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Multi-Dose Study of SHR-1314 in Subjects With Moderate-to-severe Plaque Psoriasis

Primary Purpose

Moderate-to-severe Chronic Plaque Psoriasis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SHR-1314
Placebo
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate-to-severe Chronic Plaque Psoriasis

Eligibility Criteria

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

Major Inclusion Criteria:

  1. Provide written informed consent before any study assessment is performed.
  2. Male or female at least 18 years of age at screening.
  3. At the time of randomization, moderate to severe plaque psoriasis, defined by:

    • PASI score of 12 or greater and
    • PGA score of 3 or greater and
    • BSA affected by plaque-type psoriasis of 10% or greater.
  4. Subject is a candidate for systemic psoriasis therapy and/or phototherapy and/or chemo phototherapy.

Major Exclusion Criteria:

  1. Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic, and guttate psoriasis) at screening.
  2. Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) at randomization.
  3. Active systemic infections (other than common cold) during the two weeks before randomization (e.g., hepatitis), or serious infections requiring hospitalization and/or intravenous injection of antibiotic treatment within eight weeks from randomization.
  4. Presence of other skin conditions (e.g. skin infections, seborrheic dermatitis) that in the judgement of the Investigator could interfere with assessment of psoriasis.
  5. History of inflammatory bowel disease or have other ongoing active autoimmune diseases.
  6. At screening, history or symptoms of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  7. History of depression and/or suicidal ideation or behavior which in the opinion of the Investigator, makes the subject unsuitable for clinical study participation.
  8. Any severe, progressive or uncontrolled medical condition at randomization that in the judgement of the Investigator prevents the subject from participating in the study.
  9. Have a known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.
  10. Concurrent or recent use of psoriasis treatments/ medications.
  11. Are currently enrolled in, or discontinued from a clinical trial involving an Investigational product (IP) within the last 4 weeks or at least 5 half-lives of the last dosing prior to randomization, whichever is longer; or concurrently enrolled (at randomization) in any other trials.
  12. Have had a live attenuated vaccination within 12 weeks before randomization, or intend to have a live attenuated vaccination during the course of the study, or have participated in a vaccine clinical trial within 12 weeks prior to randomization.
  13. Have evidence of positive test for hepatitis B, hepatitis C antibody, or human immunodeficiency virus (HIV) antibodies.

    A positive test for hepatitis B is defined as 1) positive for hepatitis B surface antigen [HBsAg], or 2) positive for anti-hepatitis B core antibody [HBcAb+] but negative for hepatitis B surface antibody [HBsAb-].

  14. History or evidence of active or latent tuberculosis at screening.
  15. Have laboratory test values that are considered clinically significant at screening that, in the opinion of the Investigator, pose an unacceptable risk to the subject if participating in the study or of interfering with the interpretation of data.
  16. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or Day 0.
  17. Females of child bearing potential (defined as all females physiologically capable of becoming pregnant) and males who are unwilling or unable to use highly effective contraception during the study and 20 weeks after the last administration of investigational product (anticipated 5 half-lives).
  18. History of alcohol or illicit drug abuse within the year prior to screening.
  19. Are unwilling or unable to maintain their normal pattern of alcohol, caffeine, smoking, and exercise from the start to the end of the study.
  20. Have any other condition that precludes the subject from following and completing the protocol, in the opinion of the Investigator.

Sites / Locations

  • Elite Clinical Studies, LLC
  • Anaheim Clinical Trials
  • Revival Research
  • Indago Research and Health Center - Emergency Medicine
  • Great Lakes Clinical Trials LLC
  • Clinical Partners, LLC
  • Center for Clinical Studies
  • Center for Clinical Studies
  • St George Dermatology and Skin Cancer Centre - Dermatology
  • Westmead Hospital
  • Veracity Clinical Research Pty Ltd
  • Sinclair Dermatology - Dermatology
  • Shanghai Huanshan Hospital Fudan University-Dermatology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

80mg SHR-1314-Part A

160mg SHR-1314-Part A

240mg SHR-1314-Part A

40mg SHR-1314 (Part B)

80mg SHR-1314 (Part B)

160mg SHR-1314 (Part B)

240mg SHR-1314 (Part B)

SHR-1314 Placebo (Part B)

