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Trial Title: A Phase 3 Clinical Study to Evaluate Lemzoparlimab for Injection in Combination With Azacitidine (AZA) Versus AZA Monotherapy in Treatment-naïve Patients With Higher-risk Myelodysplastic Syndrome (MDS)

NCT ID: NCT05709093

Condition: Myelodysplastic Syndromes(MDS)

Conditions: Official terms:
Preleukemia
Myelodysplastic Syndromes
Syndrome
Azacitidine

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Lemzoparlimab+Azacitidine (AZA)
Description: 1. Lemzoparlimab is administered by intravenous (IV) infusion once a week at a dose of 30 mg/kg in 28-day treatment cycles 2. Azacitidine (AZA): AZA is administered by subcutaneous injection once a day at a dose of 75 mg/m2 on D1 to D7 of each treatment cycle in 28-day treatment cycles.
Arm group label: Lemzoparlimab in combination with AZA

Intervention type: Drug
Intervention name: Azacitidine (AZA)
Description: AZA is administered by subcutaneous injection once a day at a dose of 75 mg/m2 on D1 to D7 of each treatment cycle in 28-day treatment cycles.
Arm group label: AZA monotherapy

Summary: This phase3 study is a randomized, controlled, open-label, multicenter study to evaluate the efficacy and safety of Lemzoparlimab for injection in combination with AZA versus AZA monotherapy as first-line therapy in treatment-naïve subjects with intermediate- and high-risk MDS.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Male or female, ≥ 18 years of age at the time of signing the ICF. - Subjects with intermediate- and high-risk MDS who are confirmed by bone marrow aspiration or pathological biopsy according to the diagnostic criteria of World Health Organization (WHO) 2016 or who are eligible for blasts in bone marrow and peripheral blood < 20% and have a score > 3.5 according to the revised International Prognostic Scoring System (IPSS-R). - Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2. - Subjects without any prior anti-tumor therapy for MDS, including demethylated drugs (eg, AZA, decitabine), chemotherapy, targeted therapy, or HSCT. The blood transfusion or use of hematopoietic growth factors and supplementation of hematopoietic raw materials such as folic acid, vitamin B12 are permitted. For patients who ever took lenalidomide, thalidomide, antithymocyte globulin (ATG), or ciclosporin before study entry, there should be a washout period of at least 28 days prior to the first dose. - Subjects who are eligible for HSCT and have no pre-scheduled HSCT at screening, or subjects who are ineligible for HSCT and have no scheduled HSCT at screening - Expected survival ≥ 12 weeks - Subjects with adequate organ function and laboratory tests meet the following requirements - Female subjects of childbearing potential or male subjects whose partner is a woman of childbearing potential are required to use effective contraception throughout the treatment period and until 6 months after the treatment period. - Subjects must be willing to provide available diagnostic evidence or undergo bone marrow aspiration and biopsy before study treatment, and must be willing to undergo bone marrow aspiration and biopsy after receiving study treatment. - Subjects must give informed consent before starting the study and sign written ICF voluntarily by themselves (or their legal representatives). Subjects or their legal representatives should be able to communicate well with investigators and agree to adhere with the study protocol and complete the study Exclusion Criteria: - Patients who have transformed from MDS to AML, or have been diagnosed with treatment-related MDS (t-MDS), or patients with myeloproliferative neoplasia (MPN) or myelodysplastic syndrome/myeloproliferative disorder (MDS/MPN) that meet WHO 2016 criteria - Previously received any anti-CD47 antibody or SIRPα antibody or the drugs targeting the same target - Subjects have received or plan to receive the allogeneic stem cell transplantation or organ transplantation during the study - History of chronic hemolytic anemia due to other diseases or clinically significant positive hemolysis-related test at screening (except positive hemolysis test due to MDS) - Concurrent participation in another interventional clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study - Subjects plan to receive other anti-tumor therapies, including but not limited to chemotherapy, biotherapy and immunotherapy, while participating in the study

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital Of Bengbu Medical College

Address:
City: Bengbu
Zip: 233099
Country: China

Status: Not yet recruiting

Contact:
Last name: Yanli Yang, Doctor
Email: Yangyanli0702@126.com

Investigator:
Last name: Yanli Yang, Doctor
Email: Principal Investigator

Facility:
Name: THE First Affiliated Hospital Of Anhui Medical University

Address:
City: Hefei
Zip: 230022
Country: China

Status: Not yet recruiting

Contact:
Last name: Ruixiang Xia, Doctor
Email: xrx2041@163.com

Investigator:
Last name: Ruixiang Xia, Doctor
Email: Principal Investigator

Facility:
Name: The First Affilated Hospital Of USTC Anhui Provincial Hospital

Address:
City: Hefei
Zip: 230001
Country: China

Status: Not yet recruiting

Contact:
Last name: Baolin Tang, Doctor
Email: zwcrystalbl@163.com

Investigator:
Last name: Baolin Tang, Doctor
Email: Principal Investigator

Facility:
Name: Beijing Union Medical College Hospital, Chinese Academy of Medical Sciences

