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Kawasaki DiseasePhase 2/3NCT07686770

Efficacy and Safety of Immunoglobulin Plus Firsekibart in Patients With Kawasaki Disease

A Phase 2/3 study testing IVIG, Aspirin and Firsekibart in people with Kawasaki Disease, run by Children's Hospital of Fudan University at 2 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study evaluates the efficacy and safety of the addition of Firsekibart to standard initial treatment (intravenous immunoglobulin [IVIG] plus aspirin) in children with Acute Kawasaki Disease (KD) . Read more about this study

Who is it for?
Ages 29 days to 17 years
Conditions the study is for
Kawasaki Disease
What is being tested?
IVIG, Aspirin and Firsekibart
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
2 sitesChina
Study dates
1 Nov 2026to 1 Feb 2028
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 29 days to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Meeting diagnostic criteria for Kawasaki disease (KD) released by American Heart Association (AHA) in 2024
  • Diagnosed before the tenth day of illness (with the first day of illness defined as the first day of fever)
  • Not treated with IVIG yet
  • Age >28 days,<18 years

Who cannot join

  • Receiving steroids or other immunosuppressive agents in the previous 30 days;
  • With a previous history of KD;
  • Afebrile before enrolment;
  • Contraindications for subcutaneous injection, including severe local skin infection, ulceration, etc;
  • Known hypersensitivity to immunoglobulins, Firsekibart, or any of the excipients;
  • With suspected infectious diseases, such as sepsis, septic meningitis, peritonitis, bacterial pneumonia, varicella, and influenza;
Show all 11Show fewer
  • With serious immune diseases, such as immunodeficiency, or chromosomal abnormalities;
  • With severe hepatic dysfunction (ALT > 3 times the upper limit of normal) prior to treatment
  • Unwillingness to provide written informed consent;
  • Unlikely to complete at least 3 months of follow-up;
  • Any other conditions deemed unsuitable for enrolment by investigators.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

China2 sites
  • Jiangxi Provincial Children's Hospital

    Nanchang, Jiangxi, 330006

    Xiaohui Liu, MD

  • Children's Hospital of Fudan University

    Shanghai, Shanghai Municipality, 201102

    Fang Liu, MD

Other trials in China

About this study

Official title: Efficacy and Safety of Immunoglobulin Plus Firsekibart in Patients With Kawasaki Disease: An Exploratory Randomized Controlled Study

This study evaluates the efficacy and safety of the addition of Firsekibart to standard initial treatment (intravenous immunoglobulin [IVIG] plus aspirin) in children with Acute Kawasaki Disease (KD) .

Read the detailed description

This is a two-center, open-label, randomized controlled exploratory clinical trial in China. The investigators will enroll KD pediatric patients within 10 days of illness onset. Participants will be randomly assigned in a 1:2 ratio to the experimental group (receiving 3 mg/kg Firsekibart plus 2 g/kg IVIG and 30 mg/kg aspirin) or the control group (receiving 2 g/kg IVIG and 30 mg/kg aspirin). Baseline characteristics of each participant will be collected, including sex, age at onset, height, body weight, subtype of KD, fever days before initial IVIG, echocardiographic findings at enrolment, and a series of pre-IVIG laboratory tests. Two-dimensional echocardiography will be performed at admission, 2 weeks, 1 month, 3 months, and 6 months after illness onset to assess the coronary artery lesions. This study aims to determine the therapeutic potential of standard therapy combined with Firsekibart in the acute phase of KD for reducing the incidence of coronary artery lesions (CAL) , decreasing IVIG resistance, and improving inflammation control.

Being tested
IVIG, Aspirin, Firsekibart
Keywords
Kawasaki Disease, Firsekibart, Coronary Artery Lesion, IVIG-resistant
Medical subject headings
Mucocutaneous Lymph Node Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IVIGDrug

    Also called Intravenous Immunoglobulins, Human

    IVIG 2g/kg once, given over 8 to 12 hours, with the maximum dose of 60g.

  • AspirinDrug

    Also called Acetylsalicylic acid

    Aspirin 30 mg/kg in oral per day (given in 3 divided doses), then 3 to 5 mg/kg per day when fever subsides for 3 days and CRP is normal. Aspirin will be continued for at least 6 weeks after onset of illness.

