search
Back to results

A Study to Assess the Efficacy and Safety of PPC-06 (Tepilamide Fumarate)

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
PPC-06 400 mg QD
PPC-06 400 mg BID
PPC-06 600 mg
Placebo
Sponsored by
Dr. Reddy's Laboratories Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis

Eligibility Criteria

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

Inclusion Criteria:

  • Generally healthy males or non-pregnant females age ≥18 years at the time of screening (or who have reached the state minimum legal age of consent).
  • Stable, moderate-to-severe plaque psoriasis diagnosed for at least 6 months prior to randomization (no morphology changes or significant flares of disease activity in the last 6 months in the opinion of the investigator or as reported by the subject).
  • Severity of disease meeting all 3 of the following criteria prior to randomization (at the Baseline [Day 0] visit):

    1. PASI score of ≥12
    2. Total body surface area (BSA) affected by plaque psoriasis of ≥10%
    3. IGA score of >3
  • Must be a candidate for phototherapy and/or systemic therapy for psoriasis.

Exclusion Criteria:

  • Subjects with non-plaque psoriasis (ie, predominantly inverse, erythrodermic, predominantly guttate, or pustular psoriasis).
  • Subjects with drug-induced psoriasis or subjects with drug-exacerbated psoriasis that has not resolved within 4 weeks prior to screening.
  • Subjects who have received systemic non-biologic psoriasis therapy or phototherapy (including either oral and topical psoralen and ultraviolet A (PUVA) light therapy, ultraviolet B, or self-treatment with tanning beds or therapeutic sunbathing) within 4 weeks prior to the Baseline Visit.
  • Subjects who had topical psoriasis treatment within the previous 2 weeks prior to the Baseline Visit.
  • Subjects with history of concurrent or recent use of any biologic agent within the following washout periods prior to baseline visit:

    • Etanercept - 35 days
    • Infliximab, adalimumab - 12 weeks
    • Ustekinumab - 24 weeks
    • Any other biologic agent <5 half-lives prior to the Baseline Visit
  • Subjects with history of use of any investigational drug within 28 days prior to randomization, or 5 pharmacokinetic/ pharmacodynamic half-lives (whichever is longer).

Sites / Locations

  • Site 144
  • Site 167
  • Site 158
  • Site 170
  • Site 157
  • Site 125
  • Site 133
  • Site 107
  • Site 121
  • Site 153
  • Site 176
  • Site 178
  • Site 182
  • Site 156
  • Site 141
  • Site 155
  • Site 137
  • Site 130
  • Site 143
  • Site 145
  • Site 181
  • Site 149
  • Site 105
  • Site 174
  • Site 164
  • Site 123
  • Site 112
  • Site 172
  • Site 152
  • Site 154
  • Site 110
  • Site 150
  • Site 113
  • Site 132
  • Site 124
  • Site 122
  • Site 179
  • Site 115
  • Site 171
  • Site 139
  • Site 165
  • Site 131
  • Site 142
  • Site 119
  • Site 126
  • Site 128
  • Site 129
  • Site 111
  • Site 109
  • Site 127
  • Site 180-
  • Site 103
  • Site 177
  • Site 104
  • Site 161
  • Site 146
  • Site 108
  • Site 116
  • Site 118
  • Site 169
  • Site 114
  • Site 134
  • Site 100
  • Site 148
  • Site 160
  • Site 162
  • Site 102
  • Site 106
  • Site 101
  • Site 159
  • Site 136
  • Site 166
  • Site 135
  • Site 147

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

PPC-06 400 mg QD

PPC-06 400 mg BID

PPC-06 600 mg BID

Placebo BID

Arm Description

Tepilamide Fumarate 400 mg once per day

Tepilamide Fumarate 400 mg twice per day

Tepilamide Fumarate 600 mg twice per day

White placebo tablet to mimic Tepilamide Fumarate

Outcomes

Primary Outcome Measures

Achieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 24
The percentage of subjects who achieve a reduction of 75% or greater from Baseline in the Psoriasis Area and Severity Index (PASI-75) The PASI is a measure of the average redness, thickness, and scaliness of the lesions (each graded on a 0-4 scale) and is weighted by the area of involvement. The minimum possible score on this scale is '0', while the maximum score on this scale is 72. A lower score on this scale at the end of the study indicates an improvement in the condition of subject.
Achieving the Investigator's Global Assessment (IGA) Score of 0 or 1
The Percentage of subjects who achieve the Investigator's Global Assessment (IGA) score of clear or almost clear (IGA score 0 or 1) Score Grade Definition 0 Clear: No signs of psoriasis Almost clear: No thickening to minimal plaque elevation; Normal to slight pink coloration/faint erythema; Focal to minimal scaling Mild: Slight elevation/thickening; Pink to light red coloration; Predominantly fine scaling partially or mostly covering lesions Moderate: Clearly distinguishable/distinct thickening; Definite red coloration; Coarse scaling covering most plaques Severe: Marked thickening with hard/sharp edges; Bright to deep dark red coloration; Thick/coarse scaling covering almost all or all lesions A lower score on this scale at the end of the study indicates an improvement in the disease condition.

