Safety and Pharmacokinetics (PK) of Alefacept in Adolescent Subjects With Moderate to Severe Psoriasis
Primary Purpose
Psoriasis
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
alefacept
Sponsored by

About this trial
This is an interventional treatment trial for Psoriasis focused on measuring alefacept, adolescent, psoriasis
Eligibility Criteria
Inclusion Criteria:
- Subject has moderate to severe chronic plaque psoriasis involving at least 10% or greater body surface area
- Subject is a candidate for systemic treatment or phototherapy
- Subject is in good health and alefacept is not contraindicated
- Subject must have absolute total CD4+ lymphocyte counts within the normal range at screening
- Female subjects of child bearing potential have a negative pregnancy test prior to first dose of alefacept and agree to practice effective contraception during the study
- Subject must have predosing laboratory findings without clinically significant abnormal values for hematocrit, hemoglobin, platelets, white blood count and differential, serum creatinine, bilirubin, ALT, AST and prothrombin.
- Subject must have completed all standard childhood immunizations at least 12 weeks prior to the first dose
- Subject meets medication washout requirements and agrees to follow medication restrictions during the study
- Subject agrees to comply with the study requirements and agrees to come to the clinic for required study visits
Exclusion Criteria:
- Subject has a primary dermatological diagnosis of psoriasis other than plaque psoriasis
- Subject has a known hypersensitivity to alefacept or any excipient of the study medication
- Subject has had a serious local infection or systemic infection within 12 weeks prior to the first dose of study drug
- Subject has a fever (body temperature ≥ 38°C [or > 37°C for sites in Latvia]) or symptomatic viral or bacterial infection (including upper respiratory tract infection) within 1 week prior to the first dose of study drug
- Subject is known to be positive for HIV antibodies
- Subject has a history of chronic serious infection including hepatic disease or has positive result to serology test for hepatitis A antibody IgM, hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) antibody or, in Europe, tubercle bacillus (TB) at Screening
- Subject has a history or evidence of tuberculosis based on serology or a positive PPD skin test at Screening
- Subject has had treatment with any immunosuppressant agent within 12 weeks, any antibody or immuno-globulin within 24 weeks, or any investigational drug or approved therapy for investigational use within 8 weeks prior to the first dose of study drug
- Subject has had more than six herpes simplex virus (HSV) breakouts per year or is currently having an outbreak or has had an outbreak within the last 24 weeks
- Subject has a history of malignancy (other than non-melanoma skin cancers)
- Subject has a chronic condition which is not well controlled
- Subject is pregnant or nursing
- Subject has a history of severe allergic or anaphylactic reactions
Sites / Locations
- Pediatric and Adolescent Dermatology
- Physicians Skin Care, PLLC
- First Municipal Hospital for Active Treatment - Sofia
- Skin and STD Clinical Centre
- Department of Dermatology No.17, Children Clinical Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1. alefacept
Arm Description
Outcomes
Primary Outcome Measures
Assessment of Physical exams, vital signs, select blood chemistry and hematology, lymphocyte subset analysis, anti-alefacept antibody monitoring, adverse event monitoring including infections.
Secondary Outcome Measures
Assessment of Pharmacodynamics: Total lymphocytes and lymphocyte subsets
Assessment of Pharmacokinetics through analysis of blood samples (only approximately first 24 subjects enrolled)
Full Information
NCT ID
NCT00808223
First Posted
December 11, 2008
Last Updated
December 10, 2013
Sponsor
Astellas Pharma Inc
1. Study Identification
Unique Protocol Identification Number
NCT00808223
Brief Title
Safety and Pharmacokinetics (PK) of Alefacept in Adolescent Subjects With Moderate to Severe Psoriasis
Official Title
A Phase 2, Single-Arm Study to Evaluate the Safety and Pharmacokinetics of Alefacept in Adolescent Subjects With Moderate to Severe Psoriasis [ISN 0485-CL-0004]
Study Type
Interventional
2. Study Status
Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
February 2012 (Actual)
Study Completion Date
February 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To establish the safety of alefacept when administered to adolescent subjects with moderate to severe psoriasis.
