (PK) of 9MW3811 following multiple intravenous infusions. |
| Change from baseline in Dermatology Life Quality Index (DLQI) score | Up to Week 12 | DLQI measures impact of skin disease on quality of life. Total score ranges 0-30; lower scores indicate better quality of life. |
| Time to reach Cmax (Tmax) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| Area under the plasma concentration versus time curve (AUC) from time 0 to the last quantifiable concentration (AUC0-t) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| Terminal elimination half-life (t1/2) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| AUC from time 0 extrapolated to infinity (AUC0-inf) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
| Terminal elimination rate constant (λz) | Up to Day 85 | To determine the PK of 9MW3811 following multiple intravenous infusions. |
Countries
China