Address:
City: Beijing
Zip: 100037
Country: China

Status: Not yet recruiting

Contact:
Last name: Jian Li, Doctor
Email: lijian@pumch.cn

Investigator:
Last name: Jian Li, Doctor
Email: Principal Investigator

Facility:
Name: Beijing Gaobo Boren Hospital Co., Ltd

Address:
City: Beijing
Zip: 100070
Country: China

Status: Not yet recruiting

Contact:
Last name: Tong Wu, Doctor
Email: wut@gobroadhealthcare.com

Investigator:
Last name: Tong Wu, Doctor
Email: Principal Investigator

Facility:
Name: Peking University Third Hospital

Address:
City: Beijing
Zip: 100191
Country: China

Status: Not yet recruiting

Contact:
Last name: Hongmei Jing, Doctor
Email: hongmei_jing@163.com

Investigator:
Last name: Hongmei Jing, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of PLA Army Military Medical University

Address:
City: Chongqing
Zip: 400037
Country: China

Status: Not yet recruiting

Contact:
Last name: Shuangnian Xu, Doctor
Email: xushuangnian@tmmu.edu.cn

Investigator:
Last name: Shuangnian Xu, Doctor
Email: Principal Investigator

Facility:
Name: The Second Affiliated Hospital of Army Medical University

Address:
City: Chongqing
Zip: 400037
Country: China

Status: Not yet recruiting

Contact:
Last name: Xi Zhang, Doctor
Email: zhangxxi@sina.com

Investigator:
Last name: Xi Zhang, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Chongqing Medical University

Address:
City: Chongqing
Zip: 400042
Country: China

Status: Not yet recruiting

Contact:
Last name: Li Wang, Doctor
Email: Liwangls@yahoo.com

Investigator:
Last name: Li Wang, Doctor
Email: Sub-Investigator

Facility:
Name: The Affiliated Zhongshan Hospital of Xiamen University

Address:
City: Xiamen
Zip: 61004
Country: China

Status: Not yet recruiting

Contact:
Last name: Quanyi Lu, Doctor
Email: luquanyi@xmu.edu.cn

Investigator:
Last name: Quanyi Lu, Doctor
Email: Principal Investigator

Facility:
Name: Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Address:
City: Guangzhou
Zip: 510120
Country: China

Status: Not yet recruiting

Contact:
Last name: Danian Nie, Doctor
Email: niedanian@hotmail.com

Investigator:
Last name: Danian Nie, Doctor
Email: Principal Investigator

Facility:
Name: Zhujiang Hospital of Southern Medical University

Address:
City: Guangzhou
Zip: 510260
Country: China

Status: Not yet recruiting

Contact:
Last name: Yanjie He, Doctor
Email: hyjgzh2006@163.com

Investigator:
Last name: Yanjie He, Doctor
Email: Principal Investigator

Facility:
Name: Southern Hospital of Southern Medical University

Address:
City: Guangzhou
Zip: 516006
Country: China

Status: Not yet recruiting

Contact:
Last name: Qifa Liu, Doctor
Email: berrydai2003@aliyun.com

Investigator:
Last name: Qifa Liu, Doctor
Email: Principal Investigator

Facility:
Name: Guangdong Provincial People's Hospital

Address:
City: Guangzhou
Zip: 519041
Country: China

Status: Not yet recruiting

Contact:
Last name: Jianyu Weng, Doctor
Email: wengjianyu1969@163.com

Investigator:
Last name: Jianyu Weng, Doctor
Email: Principal Investigator

Facility:
Name: Shenzhen Second People's Hospital

Address:
City: Shenzhen
Zip: 518025
Country: China

Status: Not yet recruiting

Contact:
Last name: Xin Du, Doctor
Email: duxingz@medmail.com.cn

Investigator:
Last name: Xin Du, Doctor
Email: Principal Investigator

Facility:
Name: First Affiliated Hospital of Henan University of Science and Technology

Address:
City: Luoyang
Zip: 450052
Country: China

Status: Not yet recruiting

Contact:
Last name: Ling Qin, Doctor
Email: zzqq777@126.com

Investigator:
Last name: Ling Qin, Doctor
Email: Principal Investigator

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Zip: 450003
Country: China

Status: Not yet recruiting

Contact:
Last name: Hu Zhou, Doctor
Email: papertigerhu@163.com

Investigator:
Last name: Hu Zhou, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Zip: 450052
Country: China

