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Phase IIa Study of Multiple Doses of AbGn-168H by iv Infusion in Moderate to Severe Chronic Plaque Psoriasis Patients (AbGn-168H)

Primary Purpose

Moderate to Severe Chronic Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AbGn-168H
placebo
Sponsored by
AbGenomics B.V Taiwan Branch
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate to Severe Chronic Plaque Psoriasis focused on measuring psoriasis, dermatology, monoclonal antibody

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age 18 to 75 (inclusive), males or females
  2. Body weight < 140 kg
  3. Patients with stable moderate to severe plaque-type psoriasis, no significant changes within the past 6 months, involving ≥ 10% body surface area, with disease severity PASI ≥ 10 at screening visit and visit 2, with at least 1 lesion for target lesion assessment.
  4. Psoriasis disease duration of at least 6 months prior to screening
  5. Patients must be candidates for systemic psoriasis treatment or phototherapy
  6. Patient must give informed consent and sign an approved consent form prior to any study procedures
  7. Females of childbearing potential must have a negative pregnancy test result prior to enrollment and agree to use a highly effective method of birth control during the study. A highly effective method of birth control is defined as one which results in a low failure rate (less than 1% per year).

Exclusion Criteria:

  1. Patients with primary guttatae, erythrodermic, or pustular psoriasis and patients with drug-induced psoriasis
  2. Evidence of current or previous clinically significant disease, medical condition other than psoriasis, or finding of the medical examination (including vital signs and ECG), that in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This criterion provides an opportunity for the investigator to exclude patients based on clinical judgment, even if other eligibility criteria are satisfied. (Psoriatic arthritis is not considered an exclusion)
  3. HIV infection or a known HIV-related Malignancy.
  4. Chronic or acute hepatitis B and C, or carrier status. Patient with anti-HBc Ab and undetectable anti-HBs Ab should also be excluded.
  5. Tuberculosis, or a positive Tuberculin Skin Test (TST) for tuberculosis. Subjects previously received BCG vaccination can participate in the study after showing negative responses in Interferon-Gamma Release Assays (IGRA).
  6. History of malignancy in the past 5 years or suspicion of active malignant disease except treated cutaneous squamous cell or basal cell carcinoma and carcinoma in situ of the cervix uteri.
  7. History of allergy/hypersensitivity to a systemically administered biologic agent or its excipients
  8. Use of biologic agents or investigational drug within 12 weeks prior to treatment, systemic anti-psoriatic medications or phototherapy within 4 weeks prior to treatment, or topical anti-psoriasis medications (except emollients) within 2 weeks prior to treatment
  9. Intake of restricted medications (c.f. Section 4.2.2) or other drugs considered likely to interfere with the safe conduct of the study
  10. History of alcohol abuse
  11. History of drug abuse or positive drug screen at screening visit. Subjects with legitimate medically supervised uses of the drugs which are not excluded for other reasons (section 4.2.2 of the protocol) can be enrolled.
  12. Any blood donation or significant blood loss within 4 weeks prior to Visit 2
  13. Excessive (e.g. competitive) physical activities (within 1 week prior to administration or during the trial)
  14. Patients with any of the following laboratory values at screening and are considered clinically significant by the investigators:

    • Haemoglobin, hematocrit, white blood cell count, absolute lymphocyte or neutrophil count, or platelet count < LLN (below the lower limit of the reference normal range)
    • ALT, AST and/or total bilirubin > 2.5xULN
    • Serum creatinine > 1.5x ULN

Sites / Locations

  • Baptist Health Certer for Clinical Research
  • Northwest AR Clinical Trials
  • Visions Clinical Research
  • Renstar Medical Research
  • Progressive Medical Research
  • Olympian Clinical Research
  • DawesFretzin Clinical Research Group, LLC.
  • Indiana University Dermatology
  • Comprehensive Clinical Research
  • University Urology Associates & Manhattan Research Associates
  • Mount Sinai School of Medicine
  • Research Affiliation
  • Radiant Research, Inc.
  • Suzanne Bruce and Associates, The Center for Skin Research
  • West End Dermatology Assotiate

