This is a phase 3, multi-center, randomized, placebo-controlled, double-blind, parallel-group study with an equal randomization among the Hemay005 high dose, lower dose and placebo treatment groups. After subject randomization, each subject will enter an core-treatment Phase for 12 weeks following an extended-treatment phase for another 40 weeks and a follow up phase for 4weeks.
This is a multi-center, randomized, double-blind, placebo-parallel controlled phase III clinical study. The study consists of four phases, namely the screening period, the core treatment period, the extension period, and the drug discontinuation observation period. Screening period: All subjects will undergo a screening period for up to 8 weeks prior to the baseline visit (V2, randomization day, Day 0). Core treatment period: Patients with Behçet's disease (BD) meeting the eligibility criteria upon screening will be randomized in a 1:1: 1 ratio to the Hemay005 Tablets 45 mg BID test group, Hemay005 Tablets 60 mg BID test group, or the placebo group. They will first be given escalating doses for 7 days; subsequently starting from Day 7, they will be given Hemay005 Tablets 45 mg BID or 60 mg BID or the placebo BID continuously until Week 12. Extension period: Considering benefits for subjects in the placebo group, and to observe the efficacy and safety of long-term treatment, all subjects will enter a 40-week extension period at the end of the core treatment period. Subjects enrolled in the test groups for the core treatment period will continue treatment at the dose for the core treatment period for 40 weeks during the extension period. Subjects enrolled in the placebo group for the core treatment period will be randomized in a 1:1 ratio during the extension period to either the Hemay005 Tablets 45 mg BID test group or Hemay005 Tablets 60 mg BID test group for treatment for 40 weeks. For the first week of extended treatment, subjects previously enrolled in the placebo group will need to undergo the same dose titration phase as for the core treatment period (Days 0-6), so that the same dosing schedule as for the two treatment groups would be achieved by the 7th day, in an effort to mitigate the intolerabilities such as gastrointestinal reactions, thus further protecting subjects' safety. If, during the dose titration phase of the extension period or during extended treatment, the subject cannot tolerate the prescribed dose, this will be handled at the investigator's discretion using the same method as for the core treatment period. Drug discontinuation observation period: All subjects in the study (including those who prematurely discontinued treatment for any reason) will be observed for 4 weeks following the end of the last study dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
162
Beijing Friendship hospital capital medical hospital
Beijing, Beijing Municipality, China
Efficacy assessed by oral ulcers
Area under the curve (AUC) of the number of oral ulcers in BD patients from baseline to Week 12
Time frame: week 12
efficacy assessed by oral ulcers
Complete response rate for oral ulcers at Week 12,22,32,42,52; A complete response is defined as the proportion of subjects who are oral ulcer free
Time frame: week 12, 22, 32, 42, 52
pain of oral ulcers assessed by VAS
Change from baseline in the pain of oral ulcers as measured by VAS at Week 12,22,32,42,52
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by genital ulcers
Complete response rate for genital ulcers at Week 12,22,32,42,52 for subjects who had genital ulcers at Baseline; A complete response is defined as the proportion of subjects who are genital ulcer-free
Time frame: week 12, 22, 32, 42, 52
pain of genital ulcers assessed by VAS
Change from baseline in the pain of genital ulcers, as measured by VAS at Week 12,22,32,42,52 in subjects who had genital ulcers at baseline
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by BDCAF
Change from baseline in disease activity as measured by Behçet's Disease Current Activity scores (BD Current Activity Form) at Week 12,22,32,42,52
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by BSAS
Change from Baseline in Behçet's Syndrome Activity Score (BSAS) at Week 12,22,32,42,52
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Peking university first hospital
Beijing, Beijing Municipality, China
RECRUITINGPeking University People's Hospital
Beijing, Beijing Municipality, China
RECRUITINGPeking university third hospital
Beijing, Beijing Municipality, China
RECRUITINGXuanwu hospital capital medical university
Beijing, Beijing Municipality, China
RECRUITINGThe first affiliated hospital of Xiamen University
