A Clinical Trial of TQH3906 Capsules in Adult Patients With Moderate to Severe Plaque Psoriasis
Recruiting · NCT07724366 · Interventional (participants receive a specific treatment)
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This study is a multicenter, randomized, double-blind, placebo- and active-controlled Phase III clinical trial sponsored by Nanjing Shunxin Pharmaceutical Co., Ltd., a subsidiary of Chiatai Tianqing Pharmaceutical Group. The study aims to evaluate the efficacy and safety of once-daily oral TQH3906 capsules (24 mg) in adult participants with moderate to severe plaque psoriasis. TQH3906 is a highly selective TYK2 allosteric inhibitor targeting the JH2 domain, which blocks the IL-23 and Type I interferon inflammatory pathways. Approximately 400 eligible participants aged 18-75 years will be enrolled. Participants will be stratified based on prior biologic use and randomized in a 2:2:1 ratio to the TQH3906 group, the deucravacitinib active control group, or the placebo group. The trial includes a screening period, a 16-week double-blind controlled treatment phase, a 36-week open-label extension phase (during which all participants will receive TQH3906), and a 4-week safety follow-up after the last dose. The co-primary endpoints are the proportion of participants achieving sPGA 0/1 and PASI 90 response at Week 16. Secondary endpoints include improvements in scalp, nail, and palmoplantar psoriasis, Dermatology Life Quality Index (DLQI), long-term safety, and steady-state pharmacokinetic parameters. This study will collect comprehensive efficacy and safety data over 52 weeks to support the New Drug Application (NDA) for TQH3906 for the treatment of plaque psoriasis.
Who can take part
Inclusion criteria
- Participants must be between 18 and 75 years old when signing the informed consent form (ICF), regardless of gender; 2. Confirmed diagnosis of plaque psoriasis for at least 6 months at screenin 3. Disease is stable at screening and baseline visits, and the following criteria are met:
- Static Physician Global Assessment (sPGA) score ≥3;
- Psoriasis Area and Severity Index (PASI) score ≥12;
- Body Surface Area (BSA) affected by psoriasis ≥10%; 4. Deemed by the Investigator as suitable for systemic therapy or phototherapy; 5. Women of childbearing potential must have a negative pregnancy test at screening and baseline visits. Women of childbearing potential and male trial participants whose spouse or partner is a woman of childbearing potential must be willing to use at least one effective method of contraception as specified in the protocol during the study period (from signing the ICF until 30 days after the last dose of investigational drug). Male trial participants must also commit to not donating sperm during the study period and within 30 days after the last dose of study drug; 6. Before initiating any screening or study-specific procedures, trial participants must be able to understand and willing to comply with all protocol requirements, and voluntarily sign and date the ICF.
Exclusion criteria
- Presence of non-plaque psoriasis during the Screening period or at the Baseline visit; 2.Past or current diagnosis of drug-induced psoriasis; 3.Concomitant other autoimmune diseases, including but not limited to rheumatoid arthritis, sarcoidosis, and systemic lupus erythematosus; 4.Receiving therapeutic agents for psoriatic arthritis (PsA) other than stable-dose non-steroidal anti-inflammatory drugs (NSAIDs) or analgesics.
- Prior exposure to TQH3906 Capsules or Deucravacitinib Tablets; 6.Receipt of any of the following medications or treatments within the specified time window:
- Any topical agents or treatments that may interfere with psoriasis assessment, administered within 2 weeks before the Baseline visit;
- Psoriasis phototherapy administered within 4 weeks before the Baseline visit;
- Any biologics or biosimilars thereof, administered within the specified time frame before the Baseline visit;
- Systemic non-biologic psoriasis therapy and/or systemic immunosuppressive treatment administered within 4 weeks before the Baseline visit; 5) Within 6 months prior to the baseline visit: Leflunomide; 6) Within 4 weeks prior to the baseline visit: Traditional Chinese medicines (TCM), Chinese proprietary medicines, or herbal preparations used for psoriasis treatment or with unknown composition/nature, including but not limited to Total Glucosides of Paeony, Tripterygium wilfordii preparations, Compound Glycyrrhizin preparations, Compound Qingdai preparations, etc.; 7) Within 4 weeks prior to the baseline visit: Any live vaccines or live-attenuated vaccines; OR anticipated need to receive live vaccines or live-attenuated vaccines during the study period including at least 4 weeks after the last dose of investigational product; 8) Within 3 months prior to the baseline visit (or 5 half-lives, whichever is longer): Investigational biological agent treatment; OR within 30 days prior to the baseline visit (or 5 half-lives, whichever is longer): Any other investigational drug treatment; OR currently participating in other clinical trials; 7. Active infection/history of infection, or receipt of specific anti-infective therapies within the specified time windows; 8. Previous or current presence of severe or unstable diseases or medical conditions involving neurological, cardiovascular, respiratory, digestive, urinary, hematological, or immune systems that, in the Investigator's judgment, may interfere with outcome assessment or affect participation safety 9. Laboratory test abnormalities meeting any of the following criteria during the screening period: 1) Hemoglobin \<90.0 g/L; 2) White blood cell count \<3.0×10⁹/L; 3) Neutrophil count \<1.0×10⁹/L; 4) Lymphocyte count \<0.5×10⁹/L; 5) Platelet count \<100×10⁹/L; 6) Alanine aminotransferase (ALT) and/or Aspartate aminotransferase (AST) \>3× Upper Limit of Normal (ULN); 7) Total bilirubin (TBIL) \>1.5× ULN; 8) Estimated creatinine clearance \<45 mL/min calculated based on the Cockcroft-Gault formula. (See Appendix 2 for calculation formula); 9) Thyroid-stimulating hormone (TSH) outside the normal reference range, concomitant with free T4 or T3 also outside the normal reference range.