Status: Not yet recruiting

Contact:
Last name: Zhongxing Jiang, Doctor
Email: jiangzx@zzu.edu.cn

Investigator:
Last name: Zhongxing Jiang, Doctor
Email: Principal Investigator

Facility:
Name: Henan Provincial People's Hospital

Address:
City: Zhengzhou
Zip: 463599
Country: China

Status: Not yet recruiting

Contact:
Last name: Zunming Zhu, Doctor
Email: zhuzm1964@163.com

Investigator:
Last name: Zunming Zhu, Doctor
Email: Principal Investigator

Facility:
Name: Harbin First Hospital

Address:
City: Harbin
Zip: 150010
Country: China

Status: Not yet recruiting

Contact:
Last name: Tiejun Gong, Doctor
Email: arc@sina.com

Investigator:
Last name: Tiejun Gong, Doctor
Email: Principal Investigator

Facility:
Name: Tongji Medical College of HUST

Address:
City: Wuhan
Zip: 30030
Country: China

Status: Not yet recruiting

Contact:
Last name: Fankai Meng, Doctor
Email: doctormeng@163.com

Investigator:
Last name: Fankai Meng, Doctor
Email: Principal Investigator

Facility:
Name: Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Address:
City: Wuhan
Zip: 430022
Country: China

Status: Not yet recruiting

Contact:
Last name: zhichao Chen, Doctor

Investigator:
Last name: Zhichao Chen, Doctor
Email: Principal Investigator

Facility:
Name: Changsha Third Hospital

Address:
City: Changsha
Zip: 410035
Country: China

Status: Not yet recruiting

Contact:
Last name: zengmei Sheng, Doctor
Email: shengzengmei@163.com

Investigator:
Last name: zengmei Sheng, Doctor
Email: Principal Investigator

Facility:
Name: The first hospital of Jilin University

Address:
City: Chang chun
Zip: 130061
Country: China

Status: Not yet recruiting

Contact:
Last name: Sujun Gao, Doctor
Email: sujung1963@163.com

Investigator:
Last name: Sujun Gao, Doctor
Email: Principal Investigator

Facility:
Name: The Affiliated Hosptial Of XuZhou Medical University

Address:
City: Xuzhou
Zip: 221004
Country: China

Status: Not yet recruiting

Contact:
Last name: Feng Zhu, Doctor
Email: lizhenyumd@163.com

Investigator:
Last name: Feng Zhu, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Nanchang University

Address:
City: Nanchang
Zip: 330006
Country: China

Status: Not yet recruiting

Contact:
Last name: Fei Li, Doctor
Email: yx021021@sina.com

Investigator:
Last name: Fei Li, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of China Medical University

Address:
City: Shenyang
Zip: 110002
Country: China

Status: Not yet recruiting

Contact:
Last name: Xiaojing Yan, Doctor
Email: yanxiaojing_pp@hotmail.com

Investigator:
Last name: Xiaojing Yan, Doctor
Email: Principal Investigator

Facility:
Name: Shaanxi Provincial People's Hospital

Address:
City: Xian
Zip: 710068
Country: China

Status: Not yet recruiting

Contact:
Last name: Yi Wang, Doctor
Email: 13571936193@163.com

Investigator:
Last name: Yi Wang, Doctor
Email: Principal Investigator

Facility:
Name: The Second Affiliated Hospital of Xi'an Jiaotong University Medical College

Address:
City: Xi'an
Zip: 710004
Country: China

Status: Not yet recruiting

Contact:
Last name: Aili He, Doctor
Email: heaili@xjtu.edu.cn

Investigator:
Last name: Aili He, Doctor
Email: Principal Investigator

Facility:
Name: Cheeloo College of Medicine, Shandong University

Address:
City: Jinan
Zip: 250063
Country: China

Status: Not yet recruiting

Contact:
Last name: Ming Hou, Doctor
Email: houmingHaoli611@medmail163.com

Investigator:
Last name: Ming Hou, Doctor
Email: Principal Investigator

Facility:
Name: The Affiliated Hospital of Medical College Qingdao University

Address:
City: Qingdao
Zip: 266003
Country: China

Status: Not yet recruiting

Contact:
Last name: Wei Wang, Doctor
Email: 18661807392@163.com

Investigator:
Last name: Wei Wang, Doctor
Email: Principal Investigator

Facility:
Name: The Second Affiliated Hospital of Shandong First Medical University

