Treatment of oral ulcers in children with Behçet's disease using apremilast
Official title: A Phase 3, Multicenter, Double-blind, Randomized, Placebo-controlled, Parallel Group Study, Followed by an Active Treatment Phase to Evaluate the Efficacy and Safety of Apremilast in Children From 2 to Less Than 18 Years of Age With Active Oral Ulcers Associated With Behçet's Disease (BEAN)
Run by Amgen · NCT04528082 · Data updated 2026-11-12
This study is testing if a medication called apremilast can help children with Behçet's disease feel better by reducing their painful mouth sores.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 2 Years to 17 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Amgen Industry-sponsored |
| Locations | 27 sites (Bron and 26 other locations) |
| Status | Recruiting |
| Started | September 9, 2021 |
| Main results expected | February 7, 2030 |
| Study ends | December 17, 2030 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT04528082 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are children aged 2 to less than 18 years with a confirmed diagnosis of Behçet's disease and a history of recurrent oral ulcers.
✕Probably not a fit
Patients with major organ involvement or severe manifestations of Behçet's disease that require immunosuppressive therapy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to evaluate the effectiveness of apremilast compared to a placebo in treating oral ulcers in pediatric patients aged 2 to less than 18 years who have been diagnosed with Behçet's disease. The study will assess the reduction in the frequency and severity of oral ulcers over a 12-week period. Participants must have experienced multiple oral ulcers in the past year and have had prior treatment for their condition. The trial is designed to provide insights into the safety and efficacy of apremilast in this specific patient population.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the quality of life for children suffering from painful oral ulcers associated with Behçet's disease.
How similar studies have gone: While there have been studies on Behçet's disease treatments, the specific use of apremilast in pediatric patients for oral ulcers is a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria * Male or Female participants 2 to \< 18 years of age at randomization. * Diagnosed with BD meeting the ISGBD criteria at any time prior to the screening visit. * Oral ulcers that occurred ≥ 3 times within the 12-month period prior to the screening visit. * Participant must have ≥ 2 oral ulcers at both the screening visit and on day 1. * Participant has had prior treatment with ≥ 1 non-biologic BD therapy, such as, but not limited to, topical corticosteroids or systemic treatment. Key Exclusion Criteria * Behçet's disease-related active major organ involvement - pulmonary (eg, pulmonary artery aneurysm), vascular (eg, thrombophlebitis), gastrointestinal (eg, ulcers along the gastrointestinal tract), or CNS (eg, meningoencephalitis) manifestations, or ocular lesions (eg, uveitis) requiring immunosuppressive therapy; however: * Previous major organ involvement is allowed if it occurred ≥1 year prior to the screening visit and is not active at time of enrollment * Participants with mild BD-related ocular lesions not requiring systemic immunosuppressive therapy are allowed * Participants with BD-related arthritis and BD-skin manifestations are also allowed. * Previous exposure to biologic therapies for the treatment of BD oral ulcers, previous biologic exposure is allowed for other indications (including other manifestations of BD).
Where it's running
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Hospices Civils de Lyon Hopital Femme Mere Enfant
Bron, France Recruiting -
Hopital Robert Debre
Paris, France Recruiting -
Agia Sofia Children Hospital
Athens, Greece Recruiting -
Attikon University General Hospital
Athens, Greece Recruiting -
General Hospital of Thessaloniki Ippokrateio
Thessaloniki, Greece Recruiting -
Meir Medical Center
Kfar Saba, Israel Recruiting
Show 21 more locations
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IRCCS Istituto Giannina Gaslini
Genova, Italy Recruiting -
IRCCS Ospedale Pediatrico Bambino Gesu
Roma, Italy Recruiting -
Hospital Universitario Virgen del Rocio
Seville, Andalusia, Spain Recruiting -
Hospital Universitari Vall d Hebron
Barcelona, Catalonia, Spain Recruiting -
Hospital Sant Joan de Deu
Esplugues de Llobregat, Catalonia, Spain Recruiting -
Hospital Universitari i Politecnic La Fe
Valencia, Valencia, Spain Recruiting -
Hospital Universitario Ramon y Cajal
Madrid, Spain Recruiting -
Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, Turkey (Türkiye) Recruiting -
Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi
Istanbul, Turkey (Türkiye) Recruiting -
Istanbul Universitesi Cerrahpasa Tip Fakultesi
Istanbul, Turkey (Türkiye) Recruiting -
Umraniye Egitim ve Arastirma Hastanesi
Istanbul, Turkey (Türkiye) Recruiting -
Erciyes Universitesi Tip Fakultesi Hastanesi
Kayseri, Turkey (Türkiye) Recruiting -
Alder Hey Childrens Hospital
Liverpool, United Kingdom Recruiting -
John Radcliffe Hospital
Oxford, United Kingdom Recruiting -
Hopital Necker Enfants Malades
Paris, France Terminated -
Ospedale Santissima Annunziata
Chieti, Italy Terminated -
Azienda Socio Sanitaria Territoriale Centro Specialistico Ortopedico Traumatologico Gaetano Pini
Milan, Italy Terminated -
Hospital Universitario La Paz
Madrid, Spain Terminated -
Centre Hospitalier Universitaire Vaudois
Lausanne, Switzerland Terminated -
Dokuz Eylul Universitesi Tip Fakultesi Hastanesi
Izmir, Turkey (Türkiye) Terminated -
Birmingham Childrens Hospital
Birmingham, United Kingdom Terminated
Study contacts
- Study coordinator: Amgen Call Center
- Email: medinfo@amgen.com
- Phone: 866-572-6436
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Ustekinumab for mucocutaneous Behçet's syndrome
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.