A Study of Ixekizumab (LY2439821) Versus Adalimumab in Participants With Psoriatic Arthritis (SPIRIT-H2H)
Psoriatic Arthritis
About this trial
This is an interventional treatment trial for Psoriatic Arthritis
Eligibility Criteria
Inclusion Criteria:
- Presence of established diagnosis of active psoriatic arthritis for at least 6 months, and currently meets Classification for Psoriatic Arthritis (CASPAR) criteria
- Active PsA defined as the presence of at least 3 (out of 68) tender and at least 3 (out of 66) swollen joints
- Presence of active plaque psoriasis with a BSA ≥3%
- Men must agree to use a reliable method of birth control or remain abstinent during the study
- Women must agree to use reliable birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment
- Have had an inadequate response when treated with 1 or more conventional synthetic disease-modifying antirheumatic drugs (csDMARDs)
Exclusion Criteria:
- Current or prior use of biologic agents for treatment of Ps or PsA
- Evidence of active inflammatory arthritic syndromes or spondyloarthropathies other than PsA
- Have participated in any study with interleukin 17 (IL-17) antagonists, including ixekizumab
- Serious disorder or illness other than psoriatic arthritis
- Serious infection within the last 3 months
- Active Crohn's disease or active ulcerative colitis
- Active vasculitis or uveitis
- Diagnosis of or history of malignant disease <5 years prior to randomization
- Women who are breastfeeding
Sites / Locations
- Atencion Integral en Reumatología
- Clinica Adventista de Belgrano
- CER Instituto Medico
- Instituto de Asist Reumatologica Integral
- Centro Medico Privado de Reumatologia
- Organizacion Medica de Investigacion - OMI
- Instituto Centenario
- Hospital Ramos Mejia
- Centro de Medicina Familiar Mindout Research
- CENUDIAB
- Consultora Integral de Salud S.R.L.
- Centro Polivalente de Asistencia e Inv. Clinica CER-San Juan
- Combined Rheumatology Practice (CRP)
- Rheumatology, The Queen Elizabeth Hospital
- Southern Clinical Research Pty Ltd
- Emeritus Research
- St Vincents Hospital Melbourne
- Zentrum für klinische Studien Dr. Ursula Hanusch GmbH
- AKH
- Rheuma-Zentrum Wien Oberlaa
- Reumaclinic
- Universitair Ziekenhuis Gent
- Saint Joseph Hospital
- Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
- Hopital Ambroise Pare
- The Waterside Clinic
- SKiN Center for Dermatology
- Centre de Recherche Musculo-Squelettique
- Polmed Research Inc.
- Group de recherche en maladies osseuses
- Frederiksberg Hospital
- Aalborg Universitetshospital - Psykiatrien
- Helsinki University Hospital, HYKS
- Kiljava Medical Research
- Terveystalo Kouvola
- Turun Yliopistollinen Keskussairaala
- Hôpital Trousseau, CHRU de Tours
- Centre Hospitalier de Vendee Les Oudairies
- Hopital Edouard Herriot
- Centre hospitalier universitaire Lapeyronie
- Nouvel Hôpital Orléans La Source
- Hôpital Pierre-Paul Riquet
- Klinikum der Universität München
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
- Rheumazentrum Ratingen
- HRF Hamburger Rheuma Forschungszentrum
- Allergo-Derm Bakos Kft
- Obudai Egeszsegugyi Centrum Kft
- UNO Medical Trials Kft.
- Vital Medical Center
- Care Hospital
- King George Hospital
- Sir Ganga Ram Hospital
- Panchshil Hospital
- Byramjee Jeejeebhoy Medical College & Civil Hospital
- Shalby Hospital
- Government Medical College & Sir Sayajirao General Hospital
- Artemis Hospital
- Narayana Hrudayalaya Hospital
- Kokilaben Dhirubhai Ambani Hospital &Medical Research Inst.
