Prowadzone metodą otwartej próby badanie koszykowe fazy Ib dotyczące stosowania RAY121 w celu hamowania klasycznej drogi aktywacji układu dopełniacza w chorobach immunologicznych (Badanie RAINBOW)
Tytuł w rejestrze:Phase 1b Trial of RAY121 in Immunological Diseases (RAINBOW Trial)
Stan rekrutacji pochodzi z rejestrów badań i może się zmienić szybciej, niż zaktualizuje go sponsor. Nasz doradca sprawdzi aktualny stan w wybranym ośrodku. Nie publikujemy nazwisk lekarzy ani ich danych kontaktowych.
Cel badania
Opis z rejestru (w języku angielskim):
This Phase 1b basket trial will investigate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity and preliminary efficacy of RAY121, a inhibitor of classical complement pathway, after multiple dose administration in patients with immunological diseases such as antiphospholipid syndrome (APS), bullous pemphigoid (BP), Behçet's Syndrome (BS), dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM) and immune thrombocytopenia (ITP).
Leczenie w badaniu
Lek / interwencja
Rola
Postać, podanie
RAY121
Lek
Kryteria udziału
Kryteria w języku angielskim, tak jak w rejestrze.
Kryteria włączenia kto może wziąć udział (29)
Signed informed consent form
Age ≥ 18 and ≤ 85 at the time of signing informed consent form with Karnofsky score ≥ 60 % at screening
Ability to comply with the study protocol
For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use highly effective contraceptive methods
For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm
APS cohort: Established primary APS defined by the following criteria (at least one of the laboratory criteria and one of the clinical criteria must be met):
Clinical criteria
* Livedoid vasculopathy and presence of skin ulcer
* Acute/chronic aPL nephropathy
BP cohort:
1) Predominant cutaneous lesions 2) Diagnosis with BP with following assessments positive:
Positive direct immunofluorescence, and either
Positive indirect immunofluorescence, or
Positive serology on ELISA for BP180 autoantibody 3) BPDAI score >= 20 4) Weekly average of daily Peak Pruritus NRS >=4 5) Accept to take photograph of bullous lesions
8. BS cohort:
Diagnosed with BS
Oral ulcers that occurred at least 3 times in the previous 12 month period
Have at least 2 oral ulcers over the 4 weeks prior to screening
Have at least 2 oral ulcers at Week 0
Have prior treatment with at least 1 non-biologic BS therapy
Patients who need systemic therapy as whose oral or mucocutaneous ulcers cannot be adequately controlled by topical therapy
9. DM cohort:
Diagnosed with definite or probable inflammatory myopathies and categorized as DM
Patients with inadequate response to corticosteroids and/or immune-suppressants or intolerance to DM therapies
MMT-8 score < 142, with at least one abnormality in the following Core Set Measures:
* PtGA-VAS >= 2 cm
* PhGA-VAS >= 2 cm
* Global extra-muscular activity >= 2 cm
* At least one muscle enzyme > 1.5 times ULN
* HAQ >= 0.25
Moderate to severe DM defined as CDASI activity score > 14
10. IMNM cohort:
Clinically Diagnosed with IMNM as anti-HMGCR myopathy or anti-SRP myopathy
CK > 1,000 U/L
Patients who have an inadequate response to corticosteroids and/or immunesuppressants or intolerance to IMNM therapies
MMT-8 score < 142
11. ITP cohort:
Confirmed diagnosis of persistent/chronic ITP based on the following criteria:
* ITP defined per the current guidelines
* Platelet count <= 30 × 10^9/L on 2 consecutive occasions
Lack of an sustained adequate platelet count response to a thrombopoietin receptor agonist and at least one other ITP treatment or a second TPO-RA
A history of response with an platelet counts increase more than 20 × 10^9/L from baseline by at least one prior line of therapy
Kryteria wyłączenia kto nie może wziąć udziału (24)
History of anaphylaxis or hypersensitivity to a biologic agent
Active infection requiring systemic antiviral, antibiotics or antifungal
Planned surgery during the study
Pregnant or breastfeeding, or intending to become pregnant
Any serious medical condition or abnormality in clinical laboratory tests that precludes the patient's safe participation in and completion of the study
Clinically significant ECG abnormalities
Illicit drug or alcohol abuse
