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NCT Number: NCT05979051

A Study to Evaluate the Efficacy and Safety of SHR-1703 in Subjects With Eosinophilic Granulomatosis With Polyangiitis (EGPA)

This study is a phase 2/3 clinical trial to evaluate the efficacy and safety of SHR-1703 in patients with EGPA.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Beijing Hospital, Beijing, Beijing Municipality, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subjects age 18 years or older;
  • Diagnosed with EGPA for at least 6 months;
  • History of relapsing or refractory EGPA;
  • Stable dose of oral prednisone of ≥7.5 mg/day (but not >50 mg/day) for at least 4 weeks prior to randomization;
  • If receiving immunosuppressive therapy (excluding cyclophosphamide), the dosage must be stable within 4 weeks prior to randomization and during the study.

Exclusion criteria

  • Subjects with other eosinophilic-related diseases;
  • Diagnosed with granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA).
  • Life-threatening EGPA within 3 months prior to randomization;
  • Malignancy history within 5 years prior to randomization;
  • Immunodeficiency;
  • Uncontrolled hypertension;
  • Uncontrolled cerebrovascular and cardiovascular disease;
  • parasitic infection within 6 months prior to randomization;
  • Active infectious disease requiring clinical treatment within 4 weeks prior to randomization;
  • Subjects with a dose of oral prednisone of >50 mg/day within 4 weeks prior to randomization;
  • Oral or intravenous cyclophosphamide therapy within 4 weeks prior to randomization;
  • Intravenous or subcutaneous immunoglobulin within 12 weeks prior to randomization;
  • Biological agents or TH2 cytokine inhibitors used within 12 weeks prior to randomization or within 5 half-lives of the drug;
  • Rituximab used within 6 months prior to randomization;
  • Surgical plans that might affect the evaluation;
  • Significant laboratory abnormalities;
  • Prolonged QTc interval or other electrocardiogram abnormalities with significant safety risk at screening;
  • History of drug or substance abuse or alcohol abuse within 1 year prior to screening;
  • Subjects participated another clinical study and received active drug within 30 days or 5 half-lives of the drug prior to screening;
  • Subjects is pregnant, lactating, or planning to be pregnant;
  • Subjects have a known history of hypersensitivity or intolerance to anti-IL-5 mabs or other biological agents or previous failure of IL-5/IL-5R therapy;
  • Other conditions unsuitable for participation in the study per investigator judgement.

Treatment and study plan

SHR-1703

Drug

SHR-1703 will be administered by Subcutaneous injection in Phase 2 and Phase 3.

Mepolizumab Injection

Drug

Mepolizumab Injection and Matching Placebo will be administered by Subcutaneous injection in Phase 3

Primary outcomes

  1. Change from baseline in oral glucocorticoid dose (OCS)

    Time frame: Up to week 12

    Phase 2

  2. The Proportion of subjects in EGPA remission

    Time frame: week 36 and week 48

    Phase 3

Secondary outcomes

  1. Change from baseline in oral glucocorticoid dose

    Time frame: Up to week 24, week 48

    Effectiveness Indicators (Phase 2)

  2. The proportion of subjects with OCS dosage ≤5 mg/d

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  3. The proportion of subjects with at least 50% reduction of OCS dosage from baseline

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  4. The Proportion of subjects with EULAR remission

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  5. The Proportion of subjects achieving EULAR remission at week 12 and week 24 of treatment and maintaining it up to week 48

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  6. The Proportion of subjects with EGPA remission

    Time frame: week 24, week 48

    Effectiveness Indicators (Phase 2)

  7. The proportion of subjects achieving EGPA remission within 24 weeks of treatment and maintaining it up to week 48

    Time frame: week 24, week 48

    Effectiveness Indicators (Phase 2)

  8. The proportion of subjects with EGPA relapse

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  9. The time to the first relapse of EGPA

    Time frame: Up to week 48

    Effectiveness Indicators (Phase 2)

  10. The proportion of subjects with Severe relapse of EGPA

    Time frame: week 12, week 24, week 48

    Effectiveness Indicators (Phase 2)

  11. The time of the first Severe relapse of EGPA

    Time frame: Up to week 48

    Effectiveness Indicators (Phase 2)

  12. Changes from baseline in Pre- and post-Bronchodilator FEV1

    Time frame: Up to week 48

    Effectiveness Indicators (Phase 2)

  13. The Proportion of subjects with EULAR remission

    Time frame: week 36, week 48

    Effectiveness Indicators (Phase 3)

  14. The Proportion of subjects with EGPA remission

    Time frame: week 36, week 48

    Effectiveness Indicators (Phase 3)

  15. The Proportion of subjects achieving EULAR remission within 24 weeks of treatment and maintaining it up to week 48

    Time frame: week 24, week 48

    Effectiveness Indicators (Phase 3)

  16. The proportion of subjects achieving EGPA remission within 24 weeks of treatment and maintaining it up to week 48

    Time frame: week 24, week 48

    Effectiveness Indicators (Phase 3)

  17. Cumulative weeks of EGPA remission through week 48, categorized as 0 weeks; >0 to <12 weeks; 12 to <24 weeks; 24 to <36 weeks; or ≥36 weeks

    Time frame: week 0, week 12, week 24, week 36, week 48

    Effectiveness Indicators (Phase 3)

  18. Change from baseline in OCS

    Time frame: Week 24, Week 48

    Effectiveness indicators (Phase 3)

  19. The proportion of subjects with OCS dosage ≤5 mg/d

    Time frame: week 24, week 48

    Effectiveness indicators (Phase 3)

  20. The proportion of subjects with at least 50% reduction of OCS dosage from baseline

    Time frame: week 24, week 48

    Effectiveness indicators (Phase 3)

  21. The Proportion of subjects with EGPA relapse

    Time frame: week 24, week 48

    Effectiveness indicators (Phase 3)

  22. The Proportion of subjects with Severe relapse of EGPA

    Time frame: week 24, week 48

    Effectiveness indicators (Phase 3)

  23. The time to the first relapse of EGPA

    Time frame: Up to week 48

    Effectiveness indicators (Phase 3)

  24. The time of the first Severe relapse occurred of EGPA

    Time frame: Up to week 48

    Effectiveness indicators (Phase 3)

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Guangdong Hengrui Pharmaceutical Co., Ltd

Industry

Registry information

Official study title

A Multicenter, Single-arm/Randomized, Double-blind, Active-controlled, Parallel-group Phase 2/3 Clinical Study to Evaluate the Efficacy and Safety of SHR-1703 for Patients With EGPA

Important dates

Study start
2023
Primary completion
2028
Study completion
2028
First posted
Aug 7, 2023
Registry last updated
Dec 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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