Secondary Outcome Measures

Full Information

First Posted
January 23, 2018
Last Updated
March 23, 2022
Sponsor
Dr. Reddy's Laboratories Limited
search

1. Study Identification

Unique Protocol Identification Number
NCT03421197
Brief Title
A Study to Assess the Efficacy and Safety of PPC-06 (Tepilamide Fumarate)
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Multicenter, 24-Week Study to Assess the Efficacy and Safety of PPC-06 (Tepilamide Fumarate) Extended Release Tablets in Subjects With Moderate-to-Severe Plaque Psoriasis (AFFIRM)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
January 25, 2018 (Actual)
Primary Completion Date
March 30, 2020 (Actual)
Study Completion Date
March 30, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Reddy's Laboratories Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, double-blind, placebo-controlled, multicenter study designed to assess the safety and efficacy of PPC-06 (tepilamide fumarate) extended release in subjects with moderate-to-severe plaque psoriasis.
Detailed Description
This is a Phase 2, randomized, double-blind, placebo-controlled, multicenter study designed to assess the safety and efficacy of PPC-06 in subjects with moderate-to-severe plaque psoriasis. Study subjects will be enrolled at approximately 75 sites in the United States (US). Approximately 400 subjects who meet the study entry criteria will be randomly assigned in a 1:1:1:1 ratio to 1 of the 4 treatment arms: PPC-06 400 mg once daily (QD) PPC-06 400 mg BID PPC-06 600 mg BID Placebo BID The maximum study duration for each subject will be approximately 29 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PPC-06 400 mg QD
Arm Type
Experimental
Arm Description
Tepilamide Fumarate 400 mg once per day
Arm Title
PPC-06 400 mg BID
Arm Type
Experimental
Arm Description
Tepilamide Fumarate 400 mg twice per day
Arm Title
PPC-06 600 mg BID
Arm Type
Experimental
Arm Description
Tepilamide Fumarate 600 mg twice per day
Arm Title
Placebo BID
Arm Type
Placebo Comparator
Arm Description
White placebo tablet to mimic Tepilamide Fumarate
Intervention Type
Drug
Intervention Name(s)
PPC-06 400 mg QD
Other Intervention Name(s)
Tepilamide Fumarate 400 mg
Intervention Description
Tepilamide Fumarate 400 mg tablet once per day
Intervention Type
Drug
Intervention Name(s)
PPC-06 400 mg BID
Other Intervention Name(s)
Tepilamide Fumarate 400 mg
Intervention Description
Tepilamide Fumarate tablets 400 mg twice per day
Intervention Type
Drug
Intervention Name(s)
PPC-06 600 mg
Other Intervention Name(s)
Tepilamide Fumarate 600 mg
Intervention Description
Tepilamide Fumarate tablets 600 mg twice per day
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo tablets twice per day
Intervention Description
white tablet with no active ingredient manufactured to mimic Tepilamide Fumarate tablets
Primary Outcome Measure Information:
Title
Achieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 24
Description
The percentage of subjects who achieve a reduction of 75% or greater from Baseline in the Psoriasis Area and Severity Index (PASI-75) The PASI is a measure of the average redness, thickness, and scaliness of the lesions (each graded on a 0-4 scale) and is weighted by the area of involvement. The minimum possible score on this scale is '0', while the maximum score on this scale is 72. A lower score on this scale at the end of the study indicates an improvement in the condition of subject.
Time Frame
End of Week 24
Title
Achieving the Investigator's Global Assessment (IGA) Score of 0 or 1
Description
The Percentage of subjects who achieve the Investigator's Global Assessment (IGA) score of clear or almost clear (IGA score 0 or 1) Score Grade Definition 0 Clear: No signs of psoriasis Almost clear: No thickening to minimal plaque elevation; Normal to slight pink coloration/faint erythema; Focal to minimal scaling Mild: Slight elevation/thickening; Pink to light red coloration; Predominantly fine scaling partially or mostly covering lesions Moderate: Clearly distinguishable/distinct thickening; Definite red coloration; Coarse scaling covering most plaques Severe: Marked thickening with hard/sharp edges; Bright to deep dark red coloration; Thick/coarse scaling covering almost all or all lesions A lower score on this scale at the end of the study indicates an improvement in the disease condition.
Time Frame
End of Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Generally healthy males or non-pregnant females age ≥18 years at the time of screening (or who have reached the state minimum legal age of consent). Stable, moderate-to-severe plaque psoriasis diagnosed for at least 6 months prior to randomization (no morphology changes or significant flares of disease activity in the last 6 months in the opinion of the investigator or as reported by the subject). Severity of disease meeting all 3 of the following criteria prior to randomization (at the Baseline [Day 0] visit): PASI score of ≥12 Total body surface area (BSA) affected by plaque psoriasis of ≥10% IGA score of >3 Must be a candidate for phototherapy and/or systemic therapy for psoriasis. Exclusion Criteria: Subjects with non-plaque psoriasis (ie, predominantly inverse, erythrodermic, predominantly guttate, or pustular psoriasis). Subjects with drug-induced psoriasis or subjects with drug-exacerbated psoriasis that has not resolved within 4 weeks prior to screening. Subjects who have received systemic non-biologic psoriasis therapy or phototherapy (including either oral and topical psoralen and ultraviolet A (PUVA) light therapy, ultraviolet B, or self-treatment with tanning beds or therapeutic sunbathing) within 4 weeks prior to the Baseline Visit. Subjects who had topical psoriasis treatment within the previous 2 weeks prior to the Baseline Visit. Subjects with history of concurrent or recent use of any biologic agent within the following washout periods prior to baseline visit: Etanercept - 35 days Infliximab, adalimumab - 12 weeks Ustekinumab - 24 weeks Any other biologic agent <5 half-lives prior to the Baseline Visit Subjects with history of use of any investigational drug within 28 days prior to randomization, or 5 pharmacokinetic/ pharmacodynamic half-lives (whichever is longer).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Srinivas Sidgiddi, MD