Xiamen, Fujian, China
RECRUITINGGuangdong second provincial central hospital
Guangzhou, Guangdong, China
RECRUITINGSun Yat-Sen memorial hospital
Guangzhou, Guangdong, China
RECRUITINGThe third affiliated hospital sun yat-sen university
Guangzhou, Guangdong, China
RECRUITINGThe university of Hong Kong-Shenzhen Hospital
Shenzhen, Guangdong, China
RECRUITING...and 12 more locations
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by oral ulcers
Time to oral ulcer resolution (complete response), ie, the first instance when a subject has a complete response, during the Placebo-controlled Treatment Phase
Time frame: week 1, 2, 4, 6, 8, 10, 12
efficacy assessed by oral ulcers
Proportion of subjects with no oral ulcers following complete response, ie, the first time when a subject has a complete response, during the Placebo-controlled Treatment Phase
Time frame: week 1, 2, 4, 6, 8, 10, 12
efficacy assessed by oral ulcers
Number of oral ulcers following loss of complete response, ie, the first instance when a subject has a reappearance of oral ulcers following a complete response, during the Placebo-controlled Treatment Phase
Time frame: week 1, 2, 4, 6, 8, 10, 12
efficacy assessed by oral ulcers
Time to recurrence of oral ulcers following loss of complete response, ie, the first instance when a subject has a reappearance of oral ulcers following a complete response, during the Placebo-controlled Treatment Phase
Time frame: week 1, 2, 4, 6, 8, 10, 12
efficacy of skin lesions assessed by PGA score
Change from baseline in the total score of the Static Physician's Global Assessment (PGA) of skin lesions (acne-like lesions, folliculitis and erythema nodosum) of BD at Week 12,22,32,42,52 in subjects who had BD skin lesions at baseline
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by oral ulcers
Proportion of subjects achieving an oral ulcer complete response (oral ulcer-free) by Week 6, after start of dosing, and who remain oral ulcer free for at least 6 additional weeks during the 12-week Placebo-controlled Treatment Phase
Time frame: week 2, 4, 6, 8, 10, 12
Quality of life measured by BD QoL
Change from baseline in the BD QoL score at Week 12,22,32,42,52
Time frame: week 12, 22, 32, 42, 52
Quality of life measured by SF-36
Change from baseline in SF-36 score at Week 12, 22,32,42,52
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by tender and/or swollen joints
Change from baseline in number of tender and/or swollen joints associated with BD at Week 12,22, 32, 42, and 52 in subjects who had BD-related tender and/or swollen joints at baseline;
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by gastrointestinal activity
Changes from baseline in Disease Activity Index for Intestinal Behçet's Disease (DAIBD) score at Weeks 12, 22, 32, 42, and 52
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by gastrointestinal symptoms
Changes from baseline in Global GI symptoms assessment at Weeks 12 and 52
Time frame: week 1, 12, 52
efficacy assessed by biomarkers.
Changes from baseline in CRP and ESR at Weeks 12, 22, 32, 42, and 52;
Time frame: week 12, 22, 32, 42, 52
efficacy assessed by eye symptoms.
Changes from baseline in best corrected visual acuity (BCVA) at Weeks 12, 22, 32, 42, and 52, and changes from baseline in improvement of inflammation (slit lamp and/or ophthalmoscopy/fundus photography optical coherence tomography (OCT), etc.) at Weeks 12 and 52
Time frame: week 12, 22, 32, 42, 52
population pharmacokinetics (PopPK)
Area under the curve (AUC)
Time frame: week 4, 12
population pharmacokinetics (PopPK)
Maximum Plasma Concentration (Cmax)
Time frame: week 4, 12
population pharmacokinetics (PopPK)
Minimum Plasma Concentration (Cmin)
Time frame: week 4, 12
population pharmacokinetics (PopPK)
Time to peak (Tmax)
Time frame: week 4, 12
population pharmacokinetics (PopPK)
Elimination half-life (T1/2)
Time frame: week 4, 12
population pharmacokinetics (PopPK)
Clearance (Cl)
Time frame: week 4, 12
safety assessed by Type, frequency, severity and relationship with drug of AEs
Type, frequency, severity and relationship with Hemay005 of AEs
Time frame: week 1, 2, 4, 6, 8, 10, 12, 22, 32, 43, 52, 56
safety and tolerability assessed by discontinuation due to AEs
Number of subjects prematurely discontinuing the investigational product due to AE
Time frame: week 1, 2, 4, 6, 8, 10, 12, 22, 32, 43, 52, 56
safety and feasibility assessed by lab examinations
Frequency of clinically significant changes in vital signs, weight, laboratory findings, physical examination, and/or 12-lead ECG
Time frame: week 1, 2, 4, 6, 8, 10, 12, 22, 32, 43, 52, 56