Address:
City: Tai'an
Zip: 271099
Country: China

Status: Not yet recruiting

Contact:
Last name: Zhirong Zhang, Doctor
Email: tyfyzzr@163.com

Investigator:
Last name: Zhirong Zhang, Doctor
Email: Principal Investigator

Facility:
Name: Taian City Central Hospital

Address:
City: Taian
Zip: 271099
Country: China

Status: Not yet recruiting

Contact:
Last name: Qingliang Teng, Doctor
Email: tatql@163.com

Investigator:
Last name: Qingliang Teng, Doctor
Email: Principal Investigator

Facility:
Name: Shanxi Bethune Hospital

Address:
City: Taiyuan
Zip: 30032
Country: China

Status: Not yet recruiting

Contact:
Last name: Liangming Ma, Doctor
Email: Maliangming620928@163.com

Investigator:
Last name: Liangming Ma, Doctor
Email: Principal Investigator

Facility:
Name: Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Address:
City: Shanghai
Zip: 200025
Country: China

Status: Not yet recruiting

Contact:
Last name: Sujiang Zhang, Doctor
Email: zbruce.zhang@hotmail.com

Investigator:
Last name: Sujiang Zhang, Doctor
Email: Principal Investigator

Facility:
Name: Tongji Hospital of Tongji University

Address:
City: Shanghai
Zip: 200065
Country: China

Status: Not yet recruiting

Contact:
Last name: Xiuqin Wang, Doctor
Email: 1419832912@qq.com

Investigator:
Last name: Xiuqin Wang, Doctor
Email: Principal Investigator

Facility:
Name: Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University

Address:
City: Shanghai
Zip: 200120
Country: China

Status: Not yet recruiting

Contact:
Last name: Hua Zhong, Doctor
Email: zhh_lj@163.com

Investigator:
Last name: Hua Zhong, Doctor
Email: Principal Investigator

Facility:
Name: Shanghai Sixth People's Hospital

Address:
City: Shanghai
Zip: 201306
Country: China

Status: Recruiting

Contact:
Last name: Chunkang Chang, Doctor
Email: changchunkang@sina.com

Investigator:
Last name: Chunkang Chang, Doctor
Email: Principal Investigator

Facility:
Name: West China Hospital of Sichuan University

Address:
City: Chengdu
Zip: 610044
Country: China

Status: Not yet recruiting

Contact:
Last name: Yu Wu, Doctor
Email: wuyulily@hotmail.com

Investigator:
Last name: Yu Wu, Doctor
Email: Principal Investigator

Facility:
Name: West China Hospital of Sichuan University

Address:
City: Chengdu
Zip: 610044
Country: China

Status: Not yet recruiting

Contact:
Last name: Xuelei Ma, Doctor
Email: mxlmax@163.com

Investigator:
Last name: Xuelei Ma, Doctor
Email: Principal Investigator

Facility:
Name: Affiliated Hospital of North Sichuan Medical College

Address:
City: Nanchong
Zip: 637000
Country: China

Status: Not yet recruiting

Contact:
Last name: Jin Wei, Doctor
Email: 1497058875@qq.com

Investigator:
Last name: Jin Wei, Doctor
Email: Principal Investigator

Facility:
Name: Tianjin Medical University General Hospital

Address:
City: Tianjin
Zip: 300052
Country: China

Status: Not yet recruiting

Contact:
Last name: Rong Fu, Doctor
Email: furong3001@126.com

Investigator:
Last name: Rong Fu, Doctor
Email: Principal Investigator

Facility:
Name: Hematology Hospital of Chinese Academy of Medical Sciences

Address:
City: Tianjin
Zip: 300020
Country: China

Status: Recruiting

Contact:
Last name: Zhijian Xiao, Doctor
Email: zjxiao@ihcams.ac.cn

Investigator:
Last name: Zhijian Xiao, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Zhejiang University Medical College

Address:
City: Hangzhou
Zip: 310003
Country: China

Status: Not yet recruiting

Contact:
Last name: Hongyan Tong, Doctor
Email: hongyantong@aliyun.com

Investigator:
Last name: Hongyan Tong, Doctor
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital Of WenZhou Medical College

Address:
City: Wenzhou
Zip: 325015
Country: China

Status: Not yet recruiting

Contact:
Last name: Songfu Jiang, Doctor
Email: jiangsongfu@189.cn

Investigator:
Last name: Songfu Jiang, Doctor
Email: Principal Investigator

Start date: March 30, 2023

Completion date: March 31, 2027

Lead sponsor:
Agency: TJ Biopharma Co., Ltd.
Agency class: Industry

Source: TJ Biopharma Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05709093

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