Organizational Affiliation
Dr. Reddy's Laboratories, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Site 144
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85308
Country
United States
Facility Name
Site 167
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Site 158
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85053
Country
United States
Facility Name
Site 170
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85283
Country
United States
Facility Name
Site 157
City
Bryant
State/Province
Arkansas
ZIP/Postal Code
72022
Country
United States
Facility Name
Site 125
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
Site 133
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Site 107
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Site 121
City
Fresno
State/Province
California
ZIP/Postal Code
93720
Country
United States
Facility Name
Site 153
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
Site 176
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Site 178
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Site 182
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Site 156
City
Murrieta
State/Province
California
ZIP/Postal Code
92562
Country
United States
Facility Name
Site 141
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Site 155
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95405
Country
United States
Facility Name
Site 137
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33761
Country
United States
Facility Name
Site 130
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Site 143
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Site 145
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Site 181
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Site 149
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Site 105
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Site 174
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Site 164
City
Miami
State/Province
Florida
ZIP/Postal Code
33175
Country
United States
Facility Name
Site 123
City
Miami
State/Province
Florida
ZIP/Postal Code
33186
Country
United States
Facility Name
Site 112
City
Miramar
State/Province
Florida
ZIP/Postal Code
33027
Country
United States
Facility Name
Site 172
City
New Port Richey
State/Province
Florida
ZIP/Postal Code
34655
Country
United States
Facility Name
Site 152
City
Orange Park
State/Province
Florida
ZIP/Postal Code
32073
Country
United States
Facility Name
Site 154
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Facility Name
Site 110
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States
Facility Name
Site 150
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Site 113
City
Tampa
State/Province
Florida
ZIP/Postal Code
33624
Country
United States
Facility Name
Site 132
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Site 124
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Site 122
City
Nampa
State/Province
Idaho
ZIP/Postal Code
83651
Country
United States
Facility Name
Site 179
City
Wheaton
State/Province
Illinois
ZIP/Postal Code
60189
Country
United States
Facility Name
Site 115
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Site 171
City
New Albany
State/Province
Indiana
ZIP/Postal Code
47150
Country
United States
Facility Name
Site 139
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66215
Country
United States
Facility Name
Site 165
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Site 131
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
Site 142
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Facility Name
Site 119
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Site 126
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70115
Country
United States
Facility Name
Site 128
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
Site 129
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Site 111
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Site 109
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Site 127
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
Facility Name
Site 180-
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
Facility Name
Site 103
City
New York
State/Province
New York
ZIP/Postal Code
10012
Country
United States
Facility Name
Site 177
City
New York
State/Province
New York
ZIP/Postal Code
10075
Country
United States
Facility Name
Site 104
City
New York
State/Province
New York
ZIP/Postal Code
10155
Country
United States
Facility Name
Site 161
City
Rochester
State/Province
New York
ZIP/Postal Code
14623
Country
United States
Facility Name
Site 146
City
Stony Brook
State/Province
New York
ZIP/Postal Code
11790
Country
United States
Facility Name
Site 108
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
Site 116
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28405
Country
United States
Facility Name
Site 118
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Site 169
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
Facility Name
Site 114
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Site 134
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
Site 100
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57702
Country
United States
Facility Name
Site 148
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Site 160
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
Site 162
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Site 102
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
Site 106
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Site 101
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78281
Country
United States
Facility Name
Site 159
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
Facility Name
Site 136
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States
Facility Name
Site 166
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Site 135
City
Burien
State/Province
Washington
ZIP/Postal Code
98168
Country
United States
Facility Name
Site 147
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Assess the Efficacy and Safety of PPC-06 (Tepilamide Fumarate)

We'll reach out to this number within 24 hrs