Actively Recruiting

Phase 3
Age: 2Years - 17Years
All Genders
ID04528082

A Phase 3, Multicenter, Double-blind, Randomized, Placebo-controlled Study Followed by Active Treatment to Evaluate Apremilast in Children 2 to Under 18 With Oral Ulcers in Behçet's Disease

Led by Amgen · Updated on 2025-12-01

60

Participants Needed

27

Research Sites

44 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of apremilast compared to a placebo for treating oral ulcers in children aged 2 to under 18 years with Behçet's disease (BD). The study aims to measure how well apremilast works in reducing the number and pain of oral ulcers during a 12-week period. This is a Phase 3, multicenter, double-blind, randomized, placebo-controlled clinical trial sponsored by Amgen. Participants will be randomly assigned to receive either apremilast or a matching placebo orally for the first 12 weeks in a double-blind phase. After this period, all participants will continue receiving apremilast for an additional 40 weeks in an active treatment phase. The study monitors both the effects of the drug and safety throughout these phases. During the study, participants will have regular assessments of oral ulcer counts, pain levels, disease activity, and quality of life using tools like the Short Form Survey (SF-10). Safety will be closely monitored by tracking adverse events, suicide-related thoughts or behaviors, and physical growth measurements. Blood samples will be collected to measure apremilast levels. The total study participation lasts up to 56 weeks, including the treatment and follow-up periods.

CONDITIONS

Brief Title

Apremilast Pediatric Study in Children With Active Oral Ulcers Associated With Behçet's Disease

Who Can Participate

Age: 2Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female participants aged 2 to under 18 years at randomization
  • Diagnosed with Behçet's disease meeting ISGBD criteria before screening
  • History of oral ulcers occurring 3 or more times in the 12 months before screening
  • Have 2 or more oral ulcers present at both screening and day 1
  • Prior treatment with at least one non-biologic therapy for Behçet's disease, such as topical corticosteroids or systemic treatments
Not Eligible

You will not qualify if you...

  • Active major organ involvement related to Behçet's disease requiring immunosuppressive therapy, such as pulmonary artery aneurysm, thrombophlebitis, gastrointestinal ulcers, meningoencephalitis, or uveitis
  • Previous major organ involvement allowed if inactive for at least 1 year before screening
  • Mild Behçet's-related eye lesions not needing systemic immunosuppressive therapy are allowed
  • Behçet's-related arthritis and skin symptoms are allowed
  • Prior use of biologic therapies for Behçet's disease oral ulcers
  • Prior biologic therapy allowed for other conditions not related to Behçet's oral ulcers

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 12 weeks

Participants receive apremilast or placebo orally during the double-blind treatment phase.

Visits during the 12-week double-blind treatment phase

Treatment

Duration - 40 weeks

Participants receive apremilast orally during the active treatment phase following the double-blind phase.

Visits during the 40-week active treatment phase

Trial Site Locations

Total: 27 locations

1

Hospices Civils de Lyon Hopital Femme Mere Enfant

Bron, France, 69677

Actively Recruiting

2

Hopital Necker Enfants Malades

Paris, France, 75015

Terminated

3

Hopital Robert Debre

Paris, France, 75019

Actively Recruiting

4

Agia Sofia Children Hospital

Athens, Greece, 11527

Actively Recruiting

5

Attikon University General Hospital

Athens, Greece, 12462

Actively Recruiting

6

General Hospital of Thessaloniki Ippokrateio

Thessaloniki, Greece, 54642

Actively Recruiting

7

Meir Medical Center

Kfar Saba, Israel, 4428164

Actively Recruiting

8

Ospedale Santissima Annunziata

Chieti, Italy, 66100

Actively Recruiting

9

IRCCS Istituto Giannina Gaslini

Genova, Italy, 16147

Actively Recruiting

10

Azienda Socio Sanitaria Territoriale Centro Specialistico Ortopedico Traumatologico Gaetano Pini

Milan, Italy, 20122

Actively Recruiting

11

IRCCS Ospedale Pediatrico Bambino Gesu

Roma, Italy, 00165

Actively Recruiting

12

Hospital Universitario Virgen del Rocio

Seville, Andalusia, Spain, 41013

Actively Recruiting

13

Hospital Universitari Vall d Hebron

Barcelona, Catalonia, Spain, 08035

Actively Recruiting

14

Hospital Sant Joan de Deu

Esplugues de Llobregat, Catalonia, Spain, 08950

Actively Recruiting

15

Hospital Universitari i Politecnic La Fe

Valencia, Valencia, Spain, 46026

Actively Recruiting

16

Hospital Universitario Ramon y Cajal

Madrid, Spain, 28034

Actively Recruiting

17

Hospital Universitario La Paz

Madrid, Spain, 28046

Terminated

18

Centre Hospitalier Universitaire Vaudois

Lausanne, Switzerland, 1011

Terminated

19

Hacettepe Universitesi Tip Fakultesi Hastanesi

Ankara, Turkey (Türkiye), 06100

Actively Recruiting

20

Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi

Istanbul, Turkey (Türkiye), 34093

Actively Recruiting

21

Istanbul Universitesi Cerrahpasa Tip Fakultesi

Istanbul, Turkey (Türkiye), 34098

Actively Recruiting

22

Umraniye Egitim ve Arastirma Hastanesi

Istanbul, Turkey (Türkiye), 34764

Actively Recruiting

23

Dokuz Eylul Universitesi Tip Fakultesi Hastanesi

Izmir, Turkey (Türkiye), 35330

Terminated

24

Erciyes Universitesi Tip Fakultesi Hastanesi

Kayseri, Turkey (Türkiye), 38030

Actively Recruiting

25

Birmingham Childrens Hospital

Birmingham, United Kingdom, B4 6NH

Terminated

26

Alder Hey Childrens Hospital

Liverpool, United Kingdom, L12 2AP

Actively Recruiting

27

John Radcliffe Hospital

Oxford, United Kingdom, OX3 7LD

Actively Recruiting

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Research Team

A

Amgen Call Center

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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