OsteoporosisPhase 1NCT05391776
TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density
A Phase 1 study testing TST002 Injection in people with Osteoporosis, run by HJB (Hangzhou) Co., Ltd. at 5 sites in China.
Trial summary
This is a placebo-controlled, single-ascending dose, multicenter Phase I clinical study to evaluate the safety, tolerability, PK and PD characteristics of a single intravenous infusion of TST002 in subjects with reduced bone mineral density. Read more about this study
- Who is it for?
- Ages 45 to 75 years
- Conditions the study is for
- Osteoporosis
- What is being tested?
- TST002 Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 32 participants
- Where
- 5 sitesChina
- Study dates
- 28 Apr 2022to 28 Jun 2023
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects must meet all of the following inclusion and exclusion criteria to be enrolled in this study:
- Voluntarily signe the informed consent, could walk freely, understood the study and is willing to follow it, and could complete all test procedures as planned;
- Body mass index (BMI) : 18.0-30.0 kg/m2 (inclusive), weight ≥45 kg, BMI= weight (kg)/height 2 (m2);
- 45-70 years old (inclusive) postmenopausal women who have been in post-menopause for 2 years or more. Menopause is defined as: 1) no spontaneous vaginal bleeding or bleeding for more than 12 months; 2) More than 1 year after bilateral oophorectomy (time for unilateral oophorectomy is calculated according to natural menopause); 3) Hysterectomy: more than 50 years old, serum FSH level \& GT; 40 iu/L. 50-75 years old (inclusive) men. Male subjects should agree to use effective, investigator-approved contraceptive methods from the time they sign the informed consent until 3 months after administration.
- BMD T score at lumbar vertebra L1-L4, total hip or femoral neck < -1.0;
- Subjects had at least two consecutive vertebrae in L1-L4 and at least one hip bone available for dual-energy DXA bone mineral density assessment;
- Prior to enrollment, the investigator assessed the subjects to have no medical conditions that would significantly affect the study or may increase additional health risks by asking for medical history, physical examination, and supplementary examination. If the subjects have abnormal examination reports, they can only be enrolled if the investigator evaluates that they do not pose a safety risk to the subjects or do not interfere with the safety evaluation of the clinical study, and explains the reasons.
Who cannot join
- Blood donation or bleeding of 400mL or more within 3 months before screening; History of blood transfusion within 3 months prior to screening;
- People who have a history of drug allergy or allergic constitution;
- Received systemic glucocorticoid treatment 3 months before screening, and took prednisone equivalent of more than 5mg per day for a total of more than 10 days; Inhalation or topical administration within 2 weeks prior to screening is not included;
- Have a history of alcohol or drug abuse or tobacco abuse in the past year (smoking more than 5 cigarettes per day).
- Note: Criteria for alcohol intake: weekly alcohol intake \< 14 units/week, 1 unit =360 mL beer; Or 150 mL wine; Or 45 mL white wine;
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is greater than 1.25 times the upper limit of normal value or total bilirubin is greater than 1.1 times the upper limit of normal value; Renal function laboratory examination is judged to be clinically significant by researchers.
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- History of breast cancer (female subjects only); Hereditary family history of breast cancer or known BRCA1/2 gene mutation; Mammography within 6 months prior to screening does not exclude breast cancer.
- Have a history of thrombocytopenia, or have a platelet count below the lower limit of the normal range during screening;
- It is clinically significant to have previous diseases or hemorrhagic diseases leading to coagulation abnormalities or coagulation abnormalities during screening period;
- Those who had a serious injury or major surgical operation within 1 month prior to the screening period, or who planned to have surgery during the study period;
- History of solid organ and bone marrow transplants;
- Participated in any clinical trials within 3 months prior to screening.
- Other conditions that, in the investigator's judgment, are unsuitable for study participation, such as factors that, in the investigator's judgment, pose a risk to the safety of the subject or interfere with the study evaluation, procedure, or completion.
