Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
ID05145361

A Phase Ib Clinical Study to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of B001 in Adults With Aquaporin-4 Antibody Positive Neuromyelitis Optic Spectrum Disorder

Led by Shanghai Pharmaceuticals Holding Co., Ltd · Updated on 2026-05-05

45

Participants Needed

4

Research Sites

N/A

Total Duration

On this page

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)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 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
Not Eligible

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

AI-Screening

AI-Powered Screening

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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

Trial Site Locations

Total: 4 locations

1

Beijing Tiantan Hospital Capital Medical University

Beijing, Beijing Municipality, China, 100050

Actively Recruiting

2

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China, 030001

Actively Recruiting

3

Tangdu hospital,fourth military medical university

Xi’an, Shanxi, China, 710038

Actively Recruiting

4

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China, 300052

Actively Recruiting

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Research Team

F

Fu-Dong Shi, MD,PhD

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.

Dongmei Jia, Huabing Wang, Wei Jiang...

https://pubmed.ncbi.nlm.nih.gov/42079612