- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07634848
Ivarmacitinib for Refractory Behcet's Syndrome
Efficacy and Safety of the Novel, Highly Selective JAK Inhibitor Ivarmacitinib in the Treatment of Behçet's Disease: A Multicenter Prospective Study
Behcet's syndrome (BS) is a multisystem autoimmune vasculitis. Current clinical treatment primarily includes glucocorticoids, immunosuppressants, and molecularly targeted drugs such as TNF-α and IL-6 inhibitors; however, some patients still respond poorly to existing treatment regimens. The JAK-STAT signaling pathway serves as a common downstream signaling pathway for various cytokines involved in the pathogenesis of Behcet's syndrome. Upon binding to their receptors, cytokines activate JAK kinases, which in turn phosphorylate STAT proteins to regulate the expression of inflammation-related genes. Therefore, blocking the JAK-STAT pathway can simultaneously inhibit the signal transduction of multiple pathogenic cytokines, thereby exerting anti-inflammatory effects. Consequently, Ivarmacitinib-a highly selective JAK1 inhibitor-holds promise for improving the prognosis and quality of life of patients with refractory Behçet's syndrome.
This is a multi-center, single-arm trial conducted to evaluate the safety and efficacy of Ivarmacitinib in Behçet's syndrome (BS) . Patients with refractory Behçet's syndrome were enrolled . Patients received Ivarmacitinib for up to 24 weeks, which was added to the glucocorticoid and immunosuppressants. The clinical manifestations, inflammatory indicators, imaging and treatment of patients were recorded by investigators during the follow up.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
- Navn: Tian Liu
- Telefonnummer: +8613661345637
- E-mail: Liutian03973@pku.edu.cn
Undersøgelse Kontakt Backup
- Navn: Yirui Lian
- Telefonnummer: +86 15037924173
Studiesteder
-
-
Beijing Municipality
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Beijing, Beijing Municipality, Kina
- Department of Rheumatology and Immunology, Peking University People's Hospital
-
Kontakt:
- Yirui Lian
- Telefonnummer: +86 15037924173
-
Kontakt:
- Tian Department of Rheumatology and Immunology, Peking University P
- Telefonnummer: • +86 136 6134 5637
- E-mail: Liutian03973@pku.edu.cn
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
① Meets the 1990 ISG diagnostic criteria for Behçet's syndrome [9];
Aged 18-70 years; ③ Has shown an inadequate response to treatment after at least 6 months of therapy with glucocorticoids, at least two immunosuppressants, and/or biologics (including TNF-α inhibitors and IL-6 inhibitors);
- Agrees to receive treatment with a new targeted therapy
Exclusion Criteria:
① Patients with one or more other autoimmune diseases;
Patients who have undergone major surgery within 4 weeks prior to enrollment, or who are scheduled to undergo elective surgery during the study; ③ Patients with a confirmed acute or chronic active infection (e.g., bacterial, viral [such as EBV, CMV, HIV, or active hepatitis virus]) within 4 weeks prior to enrollment; ④ Patients with a current or past history of any malignancy;
Female patients who are pregnant or within 6 months postpartum;
- Patients with severe liver failure (Child-Pugh Class C) or end-stage renal disease (dialysis-dependent).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Ivarmacitinib for the Treatment of Refractory Behçet's Disease
|
The specific regimen was 4 mg of Ivarmacitinib administered daily for 24 weeks.
All patients will undergo 24 weeks of prospective follow-up.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patienter, der opnår fuldstændig remission og delvis remission
Tidsramme: Uge 24
|
Det primære endepunkt blev defineret som andelen (procenten) af patienter i hele kohorten, der opnåede fuldstændig remission og delvis remission i uge 24.
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Uge 24
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes of C-reactive protein
Tidsramme: Week 24
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Blood samples were collected from all patients and the concentration of C-reactive protein (mg/L) were recorded.
|
Week 24
|
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Changes of erythrocyte sedimentation rate
Tidsramme: week24
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Blood samples were collected from all patients and the erythrocyte sedimentation rates (mm/h) were recorded.
|
week24
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Changes of dosage of glucocorticoids from baseline.
Tidsramme: week 24
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The dosage of glucocorticoids (mg/day) of all patients were recorded during the follow-up.
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week 24
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Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Mundsygdomme
- Stomatognatiske sygdomme
- Karsygdomme
- Hjerte-kar-sygdomme
- Genetiske sygdomme, medfødte
- Øjensygdomme
- Hudsygdomme
- Hudsygdomme, vaskulære
- Hudsygdomme, genetisk
- Uveal Sygdomme
- Vaskulitis
- Panuveitis
- Uveitis, Anterior
- Uveitis
- Arvelige autoinflammatoriske sygdomme
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Hud- og bindevævssygdomme
- Behcet syndrom
- ivarmacitinib
Andre undersøgelses-id-numre
- PKU People's Hospital SHR0302
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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