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NCT Number: NCT06859931

Clinical Trial of TQB3702 Tablets in Subjects With Systemic Lupus Erythematosus (SLE)

TQB3702 is a selective kinase inhibitor. This is a Phase II clinical study aimed at evaluating the efficacy and safety of TQB3702 tablets in patients with systemic lupus erythematosus.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The First Affilliated Hospital of Bengbu Medical University, Bengbu, Anhui, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The subjects voluntarily participate in the study and sign the informed consent;
  • Male and female, ≥18 years old and ≤70 years old (subject to the date of signing the informed consent);
  • The diagnosis meets the classification criteria of SLE established by the International Clinical Collaboration on Lupus Research (SLICC) in 2012 and has been in place for at least 6 months (Appendix 16), excluding drug-related lupus;
  • Meet the Systemic lupus erythematosus disease activity index-2K score requirements
  • Positive for one or more of the following antibodies: positive for anti-nuclear antibodies (ANA titers greater than or equal to 1:80 by immunofluorescence) and/or positive for anti-DSDNA antibodies and/or positive for anti-Smith(anti-SM);
  • Subjects were receiving standard treatment for SLE and had received treatment for at least 3 months prior to randomization. Standard therapeutic doses of SLE were stable for at least 30 days and glucocorticoids were stable for at least 2 weeks prior to initial administration. The standard treatment for SLE may be corticosteroids, and/or antimalarial drugs, and/or immunosuppressants
  • At the time of screening, if the subject is taking an angiotensin-converting enzyme inhibitor or an angiotensin-II receptor blocker or a non-steroidal anti-inflammatory drug (NSAID) orally, it must be at least 2 weeks since the pre-screening dose stabilized;
  • Subjects must stop all opioids at least 1 week before the first dose;
  • Fertile subjects must consent to and commit to using a medically accepted form of contraception throughout the study period and for at least 6 months after the final trial drug administration.

Exclusion criteria

  • Subjects who are pregnant or lactating, or who plan to have a child in the 12 months prior to the first dosing.
  • Severe lupus nephritis within 30 days prior to initial administration;
  • Central nervous system diseases caused by SLE or not caused by SLE in the 12 months before the first dose;
  • Current or past autoimmune diseases other than SLE
  • There is an active and uncontrolled infection, or an infection that has recently required intravenous anti-infective therapy, or is currently being treated for any chronic infection
  • Subjects whose chest radiology within 6 months prior to screening indicates active tuberculosis
  • Have active hepatitis, or hepatitis B surface antigen (HBsAg) positive, or hepatitis B core antibody (HBcAb) positive + hepatitis B virus (HBV) DNA positive, or hepatitis C virus (HCV) RNA positive; Or a history of human immunodeficiency virus (HIV) infection, or a positive HIV serological result at screening; The specific antibody of Treponema pallidum was positive and the confirmatory test was positive. If HBV core antibody is positive but HBV-DNA is negative, HBV-DNA should be monitored once every 3 months.
  • Herpes or shingles infection, or a history of disseminated/complicated shingles in the 12 weeks prior to screening;
  • Cardiovascular and cerebrovascular abnormalities;
  • Have a lung disease that the investigator determines is not suitable for participation in the study
  • Subjects with a history or suspected demyelinating disease of the central nervous system;
  • Subjects with a history of or suspected demyelinating disease of the central nervous system;
  • Subjects with any type of active malignancy or with a history of malignancy;
  • Have a history of vital organ transplantation or hematopoietic stem cell/bone marrow transplantation;
  • The subject has any medical condition that may affect the absorption of oral medications (e.g., bariatric/obesity surgery, or the subject is unable to take oral medications;
  • Previous use of specific drugs;
  • Patients who underwent plasma replacement within 12 weeks prior to initial administration or treated with human immunoglobulin 4 weeks prior to initial administration;
  • Cyclophosphamide had been used within 3 months before the first dose;
  • Rituximab or any other B-cell depletion therapy within 6 months prior to initial administration;
  • Use Beliuzumab, Taitacept, tumor necrosis factor (TNF) antagonists, or other biologics before initial administration unless the elution time is met, as specified in Appendix 17;
  • Participants who have suffered a major trauma, fracture, or surgical procedure in the 4 weeks prior to screening, or who are expected to require major surgical procedures during the study period;
  • Participants who received live attenuated vaccine within 28 days before the start of study treatment, inactivated vaccine within 7 days, or planned vaccination during the study period.

Treatment and study plan

TQB3702 Tablets

Drug

TQB3702 is a selective kinase inhibitor.

TQB3702 Tablets+TQB3702 Placebo

Drug

TQB3702 is a selective kinase inhibitor; A placebo is a simulated drug whose physical properties, such as appearance, size, color, dosage form, weight, taste, and odor are substantially the same as the test drug, but cannot contain the active ingredients of the test drug.

TQB3702 Placebo

Drug

TQB3702 Placebo without drug substance.

Primary outcomes

  1. SLE response index -4 (SRI-4)

    Time frame: Baseline to week 24

    ≥4 point reduction from baseline in systemic lupus erythematosus disease activity index 2000 (SLEDAI-2k) score and no new the British Isles Lupus Assessment Group (BILAG) A score and no more than one new BILAG B organ domain score compared with baseline and no worsening in Physician Global Assessment (PGA) (<0.3 points increase from baseline).

