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LAS41008 in Moderate to Severe Chronic Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
LAS41008
LASW1835
Placebo
Sponsored by
Almirall, S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed and personally dated written informed consent
  2. Male / female
  3. Aged 18 years or older
  4. With a diagnosis of chronic plaque psoriasis for at least 12 months before enrollment in the study
  5. With the severity of psoriasis defined as moderate to severe, as reflected in meeting all the following criteria:

    • PASI > 10
    • BSA (body surface area) > 10 %
    • PGA moderate to severe
  6. With general good health, or a stable medical condition not considered likely to interfere with the conduct of the clinical study, as determined by the investigator based upon results of medical history, laboratory results and physical examination
  7. Prior therapy with systemic drugs for psoriasis or naïve to systemic treatment but identified as a candidate for systemic treatment.
  8. With a complete record of at least 12 months of other previous topical and systemic treatments, if any
  9. Adhering to the following wash-out periods Topical treatment Wash-out Period Corticosteroids Vitamin A analogues Vitamin D analogues Anthracene derivatives Tar Salicylic acid preparations 2 weeks Systemic treatment Biologics with antipsoriatic activity 3 months Conventional systemic antipsoriatic drugs and phototherapy 1 month Immunosuppressive medication (if not covered by any of the above treatments) Cytostatics 6 months Medications with known harmful influences on the kidneys 5 x halftime
  10. For females of child-bearing potential: a negative serum pregnancy test at screening and willing to use highly effective methods of birth control during the study period and for 60 days after the last dose of investigational product. Additionally they must agree to have pregnancy tests while on study medication. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomized partner. Female patients will be considered to be of childbearing potential unless surgically sterilized by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years.
  11. Males (including those who have had vasectomy) must agree to use barrier contraception while on study medication
  12. Willing to keep sun exposure reasonably constant and not to use tanning booths or other UV light sources for the duration of the trial

Exclusion Criteria:

  1. For females: pregnant or lactating
  2. With a diagnosis of guttate, erythrodermic or pustular psoriasis
  3. With a hematological abnormality as follows: platelet count < 100,000/mm3, WBC count < 3,000 cells/ mm3, lymphocyte count < 1.000/µl, hemoglobin, hematocrit, or red blood cell count outside 30 % of the upper or lower limits of normal for the lab
  4. With a history of malignancies except for non melanoma skin cancer
  5. Suffering from significant gastrointestinal problems (ulcers, diarrhea, etc.)
  6. Known to have significant renal impairment
  7. Are detected to have abnormal liver enzymes >2x the upper limit of the normal range
  8. With active infectious disease
  9. On systemic therapy with drugs that may interfere with the investigational products taken within the defined wash-out period
  10. With a history of alcohol or drug abuse
  11. Known HIV-positive status or suffering from any other immunosuppressive disease
  12. Known to be hypersensitive to ingredients of the investigational products
  13. Previous enrolled in this study or participating in any other drug investigational trial within the 30 days (or five half-lives whichever is longer) prior to enrolment.
  14. Not willing to give consent for transmission of personal "pseudonymised" data
  15. Unable to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study

Sites / Locations

  • Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
  • Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
  • Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
  • Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows:Almirall Investigative Site #

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

LAS41008

Placebo

LASW1835

Arm Description

up to 6 tablets/ day for 16 weeks double blind treatment period, randomized gastric resistant tablet

up to 6 tablets/ day for 16 weeks randomized, double blind gastric resistant tablet

double blind, randomized gastric resistant tablet up to 6 tablets/ day for 16 weeks

Outcomes

Primary Outcome Measures

PASI 75
Reduction of PASI by 75% from baseline to week 16
Physician Global Assessment, PGA
Change in PGA from baseline to week 16

Secondary Outcome Measures

Body Surface Area, BSA
Change in BSA from baseline to week 3, 8, 16 and follow up
Dermatological Life Quality Index, DLQI
Change in DLQI from baseline to week 3, 8, 16 and follow up
PASI 75
Change in PASI 75 from baseline to week 3 and 8 and follow up
PGA
Change in PGA from baseline to week 3 and 8 and follow up
Adverse events
Ongoing safety profile over the course of the study (treatment phase and follow up)

Full Information

First Posted
November 12, 2012
Last Updated
December 1, 2015
Sponsor
Almirall, S.A.
Collaborators
Almirall Hermal GmbH, Harrison Clinical Research
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1. Study Identification

Unique Protocol Identification Number
NCT01726933
Brief Title
LAS41008 in Moderate to Severe Chronic Plaque Psoriasis
Official Title
A Multi-center, Randomized, Double-blind, Three-arm, 16 Week, Adaptive Phase III Clinical Study to Investigate the Efficacy and Safety of LAS41008 vs LASW1835 and vs Placebo in Patients With Moderate to Severe Chronic Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
October 2014 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Almirall, S.A.
Collaborators
Almirall Hermal GmbH, Harrison Clinical Research

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of the study is to evaluate the efficacy and safety of LAS41008 in comparison to active control and placebo in patients with moderate to severe chronic plaque psoriasis

