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A Study of Multiple Doses of AbGn-168H by Intravenous Infusion in Patients With Moderate to Severe Chronic Plaque Psoriasis

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.
  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 or cannot receive TST 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 8-12 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 or other drugs considered likely to interfere with the safe conduct of the study
  10. Current alcohol abuse
  11. Current 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 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
  15. Any clinically significant laboratory abnormalities other than those listed on Exclusion Criteria 14, based on the investigator's medical assessment at screening

Sites / Locations

  • Alliance Dermatology & MOHS Center, PC
  • Northwest AR Clinical Trials Center, PLLC.
  • Renstar Medical Research
  • Progressive Medical Research
  • Progressive Medical Research
  • DawesFretzin Clinical Research Group, LLC.
  • Comprehensive Clinical Research
  • Manhattan Medical Research Practice PLLC
  • Skin Search of Rochester, Inc.
  • High Point Clinical Trials Cente
  • Wake Research Associates
  • Lynn Health Science Institute
  • Radiant Research, Inc.
  • Suzanne Bruce and Associates, P.A., The Center for Skin Research
  • University of Utah Dermatology School of Medicine Dermatology 4A330

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

Arm Description

Subject to receive low dose of AbGn-168H intravenously

Subject to receive high dose of AbGn-168H intravenously

Subject to receive placebo intravenously

Outcomes

Primary Outcome Measures

75% reduction in the Psoriasis Area Severity Index (PASI 75)
The primary objective of this study is to investigate efficacy of AbGn-168H in patients with moderate to severe chronic plaque psoriasis following intravenous administration of multiple doses compared to placebo.

Secondary Outcome Measures

Number of participants with abnormal Physical Examination finding
Cmax
Individual Cmax and tmax values will be directly determined from the plasma concentration time profiles of each subject
Number of participants with Vital Sign change
Number of participants with abnormal ECG finding
Number of participants with abnormal Clinical Laboratory parameters
blood chemistry, hematology and urinalysis
Number of participants with Adverse Event
T1/2

Full Information

First Posted
May 22, 2014
Last Updated
March 15, 2016
Sponsor
AbGenomics B.V Taiwan Branch
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1. Study Identification

Unique Protocol Identification Number
NCT02223039
Brief Title
A Study of Multiple Doses of AbGn-168H by Intravenous Infusion in Patients With Moderate to Severe Chronic Plaque Psoriasis
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
March 2016
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
February 2015 (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 II, 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
50 (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
Arm Type
Placebo Comparator
Arm Description
Subject to receive placebo intravenously
Intervention Type
Biological
Intervention Name(s)
AbGn-168H
Intervention Description
AbGn-168H monoclonal antibody
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo of AbGn-168H
Primary Outcome Measure Information:
Title
75% reduction in the Psoriasis Area Severity Index (PASI 75)
Description
The primary objective of this study is to investigate efficacy of AbGn-168H in patients with moderate to severe chronic plaque psoriasis following intravenous administration of multiple doses compared to placebo.
Time Frame
at week 10
Secondary Outcome Measure Information:
Title
Number of participants with abnormal Physical Examination finding
Time Frame
At different time point for 20 weeks after the first treatment
Title
Cmax
Description
Individual Cmax and tmax values will be directly determined from the plasma concentration time profiles of each subject
Time Frame
12 weeks after the first treatment
Title
Number of participants with Vital Sign change
Time Frame
At different time point for 20 weeks after the first treatment
Title
Number of participants with abnormal ECG finding
Time Frame
At different time point for 20 weeks after the first treatment
Title
Number of participants with abnormal Clinical Laboratory parameters
Description
blood chemistry, hematology and urinalysis
Time Frame
At different time point for 20 weeks after the first treatment
Title
Number of participants with Adverse Event
Time Frame
At different time point for 20 weeks after the first treatment
Title
T1/2
Time Frame
At different time point for 12 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. 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 or cannot receive TST 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 8-12 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 or other drugs considered likely to interfere with the safe conduct of the study Current alcohol abuse Current 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 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 Any clinically significant laboratory abnormalities other than those listed on Exclusion Criteria 14, based on the investigator's medical assessment at screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shih-Yao Lin, MD, Ph.D
Organizational Affiliation
AbGenmics 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
Alliance Dermatology & MOHS Center, PC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
Northwest AR Clinical Trials Center, PLLC.
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
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
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Progressive Medical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
DawesFretzin Clinical Research Group, LLC.
City
Indianaopolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Comprehensive Clinical Research
City
Berlin
State/Province
New Jersey
ZIP/Postal Code
08009
Country
United States
Facility Name
Manhattan Medical Research Practice PLLC
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Skin Search of Rochester, Inc.
City
Rochester
State/Province
New York
ZIP/Postal Code
14623
Country
United States
Facility Name
High Point Clinical Trials Cente
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27265
Country
United States
Facility Name
Wake Research Associates
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Lynn Health Science Institute
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, P.A., The Center for Skin Research
City
Katy
State/Province
Texas
ZIP/Postal Code
77494
Country
United States
Facility Name
University of Utah Dermatology School of Medicine Dermatology 4A330
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States

12. IPD Sharing Statement

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A Study of Multiple Doses of AbGn-168H by Intravenous Infusion in Patients With Moderate to Severe Chronic Plaque Psoriasis

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