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Open-Label,Single-Arm Pilot Study to Evaluate the Pharmacodynamics, Pharmacokinetics, Safety, and Preliminary Efficacy of CC1004 in Subjects With Severe Plaque Type Psoriasis (PSOR-001)

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CC10004
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring psoriasis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  • Must understand and voluntarily sign an informed consent form
  • Must be age > or = to 18 years to 65 years at the time of singing the informed consent form.
  • Must be able to adhere to the study visit schedule and other protocol requirements
  • Must have a history of severe plaque type psoriasis for at least 6 months, and at least a 15% affected total body surface area (BSA)
  • Must meet the following clinical laboratory criteria:
  • White Blood Cell Count > or = to 3000/cu mm and < 20,000/cu mm
  • Platelet count > or = to 100,000/microliters
  • Serum creatinine < or = to 1.5 mg/dl
  • Total bilirubin < or = to 2.0 mg/dl
  • AST (SGOT) and ALT (SGPT) < or = to 1.5 X ULN
  • Must have a psoriatic plaque > or = to 2.5 cm in diameter (for biopsy)
  • Must be candidate for photo/systemic therapy (a subject is considered a candidate for photo/systemic therapy if a clinician judges that the subject requires any systemic therapy (e.g., ultraviolet light B(UVB), Psoralens and long-wave ultraviolet radiation (PUVA), cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate mofetil, thioguanine, hydroxyurea, sirolimus, tacrolimus, azathioprine)to control psoriasis whether or not that subject has a history of receiving systemic therapy)
  • Women of child bearing potential (WCBP) must have a negative urine pregnancy test at Screening (Visit 1). In addition, sexually active WCBP must agree to use two forms of adequate forms on contraception throughout the trial.

Exclusion Criteria:

  • Any serious medical condition, laboratory abnormality , or psychiatric illness that would prevent the subject from signing the informed consent form
  • Pregnant or lactating females
  • Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study
  • Current erythrodermic, guttate, or pustular psoriasis
  • Use of medication that is metabolized by the CYP3A4 or CYP2A6 pathways within the 14 days of study medication initiation and/or required use of such medication during study treatment.
  • Drinking or ingesting grapefruits, grapefruit juice or grapefruit containing products within 14 days of study medication initiation
  • Use of topical therapy ( topical steroids, topical vitamin A or D analog preparations, tacrolimus, pimecrolimus, or anthralin) within 14 days of study medications initiation (Exception: Non-medicated emollients and tar shampoo will be allowed)
  • Use of systemic therapy for psoriasis
  • Use or phototherapy within 28 days of study medication initiation
  • Use Humira or Remicade within 3 months of study medication initiation
  • Use of Enbrel within 56 days of study medication initiation
  • Use of Raptiva within 56 days of study medication initiation
  • Use of Amevive within 6 months of study medication initiation
  • Use of any investigational drug within 30 days of study medication initiation or 5 half lives if known
  • History of clinically significant cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic insufficiency disease or other major diseases
  • Clinically significant abnormality on 12-lead ECG at screening
  • Positive HIV, Hepatitis B or Hepatitis C laboratory result at screening
  • History of active tuberculosis within previous 3 years
  • Clinically significant abnormality on the chest x-ray at screening or on CXR taken within 6 months of screening
  • History of positive purified protein derivative (PPD) test at screening
  • History of malignancy within previous five years
  • Evidence of skin conditions at the time of screening visit other than psoriasis that would interfere with evaluations of the effect of study medication on psoriasis

Sites / Locations

  • University of Medicine and Dentistry of New Jersey
  • NYU School of Medicine
  • Mt Sinai School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Administration of CC10004

Arm Description

Outcomes

Primary Outcome Measures

To evaluate the pharmacodynamic effect of orally administered CC10004 when taken for 29 days in reducing epidermal thickness in subjects with severe plaque-type psoriasis.

Secondary Outcome Measures

To evaluate the safety of orally administered CC10004 in subjects with severe plaque-type psoriasis during the treatment and follow up phases.
To explore the clinical efficacy of orally administered CC10004 when taken for 29 days in subjects with severe plaque-type psoriasis.
To explore the clinical efficacy of CC10004 when taken for 29 days in subjects with psoriatic arthritis.

