A Phase Ib/II Clinical Trial of Multiple Doses of STSA-1301 Subcutaneous Injection in Healthy Subjects and Patients With Immune Thrombocytopenia (ITP)

Recruiting now · Phase 1/Phase 2 · Has a placebo group

Conditions studied: Primary Immune Thrombocytopenia (ITP)

In brief

A randomized, double-blind, placebo-controlled design was designed to evaluate the safety and tolerability, pharmacokinetic/pharmacodynamic profile, and immunogenicity of multiple administration of STSA-1301 subcutaneous injection in healthy subjects and patients with ITP, and to further explore the initial efficacy of STSA-1301 subcutaneous injection in patients with ITP

Key facts

Study ID

NCT06929299

Run by

Jiangsu BioJeTay Biotechnology Co., Ltd.

People needed

56

Starts

2025-05-12

Expected to finish

2026-06-01

Last updated by the study team

2026-01-16

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• (stage I):
• 18 years ≤ age ≤ 50 years, male or female subjects;
• Body mass index is 18 kg/m\^2≤ BMI≤ 26kg/m\^2;
• Subjects (including the subject's partner) are willing to use effective contraception during the study period and have no plans to have children or to donate sperm or eggs from the time of signing the informed consent form until 3 months after the last dose;
• Pre-randomization medical history had no effect on enrollment in the trial, and physical examination, laboratory test items, and all tests related to the trial were normal or the investigator determined that the abnormalities were not clinically significant;
• Subjects are aware of the risks of the trial and voluntarily participate in this clinical trial and sign an informed consent form.
• (stage 2):
• Aged 18 to 75 years, inclusive, and of either gender.
• Clinically diagnosed with persistent or chronic primary immune thrombocytopenia (ITP) with no known other causes of thrombocytopenia.
• The ITP diagnosis of the subject is supported by a prior response to ITP treatment with a platelet count reaching ≥50×10\^9/L.
• One platelet test during the screening period and one during the baseline period (with an interval of at least 7 days), with an average platelet count <30×10\^9/L and no single platelet count >35×10\^9/L. No severe bleeding within 4 weeks prior to the screening visit.
• Subjects who have previously failed at least one first-line standard ITP treatment (corticosteroids and/or intravenous immunoglobulin) (defined as inability to maintain efficacy or relapse), or are intolerant to first-line standard treatment.
• The study allows the concurrent use of the following ITP treatment medications at a stable dose: oral corticosteroids, danazol, dapsone, oral immunosuppressants (azathioprine, methotrexate, cyclosporine A, mycophenolate mofetil), or TPO-RA (limited to oral small molecule non-peptide). A stable dose means that the treatment dose and frequency have been stable for at least 4 weeks prior to randomization and are not expected to change during the study.
• The subject (including the subject's partner) is willing to use effective contraception from the time of signing the informed consent form until 3 months after the last dose of study drug, and has no plans for pregnancy or sperm/egg donation during this period.
• The subject fully understands and is able to comply with the requirements of the study protocol and voluntarily signs the informed consent form.

