The purpose of this phase III, multicenter, double-blind, placebo-controlled study is to evaluate the efficacy and safety of Hemay005 compared to placebo as induction and maintenance therapy in Chinese participants with moderately to severely active ulcerative colitis.
This study is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety of Hemay005 in induction and maintenance therapy in Chinese patients with moderately or severely active ulcerative colitis. The study consists of two independent phases: an 12-week Induction Phase (might including an 12-week Extended Induction phase, depending on the participant status by the end of the induction treatment) and a 40-week Maintenance Phase. Screening period will be up to 5 Weeks. In the Induction Phase, participants will be randomized 2:1 to receive either Hemay005 (twice daily) or placebo for 12 weeks. The randomization will be stratified by: exposed to advanced therapy (yes/no); disease severity (modified Mayo score of 5-6 or 7-9) and baseline corticosteroid use (yes/no). Participants who have not show clinical response (either receive Hemay005 or placebo) by week 12 will undergo an extended 12-week induction treatment with Hemay005. After completing the Induction Phase (or the Extended Induction Phase), participants with response are eligible to go to the Maintenance Phase. Participants with a response to Hemay005 by week 12 of the Induction Phase and those with a response by the end of the Extended Induction Phase) will be randomized 1:1 to receive either Hemay005 (twice daily) or placebo for 40 weeks. Randomization will be stratified by corticosteroid use at the start date of Maintenance Phase (yes/no) and clinical remission status by the end of Induction Phase (yes/no). Participants who are assigned to placebo during the Induction Phase and have demonstrated a clinical response will continue to receive blinded placebo during the Maintenance Phase. Participants who have not showed a clinical response by week 12 of the Induction Phase but have a response to Hemay005 by the end of the Extended Induction Phase will continue to receive blinded Hemay005 during the Maintenance Phase. During the Maintenance Phase, participants who are demonstrated loss of response will be eligible to go to the open-label treatment phase and treated with Hemay005. The total duration of open-label treatment phase will not exceed 40 weeks since the participant enrolled into the Maintenance Phase.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
360
Participants receive treatment with Hemay005 tablet during the Induction Phase (week I-0\~I-12).
Participants receive treatment with placebo tablet during the Induction Phase (week I-0\~I-12).
Participants receive treatment with Hemay005 tablet during the Maintenance Phase (week M-0\~M-40).
The First Affiliated Hospital,Sun Yat-Sen University
Guangzhou, China
The Sixth Affiliated Hospital,Sun Yat-Sen University
Guangzhou, China
Induction Phase: Percentage of Participants With Clinical Remission at Week 12.
Clinical remission is based on the Modified Mayo Score (mMS). The Modified Mayo Score (mMS) consists of Rectal Bleeding Subscore (RBS), Stool Frequency Subscore (SFS) and Mayo Endoscopic Subscore (MES). Each subscore ranges from 0 to 3 and a total mMS ranging from 0 to 9, with higher scores indicating more severe disease. Clinical remission is defined as a SFS of 0 or 1 with a decrease of at least 1 from baseline , and a RBS of 0, and a MES of 0 or 1 without friability.
Time frame: Induction Phase Week 12
Maintenance Phase: Percentage of Participants With Clinical Remission at Week 40.
Clinical remission is defined as a SFS of 0 or 1 with a decrease of at least 1 from baseline , and a RBS of 0, and a MES of 0 or 1 without friability.
Time frame: Maintenance Phase: Week 40
Induction Phase: Percentage of Participants With Endoscopic Improvement at Week 12.
Endoscopic Improvement is based on the Mayo Endoscopic Subscore (MES). The MES ranges from 0 to 3, with higher scores indicating more severe disease. Endoscopic Improvement is defined as MES of 0 or 1(without friability).
Time frame: Induction Phase: At Week 12
Induction Phase: Percentage of Participants With Completely Symptomatic Remission at Week 12.
Complete Symptomatic Remission is defined as a SFS of 0 and a RBS of 0.
Time frame: At Week 12
Induction Phase: Percentage of Participants With Symptomatic Remission at Week 12.
Symptomatic Remission is defined as a SFS of 0 or 1 with a decrease of at least 1 from baseline and a RBS of 0.
Time frame: At Week 12
Induction Phase: Percentage of Participants With Clinical Response at Week 12.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Participants receive treatment with placebo during the Maintenance Phase (week M-0\~M-40).
Clinical response is based on the Modified Mayo Score (mMS). The Modified Mayo Score (mMS) consists of Rectal Bleeding Subscore (RBS), Stool Frequency Subscore (SFS) and Mayo Endoscopic Subscore (MES). Each subscore ranges from 0 to 3 and a total mMS ranging from 0 to 9, with higher scores indicating more severe disease. Clinical Response is defined as a decrease in mMS of at least 2 points and 30% from baseline and either a decrease of at least 1 in RBS or a RBS of 0 or 1.
Time frame: At Week 12
Induction Phase: Percentage of Participants With Endoscopic Response at Week 12.
Endoscopic Response is defined as a decrease of at least 1 in MES from baseline.
Time frame: At Week 12
Induction Phase: Percentage of Participants With Symptomatic Response at Week 12.
Symptomatic Response is defined as a a decrease of ≥30% in the sum of RBS and SFS from baseline.
Time frame: At Week 12
Maintenance Phase: Percentage of Participants With Endoscopic Improvement at Week 40.
Endoscopic Improvement is defined as MES of 0 or 1 (without friability).
Time frame: At Week 40
Maintenance Phase: Percentage of Participants with a Clinical Remission both at Week 12 of Induction Phase and Week 40 of Maintenance Phase.
Clinical remission is defined as a SFS of 0 or 1 with a decrease of at least 1 from baseline , and a RBS of 0, and a MES of 0 or 1 without friability.
Time frame: At Week 40
Maintenance Phase: Percentage of Participants With Steroid-free Clinical Remission at Week 40.
Steroid-free Clinical Remission is defined as achieving clinical remission and have not used corticosteroids to treat UC for at least 8 weeks.
Time frame: At Week 40
Maintenance Phase: Percentage of Participants With Endoscopic Response at Week 40.
Endoscopic Response is defined as a decrease of at least 1 in MES from baseline.
Time frame: At Week 40
Maintenance Phase: Percentage of Participants with a Clinical Response both at Week 12 of Induction Phase and Week 40 of Maintenance Phase.
Clinical Response is defined as a decrease in mMS of at least 2 points and 30% from baseline and either a decrease of at least 1 in RBS or a RBS of 0 or 1.
Time frame: At Week 40
Maintenance Phase: Percentage of Participants With Complete Symptomatic Remission.
Complete Symptomatic Remission is defined as a SFS of 0 and a RBS of 0.
Time frame: Maintenance Phase: At Week 8, Week 16, Week 24, Week 32, Week 40.
Maintenance Phase: Percentage of Participants With Symptomatic Remission.
Symptomatic Remission is defined as a SFS of 0 or 1 with a decrease of at least 1 from baseline and a RBS of 0.
Time frame: Maintenance Phase: At Week 8, Week 16, Week 24, Week 32, Week 40.
Maintenance Phase:Percentage of Participants With Symptomatic Response.
Symptomatic Response is defined as a a decrease of ≥30% in the sum of RBS and SFS from baseline.
Time frame: Maintenance Phase: At Week 8, Week 16, Week 24, Week 32, Week 40.