Clinical trial Recruiting at 20 sites Phase 3 Interventional Ages 2 to 17

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.

More Behçet's Disease trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages2 Years to 17 Years
SexAll
Enrollment60 (estimated)
SponsorAmgen
Industry-sponsored
Locations27 sites (Bron and 26 other locations)
StatusRecruiting
StartedSeptember 9, 2021
Main results expectedFebruary 7, 2030
Study endsDecember 17, 2030
Registry record updatedJuly 24, 2026
Trial IDNCT04528082 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.