Full Information

First Posted
January 17, 2008
Last Updated
April 22, 2020
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT00604682
Brief Title
Open-Label,Single-Arm Pilot Study to Evaluate the Pharmacodynamics, Pharmacokinetics, Safety, and Preliminary Efficacy of CC1004 in Subjects With Severe Plaque Type Psoriasis
Acronym
PSOR-001
Official Title
Open-Label, Single-Arm Pilot Study to Evaluate the Pharmacodynamics, Pharmacokinetics, Safety, and Preliminary Efficacy of CC10004 in Subjects With Severe Plaque Type Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
January 1, 2005 (Actual)
Primary Completion Date
October 1, 2005 (Actual)
Study Completion Date
December 1, 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Open label study for patients with severe plaque type psoriasis. This study is looking to evaluate the pharmacodynamic effect of CC10004 when taken for 29 days in reducing the epidermal thickness in subjects with severe placque type psoriasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Administration of CC10004
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
CC10004
Other Intervention Name(s)
Apremilast
Intervention Description
2 X 10 mg caps taken once daily for a daily dose of 20 mg. Must be taken upon awakening and fasted
Primary Outcome Measure Information:
Title
To evaluate the pharmacodynamic effect of orally administered CC10004 when taken for 29 days in reducing epidermal thickness in subjects with severe plaque-type psoriasis.
Time Frame
29 days
Secondary Outcome Measure Information:
Title
To evaluate the safety of orally administered CC10004 in subjects with severe plaque-type psoriasis during the treatment and follow up phases.
Time Frame
58 days
Title
To explore the clinical efficacy of orally administered CC10004 when taken for 29 days in subjects with severe plaque-type psoriasis.
Time Frame
29 days
Title
To explore the clinical efficacy of CC10004 when taken for 29 days in subjects with psoriatic arthritis.
Time Frame
29 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Must understand and voluntarily sign an informed consent form Must be age > or = to 18 years to 65 years at the time of singing the informed consent form. Must be able to adhere to the study visit schedule and other protocol requirements Must have a history of severe plaque type psoriasis for at least 6 months, and at least a 15% affected total body surface area (BSA) Must meet the following clinical laboratory criteria: White Blood Cell Count > or = to 3000/cu mm and < 20,000/cu mm Platelet count > or = to 100,000/microliters Serum creatinine < or = to 1.5 mg/dl Total bilirubin < or = to 2.0 mg/dl AST (SGOT) and ALT (SGPT) < or = to 1.5 X ULN Must have a psoriatic plaque > or = to 2.5 cm in diameter (for biopsy) Must be candidate for photo/systemic therapy (a subject is considered a candidate for photo/systemic therapy if a clinician judges that the subject requires any systemic therapy (e.g., ultraviolet light B(UVB), Psoralens and long-wave ultraviolet radiation (PUVA), cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate mofetil, thioguanine, hydroxyurea, sirolimus, tacrolimus, azathioprine)to control psoriasis whether or not that subject has a history of receiving systemic therapy) Women of child bearing potential (WCBP) must have a negative urine pregnancy test at Screening (Visit 1). In addition, sexually active WCBP must agree to use two forms of adequate forms on contraception throughout the trial. Exclusion Criteria: Any serious medical condition, laboratory abnormality , or psychiatric illness that would prevent the subject from signing the informed consent form Pregnant or lactating females Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study Current erythrodermic, guttate, or pustular psoriasis Use of medication that is metabolized by the CYP3A4 or CYP2A6 pathways within the 14 days of study medication initiation and/or required use of such medication during study treatment. Drinking or ingesting grapefruits, grapefruit juice or grapefruit containing products within 14 days of study medication initiation Use of topical therapy ( topical steroids, topical vitamin A or D analog preparations, tacrolimus, pimecrolimus, or anthralin) within 14 days of study medications initiation (Exception: Non-medicated emollients and tar shampoo will be allowed) Use of systemic therapy for psoriasis Use or phototherapy within 28 days of study medication initiation Use Humira or Remicade within 3 months of study medication initiation Use of Enbrel within 56 days of study medication initiation Use of Raptiva within 56 days of study medication initiation Use of Amevive within 6 months of study medication initiation Use of any investigational drug within 30 days of study medication initiation or 5 half lives if known History of clinically significant cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic insufficiency disease or other major diseases Clinically significant abnormality on 12-lead ECG at screening Positive HIV, Hepatitis B or Hepatitis C laboratory result at screening History of active tuberculosis within previous 3 years Clinically significant abnormality on the chest x-ray at screening or on CXR taken within 6 months of screening History of positive purified protein derivative (PPD) test at screening History of malignancy within previous five years Evidence of skin conditions at the time of screening visit other than psoriasis that would interfere with evaluations of the effect of study medication on psoriasis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
University of Medicine and Dentistry of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08903
Country
United States
Facility Name
NYU School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Mt Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18419879
Citation
Gottlieb AB, Strober B, Krueger JG, Rohane P, Zeldis JB, Hu CC, Kipnis C. An open-label, single-arm pilot study in patients with severe plaque-type psoriasis treated with an oral anti-inflammatory agent, apremilast. Curr Med Res Opin. 2008 May;24(5):1529-38. doi: 10.1185/030079908x301866. Epub 2008 Apr 16.
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Open-Label,Single-Arm Pilot Study to Evaluate the Pharmacodynamics, Pharmacokinetics, Safety, and Preliminary Efficacy of CC1004 in Subjects With Severe Plaque Type Psoriasis

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