A Randomized, Double-blind, Placebo- and Comparator-controlled, Multicenter, Phase 2 Trial to Assess the Efficacy and Safety of HS-10374 in Adults With Active Psoriatic Arthritis
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR20) response at Week 16
研究概览
简要总结
This study has been designed to explore the clinical efficacy and safety of HS-10374 in the treatment of active psoriatic arthritis. Additionally, this study is to find the optimal dosing for the future clinical development of HS-10374.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female subjects between the ages of 18-75 years.
- •Has a history of psoriatic arthritis (PsA) for at least 6 months, and meets the Classification Criteria for Psoriatic Arthritis (CASPAR) at screening.
- •Active arthritis as shown ≥ 3 swollen joints (66 joints) and ≥ 3 tender joints (68 joints) at both screening and baseline.
- •Active plague psoriatic skin lesion or documented history of plague psoriatic at screening.
- •hs-CRP ≥ 3mg/L at screening.
- •Subjects either (i) do not have prior exposure to biologics (biologic-naïve) or (ii) have failed or been intolerant to 1 TNF-inhibitor (TNFi-experienced).
排除标准
- •Non-plaque psoriasis (ie, guttate, inverse, pustular, erythrodermic or drug-induced psoriasis), with the exception of nail psoriasis, which is allowed.
- •Other autoimmune or autoinflammatory condition ( ie, rheumatoid arthritis, systemic lupus erythematous, gout), with the exception of inflammatory bowel disease and/or autoimmune uveitis being inactive at least 12 months before the screening, as assessed by the investigator.
- •Active fibromyalgia syndrome
- •Recent history of active infection, chronic infection history or risk of serious infection.
研究组 & 干预措施
HS-10374 Dose 1
干预措施: HS-10374 (Drug)
HS-10374 Dose 2
干预措施: HS-10374 (Drug)
Placebo
干预措施: HS-10374-matched placebo tablets (Drug)
tofacitinib
干预措施: Tofacitinib 5Mg Tab,Oral (Drug)
结局指标
主要结局
Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR20) response at Week 16
时间窗: At week 16
The ACR 20, ACR 50 or ACR 70 definition of improvement is a 20%, 50% or 70% improvement, respectively, over baseline in tender and swollen joint counts and a 20%, 50% or 70% improvement, respectively, in 3 of the 5 remaining core data set measures (Subject Global Assessment of disease activity, Physician Global Assessment of psoriatic arthritis, Subject global assessment of pain, HAQ-DI, hs-CRP).
次要结局
- Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) score at week 16(At week 16)
- Proportion of participants meeting Psoriasis Area and Severity Index (PASI) 75/90 responses at week 16(At week 16)
- Proportion of participants meeting Static physician's global assessment (sPGA) 0/1 score at week 16(At week 16)
- Change from baseline in the dermatology life quality index (DLQI) scores at week 16(At week 16)
- Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR20) response at Week 12(At week 12)
- Proportion of participants meeting American College of Rheumatology improvement of 50% (ACR50) response at Week 16(At week 16)
- Incidence of adverse events (AEs), serious adverse events (SAEs)(Baseline to Week 20)
- Change from baseline in the Disease Activity Index for Psoriatic Arthritis Score (DAPSA) at week 16(At week 16)
- Proportion of participants meeting Minimal Disease Activity (MDA) response at week 16(At week 16)
- Change from baseline in dactylitis by Leed's dactylitis index (LDI) at week 16(At week 16)
- Ctrough of HS-10374(Baseline to Week 16)
- Proportion of participants meeting American College of Rheumatology improvement of 70% (ACR70) response at Week 16(At week 16)
- Change from baseline in Psoriasis body surface area (BSA) at week 16(At week 16)
- Change from baseline in Disease Activity Score 28 with C-reactive protein (DAS28-CRP) score at week 16(At week 16)
- Change from baseline in Psoriatic Arthritis Disease Activity Score (PASDAS) at week 16(At week 16)
- Change from baseline in enthesitis by Leed's enthesitis index (LEI) at week 16(At week 16)
- Proportion of participants achieving Psoriatic Arthritis Response Criteria (PsARC) at week 16(At week 16)
- Change from baseline in the Short Form-36 Survey (SF-36) score at week 16(At week 16)
- Change from baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score among participants with spondylitis as one of their presentations of PsA at week 16(At week 16)