You may not qualify if…

• (stage I)
• Subject has a history of serious medical conditions (including, but not limited to, gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, pulmonary, immunologic, psychiatric, or cardiovascular disorders) or any disease or sequela known to be likely to interfere with the absorption, distribution, metabolism, or excretion of the test drug;
• Subjects with an active infection or with a serious infection (resulting in hospitalization or requiring parenteral antibiotic therapy) within 6 weeks prior to the first dose; subjects with a combination of clinically significant active or chronic uncontrolled bacterial, viral, or fungal infections at screening;
• Subjects have a history of immunodeficiency;
• Subjects had a history of malignant tumors;
• Subjects who are hypersensitive to the product or any of its ingredients; history of eczema, asthma or other allergic diseases;
• Current active tuberculosis, including pulmonary and extrapulmonary tuberculosis; tuberculosis-related imaging changes in the lungs (e.g., cavities, infiltrative lesions) detected by chest X-ray; and a history of close contact with an active case of tuberculosis in the past 1 year.
• Subject's total IgG at Screening/Baseline is less than the lower limit of normal. Subject has an absolute neutrophil count <1.5X10\^9/L and/or an absolute lymphocyte count <1.0× 10\^9/L;
• Positive Hepatitis B Surface Antigen (HBsAg) or Hepatitis B Core Antibody (HBcAb), Hepatitis C Virus Antibody (Anti-HCV), Syphilis Specific Antibody, and Positive HIV Antibody (Anti-HIV);
• Those with clinically significant abnormalities on electrocardiogram (ECG) examination as judged by the clinical investigator (one repeat is permitted to determine eligibility);
• The subject has any condition that interferes with blood collection (including difficulties in blood sample collection, etc.);
• Consumption of more than 5 cups of coffee, tea, or cola (150mL each) per day in the 3 months prior to screening;
• Smoked more than 5 cigarettes or equivalent amount of tobacco per day in the 3 months prior to screening;
• Regular drinkers in the 6 months prior to screening, i.e., more than 2 units of alcohol per day (1 unit = 360mL of beer or 45mL of spirits at 40% alcohol or 150mL of wine) in the 6-month period; and abnormal breath test results for alcohol during the Screening Period or Baseline Period;
• Subjects with a history of substance abuse within 1 year prior to screening; positive urine substance abuse screen at baseline;
• Blood loss or blood donation >400mL within 3 months prior to screening or history of blood transfusion or any blood product use within 3 months prior to enrollment;
• Participation as a subject in any drug or vaccine or medical device clinical trial within 3 months prior to screening;
• Vaccinated or scheduled to be vaccinated within 4 weeks prior to screening up to 3 months after the end of dosing;
• Taken medications that may affect immune function within 6 months prior to screening or received any monoclonal antibody or biologic therapy within 3 months prior to screening and prescription/over-the-counter medications, herbs, or other supplements within 14 days prior to screening;
• Women who are pregnant or breastfeeding;
• Subjects who, in the opinion of the investigator, have any factors that make participation in this trial inappropriate.
• (stage 2)
• Thrombocytopenia associated with other conditions such as lymphoma, chronic lymphocytic leukemia, viral infections, hepatitis, induced or alloimmune thrombocytopenia, thrombocytopenia associated with abnormal bone marrow development, or hematopoietic stem cell transplantation.
• Abnormalities in any of the following laboratory tests at screening or at baseline: a. Total IgG level < 6 g/L. b. International normalized ratio (INR) > 1.5 or activated partial thromboplastin time (APTT) > 1.5 x ULN. c. Alanine aminotransferase (ALT) ≥ 3× ULN or aspartate aminotransferase (AST) ≥ 3× ULN.
• Clinical evidence of significantly unstable or poorly controlled acute or chronic disease other than ITP (e.g., cardiovascular, pulmonary, hematologic, gastrointestinal, endocrine, hepatic, renal, neurologic, infectious, poorly controlled diabetes mellitus) present at the time of screening, recent major surgical procedures, or any other medical condition that, in the opinion of the investigator, may affect the results of the study or the safety of the subject.

Where it is running

• Hospital of Hematology, Chinese Academy of Medical Sciences — Tianjin, Tianjin Municipality, China (enrolling)
• The First Affiliated Hospital of Bengbu Medical College — Bengbu, Anhui, China (enrolling)
• Peking University People's Hospital — Beijing, Beijing Municipality, China (enrolling)
• North China University of Science and Technology Affiliated Hospital — Tangshan, Hebei, China (enrolling)
• Henan Cancer Hospital — Zhengzhou, Henan, China (enrolling)
• The First Affiliated Hospital of Nanchang University — Nanchang, Jiangxi, China (enrolling)
• Xi'an Central Hospital — Xi’an, Shanxi, China (enrolling)

Full record on ClinicalTrials.gov

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