Phase Ib Study of B001 Injection to Treat Patients With Aquaporin-4 Antibody Positive Neuromyelitis Optic Spectrum Disorder NMOSD
Led by Shanghai Pharmaceuticals Holding Co., Ltd · Updated on 2026-05-05
45
Participants Needed
4
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, tolerability, and effects of B001 injection in adults with neuromyelitis optica spectrum disorder NMOSD who test positive for aquaporin-4 antibodies. This early phase 1b study aims to understand how the drug behaves in the body, its immune response, and its preliminary effectiveness. The study focuses on participants who have experienced at least one NMOSD relapse within the past year and have a disability score ranging from 0 to 7.5.
Participants are randomly assigned to receive either the B001 injection or a placebo. Each participant will receive two intravenous doses, one on day 1 and another on day 15, and will continue being monitored until the study ends. This double-blind design means neither the participants nor the researchers know who receives the active drug or placebo. The study includes a safety follow-up period extending up to one year and pharmacokinetic assessments continuing for up to two years.
During the study, participants will undergo regular evaluations to monitor adverse effects, drug levels in the blood, immune response, and disability changes. Researchers will track treatment-emergent side effects, dose-limiting toxicities, and the timing and concentration of the drug in the bloodstream. They will also monitor relapse timing and progression of disability using standard scales over the course of the trial. Participants health will be closely observed through laboratory tests and clinical assessments throughout the study duration.
CONDITIONS
Brief Title
Clinical Study of B001 Injection in Subjects With Neuromyelitis Optic Spectrum Disorder (NMOSD)
Research Team
F
Fu-Dong Shi, MD,PhD
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Adults aged 18 to 70 years inclusive at the time of informed consent
Diagnosed with NMOSD and positive for anti-AQP4 antibody at screening
Clinical evidence of at least one documented relapse in the last 12 months prior to screening
Expanded Disability Status Scale (EDSS) score between 0 and 7.5 inclusive at screening
You will not qualify if you...
Previous treatment with anti-CD20, eculizumab, anti-BLyS monoclonal antibodies, or other MS relapse prevention treatments within 6 months prior to baseline
Received immunosuppressive or biological therapies such as azathioprine, mycophenolate mofetil, methotrexate, cyclophosphamide, tacrolimus, mitoxantrone, cyclosporine A, satralizumab, tocilizumab, or eculizumab within 3 months prior to first administration
Serious uncontrolled diseases including nervous system, cardiovascular, hematologic, respiratory, muscular, endocrine, renal/urologic, digestive diseases, or severe immunodeficiency
Active infection within 3 months prior to baseline
Pregnancy or lactation
History of severe allergic reaction to a biologic agent
Chronic active hepatitis B or C
Active tuberculosis
Laboratory abnormalities at screening such as low white blood cells, neutrophils, lymphocytes, platelets, or elevated liver enzymes
History of drug or alcohol abuse within 6 months prior to baseline
Receipt of live or live attenuated vaccine within 4 weeks prior to baseline
Uncontrolled systemic diseases including poorly controlled hypertension, diabetes, or gastrointestinal diseases
Any other reasons deemed inappropriate by the investigator for study participation
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Up to 18 days
Participants receive either B001 injection or placebo twice, at day 1 and day 15, as part of the study treatment.
2 infusion visits (in-person)
Follow-up
Duration - Up to 2 years
Participants are monitored for safety, tolerability, and pharmacokinetics through study completion.
Regular visits for assessments during follow-up
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A novel recombinant anti-cluster of differentiation 20 humanized monoclonal antibody (B001) for the treatment of neuromyelitis optica spectrum disorder: a phase 1, multicenter randomized, double-blind trial.