Detailed Description
A planned interim analysis will be conducted to evaluate safety and pharmacokinetics following the Week 4 evaluation of approximately the first 12 subjects. A dose adjustment may be implemented based on these results. A preliminary review of the Week 4 pharmacokinetics of the first 6 subjects will occur to monitor exposure. If a dose adjustment is required, pharmacokinetics will be repeated for the first 12 subjects enrolled at the new dose (subjects 13-24).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
alefacept, adolescent, psoriasis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1. alefacept
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
alefacept
Other Intervention Name(s)
Amevive, ASP0485
Intervention Description
IM injection
Primary Outcome Measure Information:
Title
Assessment of Physical exams, vital signs, select blood chemistry and hematology, lymphocyte subset analysis, anti-alefacept antibody monitoring, adverse event monitoring including infections.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Assessment of Pharmacodynamics: Total lymphocytes and lymphocyte subsets
Time Frame
4 Weeks
Title
Assessment of Pharmacokinetics through analysis of blood samples (only approximately first 24 subjects enrolled)
Time Frame
4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject has moderate to severe chronic plaque psoriasis involving at least 10% or greater body surface area
Subject is a candidate for systemic treatment or phototherapy
Subject is in good health and alefacept is not contraindicated
Subject must have absolute total CD4+ lymphocyte counts within the normal range at screening
Female subjects of child bearing potential have a negative pregnancy test prior to first dose of alefacept and agree to practice effective contraception during the study
Subject must have predosing laboratory findings without clinically significant abnormal values for hematocrit, hemoglobin, platelets, white blood count and differential, serum creatinine, bilirubin, ALT, AST and prothrombin.
Subject must have completed all standard childhood immunizations at least 12 weeks prior to the first dose
Subject meets medication washout requirements and agrees to follow medication restrictions during the study
Subject agrees to comply with the study requirements and agrees to come to the clinic for required study visits
Exclusion Criteria:
Subject has a primary dermatological diagnosis of psoriasis other than plaque psoriasis
Subject has a known hypersensitivity to alefacept or any excipient of the study medication
Subject has had a serious local infection or systemic infection within 12 weeks prior to the first dose of study drug
Subject has a fever (body temperature ≥ 38°C [or > 37°C for sites in Latvia]) or symptomatic viral or bacterial infection (including upper respiratory tract infection) within 1 week prior to the first dose of study drug
Subject is known to be positive for HIV antibodies
Subject has a history of chronic serious infection including hepatic disease or has positive result to serology test for hepatitis A antibody IgM, hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) antibody or, in Europe, tubercle bacillus (TB) at Screening
Subject has a history or evidence of tuberculosis based on serology or a positive PPD skin test at Screening
Subject has had treatment with any immunosuppressant agent within 12 weeks, any antibody or immuno-globulin within 24 weeks, or any investigational drug or approved therapy for investigational use within 8 weeks prior to the first dose of study drug
Subject has had more than six herpes simplex virus (HSV) breakouts per year or is currently having an outbreak or has had an outbreak within the last 24 weeks
Subject has a history of malignancy (other than non-melanoma skin cancers)
Subject has a chronic condition which is not well controlled
Subject is pregnant or nursing
Subject has a history of severe allergic or anaphylactic reactions
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vice President Medical Affairs
Organizational Affiliation
Astellas Pharma Global Development
Official's Role
Study Director
Facility Information:
Facility Name
Pediatric and Adolescent Dermatology
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Physicians Skin Care, PLLC
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
First Municipal Hospital for Active Treatment - Sofia
City
Sofia
ZIP/Postal Code
1000
Country
Bulgaria
Facility Name
Skin and STD Clinical Centre
City
Riga
ZIP/Postal Code
1001
Country
Latvia
Facility Name
Department of Dermatology No.17, Children Clinical Hospital
City
Riga
ZIP/Postal Code
1004
Country
Latvia
12. IPD Sharing Statement
Links:
URL
http://www.clinicaltrials.jp/user/ctrDetail_e.jsp?resultId=787
Description
Link to Results on JAPIC
Learn more about this trial
Safety and Pharmacokinetics (PK) of Alefacept in Adolescent Subjects With Moderate to Severe Psoriasis
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