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Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population

Primary Purpose

Psoriasis

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
"Secukinumab" "Cosentyx TM"
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring Moderate to severe plaque psoriasis, PASI, secukinumab, monoclonal antibody, Turkish population

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects must be able to understand and comply with the requirements of the study and communicate with the investigator
  • Diagnosis of chronic plaque psoriasis for at least 6 months before enrollment
  • Patients who were evaluated as candidates for systemic therapy, defined as having psoriasis intolerant or /and inadequately controlled by: topical treatment (including topical corticosteroid) and/or phototherapy and/or any previous systemic treatment for psoriasis or any previous treatment with biologic agents

Exclusion Criteria:

  • Forms of psoriasis other than plaque psoriasis
  • Drug-induced psoriasis
  • Previous exposure to secukinumab or any other biologic drug directly targeting IL-17A or IL-17RA
  • Pregnant or nursing (lactating) women
  • Active ongoing inflammatory diseases other than psoriasis or psoriatic arthritis that might confound the evaluation of the benefit of secukinumab
  • Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal conditions)
  • Pre-existing or recent-onset central or peripheral nervous system demyelinating disorders
  • Significant medical problems, including but not limited to the following: uncontrolled hypertension, congestive heart failure
  • Active systemic infections during the 2 weeks prior to enrollment
  • History of an ongoing, chronic or recurrent infectious disease, or evidence of tuberculosis infection
  • Past medical history record of, or current infection with, human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to enrollment
  • History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years
  • History or evidence of ongoing alcohol or drug abuse, within the last 6 months prior to enrollment
  • Plans for administration of live vaccines during the study period or in the 6 weeks prior to enrollment
  • Not willing to limit UV light exposure

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    "Secukinumab" "Cosentyx TM"

    Arm Description

    "Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit. First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month

    Outcomes

    Primary Outcome Measures

    Percentage of PASI 90 responder patients at Week 16 as compared to baseline
    The primary endpoint has been chosen as percentage of PASI 90 responder patients. PASI 90 is accepted as clear or almost clear of psoriatic lesions which are the ultimate goal of treatment in plaque psoriasis.

    Secondary Outcome Measures

    Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4
    Patients, who achieved PASI 75 and PASI 90 response at week 4 will be counted by using frequencies and percentages (a subject is defined as a PASI 90 responder if the PASI score is reduced by 90% or more compared to baseline visit)
    The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16
    Investigator's Global Assessment (IGA mod 2011) score will be explained by using descriptive statistics at week 4 and week 16. Change between week 4 and week 16 comparing to baseline
    Work productivity (measured with WPAI-PSO) at Week 16
    Work productivity (WPAI-PSO) at week 16 will be evaluated by using descriptive statistics at week 16. Changes at work productivity through the visits will be inspected by using Repeated Measures ANOVA test.
    Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16
    Changes in quality of life measured with Dermatology Life Quality Index (DLQI) through visits will be evaluated by using Repeated Measures ANOVA test.
    Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)
    Health Assessment Questionnaire-Disability Index (HAQ-DI) will be evaluated at all visits by using descriptive statistics. The change between visits will be evaluated by Repeated Measures ANOVA test.

    Full Information

    First Posted
    May 16, 2016
    Last Updated
    April 19, 2017
    Sponsor
    Novartis Pharmaceuticals
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02795416
    Brief Title
    Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population
    Official Title
    A 16-week, Single Arm, Multicenter Study for the Assessment of Efficacy and Safety of Secukinumab in aduLt Patients With Moderate to Severe plaquE Psoriasis in Turkish Population
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2017
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    June 2016 (undefined)
    Primary Completion Date
    March 2017 (Anticipated)
    Study Completion Date
    March 2017 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Novartis Pharmaceuticals

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Secukinumab targets a different interleukin and has potential to be used as alternative to existing treatments. This study will provide clinical data with respect to efficacy through Psoriasis Area and Severity Index (PASI) at 16 weeks, safety/tolerability of secukinumab and evaluate the impact of the treatment on quality of life and work productivity in subjects with moderate to severe plaque psoriasis in the Turkish population.
    Detailed Description
    To demonstrate the efficacy of secukinumab in subjects with moderate to severe plaque psoriasis based on the percentage of PASI 90 responder patients at Week 16 as compared to baseline Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4 The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16 Work productivity (measured with WPAI-PSO) at Week 16 Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16 Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Psoriasis
    Keywords
    Moderate to severe plaque psoriasis, PASI, secukinumab, monoclonal antibody, Turkish population

