search
Back to results

Pivotal Efficacy and Safety Registration Trial of FP187 in Moderate to Severe Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
Placebo
FP187
FP187
FP187
FP187
Sponsored by
Forward-Pharma GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients of either sex at least 18 years of age
  • A clinical diagnosis of plaque psoriasis defined as skin areas with erythema, induration and scaling, with a body surface area of no less than 10% and in total to be scoring at least 10 on the PASI scale
  • The psoriasis disease have been stable for at least 6 months at randomization
  • Signed and dated informed consent
  • Sexually active females of childbearing potential must be either surgically sterile (hysterectomy or tubal ligation) or use a highly effective (failure rate < 1%) medically accepted contraceptive method during the trial as well as one month after trial is finished such as:

    • Systemic contraceptive (oral, implant, injection),
    • Intrauterine device (IUD) inserted for at least one month prior to study entrance
  • Willingness and ability to comply with the trial procedures
  • Patient is beside the psoriasis disease in good general health in the opinion of the Investigator, as determined by medical history, physical examination, vital signs and clinical laboratory parameters (hematology, biochemistry and urinalysis).

Exclusion Criteria:

  • Female patients who are pregnant or breast-feeding or planning to become pregnant up to 7 months from treatment start as well as male patients plan-ning pregnancy with their partner up to 7 months from treatment start or practise unprotected sexual relationship up to 7 months from treatment start
  • Known allergy to any of the constituents of the product being tested
  • Pustular forms of psoriasis, erythrodermic or guttate psoriasis
  • Known immunosuppressive diseases (e.g., AIDS/HIV)
  • Presence of another serious or progressive disease which, according to the Investigator may interfere with treatment outcome
  • Active skin disease such as atopic dermatitis, rosacea, lupus erythematosus, or other inflammatory or infectious skin disease which, according to the Investigator may interfere with treatment outcome
  • Use of topical medical treatment or UVB treatment - Use of systemic anti-psoriatic treatment preceding the baseline visit Methotrexate, cyclosporine, steroids or PUVA treatment within x weeks; Biological treatment (efalizumab, adalimumab, infliximab, etanercept) within xx weeks; Acitretin within x months; Treatment with Fumaderm® or other DMF containing products during past xx weeks prior to baseline visit; Discontinuation of previous treatment with Fumaderm® or other DMF containing products due to lack of efficacy or side effects;
  • Has within the past x weeks prior to baseline visit been treated with drugs influencing the course of the psoriasis such as antimalarial drugs, beta-blockers or lithium
  • Has a relevant clinical history of stomach or intestinal problems (eg gastritis or peptic ulcer within the last 10 years )
  • Has liver enzyme measures (AST, ALT, Gamma-GT) higher than 2x UNL)
  • Has an estimated Creatinine Clearance: < xx ml/min
  • Has leucopenia (leukocyte count < x/mm3) or eosinophilia (count >x/µl) or lymphopenia (count < x/nl).
  • Has protein in the urine test at screening or baseline visit
  • Participation in another clinical trial during the last month preceding the baseline visit or participation in a trial with treatment of biologicals within x months prior to baseline visit
  • Patients who are involved in the organisation of the clinical investigation or are in any way dependant on the investigator or sponsor

Sites / Locations

  • Dermatological Dept., Uniklinikum, TU-Dresden
  • SCIderm

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Arm Label

FP187 - TID

FP187- BID

FP187-LD-BID

Placebo

Open, flexible dosing treatment arm

Arm Description

FP187 250mg TID (total daily dose of 750mg)

FP187 375mg BID (total daily dose of 750mg)of 750mg administered as 375mg BID

FP187 250mg BID (total daily dose of 500mg)

Placebo treatment

Open treatment using a flexible dosing schedule for 8 weeks with maximum dose of 750mg FP187 and with a total dosing of 20 weeks. All investigations following same schedule.

Outcomes

Primary Outcome Measures

Proportion of patients achieving PASI 75 compared to placebo
Proportion of patients achieving PASI75 (a reduction in the PASI score of 75% or more)

