A Study to Evaluate the Efficacy and Safety of Hemay005 in the Treatment of Behçet Disease
Behçet Disease
About this trial
This is an interventional prevention trial for Behçet Disease focused on measuring Behçet Disease
Eligibility Criteria
Inclusion Criteria:
- 1.Understand and voluntarily sign an informed consent form prior to any study related assessments/procedures being conducted.
- 2.Male and female subjects 18~75(inclusive) years of age at the time of signing the informed consent form.
- 3.Diagnosed with Behçet's disease meeting the International Study Group (ISG) criteria (2013).
4.Subjects must have at least 2 oral ulcers at V1, and:
- at least 2 oral ulcers at V2 if V2 occurs at least 14 days after Visit 1, OR
- at least 3 oral ulcers at V2 if V2 occurs at least 0~42 days after Visit 1.
- 5. According to the site investigator judgement, subject is suitable to the systemic but not topical treatment of oral ulcer considering the severity and affected area of the disease OR the oral ulcer cannot be well controlled by topical treatment and have to take the systemic treatment.
- 6.All females of childbearing potential (FCBP) and male subjects who did not receive the vasectomy must take effective contraceptive measures.
Exclusion Criteria:
1.subject has the BD related major organ activity lesions requiring immunosuppressive therapy- pulmonary, vascular, gastrointestinal, and central nervous systems (eg, meningoencephalitis) manifestations, etc. However:
- Previous major organ involvement is allowed if it occurred at least one years prior to screening visit and is not active at time of enrollment.
- Subjects with BD-related arthritis and BD-skin manifestations are also allowed
- 2. Any clinically significant heart disease (e.g., but not limited to unstable ischemic heart disease, New York Heart Association(NYHA) class III / IV left ventricular failure, or myocardial infarction) or clinically significant 12 lead ECG abnormalities found during screening, which, according to the investigator's judgment, may put the patient at safety risk or may interfere with the investigator;
3. subjects who current receiving immunotherapy including:
- 7 days prior to Visit 2 (randomization) for colchicine.
- 10 days prior to Visit 2 (randomization) for azathioprine, mycophenolate mofetil, baricitinib or Tofacitinib.
- 4 weeks prior to visit 2(randomization) for cyclosporin, methotrexate, cyclophosphamide, thalidomide, and dapsone.
At least 5 terminal half-lives for all biologics, including,within:
- Four weeks prior to visit 2(randomization) for etanercept.
- Eight weeks prior to visit 2(randomization) for infliximab.
- Ten weeks prior to visit 2(randomization) for adalimumab, golimumab, abatacept, and tocilizumab.
- Six months prior to visit 2(randomization) for secukinumab.
- 4.Having received intra-articular or parenteral corticosteroids within 6 weeks (42 days) prior to Visit 2.
5.Laboratory examination of V1 in screening period:
- Hemoglobin ≤ 85g / L;
- The white blood cell (WBC) count was less than 3.0 × 10^9 / L or more than 14 × 10^9 / L;
- Platelet < 100 × 10^9 / L;
- Serum creatinine > 1.5mg/dl (> 132.6 μ mol / L);
- Total bilirubin > 2.0 mg / dl (> 34.2 μ mol / L);
- The Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) were higher than 1.5 times of the upper limit of normal value.
- 6.subjects who received strong cytochrome P450 enzyme inducer within 4 weeks prior to visit2.
- 7.Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other infections (including but not limited to tuberculosis and atypical mycobacterial disease, hepatitis B and C and herpes zoster, histoplasmosis, coccidiomycosis, but excluding onychomycosis) , judged by investigator,may put the patient at safety risk.
- 8.Clinically significant abnormality on chest radiograph or CT,judged by investigator, may put the patient at safety risk.
- 9.History of transplantation and immunodeficiency disease, including those subject has a positive test for human immunodeficiency virus (HIV).
- 10.subject who use of any investigational products of clinical trials within 4 weeks or within 5 pharmacokinetic/pharmacodynamic half-lives prior to randomization, whichever is longer;
- 11.known to be allergic or allergic to the investigational products or ingredients;
- 12.History of alcohol or drug abuse, or a history of mental illness;
- 13.Subjects with severe, progressive, or uncontrolled disease, judged by the investigator, who maybe at risk if participate this study or those subjects whose participation may influence the interpretation of study results.
Sites / Locations
- The First Affiliated Hospital of Bengbu Medical College
- Anhui provincial hospital
- Beijing hospital
- Peking Union Medical College Hospital
- Peking University First Hospital
- Peking University People's Hospital
- Peking University Shougang Hospital
- Xuanwu Hospital Capital Medical University
- The First Affiliated Hospital of Xiamen University
- Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University
- The University of Hong Kong-Shenzhen Hospital
- The First Affiliated Hospital of Zhengzhou University
- The Second Xiangya Hospital of Central South University
- The First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of science and technology
- Jiangsu Provincial Hospital
- The First Affiliated Hospital of Soochow University
- The Affiliated Hospital of Xuzhou Medical University
- Jiu Jiang NO.1 people's Hospital
- Jiangxi Pingxiang people's Hospital
- China-Japan Union Hospital of Jilin University
- Jilin Provincial People's Hospital
- Linyi people's Hospital
- Huashan Hospital Affiliated to Fudan University
- Renji Hospital, Shanghai Jiaotong University School of Medicine
- Tongji Hospital Of Tongji University Tang Jianping
- Zhongshan Hospital Affiliated to Fudan University
- The First Affiliated Hospital of Chengdu Medical College
- People's Hospital of Xinjiang Uygur Autonomous Region
- First Affiliated Hospital,Zhejiang University School of Medicine
- Zhejiang Provincial People's Hospital
- The First Affiliated Hospital of Wenzhou Medical University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Hemay005 high dose group
Hemay005 lower dose group
Placebo
In Core-treatment period, subject will take Hemay005 60mg twice daily for 12 weeks, and in the following extend-treatment period, subject will take Hemay005 60mg twice daily for 12 weeks.
In Core-treatment period, subject will take Hemay005 45mg twice daily for 12 weeks, and in the following extend-treatment period, subject will take Hemay005 45mg twice daily for 12 weeks.
In Core-treatment period, subject will take placebo for 12 weeks, and in the following extend-treatment period, subject will take Hemay005 60mg or hemay005 45mg twice daily according to pre-allocation at randomization visit for 12 weeks.