NCT07100938

Brief Summary

This study aims to evaluate the efficacy of BGB-45035 in adults with moderate to severe active rheumatoid arthritis (RA) who have had an inadequate response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) or biologic disease-modifying antirheumatic drugs (bDMARDs)/targeted synthetic disease-modifying antirheumatic drugs (tsDMARDs).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
49

participants targeted

Target at below P25 for phase_2 rheumatoid-arthritis

Timeline
Completed

Started Aug 2025

Shorter than P25 for phase_2 rheumatoid-arthritis

Geographic Reach
1 country

29 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 28, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 3, 2025

Completed
18 days until next milestone

Study Start

First participant enrolled

August 21, 2025

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 12, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 12, 2026

Completed
Last Updated

May 28, 2026

Status Verified

May 1, 2026

Enrollment Period

9 months

First QC Date

July 28, 2025

Last Update Submit

May 22, 2026

Conditions

Keywords

Interleukin-1 Receptor-Associated Kinase 4 (IRAK4) Degrader

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in Disease Activity Score - C-reactive protein (DAS28-CRP) at Week 12

    The DAS28-CRP is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), high-sensitivity C-reactive protein (hsCRP in mg/L), and Patient's Global Assessment of Arthritis Pain (measured on a Visual Analog Scale \[VAS\] from 0 \[no pain\] to 100 \[worst possible pain\]). Scores on the DAS28-CRP range from 0 to approximately 10, where higher scores indicate more disease activity. A score greater than 5.1 indicates high disease activity, a score between 3.2 and 5.1 indicates moderate disease activity, a score between 2.6 and 3.2 indicates low disease activity, and a score less than 2.6 indicates the participant is in remission.

    Baseline and Week 12

Secondary Outcomes (12)

  • Percentage of participants with a 20% improvement in American College of Rheumatology Criteria (ACR20)

    Baseline and Week 12

  • Percentage of participants with a 50% improvement in American College of Rheumatology Criteria (ACR50)

    Baseline and Week 12

  • Percentage of participants with a 70% improvement in American College of Rheumatology Criteria (ACR70)

    Baseline and Week 12

  • Change from Baseline in Tender Joint Count 68 (TJC 68)

    Baseline up to Week 12

  • Change from baseline in Swollen Joint Count 66 (SJC 66)

    Baseline up to Week 12

  • +7 more secondary outcomes

Study Arms (2)

BGB-45035

EXPERIMENTAL

Participants will receive BGB-45035 orally for up to 12 weeks

Drug: BGB-45035

Placebo

PLACEBO COMPARATOR

Participants will receive placebo orally for up to 12 weeks

Drug: Placebo

Interventions

Administered orally

BGB-45035

Administered orally

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with rheumatoid arthritis (RA) based on American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria for at least 3 months prior to screening
  • Demonstrated an inadequate response to, or loss of response or intolerance to at least 1 conventional synthetic disease-modifying antirheumatic drug (csDMARD) (Hydroxychloroquine, methotrexate \[MTX\], leflunomide, or sulfasalazine) or 1 biologic disease-modifying antirheumatic drug (bDMARD)/targeted synthetic disease-modifying antirheumatic drug (tsDMARD) treatment
  • Must be on stable dose of one of the following permitted therapies for ≥ 4 weeks prior to screening and during the study: methotrexate between 7.5 mg to 25 mg/week, hydroxychloroquine up to 400 mg/day, leflunomide up to 20 mg/day, or sulfasalazine between 1000 mg/day to 3000 mg/day

You may not qualify if:

  • Class IV RA based on American College of Rheumatology revised criteria for classification of functional status in rheumatoid arthritis
  • Patients with a history of cancer in the last 5 years before the Screening Visit, with the exception of adequately treated basal cell or squamous cell carcinoma of the skin
  • Have failed more than 2 b/tsDMARDs (eg, excluded if have failed 2 bDMARDs and 1 tsDMARD)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (29)

The First Affiliated Hospital of Bengbu Medical University

Bengbu, Anhui, 233004, China

Location

Anhui Provincial Hospital

Hefei, Anhui, 230000, China

Location

Peking University First Hospital

Beijing, Beijing Municipality, 100034, China

Location

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, 100050, China

Location

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, 400010, China

Location

Sun Yat Sen Memorial Hospital, Sun Yat Sen University (North)

Guangzhou, Guangdong, 510000, China

Location

The First Affiliated Hospital, Sun Yat Sen University

Guangzhou, Guangdong, 510080, China

Location

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, 510515, China

Location

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, 530021, China

Location

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, 150001, China

Location

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, 471003, China

Location

Nanyang Central Hospital

Nanyang, Henan, 473000, China

Location

Zhengzhou Central Hospital

Zhengzhou, Henan, 450007, China

Location

The Second Xiangya Hospital of Central South University

Changsha, Hunan, 410011, China

Location

Chenzhou No1 Peoples Hospital

Chenzhou, Hunan, 423000, China

Location

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia, 010050, China

Location

The First Peoples Hospital of Changzhou

Changzhou, Jiangsu, 213000, China

Location

Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, 210008, China

Location

Affiliated Hospital of Nantong University

Nantong, Jiangsu, 201203, China

Location

Northern Jiangsu Peoples Hospital

Yangzhou, Jiangsu, 225001, China

Location

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, 330006, China

Location

Pingxiang Peoples Hospital

Pingxiang, Jiangxi, 337055, China

Location

The First Hospital of Jilin University

Changchun, Jilin, 130021, China

Location

Affiliated Hospital of Liaoning University of Traditional Chinese Medicine

Shenyang, Liaoning, 110000, China

Location

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, Shaanxi, 710061, China

Location

Huashan Hospital Fudan University

Shanghai, Shanghai Municipality, 200040, China

Location

Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital

Chengdu, Sichuan, 610071, China

Location

Affiliated Hospital of North Sichuan Medical College

Nanchong, Sichuan, 637000, China

Location

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310009, China

Location

MeSH Terms

Conditions

Arthritis, RheumatoidHereditary Sensory and Autonomic Neuropathies

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System DiseasesNervous System MalformationsNervous System DiseasesHeredodegenerative Disorders, Nervous SystemNeurodegenerative DiseasesPolyneuropathiesPeripheral Nervous System DiseasesNeuromuscular DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGenetic Diseases, Inborn

Study Officials

  • Study Director

    BeiGene

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 28, 2025

First Posted

August 3, 2025

Study Start

August 21, 2025

Primary Completion

May 12, 2026

Study Completion

May 12, 2026

Last Updated

May 28, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will share

BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
See plan description
Access Criteria
See plan description
More information

Locations