Efficacy and Safety of SSGJ-608 in Moderate-to-Severe Plaque Psoriasis: A Pivotal Multicenter, Double-Blind, Placebo-Controlled, Randomized, Phase III Clinical Trial.

IF 11.4 1区 医学 Q1 DERMATOLOGY
Ling Han, Haihong Qin, Xiaonian Lu, Litao Zhang, Linfeng Li, Hongfang Han, Jinyan Wang, Xinsuo Duan, Dongjie Sun, Wenlin Yang, Hong Ren, Xiaohua Wang, Chao Ci, Yu Wang, Xiuping Han, Wenhao Yin, Chunshui Yu, Min Zhang, Jianjian Zhu, Liming Wu, Zudong Meng, Tongxiang Zeng, Huiping Wang, Yunyun Shan, Yangfeng Ding, Wenli Feng, Xiaoli Zhang, Guoqiang Zhang, Qing Guo, Hao Cheng, Chao Ji, Ruihua Fang, Xiuqin Dong, Xiaofang Zhu, Tiechi Lei, Xueyuan Yang, Rong Xiao, Zhijun Liu, Xiaohua Tao, Rixin Chen, Jing Lou, Yanli Liu, Jing Zhang, Jinhua Xu
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引用次数: 0

Abstract

Background: SSGJ-608 is a recombinant, humanized, immunoglobulin G1 monoclonal antibody that targets human interleukin-17A with high specificity and high affinity.

Objective: We aimed to evaluate the efficacy and safety of SSGJ-608 in patients with moderate-to-severe psoriasis in China.

Methods: Adult patients aged 18 years or older with moderate-to-severe plaque psoriasis were randomly assigned (2:2:1) to receive subcutaneous injections of placebo (placebo group), 80 mg of SSGJ-608 every 2 weeks after a starting dose of 160 mg at week 0 (608A group), or 160 mg of SSGJ-608 every 4 weeks (608B group). At week 12, patients in the 608A group received SSGJ-608 80 mg every 4 weeks, patients in the 608B group received SSGJ-608 160 mg every 8 weeks, and patients in the placebo group were re-allocated (1:1) to either the 608A or 608B group to receive 608 80 mg every 4 weeks (with an additional 160-mg loading dose of SSGJ-608 at week 12) or 160 mg every 8 weeks. All patients received treatment until week 48. The primary endpoints were a ≥75% improvement from baseline in the Psoriasis Area and Severity Index score (PASI75) and a static Physicians Global Assessment score of 0/1 (sPGA 0/1) at week 12.

Results: A total of 458 patients were randomly assigned to either the 608A group (n = 184), the 608B group (n = 183), or the placebo group (n = 91). At week 12, compared with those in the placebo group, a greater proportion of patients in the 608A group and in the 608B group achieved the primary endpoints of PASI75 (95.1% vs 93.4% vs 8.8%) and sPGA of 0 or 1 (76.1% vs 67.2% vs 1.1%). At week 52, PASI75 was maintained by 93.7% in the 608A group and 93.6% in the 608B group, sPGA of 0 or 1 was maintained by 89.3% in the 608A group and 89.4% in the 608B group, PASI90 was maintained by 92.6% in the 608A group and 92.5% in the 608B group, respectively. Both treatment groups demonstrated a favorable safety profile, with no increase in risk observed with longer drug exposure.

Conclusions: SSGJ-608 showed rapid and robust clinical response at week 12 and through week 52, and was well tolerated in Chinese patients with moderate-to-severe plaque psoriasis.

Clinical trial registration: ClinicalTrials.gov Identifiers: NCT05536726.

SSGJ-608治疗中重度斑块型银屑病的疗效和安全性:一项关键的多中心、双盲、安慰剂对照、随机III期临床试验
背景:SSGJ-608是一种重组人源化免疫球蛋白G1单克隆抗体,具有高特异性和高亲和力,靶向人白细胞介素- 17a。目的:评价SSGJ-608治疗中国中重度银屑病患者的疗效和安全性。方法:年龄在18岁或以上的中重度斑块型银屑病成年患者随机分配(2:2:1)接受皮下注射安慰剂(安慰剂组),在第0周开始剂量为160 mg (608A组)后每2周注射80 mg SSGJ-608,或每4周注射160 mg SSGJ-608 (608B组)。在第12周,608A组患者每4周接受SSGJ-608 80 mg, 608B组患者每8周接受SSGJ-608 160 mg,安慰剂组患者被重新分配(1:1)到608A组或608B组,每4周接受608 - 80 mg(在第12周额外增加160 mg SSGJ-608的负荷剂量)或每8周接受160 mg。所有患者接受治疗至第48周。主要终点是在第12周时,银屑病面积和严重程度指数评分(PASI75)较基线改善≥75%,以及内科医生全球评估评分为0/1 (sPGA 0/1)。结果:共有458例患者被随机分配到608A组(n = 184)、608B组(n = 183)和安慰剂组(n = 91)。在第12周,与安慰剂组相比,608A组和608B组更大比例的患者达到了PASI75 (95.1% vs 93.4% vs 8.8%)和sPGA为0或1 (76.1% vs 67.2% vs 1.1%)的主要终点。52周时,608A组PASI75维持93.7%,608B组维持93.6%,608A组维持0或1的sPGA维持89.3%,608B组维持89.4%,608A组维持92.6%,608B组维持92.5%。两个治疗组均表现出良好的安全性,暴露时间越长,风险没有增加。结论:SSGJ-608在第12周和52周表现出快速而强劲的临床反应,并且在中国中重度斑块型银屑病患者中具有良好的耐受性。临床试验注册:ClinicalTrials.gov标识符:NCT05536726。
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来源期刊
CiteScore
15.20
自引率
2.70%
发文量
84
审稿时长
>12 weeks
期刊介绍: The American Journal of Clinical Dermatology is dedicated to evidence-based therapy and effective patient management in dermatology. It publishes critical review articles and clinically focused original research covering comprehensive aspects of dermatological conditions. The journal enhances visibility and educational value through features like Key Points summaries, plain language summaries, and various digital elements, ensuring accessibility and depth for a diverse readership.
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