Arm Description

SHR-1314 80mg, subcutaneously

SHR-1314 160mg, subcutaneously

SHR-1314 240mg, subcutaneously

SHR-1314 40mg, subcutaneously

SHR-1314 80mg, subcutaneously

SHR-1314 160mg, subcutaneously

SHR-1314 240mg, subcutaneously

SHR-1314 Placebo, subcutaneously

Outcomes

Primary Outcome Measures

Number of Participants With Clinically Significant Events (Part A)
Clinically significant events were defined as abnormal laboratory values and/or adverse events that are related to treatment
Pharmacokinetics (PK) of SHR-1314 (Part A)
Time to Reach the Maximum Concentration After Drug Administration (Tmax)
Pharmacokinetics (PK) of SHR-1314 (Part A)
Observed Maximum Serum Concentration Following Drug Administration (Cmax)
Percentage of Participants With Anti-SHR-1314 Antibodies (Part A)
Percentage of participants with treatment-emergent positive anti-SHR-1314 antibodies was summarized by treatment group. Percentage was calculated based on the number of evaluable participants and was calculated by number of participants with treatment-emergent positive anti-SHR-1314 antibodies / number of evaluable participants * 100%.
Percentage of subjects who achieve Psoriasis Area Severity Index (PASI) score 75 (Part B)
Percentage of subjects who achieve at least 75% improvement in the PASI (PASI 75)

Secondary Outcome Measures

Psoriasis Area Severity Index (PASI) score
PASI combines the extent of body surface involvement in 4 anatomical regions(head,trunk,arms,and legs).For each region the percent area of skin involved was estimated from 0(0%) to 6(90%-100%) and severity was estimated by clinical signs of erythema,induration and scaling with a scores range from 0(none) to 4(very severe).Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as:sum of severity parameters for each region*area score*weighing factor (head[0.1],upper limbs[0.2],trunk[0.3],lower limbs [0.4]).Overall scores range from 0(no psoriasis) to 72(most severe disease). Percent change from baseline in PASI score over time will be evaluated.
Physician's Global Assessment (PGA) of 0 or 1 achievement
The PGA of psoriasis is scored on a 6-point scale, reflecting a global consideration of the erythema, induration, and scaling across all psoriatic lesions. Average erythema, induration, and scaling are scored separately over the whole body according to a 6-point severity scale (0 [clear] to 5 [severe]). The total score was calculated as average of the 3 severity scores and rounded to the nearest whole number score to determine the PGA score and category (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=moderate to severe; 5 = severe). Proportion of subjects achieving PGA response of 0 or 1 over time will be evaluated. PGA response of 0 or 1 is defined as a PGA score of 0 (clear) or 1 (almost clear) and an improvement of at least 2 points on the PGA scale from baseline.
Change of dermatology life quality index (DLQI) score
Change from baseline in DLQI over time. This DLQI is a 10-question patient administered questionnaire that covers six quality of life domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment, with total scores ranging from 0-30 (less to more impairment)
Change from baseline in Body Surface Area (BSA)
Change from baseline in the BSA affected by psoriasis over time.

Full Information

First Posted
January 22, 2018
Last Updated
August 7, 2023
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03463187
Brief Title
Multi-Dose Study of SHR-1314 in Subjects With Moderate-to-severe Plaque Psoriasis
Official Title
A Multi-Center, Randomized, Double-blind, Placebo-controlled, Multi-Dose Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of SHR-1314 With Expanded Dose Finding in Subjects With Moderate-to-severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
December 15, 2017 (Actual)
Primary Completion Date
August 31, 2020 (Actual)
Study Completion Date
August 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine Co., Ltd.

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 multi-regional, randomized, double-blind, placebo-controlled, clinical trial to evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of SHR-1314 in adults with moderate-to-severe plaque psoriasis.
Detailed Description
This study is a multiple dose escalating design to evaluate the safety, PK, and pharmacodynamics (PD) of multiple subcutaneous injections of SHR-1314. There are two parts in this study. The safety, PK, and PD will be evaluated in Part A, the dose escalation part. The efficacy and safety on different doses will be assessed in parallel-groups in Part B.