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
839 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LAS41008
Arm Type
Experimental
Arm Description
up to 6 tablets/ day for 16 weeks double blind treatment period, randomized gastric resistant tablet
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
up to 6 tablets/ day for 16 weeks randomized, double blind gastric resistant tablet
Arm Title
LASW1835
Arm Type
Active Comparator
Arm Description
double blind, randomized gastric resistant tablet up to 6 tablets/ day for 16 weeks
Intervention Type
Drug
Intervention Name(s)
LAS41008
Other Intervention Name(s)
Verum
Intervention Description
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
Intervention Type
Drug
Intervention Name(s)
LASW1835
Other Intervention Name(s)
Fumaderm initial/ Fumaderm
Intervention Description
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
Primary Outcome Measure Information:
Title
PASI 75
Description
Reduction of PASI by 75% from baseline to week 16
Time Frame
16 weeks
Title
Physician Global Assessment, PGA
Description
Change in PGA from baseline to week 16
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Body Surface Area, BSA
Description
Change in BSA from baseline to week 3, 8, 16 and follow up
Time Frame
16 weeks
Title
Dermatological Life Quality Index, DLQI
Description
Change in DLQI from baseline to week 3, 8, 16 and follow up
Time Frame
16 weeks
Title
PASI 75
Description
Change in PASI 75 from baseline to week 3 and 8 and follow up
Time Frame
week 3 and 8
Title
PGA
Description
Change in PGA from baseline to week 3 and 8 and follow up
Time Frame
week 3 and 8
Title
Adverse events
Description
Ongoing safety profile over the course of the study (treatment phase and follow up)
Time Frame
ongoing
Other Pre-specified Outcome Measures:
Title
Patient Benefit Index, PBI
Description
Calculation of individual benefit from therapy, assessed by patient at week 16 and in follow up
Time Frame
week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed and personally dated written informed consent Male / female Aged 18 years or older With a diagnosis of chronic plaque psoriasis for at least 12 months before enrollment in the study With the severity of psoriasis defined as moderate to severe, as reflected in meeting all the following criteria: PASI > 10 BSA (body surface area) > 10 % PGA moderate to severe With general good health, or a stable medical condition not considered likely to interfere with the conduct of the clinical study, as determined by the investigator based upon results of medical history, laboratory results and physical examination Prior therapy with systemic drugs for psoriasis or naïve to systemic treatment but identified as a candidate for systemic treatment. With a complete record of at least 12 months of other previous topical and systemic treatments, if any Adhering to the following wash-out periods Topical treatment Wash-out Period Corticosteroids Vitamin A analogues Vitamin D analogues Anthracene derivatives Tar Salicylic acid preparations 2 weeks Systemic treatment Biologics with antipsoriatic activity 3 months Conventional systemic antipsoriatic drugs and phototherapy 1 month Immunosuppressive medication (if not covered by any of the above treatments) Cytostatics 6 months Medications with known harmful influences on the kidneys 5 x halftime For females of child-bearing potential: a negative serum pregnancy test at screening and willing to use highly effective methods of birth control during the study period and for 60 days after the last dose of investigational product. Additionally they must agree to have pregnancy tests while on study medication. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomized partner. Female patients will be considered to be of childbearing potential unless surgically sterilized by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years. Males (including those who have had vasectomy) must agree to use barrier contraception while on study medication Willing to keep sun exposure reasonably constant and not to use tanning booths or other UV light sources for the duration of the trial Exclusion Criteria: For females: pregnant or lactating With a diagnosis of guttate, erythrodermic or pustular psoriasis With a hematological abnormality as follows: platelet count < 100,000/mm3, WBC count < 3,000 cells/ mm3, lymphocyte count < 1.000/µl, hemoglobin, hematocrit, or red blood cell count outside 30 % of the upper or lower limits of normal for the lab With a history of malignancies except for non melanoma skin cancer Suffering from significant gastrointestinal problems (ulcers, diarrhea, etc.) Known to have significant renal impairment Are detected to have abnormal liver enzymes >2x the upper limit of the normal range With active infectious disease On systemic therapy with drugs that may interfere with the investigational products taken within the defined wash-out period With a history of alcohol or drug abuse Known HIV-positive status or suffering from any other immunosuppressive disease Known to be hypersensitive to ingredients of the investigational products Previous enrolled in this study or participating in any other drug investigational trial within the 30 days (or five half-lives whichever is longer) prior to enrolment. Not willing to give consent for transmission of personal "pseudonymised" data Unable to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ulrich Mrowietz, MD, Prof
Organizational Affiliation
University Medical Center, Schleswig-Holstein, Department of Dermatology, Schittenhelmstr. 7, 24105 Kiel, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
City
Various
Country
Austria
Facility Name
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
City
Various
Country
Germany
Facility Name
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
City
Various
Country
Netherlands
Facility Name
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows:Almirall Investigative Site #
City
Various
Country
Poland

12. IPD Sharing Statement

Citations:
PubMed Identifier
31033034
Citation
Warren RB, Barker JNW, Van de Kerkhof P, Reich K, Mrowietz U. Switching from a fumaric acid ester mixture to dimethylfumarate monotherapy in psoriasis. J Eur Acad Dermatol Venereol. 2019 Oct;33(10):e352-e353. doi: 10.1111/jdv.15644. Epub 2019 May 10. No abstract available.
Results Reference
derived

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LAS41008 in Moderate to Severe Chronic Plaque Psoriasis

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