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

AbGn-168H Low Dose

AbGn-168H: High Dose

Placebo AbGn-168H

Arm Description

Subject to receive low dose of AbGn-168H intravenously

Subject to receive high dose of AbGn-168H intravenously

Subject to receive placebo

Outcomes

Primary Outcome Measures

PASI75
The primary objective of this study is to investigate efficacy (clinical proof of concept) of AbGn-168H in patients with moderate to severe chronic plaque psoriasis following intravenous administration of multiple doses compared to placebo. In this trial, the high dose and low dose of AbGn-168 and placebo is administered weekly.

Secondary Outcome Measures

safety and tolerability
Safety measurements including physical examination, vital signs, ECG, clinical laboratory tests and adverse events
pharmacokinetics
AUC, Cmax, tmax, t1/2, MRT and Vss; additional parameters as needed

Full Information

First Posted
May 14, 2013
Last Updated
April 22, 2015
Sponsor
AbGenomics B.V Taiwan Branch
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1. Study Identification

Unique Protocol Identification Number
NCT01855880
Brief Title
Phase IIa Study of Multiple Doses of AbGn-168H by iv Infusion in Moderate to Severe Chronic Plaque Psoriasis Patients
Acronym
AbGn-168H
Official Title
Efficacy, Safety, Tolerability, and Pharmacokinetics of Multiple Doses of AbGn-168H Administered by Intravenous Infusion to Patients With Moderate to Severe Chronic Plaque Psoriasis (Randomised, Double-blind, Placebo-controlled)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbGenomics B.V Taiwan Branch

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase IIa, randomised, double-blind, placebo-controlled, multiple dose, multi-center study of AbGn-168H in subjects with moderate to severe chronic plaque psoriasis.The objectives of this study is to investigate efficacy, safety, tolerability, and pharmacokinetics (PK) of multiple doses of AbGn-168H administered intravenously to 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
Moderate to Severe Chronic Plaque Psoriasis
Keywords
psoriasis, dermatology, monoclonal antibody