- Ruby Hall Clinic and Grant Medical Foundation
- Krishna Institute of Medical Sciences Ltd.
- Apollo Gleneagles Hospitals
- Barzilai Medical Center
- Rambam Medical Center
- Carmel Medical Center
- Meir Medical Center
- Rabin Medical Center
- Sheba Medical Center
- Tel Aviv Sourasky Medical Center
- Assaf Harofeh Medical Center
- Istituto Clinico Humanitas
- Istituto Ortopedico Rizzoli
- Presidio Ospedaliero Vittorio Emanuele
- Fondazione Universitaria degli Studi G D'Annunzio
- Policlinico di Tor Vergata
- Complesso Integrato Columbus
- Ospedale Policlinico Giambattista Rossi, Borgo Roma
- Centro Medico del Angel S.C.
- Ctro Inv en Artritis y Osteoporosis SC
- CIMAB S.A. de C.V.
- Grupo Médico CAMINO S.C.
- Clínica Enfermedades Crónicas y Procedimientos Especiales SC
- Centro Investigacion de Tratam Innovadores de Sinaloa SC
- Cemdeicy S.C.P.
- RM Pharma Specialists S.A. de C.V.
- Antonius Ziekenhuis
- NZOZ Centrum Reumatologiczne Ind. Prak.
- "Dermed" Centrum Medyczne Sp. z o.o.
- Twoja Przychodnia-Centrum Medyczne Nowa Sol
- Rheuma Medicus Zakład Opieki Zdrowotnej
- DermMEDICA Sp. z o.o.
- Greenacres Hospital
- Clinresco Centres (Pt) Ltd
- Suite 509 Umhlanga Netcare Medical Centre
- Arthritis Clinical Research Trial Unit
- Winelands Medical Research Centre
- St Augustines Hospital
- Emmed Research
- Prof Ally
- Suite 209A Jakaranda Hospital
- Hospital Marina Baixa
- Hospital Clinico Universitario de Santiago
- Hospital Del Sagrado Coraz
- Complexo Hospitalario Universitario A Coruña, CHUAC
- Hospital Infanta Luisa
- Reumatologikliniken Västmanlands Sjukhus
- Reumatologiska Kliniken Skånes universitetssjukhus Malmö
- Centrum för reumatologi
- Reumatologiska Kliniken Karolinska Universitetssjukhuset Solna
- Kantonsspital St. Gallen
- HUG-Hôpitaux Universitaires de Genève
- Regional Clinical Hospital Center for Emergency medical care
- National Scientific Center "Strazhesko institute of cardio"
- Kyiv City Clinical Hospital #3
- Multifield Medical Center of Odesa NMU (University Clinic#1)
- Municipal Institution of Ternopil Regional Council
- Vinnytsya Regional Clinical Hospital
- Regional Clinical Hospital of Zaporizhzhia
- Addenbrookes Hospital
- Royal Cornwall Hospital
- Southampton General Hospital
- Wythenshawe Hospital
- Wishaw General Hospital
- Western General Hospital
- Whipps Cross University Hospital
- North Tyneside General Hospital
- The Dudley Group NHS Foundation Trust
- New Cross Hospital
- St Lukes Hospital
- The Great Western Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ixekizumab
Adalimumab
160 milligrams (mg) ixekizumab given subcutaneously (SC) at baseline for all participants. 80 mg ixekizumab given once every 2 weeks (Q2W) SC from week 2 to week 12 and once every 4 weeks (Q4W) thereafter for participants with moderate-to-severe plaque Ps. 80 mg ixekizumab given SC Q4W starting week 4 for participants not meeting criteria for moderate-to-severe plaque Ps.
80 mg adalimumab given SC at baseline followed by 40 mg Q2W given SC starting week 1 for participants with moderate-to-severe plaque Ps. 40 mg adalimumab given Q2W SC at baseline followed by 40 mg Q2W starting at Week 2 given SC for participants not meeting criteria for moderate-to-severe plaque Ps.