Title

Safety and Efficacy of SM934 Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus
A Randomised, Double-blind, Placebo-controlled, Phase 2 Study Evaluating the Safety and Efficacy of SM934 in Adult Subjects With Active Systemic Lupus Erythematosus
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Intervention/Treatment

    SM934 ...
  • Study Participants

    32
This is a single-center, randomized, double-blind, placebo-controlled, phase 2 study. The purpose of the study is to initially evaluate the safety and efficacy of SM934 combined with steroids compared to placebo in adult subjects with active systemic lupus erythematosus (SLE) over a 12-week period.
Study Started
Jul 24
2019
Primary Completion
Oct 13
2023
Study Completion
Oct 19
2023
Last Update
Oct 27
2023

Drug SM934

In this study, the investigating intervention is oral administration of SM934. SM934 is a water-soluble derivative of arteminisin, which exerts immunosuppressive functions in vitro and in vivo.

Drug Placebos

The placebo pills are made identical to the investigating SM934 in appearance.

SM934 10mg Experimental

SM934 10mg(1 tablet)+Placebo(4 tablets)p.o. qd in combination with steroids

SM934 30mg Experimental

SM934 10mg(3 tablet)+ Placebo(2 tablets)p.o. qd in combination with steroids

SM934 50mg Experimental

SM934 10mg(5 tablet)p.o. qd in combination with steroids

Placebo Placebo Comparator

Placebo(5 tablets)p.o. qd in combination with steroids

Criteria

Inclusion Criteria:

Age: 18 to 70;
Have a clinical diagnosis of SLE according to SLICC-2012 classification criteria;
Have active SLE with SLEDAI-2k ≥ 6;
Have positive anti-nuclear antibody (ANA) test results;
Are on a stable steroids treatment (equals to prednison more than 7.5mg daily but no more than 0.5mg/kg/d) for SLE for at least 30 days prior to first dose of study agent;
Females of childbearing age are willing to use appropriate contraception;
Are voluntary to to provide and sign voluntary informed consent is given;

Exclusion Criteria:

Have any unstable or progressive manifestation of SLE, including but not limited to Central nervous system (CNS) involvement, transverse myelitis, systemic vasculitis, vasculitis with GI involvement, severe or rapidly progressive lupus nephritis, lupus nephritis with proteinuria > 3g/24h, pulmonary hemorrhage, myocarditis;
Have abnormal liver function test or renal function test: Alanine aminotransferase(ALT)or aspartate aminotransferase (AST) >2 upper limit of normal (ULN); Gamma-glutamyl transferase (GGT) >1.5 ULN; Creatinine or Blood urea nitrogen (BUN) >1.5 ULN;
Have a history of acute myocardiac infarction, unstable angina, severe arrhythmias within 6 months prior to first dose of study agent;
Have any major illness/condition or evidence of an unstable clinical condition not due to SLE (eg, cardiovascular, pulmonary, hematologic, gastrointestinal, hepatic, renal, psychiatric), which, in the Investigator's judgment, will substantially increase the risk to the participant if he or she participates in the study;
Have any acute or chronic infectious disease, which requires medical intervention;
Have a history of cancer within the last 5 years, except for adequately treated skin cancer, or carcinoma in situ of the uterine cervix;
Have a planned surgical procedure;
Have received a biologic investigational agent in the past one year;
Have received the following treatment within 30 days prior to first dose of study agent: live vaccine; change of glucocorticoids dose; IV, intra-muscular (IM), intra-articular (IA) administration of glucocorticoids; other immunosuppressants/immunomodulators; anti-malarial drugs; traditional medicines which has proved to be effective in SLE;
Have had a major organ transplant;
Have a history of HIV, or test positive at screening for HIV;
Test positive for Hepatitis B virus (HBV)-DNA or Hepatitis C virus (HCV)-RNA;
Have or have had a substance abuse (drug, alcohol) problem in the past one year;
Are currently using or planned to use estrogen-containing contraceptive methods;
Have enrolled in an investigational study within 3 months prior to first dose of study agent;
Investigator considers candidates not appropriating for the study.
No Results Posted