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
AbGn-168H Low Dose
Arm Type
Experimental
Arm Description
Subject to receive low dose of AbGn-168H intravenously
Arm Title
AbGn-168H: High Dose
Arm Type
Experimental
Arm Description
Subject to receive high dose of AbGn-168H intravenously
Arm Title
Placebo AbGn-168H
Arm Type
Placebo Comparator
Arm Description
Subject to receive placebo
Intervention Type
Biological
Intervention Name(s)
AbGn-168H
Intervention Type
Biological
Intervention Name(s)
placebo
Primary Outcome Measure Information:
Title
PASI75
Description
The primary objective of this study is to investigate efficacy (clinical proof of concept) of AbGn-168H in patients with moderate to severe chronic plaque psoriasis following intravenous administration of multiple doses compared to placebo. In this trial, the high dose and low dose of AbGn-168 and placebo is administered weekly.
Time Frame
the achievement of at least 75% reduction from baseline PASI score (PASI75) at week 12 in each patient.
Secondary Outcome Measure Information:
Title
safety and tolerability
Description
Safety measurements including physical examination, vital signs, ECG, clinical laboratory tests and adverse events
Time Frame
At different time point for 16 weeks after the first treatment
Title
pharmacokinetics
Description
AUC, Cmax, tmax, t1/2, MRT and Vss; additional parameters as needed
Time Frame
At different time point for16 weeks after the first treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 to 75 (inclusive), males or females Body weight < 140 kg Patients with stable moderate to severe plaque-type psoriasis, no significant changes within the past 6 months, involving ≥ 10% body surface area, with disease severity PASI ≥ 10 at screening visit and visit 2, with at least 1 lesion for target lesion assessment. Psoriasis disease duration of at least 6 months prior to screening Patients must be candidates for systemic psoriasis treatment or phototherapy Patient must give informed consent and sign an approved consent form prior to any study procedures Females of childbearing potential must have a negative pregnancy test result prior to enrollment and agree to use a highly effective method of birth control during the study. A highly effective method of birth control is defined as one which results in a low failure rate (less than 1% per year). Exclusion Criteria: Patients with primary guttatae, erythrodermic, or pustular psoriasis and patients with drug-induced psoriasis Evidence of current or previous clinically significant disease, medical condition other than psoriasis, or finding of the medical examination (including vital signs and ECG), that in the opinion of the Investigator, would compromise the safety of the patient or the quality of the data. This criterion provides an opportunity for the investigator to exclude patients based on clinical judgment, even if other eligibility criteria are satisfied. (Psoriatic arthritis is not considered an exclusion) HIV infection or a known HIV-related Malignancy. Chronic or acute hepatitis B and C, or carrier status. Patient with anti-HBc Ab and undetectable anti-HBs Ab should also be excluded. Tuberculosis, or a positive Tuberculin Skin Test (TST) for tuberculosis. Subjects previously received BCG vaccination can participate in the study after showing negative responses in Interferon-Gamma Release Assays (IGRA). History of malignancy in the past 5 years or suspicion of active malignant disease except treated cutaneous squamous cell or basal cell carcinoma and carcinoma in situ of the cervix uteri. History of allergy/hypersensitivity to a systemically administered biologic agent or its excipients Use of biologic agents or investigational drug within 12 weeks prior to treatment, systemic anti-psoriatic medications or phototherapy within 4 weeks prior to treatment, or topical anti-psoriasis medications (except emollients) within 2 weeks prior to treatment Intake of restricted medications (c.f. Section 4.2.2) or other drugs considered likely to interfere with the safe conduct of the study History of alcohol abuse History of drug abuse or positive drug screen at screening visit. Subjects with legitimate medically supervised uses of the drugs which are not excluded for other reasons (section 4.2.2 of the protocol) can be enrolled. Any blood donation or significant blood loss within 4 weeks prior to Visit 2 Excessive (e.g. competitive) physical activities (within 1 week prior to administration or during the trial) Patients with any of the following laboratory values at screening and are considered clinically significant by the investigators: Haemoglobin, hematocrit, white blood cell count, absolute lymphocyte or neutrophil count, or platelet count < LLN (below the lower limit of the reference normal range) ALT, AST and/or total bilirubin > 2.5xULN Serum creatinine > 1.5x ULN
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shih-Yao Lin, MD, PhD
Organizational Affiliation
AbGenomics B.V Taiwan Branch
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Mark Lebwohl, MD
Organizational Affiliation
Icahn School of Medicine at Mount Sinai
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baptist Health Certer for Clinical Research
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Northwest AR Clinical Trials
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
Visions Clinical Research
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33472
Country
United States
Facility Name
Renstar Medical Research
City
Ocala
State/Province
Florida
ZIP/Postal Code
34471
Country
United States
Facility Name
Progressive Medical Research
City
Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Olympian Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
DawesFretzin Clinical Research Group, LLC.
City
Indianaopoli
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Indiana University Dermatology
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Comprehensive Clinical Research
City
Berlin
State/Province
New Jersey
ZIP/Postal Code
08009
Country
United States
Facility Name
University Urology Associates & Manhattan Research Associates
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Mount Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Research Affiliation
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Radiant Research, Inc.
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
Facility Name
Suzanne Bruce and Associates, The Center for Skin Research
City
Huston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
West End Dermatology Assotiate
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23233
Country
United States

12. IPD Sharing Statement

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Phase IIa Study of Multiple Doses of AbGn-168H by iv Infusion in Moderate to Severe Chronic Plaque Psoriasis Patients

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