- \. History of drug or alcohol abuse within 6 months prior to screening; 11. Known allergy, hypersensitivity, or intolerance to TQH3906 capsules, deucravacitinib tablets, or any excipient ingredients; 12. Women who are pregnant, breastfeeding, or planning to become pregnant during the trial, and men who plan to father children or donate sperm during the trial; 13. Trial participants who are employees of the Sponsor, third-party agency staff, or direct research center staff involved in this study or their family members; 14. Per Investigator assessment, presence of any other medical, psychiatric, or other reasons that render the trial participant unsuitable for participation in this study.
Where it is running
45 locations listed.
- Peking University Third Hospital - Beijing, Beijing Municipality, China
- The First Affiliated Hospital of Chongqing Medical University 。 - Chongqing, Chongqing Municipality, China
- Chongqing Traditional Chinese Medicine Hospital - Chongqing, Chongqing Municipality, China
- Dermatology Hospital of Southern Medical University - Guangzhou, Guangdong, China
- Guangdong Provincial People's Hospital - Guangzhou, Guangdong, China
- Shenzhen Second People's Hospital - Shenzhen, Guangdong, China
- The First Affiliated Hospital of Guangxi Medical University - Nanning, Guangxi, China
- Guizhou Provincial People's Hospital - Guiyang, Guizhou, China
- Hainan Fifth People's Hospital - Haikou, Hainan, China
- Affiliated Hospital of Chengde Medical University - Chengde, Hebei, China
- Shijiazhuang Traditional Chinese Medicine Hospital - Shijiazhuang, Hebei, China
- Heilongjiang Provincial Hospital - Harbin, Heilongjiang, China
- The Second Affiliated Hospital of Henan University of science and technology - Luoyang, Henan, China
- Puyang Oilfield General Hospital - Puyang, Henan, China
- Zhengzhou Central Hospital - Zhengzhou, Henan, China
- The First Peopel's Hospital of Zhengzhou - Zhengzhou, Henan, China
- Jingzhou Central Hospital - Jingzhou, Hubei, China
- Xiangya Hospital of Central South University - Changsha, Hunan, China
- The Third Xiangya Hospital of Central South University - Changsha, Hunan, China
- Affiliated Hospital of Inner Mongolia Medical University - Hohhot, Inner Mongolia, China
- The First People's Hospital of Lianyungang - Lianyungang, Jiangsu, China
- Chinese Academy of Medical Sciences Hospital for Skin Diseases - Nanjing, Jiangsu, China
- Nantong Cancer Hospital - Nantong, Jiangsu, China
- Suzhou Municipal Hospital - Suzhou, Jiangsu, China
- Affiliated Hospital of Jiangsu University - Zhenjiang, Jiangsu, China
- The Second Hospital of Jilin University - Changchun, Jilin, China
- Zhongyi Northeast International Hospital Co., Ltd. - Shengyang, Liaoning, China
- The First Affiliated Hospital of China Medical University - Shenyang, Liaoning, China
- Shenyang Seventh People's Hospital (Shenyang Hospital of Integrated Traditional Chinese and Western Medicine, Shenyang Dermatology Hospital) - Shenyang, Liaoning, China
- Central Hospital Affiliated to Shenyang Medical College - Shenyang, Liaoning, China
- The First People's Hospital of Xining - Xining, Qinghai, China
- The Second Affiliated Hospital of Xi'an Jiaotong University - Xi'an, Shaanxi, China
- Qilu Hospital Dezhou Branch of Shandong University (Dezhou People's Hospital) - Dezhou, Shandong, China
- Jining No.1 People'S Hospital - Jining, Shandong, China
- Qingdao Municipal Hospital - Qingdao, Shandong, China
- Huashan Hospital, Fudan University - Shanghai, Shanghai Municipality, China
- The Second People's Hospital of ChangZhi - Changzhi, Shanxi, China
- Suining Central Hospital - Suining, Sichuan, China
- Gerneral Hospital of Ningxia Medical Univercity - Yinchuan, The Ningxia Hui Autonomous Region, China
- Tianjin First Central Hospital - Tianjin, Tianjin Municipality, China
- Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital - Tianjin, Tianjin Municipality, China
- The First Affiliated Hospital of Kunming Medical University - Kunming, Yunnan, China
- Jiaxing First Hospital - Jiaxing, Zhejiang, China
- Jinhua Municipal Central Hospital - Jinhua, Zhejiang, China
- The First Affiliated Hospital of Ningbo University - Ningbo, Zhejiang, China