  • FirsekibartDrug

    Also called Interleukin (IL)-1β receptor antagonist

    Firsekibart 3 mg/kg by a single subcutaneous injection prior to IVIG infusion. After a 30-minute observation period confirming the absence of adverse reactions, the IVIG infusion is initiated.

Study groups in NCT07686770
Study groupRoleWhat they receive
standard treatment groupActive comparator【Standard treatment follow the 2024 AHA Guidelines of Kawasaki Disease】 1. IVIG 2g/kg once, given over 8 to 12 hours; 2. Aspirin 30 mg/kg in oral per day (given in 3 divided doses), then 3 to 5 mg/kg per day when fever subsides for 3 days and C-reactive protein (CRP) is normal. Aspirin will be continued for at least 6 weeks after illness onset. Participants with persistent or recurrent fever (temperature of ≥38°C ) 36 hours after completion of the first IVIG infusion are defined as having resistance to IVIG and will receive rescue therapy. The rescue therapy will be chosen on the basis of participant's condition and the physician's experience. Participants intolerant to aspirin may receive oral clopidogrel as an alternative.
Receives: Drug: IVIG; Drug: Aspirin
Firsekibart + standard treatment groupExperimental1. Firsekibart 3 mg/kg by a single subcutaneous injection prior to IVIG infusion. After a 30-minute observation period confirming the absence of adverse reactions, the IVIG infusion is initiated. 2. IVIG 2g/kg once, given over 8 to 12 hours; 3. Aspirin 30 mg/kg in oral per day (given in 3 divided doses), then 3 to 5 mg/kg per day when fever subsides for 3 days and CRP is normal. Aspirin will be continued for at least 6 weeks after onset of illness. 【Standard treatment also follow the 2024 AHA Guidelines of Kawasaki Disease】 Discomfort occurring during the observation period after Firsekibart will be treated symptomatically, and standard treatment will subsequently be provided as needed based on the participant's condition and the physician's experience. In the event of a Grade ≥3 allergic reaction, epinephrine will be administered as needed. Management of IVIG resistance, aspirin intolerance will be the same as in the control group.
Receives: Drug: IVIG; Drug: Aspirin; Drug: Firsekibart

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of coronary artery lesions (CAL) at one month of illness

    Two-dimensional echocardiography will be performed to evaluate CAL at 1 month of illness. Measurements for each patient include the diameter of the left main coronary artery (LMCA), the left anterior descending artery (LAD), the left circumflex coronary artery (LCX), and the proximal and middle segments of the right coronary artery (RCA). Z score of each coronary artery will be calculated (Journal of the American Society of Echocardiography, 2011, 24(1).). CAL is defined as z≥2.5 of any coronary artery of LMCA, LAD, LCX, and the proximal and middle segment of the RCA.

    Measured: from admission to 1 month of illness onset

  2. Occurrence of the need for rescue therapy

    Temperature will be measured every 6 hours a day during hospitalization. Participants who have recurrent or persistent fever (temperature ≥38°C) after 36 hours of completion of initial IVIG infusion will be given rescue therapy.

    Measured: from admission to discharge (about 2 weeks of illness onset)

Secondary outcomes (15)
  1. Duration of fever (hours) after initiation of initial IVIG infusion

    Temperature will be measured every 6 hours a day during hospitalization. Participants with temperature <37.5℃ for more than 24 hours are considered afebrile. Record the time of the initiation of IVIG infusion and the time of the body temperature first becoming normal.

    Measured: from initiation of the initial IVIG infusion to the first recorded afebrile status (up to 60 hours after the infusion of IVIG)

  2. Change in serum C-reactive protein (CRP) concentration

    Serum CRP levels will be measured at three time points: at enrolment, 72 hours after completion of the initial IVIG infusion, and 1 month of illness onset.

    Measured: from admission to 1 month of illness onset

  3. Change in Serum Amyloid A (SAA) concentration

    SAA levels will be measured at three time points: at enrolment, 72 hours after completion of the initial IVIG infusion, and 1 month of illness onset.

    Measured: from admission to 1 month of illness onset

  4. Change in serum interleukin (IL)-1β concentration

    Serum IL-1β levels will be measured at two time points: at enrolment, 72 hours after completion of the initial IVIG infusion.