Secondary outcomes

  1. SLE response index -4 (SRI-4)

    Time frame: Baseline to weeks 4 and 12

    ≥4 point reduction from baseline in SLEDAI-2k score AND no new BILAG A score and no more than one new BILAG B organ domain score compared with baseline AND no worsening in PGA (<0.3 points increase from baseline)

  2. SLE response index -6 (SRI-6)

    Time frame: Baseline to weeks 4, 12, and 24

    ≥6 point reduction from baseline in SLEDAI-2k score AND no new BILAG A score and no more than one new BILAG B organ domain score compared with baseline AND no worsening in PGA (<0.3 points increase from baseline)

  3. SLE Disease Activity Index -2000 score

    Time frame: Baseline to weeks 4, 12, and 24

    A tool for assessing disease activity in systemic lupus erythematosus (SLE), with a score based primarily on whether a patient develops clinical symptoms within 28 days.

    The higher the score, the higher the patient's disease activity.

  4. Cutaneous lupus erythematosus Area and Severity Index (CLASI score)

    Time frame: Baseline to weeks 4, 12, and 24

    A useful tool for assessing skin activity in patients with lupus erythematosus. The higher the score, the higher the patient's disease activity.

  5. Number of active (tender + swollen) joints

    Time frame: Baseline to weeks 4, 12, and 24

    Changes in the number of joints subject moves (tenderness + swelling)

  6. Medical Outcomes Study 36-Item Summary Health Survey (SF-36)

    Time frame: Baseline to weeks 12

    Changes in 36 summary health surveys in the Medical Outcomes Study. The higher the score, the better the patient's self-reported quality of life.

  7. The change of Anti double-stranded DeoxyriboNucleic Acid(ds-DNA) antibody Anti-dsdna antibody and antinuclear antibody (ANA)

    Time frame: Baseline to weeks 4, 12, and 24

    The change of anti-dsDNA antibody value and ANA value

  8. Changes in Complement 3 (C3) values and Complement 4 (C4) values

    Time frame: Baseline to weeks 4, 12, and 24

    Changes in C3 values and C4 values

  9. Immunoglobulin G (IgG), Immunoglobulin M (IgM), Immunoglobulin A (IgA) levels

    Time frame: Baseline to weeks 4, 12, and 24

    Changes of IgG, IgM and IgA levels.

  10. Cytokine expression levels

    Time frame: Baseline to weeks 4, 12, and 24

    Changes in cytokine expression levels

  11. Total B cell count

    Time frame: Baseline to weeks 4, 12, and 24

    Changes in total B cell count

  12. Erythrocyte sedimentation rate (ESR)

    Time frame: Baseline to weeks 4, 12, and 24

    Changes in erythrocyte sedimentation rate

  13. Frequency of adverse event (AE)

    Time frame: From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.

    The occurrence of all adverse medical events after the first injection.

  14. Severity of adverse event (AE)

    Time frame: From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.

    The severity of all adverse medical events after the first injection.

  15. Peak time (Tmax)

    Time frame: 1, 84, 112, 140 and 168 Days

    Peak time (Tmax)

  16. Target occupancy

    Time frame: Day 1, 14 and 168

    The extent to which the drug occupies the target on the cell surface

  17. Peak concentration (Cmax)

    Time frame: 1, 84, 112, 140 and 168 Days

    Peak concentration (Cmax)

  18. Area under the blood drug concentration time curve (AUC0-24h, AUC0-t, AUC0- ∞),

    Time frame: 1, 84, 112, 140 and 168 Days

    Area under the blood drug concentration time curve (AUC0-24h, AUC0-t, AUC0- ∞),

  19. Apparent volume of distribution (Vd/F)

    Time frame: 1, 84, 112, 140 and 168 Days

    Apparent volume of distribution (Vd/F)

  20. Plasma clearance rate (CL/F)

    Time frame: 1, 84, 112, 140 and 168 Days

  21. Plasma elimination half-life (t1/2)

    Time frame: 1, 84, 112, 140 and 168 Days

    Plasma elimination half-life (t1/2)

  22. Steady-state peak time (Tmax, ss)

    Time frame: 1, 84, 112, 140 and 168 Days

    Steady-state peak time (Tmax, ss)

  23. Steady-state peak concentration (Cmax, ss)

    Time frame: 1, 84, 112, 140 and 168 Days

    Steady-state peak concentration (Cmax, ss)

  24. Steady-state trough concentration (Cmin, ss)

    Time frame: 1, 84, 112, 140 and 168 Days

    Steady-state trough concentration (Cmin, ss)

  25. Average steady-state blood drug concentration (Cav, ss)

    Time frame: 1, 84, 112, 140 and 168 Days

    Average steady-state blood drug concentration (Cav, ss)

  26. Area under the steady-state blood drug concentration time curve (AUCss)

    Time frame: 1, 84, 112, 140 and 168 Days

    Area under the steady-state blood drug concentration time curve (AUCss)

  27. Accumulation ratio (Rac)

    Time frame: 1, 84, 112, 140 and 168 Days

    Accumulation ratio (Rac)

  28. Volatility (DF)

    Time frame: 1, 84, 112, 140 and 168 Days

    Volatility (DF)

Study contacts

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

Chunde Bao, Doctor

CONTACT

[email protected]

86-21-63284622

Sponsors and collaborators

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Clinical Trial Evaluating the Efficacy and Safety of TQB3702 Tablets in Patients With Systemic Lupus Erythematosus

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Mar 5, 2025
Registry last updated
Mar 5, 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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