A Proof of Concept Study Comparing Three Doses of an Oral Solution of LEO 22811 With a Placebo Oral Solution for the Treatment of Psoriasis Vulgaris
Primary Purpose
Psoriasis Vulgaris
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LEO 22811
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Psoriasis Vulgaris focused on measuring Psoriasis Vulgaris, Systemic, Anti-psoriatic
Eligibility Criteria
Inclusion Criteria:
- Following verbal and written information about the trial the subject must provide signed and dated informed consent before any study related activity is carried out, including activities relating to the washout period.
- Clinical diagnosis of psoriasis vulgaris, for at least 6 months prior to randomisation, and currently covering at least 10% of the body surface area (BSA)
- Candidates for systemic anti-psoriatic treatment
- Psoriasis Area and Severity Index (PASI) ≥10
- Disease severity of moderate, severe or very severe according to the Investigators' Global Assessment of disease severity (IGA)
- Aged 18 years or above
- Any race or ethnicity
- Males, surgically sterile females (bilateral tubal ligation, bilateral oophorectomy or hysterectomy) or post menopausal females (at least 1 year since last menses)
- Attending hospital outpatient clinic or the private practice of a dermatologist
Exclusion Criteria:
Systemic treatment with biological therapies whether marketed or not with a possible effect on psoriasis vulgaris within the following time periods prior to randomisation:
- Etanercept - 4 weeks
- Adalimumab, alefacept, infliximab - 2 months
- Ustekinumab - 4 months
- Systemic treatment with all other therapies (other than biologics) with a possible effect on psoriasis vulgaris (e.g.corticosteroids, retinoids, immunosuppressants, methotrexate, cyclosporin or fumaric acid) within 4 weeks prior to randomisation
- PUVA therapy within 4 weeks prior to randomisation
- UVB therapy within 2 weeks prior to randomisation
- Any topical treatment (except for emollients/ medicated shampoo) within 2 weeks prior to randomisation
- Initiation of, or changes to concomitant medication that could affect psoriasis vulgaris (e.g. beta-blockers, anti-malaria drugs, lithium) 2 weeks prior to randomisation and during the study
- Current diagnosis with erythrodermic, exfoliative or pustular psoriasis
- Other current skin conditions that may confound the evaluation of psoriasis vulgaris as judged by the Investigator
- Generally in good health and does not have any clinically significant cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, haematologic, or gastrointestinal disease, immunologic insufficiency, or other major diseases or current condition which, in the opinion of the Investigator, would put the subject at risk by participating in the study
- Current active tuberculosis or latent tuberculosis
- Planned exposure to the sun during the study that may affect psoriasis vulgaris
- Known malignancy or history of malignancy (other than cervical carcinoma in situ, basal cell or squamous cell carcinoma) within the 5 year period prior to randomisation
- Live vaccination within the 4 weeks prior to randomisation
- Males who do not agree to use adequate contraception during the study (including follow-up) to ensure their partner does not become pregnant
- Known or suspected hypersensitivity to component(s) of the investigational product
- Current participation in any other interventional trial
- Treatment with any non-marketed drug substance (i.e. an agent which has not yet been made available for clinical use following registration) within 4 weeks or 5 half-lives (whichever is longer) prior to randomisation
- Previously randomised in this study
- Known or, in the opinion of the Investigator, is unlikely to comply with the Clinical Study Protocol (e.g., alcohol abuse, drug dependency or psychotic state).
Sites / Locations
- Centre de Recherche Dermatologique du Quebec Metropolitain
- Hôpital Saint-Louis, Service de Dermatologie
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Active Comparator
Active Comparator
Active Comparator
Placebo Comparator
Arm Label
LEO 22811 0.5 mg
LEO 22811 1.5 mg
LEO 22811 3.0 mg
Placebo
Arm Description
LEO 22811 0.5 mg: Oral solution
LEO 22811 1.5 mg: Oral solution
LEO 22811 3.0 mg: Oral solution
Placebo: Oral solution
Outcomes
Primary Outcome Measures
Percentage Change in Psoriasis Area and Severity Index (PASI)
The investigator made assessments of the extent and severity of clinical signs of the participant's psoriasis on specific areas of the body in terms of three clinical signs: redness, thickness and scaliness.
