YK012: YK012 is a bispecific antibody targeting CD19 and CD3.
Study summary
The goal of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of YK012 in participants with Moderate to Severe Systemic Lupus Erythematosus (SLE).
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
* Aged 18 to 75 years (inclusive) at screening, regardless of sex
* Meet the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE, with a confirmed SLE diagnosis for at least 24 weeks at screening
* Positive for anti-dsDNA antibody and/or antinuclear antibody (ANA) and/or anti-Smith antibody at screening, as determined using the local laboratory's reference ranges at the study site
* Medium to high disease activity at screening, defined as: Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score ≥7
* Receiving stable background therapy at screening
* Capable of understanding and voluntarily participating in this clinical trial, having provided written informed consent, and able to comply with scheduled visits, treatments, examinations, and other study procedures.
Exclusion Criteria:
* Known allergy to monoclonal antibodies or exogenous human immunoglobulins, or hypersensitivity to the investigational drug or any of its components
* Received any anti-CD19/CD20 therapy or any B-cell depleting agents within 6 months prior to enrollment, or B-cell stimulatory factor inhibitors within 3 months or 5 half-lives prior to enrollment
* Received TNF inhibitors, interleukin receptor blockers, other small molecules or biologics within 3 months or 5 half-lives prior to enrollment
* Received intravenous immunoglobulins or plasmapheresis within 3 months prior to enrollment
* Used traditional Chinese medicines/herbal preparations for SLE treatment containing within 2 weeks prior to enrollment
* Received live or attenuated vaccines within 1 month prior to enrollment
* Has other autoimmune diseases, inflammatory joint diseases, or skin disorders (other than SLE) that may interfere with disease activity assessment
* History of malignancy within 5 years before screening, except for cured cases with no recurrence for at least 5 years, such as basal cell or squamous cell skin cancer, cervical carcinoma in situ, ductal carcinoma in situ of breast, or papillary thyroid cancer
* Clinically significant cardiovascular/cerebrovascular diseases within 6 months prior to screening
* Presence of QTcF interval prolongation on electrocardiogram (ECG)
* Presence of poorly controlled hypertension at screening
* History of non-SLE conditions requiring oral/intravenous/intramuscular/subcutaneous corticosteroid therapy (\>2 weeks) within 6 months prior to enrollment
* Active tuberculosis at screening or untreated latent tuberculosis
* History of solid organ or bone marrow transplantation
* Presence of active infections
* Lupus nephritis requiring protocol-prohibited medications as assessed by the investigator
* Uncontrolled lupus crisis within 8 weeks prior to screening
* History of central nervous system (CNS) disorders
* Presence of clinically unstable or uncontrolled medical conditions at screening
* Presence of clinically significant abnormal laboratory test results
* Presence of active viral infections (e.g., hepatitis B, hepatitis C, HIV, or active syphilis)
* Had major surgery within 4 weeks prior to enrollment or planned during study;
* Participation in other interventional clinical trials within 4 weeks prior to enrollment
* Pregnant or lactating women, or individuals with pregnancy plans during the study and within a specified period after treatment who are unwilling to use effective contraception
* Other conditions deemed by investigators to preclude study participation.
Primary outcome measure(s)
Ib dose escalation stage: Dose Limiting Toxicity (DLT) — From the first infusion of YK012 to Day 28 post first infusion
Adverse Event (AE) — From the first infusion of YK012 to the end of trial at 48 weeks An AE is defined as any untoward medical event that occurs after a participant receives the investigational drug, which may be manifested as symptoms, signs, diseases, or laboratory abnormalities, but may not necessarily have a causal relationship with the investigational drug.
Severe Adverse Event (SAE) — From the first infusion of YK012 to the end of trial at 48 weeks An SAE refers to any untoward medical occurrence after the participant receives the IMP that results in one or more of the following: death, life-threatening event, permanent or serious disability or loss of function, hospitalization or prolongation of hospitalization, congenital abnormalities or birth defects.
Ib dose expansion stage and phase II: SRI-4 (Systemic Lupus Erythematosus Responder Index-4) response rates — From the first infusion of YK012 to the end of trial at 48 weeks
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time on our Cookie Policy page. See also our Privacy Policy.