    Measured: from admission to 72 hours after completion of the initial IVIG infusion

  5. Occurrence of coronary artery lesions (CAL) at 2 weeks of illness

    Two-dimensional echocardiography will be performed to evaluate CAL at 2 weeks of illness. The measurement of each patient included the diameter of the left main coronary artery (LMCA), the left anterior descending artery (LAD), the left circumflex coronary artery (LCX), and the proximal and middle segments of the right coronary artery (RCA). Z score of each coronary artery will be calculated (Journal of the American Society of Echocardiography, 2011, 24(1).). CAL is defined as z≥2.5 of any coronary artery of LMCA, LAD, LCX, and the proximal and middle segment of the RCA.

    Measured: from admission to 2 weeks of illness onset

  6. Occurrence of coronary artery lesions (CAL) at 3 months of illness

    Two-dimensional echocardiography will be performed to evaluate CAL at 3 months of illness. Measurements for each patient include the diameter of the left main coronary artery (LMCA), the left anterior descending artery (LAD), the left circumflex coronary artery (LCX), and the proximal and middle segments of the right coronary artery (RCA). Z score of each coronary artery will be calculated (Journal of the American Society of Echocardiography, 2011, 24(1).). CAL is defined as z≥2.5 of any coronary artery of LMCA, LAD, LCX, and the proximal and middle segment of the RCA.

    Measured: from admission to 3 months of illness onset

  7. Occurrence of medium-to-giant coronary artery aneurysms (CAAs)

    This is a repeatedly measured binary variable. CAL classification is based on the maximum Z score according to the 2024 American Heart Association guideline. Medium CAAs is defined as a maximum Z score ≥5 to <10, and all internal diameters <8 mm; large or giant CAAs defined as a maximum Z score ≥10, or any internal diameter ≥8 mm.

    Measured: from admission to 6 months of illness onset

  8. Changes in z scores of LAD

    This is a repeated measurement. The internal diameter of LAD will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months of illness. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  9. Changes in z scores of LMCA

    This is a repeated measurement. The internal diameter of LMCA will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months of illness. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  10. Changes in z scores of LCX

    This is a repeated measurement. The internal diameter of LCX will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months of illness. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  11. Changes in z scores of the proximal segment of RCA

    This is a repeated measurement. The internal diameter of the proximal segment of RCA will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months of illness. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  12. Changes in z scores of the middle segment of RCA

    This is a repeated measurement. The internal diameter of the middle segment of RCA will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months of illness. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  13. Occurrence of CAL regression

    CAL regression is defined as Z score <2.5 in any coronary artery (LMCA, LAD, LCX, and the proximal and middle segments of the RCA), with no stenotic or occlusive lesions present.The internal diameter of the coronary artery will be measured by echocardiography at five time points: at enrolment, at 2 weeks, 1 month, 3 months and 6 months after illness onset. Z score will be calculated based on the height, weight and coronary artery diameter (Journal of the American Society of Echocardiography, 2011, 24(1).).

    Measured: from admission to 6 months of illness onset

  14. Occurrence of CAL progression

    CAL progression is defined as an increment in the Z score >1 from admission in any coronary artery (LMCA, LAD, LCX, proximal and middle segments of RCA) at any given time point within 6 months of illness onset. The outcome will be assessed in all participants and those with CAL at baseline.

    Measured: from admission to 6 months of illness onset

  15. Occurrence of adverse events

    This is a composite outcome, including (a) clinical adverse events (death, severe infection, allergic reactions, heart failure, and thrombosis); (b) laboratory abnormalities (neutropenia, defined as <1.5×10⁹/L; thrombocytopenia, defined as <100×10⁹/L; newly developed ALT abnormality after medication, or further elevation of abnormal baseline ALT); (c) infectious events (occurrence of bacterial/viral infections); and (d) injection-site allergic reactions (redness and swelling at the injection site, rash, and anaphylactic shock) , etc.

    Measured: from admission to 6 months of illness onset

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion1 Sep 2027 (estimated)
  4. Study completion1 Feb 2028 (estimated)

Resources

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
1:2 (experimental group: control group)
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07686770
Sponsor's protocol ID
2026-244
Status last verified
Oct 2026
First submitted
26 Jun 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing IVIG, Aspirin and Firsekibart in people with Kawasaki Disease, run by Children's Hospital of Fudan University at 2 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 4 inclusion and 11 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: opening soon, as of the sponsor's last update on 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Fang Liu, MD (+86 021-64932800, liufang@fudan.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of coronary artery lesions (CAL) at one month of illness (time frame: from admission to 1 month of illness onset). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Oct 2026.

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