Clinical diagnosis of autoimmune diseases other than the target disease (except for Sjögren's syndrome in DM and IMNM)
Positive for hepatitis B surface antigen
Positive for hepatitis C virus antibody
Positive for human immunodeficiency virus antibody
Evidence of current infection with tuberculosis
History of cancer within 5 years
Treatment with investigational therapy within 28 days or 5 half-lives
Previous and current treatment with anti-C1s antibody at any time
Other complement inhibitors within 3 months
Patients who receive any treatments which fall into the Prohibited Therapy Criteria
Patients with an elevated alanine aminotransferase or aspartate aminotransferase > 1.5 × ULN in combination with an elevated total bilirubin > 1.5 × ULN
APS cohort:
* 1) APS associated with other systemic autoimmune disease
* 2) Acute thrombosis (arterial or venous acute thrombosis diagnosis) within 30 days before screening
* 3) Patients with thrombotic APS without any anticoagulation treatment
* 4) Treatment with prohibited medications
BP cohort:
・ 1) Initiation of treatment with or increase in the dose of systemic or topical corticosteroid within 2 weeks
* 2) Current treatment with a drug that may cause or exacerbate BP unless the dose has been stable
* 3) Initiation of treatment with topical calcineurin inhibitor, or topical phosphodiesterase (PDE) 4 inhibitor within 7 days
* 4) Treatment with prohibited medications
BS cohort:
・ 1) BS-related active major organ involvement-ocular lesions requiring immunosuppressive therapy, pulmonary (e.g., pulmonary artery aneurysm), vascular (e.g., thrombophlebitis), gastrointestinal (e.g., ulcers along the gastrointestinal tract), and central nervous systems (e.g., meningoencephalitis) manifestations
* 2) History of venous or arterial thrombosis within 1 year
* 3) Treatment with prohibited medications
DM cohort:
・ 1) PhGA-VAS improvement >= 3, or clinically relevant improvement between screening and baseline
* 2) Overlap myositis (except for overlap with Sjögren's syndrome), connective tissue disease associated DM, inclusion body myositis, polymyositis, IMNM, juvenile DM or drug-induced myopathy
* 3) Cancer-associated myositis
* 4) Significant muscle damage
* 5) Past history of severe Interstitial lung disease flare, severe non-infectious lung inflammation which required active intervention, or multiple episodes of lung disease
* 6) Severe respiratory muscle weakness
* 7) Severe bulbar palsy
* 8) Treatment with prohibited medications
IMNM cohort:
・ 1) PhGA-VAS improvement >= 3, or clinically relevant improvement between screening and baseline
・ 2) Overlap myositis (except for overlap with Sjögren's syndrome), connective tissue disease associated DM, inclusion body myositis, polymyositis, juvenile DM or druginduced myopathy
・ 3) Cancer-associated myositis
・ 4) Significant muscle damage
・ 5) Past history of severe Interstitial lung disease (ILD) flare, severe non-infectious lung inflammation which required active intervention, or multiple episodes of lung disease
・ 6) Severe respiratory muscle weakness
・ 7) Severe bulbar palsy
・ 8) Treatment with prohibited medications
ITP cohort:
・ 1) Secondary ITP
・ 2) Clinical diagnosis or history of Myelodysplastic Syndrome or autoimmune hemolytic anemia
・ 3) History of venous or arterial thrombosis within 12 months
・ 4) Patients who experienced major bleeding within 4 weeks
* 5) Treatment with prohibited medications
* 6) Any laboratory test results meet either of the following criteria at screening:
* Hemoglobin <10 g/dL
* Thyroid-stimulating hormone >= 10 μIU/mL
To główne kryteria z rejestru. Pełną listę i ostateczną decyzję o udziale ustala lekarz prowadzący badanie.
Zapytaj o udział w tym badaniu
Zadzwoń, a nasz doradca ds. badań sprawdzi z Tobą wstępnie kryteria i pomoże skontaktować się z ośrodkiem. Kwalifikację zawsze przeprowadza lekarz w ośrodku. Udział w badaniu jest bezpłatny i dobrowolny.
Informacje pochodzą z publicznych rejestrów badań klinicznych (CTIS - Unia Europejska, ClinicalTrials.gov - USA) i są aktualizowane codziennie. Mogą różnić się od aktualnego stanu w ośrodku. Ostateczną kwalifikację do badania zawsze przeprowadza lekarz w ośrodku badawczym. Stan na 2 października 2026.