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
China5 sites, 5 recruiting
- Not yet recruiting
West China Hospital,Sichuan University
Chengdu, Sichuan, 610044
Decai Chen, 18980601309, 18980601309@163.com
- Not yet recruiting
West China Hospital,Sichuan University
Chengdu, Sichuan
Ping Feng, 028-85423583, 617130961@qq.com
- Not yet recruiting
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 471000
Liping Li, 13700814316, llp1203@163.com
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210008
Hua Lin, 02583106666, Lh2116@126.com
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, Jiangsu
Juan Li, 025-83106666, Juanli2003@163.com
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density
This is a placebo-controlled, single-ascending dose, multicenter Phase I clinical study to evaluate the safety, tolerability, PK and PD characteristics of a single intravenous infusion of TST002 in subjects with reduced bone mineral density.
Read the detailed description
Four single dose cohorts are designed in this study, ascending with phase I dose-escalation principles as following: 200mg, 400mg (100%), 800mg (100%), and 1200mg (50%). 8 subjects will be enrolled in each cohort, 6 for TST002 injection and 2 for placebo. Only ≤3 male subjects could be enrolled in each cohort. Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.
- Conditions
- Osteoporosis
- Being tested
- TST002 Injection, placebo
- Medical subject headings
- Osteoporosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TST002 InjectionDrug
Also called TST002-IgG4
This single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg.
placeboDrug
This single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg.
| Study group | Role | What they receive |
|---|---|---|
| A single ascending dose of TST002 Intervenous Injection | Experimental | Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1. Receives: Drug: TST002 Injection |
| A single ascending dose of placebo Intervenous Injection | Placebo comparator | Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1. Receives: Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse Event
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Measured: Adverse events were collected from the time informed consent was signed until 12 weeks after the end of treatment
Secondary outcomes (8)
Tmax
Time to Maximum Observed Concentration of TST002.
Measured: 2 hours before treatment and 12 weeks after treatment
Cmax
Maximum Observed Concentration of TST002
Measured: 2 hours before treatment and 12 weeks after treatment.
T1/2
Half-life Associated With the Terminal Phase of Elimination for TST002
Measured: 2 hours before treatment and 12 weeks after treatment.
P1NP
Percent Change From Baseline in Procollagen TYpe 1 N-terminal Propeptide
Measured: 2 hours before treatment and days 8,29,43,57 and 85
BDM
Percent change from baseline in Bone Mineral Density at L1-L4,total hip and femoral neck
Measured: baseline and day 85
Immunogenicity
Positive rate and timing of anti-TST002 antibody and neutralizing antibody
Measured: 2 hours before treatment and days 15,29 and 85
Serum total osteostatin
Percent change from baseline in serum total sclerostin
Measured: 2 hours before treatment and 12 weeks after treatment
CL
System clearance rate of TST002
Measured: 2 hours before treatment and 12 weeks after treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 May 2022
- Study start28 Apr 2022
- Primary completion28 Apr 2023 (estimated)
- Study completion28 Jun 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for OsteoporosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 32 participants (estimated)
Sponsor and investigators
- Lead sponsor
- HJB (Hangzhou) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05391776
- Sponsor's protocol ID
- TST002-1001
- Status last verified
- May 2022
- First submitted
- 16 May 2022
- Last updated
- 26 May 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Zhou S, Zhu X, Sheng Y, Wang L, Shao F, Lin H. Safety, pharmacokinetics, pharmacodynamics and target-mediated drug disposition modeling of TST002, a sclerostin antibody, in men and postmenopausal women with low bone mineral density. Expert Opin Investig Drugs. 2026 Sep 16. doi: 10.1080/13543784.2026.2736007. Online ahead of print.
PubMed 42747328
Study at a glance
From the registry record, last updated by the sponsor on 26 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density
- ClinicalTrials.gov ID
- NCT05391776
- Acronym / sponsor ID
- TST002-1001
- Conditions
- Osteoporosis
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 32 participants (estimated)
- Lead sponsor
- HJB (Hangzhou) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 28 Apr 2022 (actual)
- Primary completion
- 28 Apr 2023 (estimated)
- Study completion
- 28 Jun 2023 (estimated)
- First posted
- 26 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a placebo-controlled, single-ascending dose, multicenter Phase I clinical study to evaluate the safety, tolerability, PK and PD characteristics of a single intravenous infusion of TST002 in subjects with reduced bone mineral density.
