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NCT Number: NCT07403487

Phase II Trial of RC1416 Injection in Asthma

This study is a phase II study of RC1416 in subjects with severe uncontrolled asthma. The purpose of the study is to evaluate efficacy and safety of RC1416 in subjects with severe uncontrolled asthma.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Wanbei Coal-Electricity Group General Hospital, Suzhou, Anhui, China

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About this study

RC1416 is a bispecific homodimer nanobody .It is being developed by Nanjing RegeneCore Biotech Co., Ltd. as a potential therapy for asthma. A total 195 severe uncontrolled asthma subjects will be enrolled in three groups to access the efficacy and safety of RC1416.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female aged 18 and 75 years.
  • Diagnosed with asthma for at least 1 year, and the current disease status meets the diagnostic criteria of the 2024 GINA guidelines.
  • Have received medium-to-high dose ICS therapy for at least 3 consecutive months prior to screening, and maintained a stable treatment regimen and dose for ≥1 month prior to baseline.
  • Pre-bronchodilator forced expiratory volume in 1 second (FEV1) measurement ≤80% of the predicted normal value at both the screening and baseline visits.
  • Asthma Control Questionnaire-6 (ACQ-6) score ≥1.5 at both the screening and baseline visits.
  • Must have experienced ≥1 severe asthma exacerbation event within the 12 months prior to screening.
  • Positive bronchodilator reversibility test.

Exclusion criteria

  • Individuals with a known history of allergy to the investigational product or its excipients.
  • Clinically diagnosed with chronic obstructive pulmonary disease (COPD) or other lung diseases that may impair lung function .
  • Experienced a severe asthma exacerbation event from within 1 month prior to screening until before dosing.
  • Used systemic corticosteroids within 1 month prior to screening.
  • Had a pulmonary or other site infection requiring intravenous antibiotics, antifungals, or antivirals from within 1 month prior to screening until before dosing.
  • Used traditional Chinese medicine with anti-asthmatic effects within 1 month prior to screening.
  • Underwent major surgery within 8 weeks prior to screening or plans to undergo major surgery during the study period.
  • With a history of malignancy within the past 5 years .
  • Active or incompletely treated tuberculosis
  • Used biologic/systemic immunosuppressant/immunomodulators within 12 weeks or 5 half-lives prior to screening.
  • Diagnosed active parasitic infection; suspected parasitic infection or high risk of infection.
  • Abnormal 12-lead electrocardiogram (ECG) at screening. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial

Treatment and study plan

RC1416

Drug

There are two doses in this part. Each subjects will receive the drug by subcutaneous injection.

RC1416 Placebo

Drug

Each subjects will receive the placebo by subcutaneous injection

Primary outcomes

  1. Pre-bronchodilator (Pre-BD) forced expiratory volume in 1 Second (FEV1)

    Time frame: During 32 weeks

    Mean change from baseline in Pre-BD forced expiratory volume in 1 Second (FEV1)

Secondary outcomes

  1. Severe asthma exacerbation

    Time frame: During 32 weeks

    Severe asthma exacerbation events, Time to the first asthma exacerbation

  2. Pre-BD FEV1

    Time frame: During 32 weeks

  3. Morning and evening peak expiratory flow (PEF)

    Time frame: During 32 weeks

    Mean change from baseline of absolute value and percentage

  4. forced vital capacity (FVC)

    Time frame: During 32 weeks

    Mean change from baseline of absolute value and percentage

  5. Forced mid-expiratory flow (FEF25-75%) before bronchodilator (BD)

    Time frame: During 32 weeks

    Mean change from baseline of absolute value and percentage

  6. Asthma loss of control (LOAC)

    Time frame: During 32 weeks

    Asthma loss of control (LOAC) events, Time to the first Asthma loss of control

  7. Acute exacerbation of severe asthma - induced hospitalization or Emergency Department visit

    Time frame: During 32 weeks

    Acute exacerbation of severe asthma - induced hospitalization or Emergency Department visit events

  8. Asthma Control Questionnaire-6 (ACQ-6) score

    Time frame: During 32 weeks

    Mean change Mean change from baseline. The proportion of trial participants with a reduction of ≥0.5 points from baseline

  9. Asthma Quality of Life Questionnaire (AQLQ-S) score

    Time frame: During 32 weeks

    Mean change from baseline

  10. weekly Asthma Symptom Diary (ASD) score

    Time frame: During 32 weeks

    Mean change in mean weekly from baseline

  11. Rescue medication

    Time frame: During 32 weeks

    Mean change in mean weekly from baseline

  12. Adverse Events

    Time frame: During 32 weeks

  13. Pharmacokinetics

    Time frame: During 32 weeks

    trough concentration

  14. Pharmacodynamics

    Time frame: During 32 weeks

    mean changes of Pharmacodynamic Parameter from baseline

  15. Anti-Drug antibody

    Time frame: During 32 weeks

    number and percentage of subjects tested ADA positive

Study contacts

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

Sponsors and collaborators

Lead sponsor

Nanjing RegeneCore Biotech Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial to Evaluate the Efficacy and Safety of RC1416 Injection in Adult Patients With Moderate to Severe Asthma

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Feb 11, 2026
Registry last updated
Feb 11, 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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