The extent of psoriatic involvement was recorded for each of four areas; head, arms, trunk and legs using the following scale:
0. = no involvement
= <10%
= 10-29%
= 30-49%
= 50-69%
= 70-89%
= 90-100%
For each clinical sign a single score (0, 1, 2, 3 or 4) reflecting the average severity of all psoriatic lesions on the given body region was determined.
PASI was calculated based on the investigator's assessment of the disease locally (head, trunk, arm, legs) using the following formula:
Head: 0.1 (R + T + S)E = W Arms: 0.2 (R + T + S)E = X Trunk: 0.3 (R + T + S)E = Y Legs: 0.4 (R + T + S)E = Z R = score for redness; T = score for thickness, S = score for scaliness; E = score for extent The sum of W+X+Y+Z gives the total PASI that ranges from 0 to 72.
Secondary Outcome Measures
Participants With at Least 75% Reduction in PASI (PASI 75)
Participants With at Least 50% Reduction in PASI (PASI 50)
Participants With "Controlled Disease" According to the Investigators' Global Assessment (IGA)
At Visits 1 to 8 the investigator made a global assessment of the disease severity (IGA) using a 6-point scale (clear, almost clear, mild, moderate, severe, very severe). This assessment represents average lesion severity on head, trunk, arm and legs. The assessment was based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. Participants classified as clear or almost clear according to IGA was considered to have "controlled disease".
Participants With Satisfactory Response According to IGA
"Satisfactory response" was defined as participants classified as "Clear" or "Almost Clear" or "Mild" according to the IGA.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01116895
Brief Title
A Proof of Concept Study Comparing Three Doses of an Oral Solution of LEO 22811 With a Placebo Oral Solution for the Treatment of Psoriasis Vulgaris
Official Title
An International, Multi-centre, Prospective, Randomised, Double-blind, 4-arm, Placebo Controlled, Parallel Group Study With 12 Weeks Once Daily Oral Treatment in Subjects With Psoriasis Vulgaris
Study Type
Interventional
2. Study Status
Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
July 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LEO Pharma
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
An international, multi-centre, prospective, randomised, double-blind, 4-arm, placebo controlled, parallel group study with 12 weeks once daily oral treatment in subjects with psoriasis vulgaris.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis Vulgaris
Keywords
Psoriasis Vulgaris, Systemic, Anti-psoriatic
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
63 (Actual)
8. Arms, Groups, and Interventions
Arm Title
LEO 22811 0.5 mg
Arm Type
Active Comparator
Arm Description
LEO 22811 0.5 mg: Oral solution
Arm Title
LEO 22811 1.5 mg
Arm Type
Active Comparator
Arm Description
LEO 22811 1.5 mg: Oral solution
Arm Title
LEO 22811 3.0 mg
Arm Type
Active Comparator
Arm Description
LEO 22811 3.0 mg: Oral solution
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo: Oral solution
Intervention Type
Drug
Intervention Name(s)
LEO 22811
Intervention Description
Oral solution
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Percentage Change in Psoriasis Area and Severity Index (PASI)
Description
The investigator made assessments of the extent and severity of clinical signs of the participant's psoriasis on specific areas of the body in terms of three clinical signs: redness, thickness and scaliness.
The extent of psoriatic involvement was recorded for each of four areas; head, arms, trunk and legs using the following scale:
0. = no involvement
= <10%
= 10-29%
= 30-49%
= 50-69%
= 70-89%
= 90-100%
For each clinical sign a single score (0, 1, 2, 3 or 4) reflecting the average severity of all psoriatic lesions on the given body region was determined.
PASI was calculated based on the investigator's assessment of the disease locally (head, trunk, arm, legs) using the following formula:
Head: 0.1 (R + T + S)E = W Arms: 0.2 (R + T + S)E = X Trunk: 0.3 (R + T + S)E = Y Legs: 0.4 (R + T + S)E = Z R = score for redness; T = score for thickness, S = score for scaliness; E = score for extent The sum of W+X+Y+Z gives the total PASI that ranges from 0 to 72.