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    "Secukinumab" "Cosentyx TM"
    Arm Type
    Experimental
    Arm Description
    "Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit. First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month
    Intervention Type
    Drug
    Intervention Name(s)
    "Secukinumab" "Cosentyx TM"
    Intervention Description
    "Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit. First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month
    Primary Outcome Measure Information:
    Title
    Percentage of PASI 90 responder patients at Week 16 as compared to baseline
    Description
    The primary endpoint has been chosen as percentage of PASI 90 responder patients. PASI 90 is accepted as clear or almost clear of psoriatic lesions which are the ultimate goal of treatment in plaque psoriasis.
    Time Frame
    16 week
    Secondary Outcome Measure Information:
    Title
    Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4
    Description
    Patients, who achieved PASI 75 and PASI 90 response at week 4 will be counted by using frequencies and percentages (a subject is defined as a PASI 90 responder if the PASI score is reduced by 90% or more compared to baseline visit)
    Time Frame
    4 week
    Title
    The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16
    Description
    Investigator's Global Assessment (IGA mod 2011) score will be explained by using descriptive statistics at week 4 and week 16. Change between week 4 and week 16 comparing to baseline
    Time Frame
    4 and 16 week
    Title
    Work productivity (measured with WPAI-PSO) at Week 16
    Description
    Work productivity (WPAI-PSO) at week 16 will be evaluated by using descriptive statistics at week 16. Changes at work productivity through the visits will be inspected by using Repeated Measures ANOVA test.
    Time Frame
    16 week
    Title
    Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16
    Description
    Changes in quality of life measured with Dermatology Life Quality Index (DLQI) through visits will be evaluated by using Repeated Measures ANOVA test.
    Time Frame
    16 week
    Title
    Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)
    Description
    Health Assessment Questionnaire-Disability Index (HAQ-DI) will be evaluated at all visits by using descriptive statistics. The change between visits will be evaluated by Repeated Measures ANOVA test.
    Time Frame
    16 week
    Other Pre-specified Outcome Measures:
    Title
    In case of insulin resistance determined at the baseline, the change in the resistance level as measured by HOMA-IR
    Description
    Change in HOMA-IR level between baseline and week 16 will be evaluated
    Time Frame
    16 week

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects must be able to understand and comply with the requirements of the study and communicate with the investigator Diagnosis of chronic plaque psoriasis for at least 6 months before enrollment Patients who were evaluated as candidates for systemic therapy, defined as having psoriasis intolerant or /and inadequately controlled by: topical treatment (including topical corticosteroid) and/or phototherapy and/or any previous systemic treatment for psoriasis or any previous treatment with biologic agents Exclusion Criteria: Forms of psoriasis other than plaque psoriasis Drug-induced psoriasis Previous exposure to secukinumab or any other biologic drug directly targeting IL-17A or IL-17RA Pregnant or nursing (lactating) women Active ongoing inflammatory diseases other than psoriasis or psoriatic arthritis that might confound the evaluation of the benefit of secukinumab Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal conditions) Pre-existing or recent-onset central or peripheral nervous system demyelinating disorders Significant medical problems, including but not limited to the following: uncontrolled hypertension, congestive heart failure Active systemic infections during the 2 weeks prior to enrollment History of an ongoing, chronic or recurrent infectious disease, or evidence of tuberculosis infection Past medical history record of, or current infection with, human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to enrollment History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years History or evidence of ongoing alcohol or drug abuse, within the last 6 months prior to enrollment Plans for administration of live vaccines during the study period or in the 6 weeks prior to enrollment Not willing to limit UV light exposure
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nilgun Atakan, Prof.Dr
    Organizational Affiliation
    Hacettepe University Medical Faculty
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Server Serdaroglu, Prof.Dr
    Organizational Affiliation
    Istanbul University Cerrahpasa Medical Faculty
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Emel Bulbul Baskan, Prof.Dr
    Organizational Affiliation
    Uludag University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Erkan Alpsoy, Prof.Dr
    Organizational Affiliation
    Akdeniz University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Ferda Artuz, Prof.Dr
    Organizational Affiliation
    Ankara City Hospital Bilkent
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Guliz Ikizoglu, Prof.Dr
    Organizational Affiliation
    Mersin University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Guzin Ozarmagan, Prof.Dr
    Organizational Affiliation
    Istanbul University Istanbul Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Ilgen Ertam, Prof.Dr
    Organizational Affiliation
    Ege University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Murat Borlu, Prof.Dr
    Organizational Affiliation
    Erciyes University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Muzeyyen Sanlı Gonul, Ass.Prof
    Organizational Affiliation
    Dıskapi Training and Research Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Nilgun Senturk, Prof.Dr
    Organizational Affiliation
    Ondokuz Mayıs University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Savas Yaylı, Ass.Prof
    Organizational Affiliation
    Karadeniz Technical University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Serhat Inaloz, Prof.Dr.
    Organizational Affiliation
    Gaziantep University Medical Faculty
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sinan Dogan, Spec.Dr
    Organizational Affiliation
    Bozyaka Training and Research Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Tulin Ergun, Prof.Dr
    Organizational Affiliation
    Marmara university Medical Faculty
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population

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