Detailed description
Four single dose cohorts are designed in this study, ascending with phase I dose-escalation principles as following: 200mg, 400mg (100%), 800mg (100%), and 1200mg (50%). 8 subjects will be enrolled in each cohort, 6 for TST002 injection and 2 for placebo. Only ≤3 male subjects could be enrolled in each cohort. Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A single ascending dose of TST002 Intervenous Injection | Experimental | Drug: TST002 InjectionFour single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1. |
| A single ascending dose of placebo Intervenous Injection | Placebo comparator | Drug: placeboFour single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1. |
Who may qualify
- Ages
- 45 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Subjects must meet all of the following inclusion and exclusion criteria to be enrolled in this study:
- Voluntarily signe the informed consent, could walk freely, understood the study and is willing to follow it, and could complete all test procedures as planned;
- Body mass index (BMI) : 18.0-30.0 kg/m2 (inclusive), weight ≥45 kg, BMI= weight (kg)/height 2 (m2);
- 45-70 years old (inclusive) postmenopausal women who have been in post-menopause for 2 years or more. Menopause is defined as: 1) no spontaneous vaginal bleeding or bleeding for more than 12 months; 2) More than 1 year after bilateral oophorectomy (time for unilateral oophorectomy is calculated according to natural menopause); 3) Hysterectomy: more than 50 years old, serum FSH level \& GT; 40 iu/L. 50-75 years old (inclusive) men. Male subjects should agree to use effective, investigator-approved contraceptive methods from the time they sign the informed consent until 3 months after administration.
- BMD T score at lumbar vertebra L1-L4, total hip or femoral neck < -1.0;
Key exclusion criteria (13 listed)
- Blood donation or bleeding of 400mL or more within 3 months before screening; History of blood transfusion within 3 months prior to screening;
- People who have a history of drug allergy or allergic constitution;
- Received systemic glucocorticoid treatment 3 months before screening, and took prednisone equivalent of more than 5mg per day for a total of more than 10 days; Inhalation or topical administration within 2 weeks prior to screening is not included;
- Have a history of alcohol or drug abuse or tobacco abuse in the past year (smoking more than 5 cigarettes per day).
- Note: Criteria for alcohol intake: weekly alcohol intake \< 14 units/week, 1 unit =360 mL beer; Or 150 mL wine; Or 45 mL white wine;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TST002 InjectionAlso: TST002-IgG4This single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg. | Drug | A single ascending dose of TST002 Intervenous Injection |
| placeboThis single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg. | Drug | A single ascending dose of placebo Intervenous Injection |
Primary outcome
Adverse Event
Time frame: Adverse events were collected from the time informed consent was signed until 12 weeks after the end of treatment
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
8 secondary outcomes
Tmax
Time frame: 2 hours before treatment and 12 weeks after treatment
Cmax
Time frame: 2 hours before treatment and 12 weeks after treatment.
T1/2
Time frame: 2 hours before treatment and 12 weeks after treatment.
P1NP
Time frame: 2 hours before treatment and days 8,29,43,57 and 85
BDM
Time frame: baseline and day 85
Immunogenicity
Time frame: 2 hours before treatment and days 15,29 and 85
Serum total osteostatin
Time frame: 2 hours before treatment and 12 weeks after treatment
CL
Time frame: 2 hours before treatment and 12 weeks after treatment
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 May 2022.
- Derived from this study: PubMed 42747328Zhou S, Zhu X, Sheng Y, Wang L, Shao F, Lin H. Safety, pharmacokinetics, pharmacodynamics and target-mediated drug disposition modeling of TST002, a sclerostin antibody, in men and postmenopausal women with low bone mineral density. Expert Opin Investig Drugs. 2026 Sep 16. doi: 10.1080/13543784.2026.2736007. Online ahead of print.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing TST002 Injection in people with Osteoporosis, run by HJB (Hangzhou) Co., Ltd. at 5 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Micheal Shi (860512-67079200, micheal.shi@transcenta.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adverse Event (time frame: Adverse events were collected from the time informed consent was signed until 12 weeks after the end of treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05391776, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2022.