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NCT Number: NCT05145361

Clinical Study of B001 Injection in Subjects With Neuromyelitis Optic Spectrum Disorder (NMOSD)

The objectives of this phase Ib study are to evaluate the efficacy, safety, pharmacokinetics, pharmacodynamics and immunogenic profiles of B001 in subjects with aquaporin-4 antibody (AQP4-IgG) positive NMOSD.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Beijing Tiantan Hospital Capital Medical University, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • NMOSD as defined by either of the following 2015 criteria with anti-AQP4 antibody (Ab) seropositive status at screening
  • Clinical evidence of at least 1 documented relapse in last 12 months prior to screening
  • Expanded Disability Status Scale (EDSS) score from 0 to 7.5 inclusive at screening
  • Age 18 to 70 years, inclusive at the time of informed consent

Exclusion criteria

  • Any previous treatment with anti-CD20, eculizumab, anti-BLyS monoclonal antibody (e.g., belimumab), any other treatment for prevention of multiple sclerosis (MS) relapse (e.g., interferon, natalizumab, glatiramer acetate, fingolimod, teriflunomide or dimethyl fumarate) within 6 months prior to baseline.
  • Received immunosuppression such as azathioprine, mycophenolate mofetil, methotrexate, cyclophosphamide, tacrolimus, mitoxantrone, cyclosporine A, etc, and rug therapy, biological agents such as satralizumab, tocilizumab, eculizumab, etc, 3 months prior to the first administration.
  • Evidence of serious uncontrolled concomitant diseases that may preclude participant participation, as described; Other nervous system disease, cardiovascular disease, hematologic/hematopoiesis disease, respiratory disease, muscular disease, endocrine disease, renal/urologic disease, digestive system disease, congenital or acquired severe immunodeficiency.
  • Known active infection within 3 months prior to baseline
  • Pregnancy or lactation.
  • History of severe allergic reaction to a biologic agent
  • Evidence of chronic active hepatitis B or C
  • Evidence of active tuberculosis
  • Following laboratory abnormalities at screening*:
  • White blood cells (WBC) <4.0 x10^3/microliter (μL)
  • Absolute neutrophil count (ANC)
  • Absolute lymphocyte count <0.5 x10^3/μL
  • Platelet count <80 x 10^9/ L
  • Aspartate aminotransferase (AST) or alanine aminotransferase
  • History of drug or alcohol abuse within 6 months prior to baseline
  • Receipt of any live or live attenuated vaccine within 4 weeks prior to baseline
  • Uncontrolled systemic diseases, including hypertension that cannot be effectively controlled after treatment (systolic blood pressure ≥150 mmHg and/or diastolic blood pressure ≥100 mmHg), diabetes, gastrointestinal diseases, etc.; or the investigator believes that there is anything inappropriate reasons for selection.

Treatment and study plan

B001 injection

Drug

B001 injection 50mg/5mL Intravenous solution

Placebo

Biological

Placebo 5mL Intravenous solution

Primary outcomes

  1. Dose-limiting toxicity (DLT)

    Time frame: Up to 18 days.

    Measurement of DLT in all subjects.

  2. Evaluate incidence of treatment-emergent adverse events [Safety and Tolerability].

    Time frame: Up to 1 year

Secondary outcomes

  1. Maximum serum concentration (Cmax) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  2. Time of maximum serum concentration (Tmax) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  3. Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-14D) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  4. Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-Last) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  5. Area under the serum concentration-time curve (AUC) of the Dosing Interval (0-infinity) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  6. Accumulation ratio of maximum serum concentration (Rac_Cmax) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  7. Accumulation ratio of area under the serum concentration-time curve (Rac_AUC) of the Dosing Interval (0-14D) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  8. Terminal rate constant(λz) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  9. Half-life (t1/2) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  10. Total clearance(CL) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  11. Volume of distribution(Vz) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  12. Percentage of area under the serum concentration-time curve (AUC 0-infinity) obtained by extrapolation (%AUCex) of B001.

    Time frame: Through study completion, up to 2 years

    To characterize the PK (Pharmacokinetics) of B001.

  13. Percentage of subjects with ADA to B001 and neutralizing resistance (Nab)

    Time frame: Through study completion, up to 2 years

  14. Time to First Protocol-Defined Relapse (TFR) in the Double-Blind Period

    Time frame: Through study completion, up to 2 years

  15. Change in Expanded Disability Status Scale (EDSS) Score

    Time frame: Through study completion, up to 2 years

    The EDSS provides a total score on a scale that ranges from 0 to 10 in 0.5 increments that represent higher levels of disability. Increasing disability is reflected in an increasing EDSS score.

  16. Time to EDSS Worsening

    Time frame: Through study completion, up to 2 years

Study contacts

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

Fu-Dong Shi, MD,PhD

CONTACT

[email protected]

022-60814587

Sponsors and collaborators

Lead sponsor

Shanghai Pharmaceuticals Holding Co., Ltd

Industry

Registry information

Official study title

A Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of B001 in Subjects With Aquaporin-4 Antibody (AQP4-IgG) Positive Neuromyelitis Optic Spectrum Disorder (NMOSD)

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
Dec 6, 2021
Registry last updated
May 5, 2026

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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