Time Frame
Baseline (Day 0) to end of treatment (Day 84)
Secondary Outcome Measure Information:
Title
Participants With at Least 75% Reduction in PASI (PASI 75)
Time Frame
From baseline (Day 0) to end of treatment (Day 84)
Title
Participants With at Least 50% Reduction in PASI (PASI 50)
Time Frame
From baseline (Day 0) to end of treatment (Day 84)
Title
Participants With "Controlled Disease" According to the Investigators' Global Assessment (IGA)
Description
At Visits 1 to 8 the investigator made a global assessment of the disease severity (IGA) using a 6-point scale (clear, almost clear, mild, moderate, severe, very severe). This assessment represents average lesion severity on head, trunk, arm and legs. The assessment was based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. Participants classified as clear or almost clear according to IGA was considered to have "controlled disease".
Time Frame
At end of treatment (Day 84)
Title
Participants With Satisfactory Response According to IGA
Description
"Satisfactory response" was defined as participants classified as "Clear" or "Almost Clear" or "Mild" according to the IGA.
Time Frame
At end of treatment (Day 84)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Following verbal and written information about the trial the subject must provide signed and dated informed consent before any study related activity is carried out, including activities relating to the washout period.
Clinical diagnosis of psoriasis vulgaris, for at least 6 months prior to randomisation, and currently covering at least 10% of the body surface area (BSA)
Candidates for systemic anti-psoriatic treatment
Psoriasis Area and Severity Index (PASI) ≥10
Disease severity of moderate, severe or very severe according to the Investigators' Global Assessment of disease severity (IGA)
Aged 18 years or above
Any race or ethnicity
Males, surgically sterile females (bilateral tubal ligation, bilateral oophorectomy or hysterectomy) or post menopausal females (at least 1 year since last menses)
Attending hospital outpatient clinic or the private practice of a dermatologist
Exclusion Criteria:
Systemic treatment with biological therapies whether marketed or not with a possible effect on psoriasis vulgaris within the following time periods prior to randomisation:
Etanercept - 4 weeks
Adalimumab, alefacept, infliximab - 2 months
Ustekinumab - 4 months
Systemic treatment with all other therapies (other than biologics) with a possible effect on psoriasis vulgaris (e.g.corticosteroids, retinoids, immunosuppressants, methotrexate, cyclosporin or fumaric acid) within 4 weeks prior to randomisation
PUVA therapy within 4 weeks prior to randomisation
UVB therapy within 2 weeks prior to randomisation
Any topical treatment (except for emollients/ medicated shampoo) within 2 weeks prior to randomisation
Initiation of, or changes to concomitant medication that could affect psoriasis vulgaris (e.g. beta-blockers, anti-malaria drugs, lithium) 2 weeks prior to randomisation and during the study
Current diagnosis with erythrodermic, exfoliative or pustular psoriasis
Other current skin conditions that may confound the evaluation of psoriasis vulgaris as judged by the Investigator
Generally in good health and does not have any clinically significant cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, haematologic, or gastrointestinal disease, immunologic insufficiency, or other major diseases or current condition which, in the opinion of the Investigator, would put the subject at risk by participating in the study
Current active tuberculosis or latent tuberculosis
Planned exposure to the sun during the study that may affect psoriasis vulgaris
Known malignancy or history of malignancy (other than cervical carcinoma in situ, basal cell or squamous cell carcinoma) within the 5 year period prior to randomisation
Live vaccination within the 4 weeks prior to randomisation
Males who do not agree to use adequate contraception during the study (including follow-up) to ensure their partner does not become pregnant
Known or suspected hypersensitivity to component(s) of the investigational product
Current participation in any other interventional trial
Treatment with any non-marketed drug substance (i.e. an agent which has not yet been made available for clinical use following registration) within 4 weeks or 5 half-lives (whichever is longer) prior to randomisation
Previously randomised in this study
Known or, in the opinion of the Investigator, is unlikely to comply with the Clinical Study Protocol (e.g., alcohol abuse, drug dependency or psychotic state).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yves Poulin, MD
Organizational Affiliation
Centre de Recherche Dermatologique du Quebec Metropolitain
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre de Recherche Dermatologique du Quebec Metropolitain
City
Québec
ZIP/Postal Code
G1V 4X7
Country
Canada
Facility Name
Hôpital Saint-Louis, Service de Dermatologie
City
Paris
Country
France
12. IPD Sharing Statement
Learn more about this trial
A Proof of Concept Study Comparing Three Doses of an Oral Solution of LEO 22811 With a Placebo Oral Solution for the Treatment of Psoriasis Vulgaris
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