Secondary Outcome Measures

PASI 75
Proportion of patients achieving PASI75 (a reduction of the PASI score of 75% or more compared to baseline)
PASI 50
Proportion of patients who achieves PASI 50 (a reduction of the PASI score of 50% or more compared to baseline)
PASI 90
Proportion of patients achieving PASI90 (a reduction of the PASI score of 90% or more compared to baseline
PGA (Physicians Global Assessment)
On a 5-point scale from 0 (abscence or very mild disease) to 4 (very severe disease) proportion of patients being responders - defined as patients achieving either a score of 0 or 1 or a two point improvement
PaGA (Patients Global Assessment
Patients evaluation on a 5-point Likert scale 1 (very good) - 5 (very poor)based on the evaluation of: "Considering all the ways your psoriasis affects you, how have you been doing in the last 24 hours?"
Pruritus
Patient evaluation of pruritus measured on a VAS (Visual Analog Scale) from 0mm (no pruritus) to 100mm (worst possible pruritus)
Patient rated QoL (Quality of Life)
Patient filling in 10 questions on the DLQI QoL system with a calculated summary score and analysis of the improvement from baseline
Adverse events (AEs)
Summary of incidense and severity of AEs and ADRs (Adverse Drug Reactions)/SAEs (Serious Adverse Events)/SUSARs (Suspected Unexpected Serious Adverse Reactions)
Safety lab test
Summary of lab parameters and clinically relevant changes over the treatment period in standard clinical chemistry tests, standard haematology tests and urin dip stick test

Full Information

First Posted
September 24, 2010
Last Updated
December 9, 2012
Sponsor
Forward-Pharma GmbH
search

1. Study Identification

Unique Protocol Identification Number
NCT01230138
Brief Title
Pivotal Efficacy and Safety Registration Trial of FP187 in Moderate to Severe Plaque Psoriasis
Official Title
A Randomised, Double Blind, Placebo Controlled Efficacy and Safety Trial of Different Doses/Dose Regimens of FP187 Compared to Placebo in Moderate to Severe Plaque Psoriasis (Pivotal Registration Study)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
January 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Forward-Pharma GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this trial is to investigate the efficacy and safety of different doses and dose administrations of FP187 compared to a placebo treatment in patients with moderate to severe plaque psoriasis.
Detailed Description
The trial tests two different dose levels and two different daily dosing schedules (twice daily (BID) and three times daily (TID))over 20 weeks of treatment. Key is effect as measured by achievement of a 75% reduction in PASI after 20 weeks and safety monitored by adverse events and safety lab. There are 3 active arms: FP-187 at a daily dose of 750mg divided in three doses (250mg TID) FP-187 at a daily dose of 750mg divided in two doses (375mg BID) FP-187 at a daily dose of 500mg divided in two doses (250mg BID) and 1 placebo arm. An additional open (flexible dosing) treatment arm has been amended to the trial

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
252 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FP187 - TID
Arm Type
Experimental
Arm Description
FP187 250mg TID (total daily dose of 750mg)
Arm Title
FP187- BID
Arm Type
Experimental
Arm Description
FP187 375mg BID (total daily dose of 750mg)of 750mg administered as 375mg BID
Arm Title
FP187-LD-BID
Arm Type
Experimental
Arm Description
FP187 250mg BID (total daily dose of 500mg)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo treatment
Arm Title
Open, flexible dosing treatment arm
Arm Type
Experimental
Arm Description
Open treatment using a flexible dosing schedule for 8 weeks with maximum dose of 750mg FP187 and with a total dosing of 20 weeks. All investigations following same schedule.
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo of FP187
Intervention Description
Placebo tablets
Intervention Type
Drug
Intervention Name(s)
FP187
Intervention Description
High daily dose of 750mg administered as 250mg TID
Intervention Type
Drug
Intervention Name(s)
FP187
Intervention Description
High daily dose of 750mg administered as 375mg BID
Intervention Type
Drug
Intervention Name(s)
FP187
Intervention Description
Low daily dose of 500mg FP187 administered as 250mg BID
Intervention Type
Drug
Intervention Name(s)
FP187
Intervention Description
Oral tablets, up to 3 times daily for 20 weeks.
Primary Outcome Measure Information:
Title
Proportion of patients achieving PASI 75 compared to placebo
Description
Proportion of patients achieving PASI75 (a reduction in the PASI score of 75% or more)
Time Frame
After 20 weeks of treatment
Secondary Outcome Measure Information:
Title
PASI 75
Description
Proportion of patients achieving PASI75 (a reduction of the PASI score of 75% or more compared to baseline)
Time Frame
At week 4, 8, 12 and 16
Title
PASI 50
Description
Proportion of patients who achieves PASI 50 (a reduction of the PASI score of 50% or more compared to baseline)
Time Frame
At week 4, 8, 12, 16 and 20
Title
PASI 90
Description
Proportion of patients achieving PASI90 (a reduction of the PASI score of 90% or more compared to baseline
Time Frame
At week 4, 8, 12, 16 and 20
Title
PGA (Physicians Global Assessment)
Description
On a 5-point scale from 0 (abscence or very mild disease) to 4 (very severe disease) proportion of patients being responders - defined as patients achieving either a score of 0 or 1 or a two point improvement
Time Frame
At week 4, 8, 12, 16 and 20
Title
PaGA (Patients Global Assessment
Description
Patients evaluation on a 5-point Likert scale 1 (very good) - 5 (very poor)based on the evaluation of: "Considering all the ways your psoriasis affects you, how have you been doing in the last 24 hours?"
Time Frame
At week 4,8,12,16 and 20
Title
Pruritus
Description
Patient evaluation of pruritus measured on a VAS (Visual Analog Scale) from 0mm (no pruritus) to 100mm (worst possible pruritus)
Time Frame
At week 4, 8, 12, 16 and 20
Title
Patient rated QoL (Quality of Life)
Description
Patient filling in 10 questions on the DLQI QoL system with a calculated summary score and analysis of the improvement from baseline
Time Frame
At week 4, 8, 12, 16 and 20
Title
Adverse events (AEs)
Description
Summary of incidense and severity of AEs and ADRs (Adverse Drug Reactions)/SAEs (Serious Adverse Events)/SUSARs (Suspected Unexpected Serious Adverse Reactions)
Time Frame
At week 4, 8, 12, 16 and 20
Title
Safety lab test
Description
Summary of lab parameters and clinically relevant changes over the treatment period in standard clinical chemistry tests, standard haematology tests and urin dip stick test
Time Frame
At week 20

