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A Phase 2 Clinical Study of KHK4827

Primary Purpose

Moderate to Severe Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
KHK4827
Placebo
Sponsored by
Kyowa Kirin Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate to Severe Plaque Psoriasis

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has had stable moderate to severe plaque psoriasis for at least 6 months.
  • Subject has received at least one previous phototherapy or systemic psoriasis therapy or has been a candidate to receive phototherapy or systemic psoriasis therapy in the opinion of the investigator.
  • Subject has involved BSA ≥ 10% and PASI ≥ 12 at screening and at baseline.

Exclusion Criteria:

  • Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, medication-induced, or medication-exacerbated psoriasis.
  • Evidence of skin conditions at the time of the screening visit (eg, eczema) that would interfere with evaluations of the effect of investigational product on psoriasis.
  • Subject has any active Common Terminology Criteria for Adverse Events (CTCAE) grade 2 or higher infection
  • Subject has a significant concurrent medical condition or laboratory abnormalities, as defined in the study protocol.
  • Subject has used the following therapies within 14 days of the first dose: topical calcineurin inhibitors including tacrolimus

    , topical vitamin A, activated form D3 or activated form D3 analogue preparations, weak through strong topical steroids (excluding application on the scalp, axillae, and groin)

  • Subject has used the following therapies within 28 days of the first dose: any other systemic psoriasis therapy (eg, vitamin A, calcineurin inhibitors, methotrexates, steroids), UVA therapy (with or without psoralen), very strong or strongest topical steroid, tar therapy
  • Subject has used the following therapies within 3 months of the first dose: adalimumab, etanercept, infliximab, or live vaccines
  • Subject has used ustekinumab within 6 months of the first dose
  • Subject has previously used an anti-interleukin-17 biologic therapy

Sites / Locations

  • For additional information regarding investigative sites for this trial, contact Kyowa Hakko Kirin

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

KHK4827 70mg SC

KHK4827 140mg SC

KHK4827 210mg SC

Placebo SC

Arm Description

Outcomes

Primary Outcome Measures

Percent improvement from baseline in Psoriasis Area and Severity Index (PASI) at Week 12

Secondary Outcome Measures

PASI 75 at Week 12
PASI 50, 90 and 100 at Week 12
Static physician's global assessment (sPGA) of "clear or almost clear (0 or 1)" at Week 12
sPGA of "clear (0)" at Week 12
Body surface area involvement (BSA) of lesion at Week 12
American College of Rheumatology (ACR) 20% response (only in subjects with psoriasis arthritis)at week 12
Incidence and types of adverse events and adverse reactions
Profiles of Pharmacokinetics

Full Information

First Posted
December 10, 2012
Last Updated
September 3, 2013
Sponsor
Kyowa Kirin Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01748539
Brief Title
A Phase 2 Clinical Study of KHK4827
Official Title
A Randomized, Double-blind, Placebo-controlled Parallel Group Study in Subjects With Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
December 2012 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to evaluate the efficacy and safety of KHK4827 in subjects with moderate to severe plaque psoriasis in a randomized, double-blind, placebo-controlled, parallel group study. Pharmacokinetics of KHK4827 will also be assessed.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
KHK4827 70mg SC
Arm Type
Experimental
Arm Title
KHK4827 140mg SC
Arm Type
Experimental
Arm Title
KHK4827 210mg SC
Arm Type
Experimental
Arm Title
Placebo SC
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
KHK4827
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Percent improvement from baseline in Psoriasis Area and Severity Index (PASI) at Week 12
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
PASI 75 at Week 12
Time Frame
12 Weeks
Title
PASI 50, 90 and 100 at Week 12
Time Frame
12 weeks
Title
Static physician's global assessment (sPGA) of "clear or almost clear (0 or 1)" at Week 12
Time Frame
12 Weeks
Title
sPGA of "clear (0)" at Week 12
Time Frame
12 weeks
Title
Body surface area involvement (BSA) of lesion at Week 12
Time Frame
12 weeks
Title
American College of Rheumatology (ACR) 20% response (only in subjects with psoriasis arthritis)at week 12
Time Frame
12 weeks
Title
Incidence and types of adverse events and adverse reactions
Time Frame
12 weeks
Title
Profiles of Pharmacokinetics
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has had stable moderate to severe plaque psoriasis for at least 6 months. Subject has received at least one previous phototherapy or systemic psoriasis therapy or has been a candidate to receive phototherapy or systemic psoriasis therapy in the opinion of the investigator. Subject has involved BSA ≥ 10% and PASI ≥ 12 at screening and at baseline. Exclusion Criteria: Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, medication-induced, or medication-exacerbated psoriasis. Evidence of skin conditions at the time of the screening visit (eg, eczema) that would interfere with evaluations of the effect of investigational product on psoriasis. Subject has any active Common Terminology Criteria for Adverse Events (CTCAE) grade 2 or higher infection Subject has a significant concurrent medical condition or laboratory abnormalities, as defined in the study protocol. Subject has used the following therapies within 14 days of the first dose: topical calcineurin inhibitors including tacrolimus , topical vitamin A, activated form D3 or activated form D3 analogue preparations, weak through strong topical steroids (excluding application on the scalp, axillae, and groin) Subject has used the following therapies within 28 days of the first dose: any other systemic psoriasis therapy (eg, vitamin A, calcineurin inhibitors, methotrexates, steroids), UVA therapy (with or without psoralen), very strong or strongest topical steroid, tar therapy Subject has used the following therapies within 3 months of the first dose: adalimumab, etanercept, infliximab, or live vaccines Subject has used ustekinumab within 6 months of the first dose Subject has previously used an anti-interleukin-17 biologic therapy
Facility Information:
Facility Name
For additional information regarding investigative sites for this trial, contact Kyowa Hakko Kirin
City
Chiyoda-ku
State/Province
Tokyo
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
26547109
Citation
Nakagawa H, Niiro H, Ootaki K; Japanese brodalumab study group. Brodalumab, a human anti-interleukin-17-receptor antibody in the treatment of Japanese patients with moderate-to-severe plaque psoriasis: Efficacy and safety results from a phase II randomized controlled study. J Dermatol Sci. 2016 Jan;81(1):44-52. doi: 10.1016/j.jdermsci.2015.10.009. Epub 2015 Oct 24.
Results Reference
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A Phase 2 Clinical Study of KHK4827

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