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This study is a multicenter, randomized, double-blind study. There are three dosage groups: Hemay005 45 mg BID group, 60 mg BID group or placebo group, with 36 patients in each dosage group. All patients will enter a 12-week double-blind treatment period. All subjects who have received the investigational drug should be subjected to a 4-week observation after the end of treatment.
This study adopts a multicenter, randomized, double-blind, low--high dose groups and placebo parallel controlled clinical study design. After screening, patients with active ulcerative colitis who meet the inclusion criteria and do not meet the exclusion criteria will be randomized by 1:1:1 to Hemay005 45 mg BID group, 60 mg BID group or placebo group, with proposed 36 patients in each group. All patients will enter a 12-week double-blind inductive treatment period. All randomized subjects who have received the investigational drug should be subjected to a 4-week observation after the end of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hemay005 45 mg BID group | Experimental | 3 tablets of Hemay005 (15mg/tablet) and 1 tablet of Hemay005 placebo will be orally administered twice daily. |
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| Hemay005 60 mg BID group | Experimental | 4 tablets of Hemay005 (15mg/tablet) will be orally administered twice daily. |
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| Hemay005 placebo BID group | Placebo Comparator | 4 tablets of Hemay005 placebo will be orally administered twice daily. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hemay005 tablets | Drug | Hemay005 tablets (15mg/tablet)will be orally administered twice daily. |
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| Measure | Description | Time Frame |
|---|---|---|
| clinical remission | Definition of clinical remission rate: defined as a Mayo score of 0 or 1 in the number of bowel movements with a ≥1 reduction from baseline, a blood in the stool score of 0, and an endoscopic score of 0 or 1 (no fragility). | 12 week |
| Measure | Description | Time Frame |
|---|---|---|
| clinical response | Definition of clinical response: defined as a Mayo score reduction of ≥2 points from baseline and a decrease of ≥30% from baseline, with a reduction of ≥1 point from baseline in the rectal bleeding sub-score, or a rectal bleeding sub-score of ≤1 point. | 12 week |
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Inclusion Criteria:
Oral administration of sulfasalazine (SASP) and/or 5-aminosalicylic acid (5-ASA); Oral administration of corticosteroids; Azathioprine or 6-mercaptopurine; Anti-TNF-α treatment: infliximab or adalimumab, etc.; - If the patient is using the following drugs to treat ulcerative colitis at the time of screening, it is necessary to receive stable treatment during the screening period and the following requirements during the study period are as follows: Oral administration of sulfasalazine (SASP) and/or 5-aminosalicylic acid (5-ASA) maintaining stable for at least ≥ 2 weeks prior to endoscopy during the screening period and maintaining stable during the study period; and/or Oral administration of low-dose corticosteroids (≤25 mg/d prednisolone or equivalent drug dose) maintaining stable for at least ≥ 2 weeks prior to endoscopy during the screening period;
- At least one of the following effective contraceptive methods should be adopted for female patients with fertility and male patients who have not undergone vasectomy during the entire study period from the date of signing the informed consent to 3 months after the last dose. Acceptable contraceptive methods in this study include: a. abstinence; b. hormones (oral intake, patch, ring, injection, implantation) combined with male condoms. This measure must be applied at least 30 days prior to the first administration of investigational drug, otherwise another acceptable method of contraception must be used; c. intra-uterine device (IUD) combined with male condoms; d. barrier method (diaphragm, cervical cap, sponge) combined with male condoms; exceptional circumstances: a) females who have been menopausal for 5 years and more, and b) surgical sterilization (proof should be provided).
Exclusion Criteria:
Patients who have used azathioprine/6-mercaptopurine, methotrexate within 7 days before randomization; Patients who have used cyclosporine, mycophenolate mofetil, tacrolimus/sirolimus within 4 weeks before randomization; Patients who have used interferon within 8 weeks before randomization; Patients who have received anti-TNF-α treatment within 8 weeks before randomization; Intravenous corticosteroids or rectal administration of corticosteroids or rectal administration of 5-ASA within 2 weeks prior to randomization; Patients who have used thalidomide within 8 weeks before randomization;Patients who have received antibiotic treatment within 1 week before randomization;
Screening was permitted if patients had a history of tuberculosis and had been cured by investigator assessment for at least 3 years prior to randomization; subjects with a negative T-cell test for tuberculosis infection (T-SPOT) at screening can be included in this study. Subjects who are T-SPOT positive during the screening period need to undergo tuberculosis-related clinical examinations (Tuberculosis-related clinical work performed within 12 weeks prior to randomization can be used directly for evaluation), if the tuberculosis-related clinical examination confirmed active tuberculosis, the subjects will not be eligible for this study. Subjects can be included in this study if the tuberculosis-related clinical examination confirms inactive tuberculosis. If the research center cannot perform T-SPOT test, TB screening by QuantiFERON-TB Gold test kit can also be accepted. The treatment of QuantiFERON-TB-Gold screening results is the same as that of T-SPOT.
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| Name | Affiliation | Role |
|---|---|---|
| Shutian Zhang, MD | Beijing Friendship Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Fourth Affiliated Hospital of Anhui Medical University | Hefei | Anhui | China | |||
| The First Affiliated Hospital of Fujian Medical University |
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Parallel Assignment
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| Hemay005 placebo tablets | Drug | Hemay005 placebo tablets will be orally administered twice daily. |
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| Fuzhou |
| Fujian |
| China |
| The Second Affiliated Hospital of Guangzhou Medical University | Guangzhou | Guangdong | China |
| First Affiliated Hospital of Zhengzhou University | Zhengzhou | Henan | China |
| Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology | Wuhan | Hubei | China |
| Xiangya Hospital of Central South University | Changsha | Hunan | China |
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | China |
| Shengjing Hospital Affiliated to China Medical University | Shenyang | Liaoning | China |
| Qilu Hospital of Shandong University | Jinan | Shandong | China |
| Shandong Provincial Hospital | Jinan | Shandong | China |
| Sichuan Provincial People's Hospital | Chengdu | Sichuan | China |
| First Affiliated Hospital of Zhejiang University School of Medicine | Hangzhou | Zhejiang | China |
| Beijing Chaoyang Hospital Affiliated to Capital Medical University | Beijing | China |
| Beijing Friendship Hospital Affiliated to Capital Medical University | Beijing | China |
| Peking University Third Hospital | Beijing | China |
| Chongqing People's Hospital | Chongqing | China |
| Shanghai Oriental Hospital | Shanghai | China |
| Tianjin Medical University General Hospital | Tianjin | China |
| ID | Term |
|---|---|
| C000628605 | Hemay005 |
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