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients of either sex at least 18 years of age A clinical diagnosis of plaque psoriasis defined as skin areas with erythema, induration and scaling, with a body surface area of no less than 10% and in total to be scoring at least 10 on the PASI scale The psoriasis disease have been stable for at least 6 months at randomization Signed and dated informed consent Sexually active females of childbearing potential must be either surgically sterile (hysterectomy or tubal ligation) or use a highly effective (failure rate < 1%) medically accepted contraceptive method during the trial as well as one month after trial is finished such as: Systemic contraceptive (oral, implant, injection), Intrauterine device (IUD) inserted for at least one month prior to study entrance Willingness and ability to comply with the trial procedures Patient is beside the psoriasis disease in good general health in the opinion of the Investigator, as determined by medical history, physical examination, vital signs and clinical laboratory parameters (hematology, biochemistry and urinalysis). Exclusion Criteria: Female patients who are pregnant or breast-feeding or planning to become pregnant up to 7 months from treatment start as well as male patients plan-ning pregnancy with their partner up to 7 months from treatment start or practise unprotected sexual relationship up to 7 months from treatment start Known allergy to any of the constituents of the product being tested Pustular forms of psoriasis, erythrodermic or guttate psoriasis Known immunosuppressive diseases (e.g., AIDS/HIV) Presence of another serious or progressive disease which, according to the Investigator may interfere with treatment outcome Active skin disease such as atopic dermatitis, rosacea, lupus erythematosus, or other inflammatory or infectious skin disease which, according to the Investigator may interfere with treatment outcome Use of topical medical treatment or UVB treatment - Use of systemic anti-psoriatic treatment preceding the baseline visit Methotrexate, cyclosporine, steroids or PUVA treatment within x weeks; Biological treatment (efalizumab, adalimumab, infliximab, etanercept) within xx weeks; Acitretin within x months; Treatment with Fumaderm® or other DMF containing products during past xx weeks prior to baseline visit; Discontinuation of previous treatment with Fumaderm® or other DMF containing products due to lack of efficacy or side effects; Has within the past x weeks prior to baseline visit been treated with drugs influencing the course of the psoriasis such as antimalarial drugs, beta-blockers or lithium Has a relevant clinical history of stomach or intestinal problems (eg gastritis or peptic ulcer within the last 10 years ) Has liver enzyme measures (AST, ALT, Gamma-GT) higher than 2x UNL) Has an estimated Creatinine Clearance: < xx ml/min Has leucopenia (leukocyte count < x/mm3) or eosinophilia (count >x/µl) or lymphopenia (count < x/nl). Has protein in the urine test at screening or baseline visit Participation in another clinical trial during the last month preceding the baseline visit or participation in a trial with treatment of biologicals within x months prior to baseline visit Patients who are involved in the organisation of the clinical investigation or are in any way dependant on the investigator or sponsor
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peder M Andersen, MD
Organizational Affiliation
Forward-Pharma GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Dermatological Dept., Uniklinikum, TU-Dresden
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
SCIderm
City
Hamburg
ZIP/Postal Code
20354
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://www.forward-pharma.com
Description
Web page of Forward Pharma

Learn more about this trial

Pivotal Efficacy and Safety Registration Trial of FP187 in Moderate to Severe Plaque Psoriasis

We'll reach out to this number within 24 hrs