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
PartA is a multiple dose escalating design in 3 sequential cohorts at 3 dose levels (80mg, 160mg, and 240mg) in plaque psoriasis subjects. Part B is a multiple dose, parallel-group design consisting of 4 treatment arms and 1 placebo arm to assess the efficacy and safety of s.c. injections of SHR-1314 in plaque psoriasis subjects.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
211 (Actual)

8. Arms, Groups, and Interventions

Arm Title
80mg SHR-1314-Part A
Arm Type
Experimental
Arm Description
SHR-1314 80mg, subcutaneously
Arm Title
160mg SHR-1314-Part A
Arm Type
Experimental
Arm Description
SHR-1314 160mg, subcutaneously
Arm Title
240mg SHR-1314-Part A
Arm Type
Experimental
Arm Description
SHR-1314 240mg, subcutaneously
Arm Title
40mg SHR-1314 (Part B)
Arm Type
Experimental
Arm Description
SHR-1314 40mg, subcutaneously
Arm Title
80mg SHR-1314 (Part B)
Arm Type
Experimental
Arm Description
SHR-1314 80mg, subcutaneously
Arm Title
160mg SHR-1314 (Part B)
Arm Type
Experimental
Arm Description
SHR-1314 160mg, subcutaneously
Arm Title
240mg SHR-1314 (Part B)
Arm Type
Experimental
Arm Description
SHR-1314 240mg, subcutaneously
Arm Title
SHR-1314 Placebo (Part B)
Arm Type
Experimental
Arm Description
SHR-1314 Placebo, subcutaneously
Intervention Type
Biological
Intervention Name(s)
SHR-1314
Intervention Description
Administered subcutaneously
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered subcutaneously
Primary Outcome Measure Information:
Title
Number of Participants With Clinically Significant Events (Part A)
Description
Clinically significant events were defined as abnormal laboratory values and/or adverse events that are related to treatment
Time Frame
From baseline through 24 weeks
Title
Pharmacokinetics (PK) of SHR-1314 (Part A)
Description
Time to Reach the Maximum Concentration After Drug Administration (Tmax)
Time Frame
From baseline through 24 weeks
Title
Pharmacokinetics (PK) of SHR-1314 (Part A)
Description
Observed Maximum Serum Concentration Following Drug Administration (Cmax)
Time Frame
From baseline through 24 weeks
Title
Percentage of Participants With Anti-SHR-1314 Antibodies (Part A)
Description
Percentage of participants with treatment-emergent positive anti-SHR-1314 antibodies was summarized by treatment group. Percentage was calculated based on the number of evaluable participants and was calculated by number of participants with treatment-emergent positive anti-SHR-1314 antibodies / number of evaluable participants * 100%.
Time Frame
From baseline through 24 weeks
Title
Percentage of subjects who achieve Psoriasis Area Severity Index (PASI) score 75 (Part B)
Description
Percentage of subjects who achieve at least 75% improvement in the PASI (PASI 75)
Time Frame
From baseline through 12 weeks
Secondary Outcome Measure Information:
Title
Psoriasis Area Severity Index (PASI) score
Description
PASI combines the extent of body surface involvement in 4 anatomical regions(head,trunk,arms,and legs).For each region the percent area of skin involved was estimated from 0(0%) to 6(90%-100%) and severity was estimated by clinical signs of erythema,induration and scaling with a scores range from 0(none) to 4(very severe).Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as:sum of severity parameters for each region*area score*weighing factor (head[0.1],upper limbs[0.2],trunk[0.3],lower limbs [0.4]).Overall scores range from 0(no psoriasis) to 72(most severe disease). Percent change from baseline in PASI score over time will be evaluated.
Time Frame
From baseline through 24 weeks (Part A) or 36 weeks (Part B)
Title
Physician's Global Assessment (PGA) of 0 or 1 achievement
Description
The PGA of psoriasis is scored on a 6-point scale, reflecting a global consideration of the erythema, induration, and scaling across all psoriatic lesions. Average erythema, induration, and scaling are scored separately over the whole body according to a 6-point severity scale (0 [clear] to 5 [severe]). The total score was calculated as average of the 3 severity scores and rounded to the nearest whole number score to determine the PGA score and category (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=moderate to severe; 5 = severe). Proportion of subjects achieving PGA response of 0 or 1 over time will be evaluated. PGA response of 0 or 1 is defined as a PGA score of 0 (clear) or 1 (almost clear) and an improvement of at least 2 points on the PGA scale from baseline.
Time Frame
From baseline through 24 weeks (Part A) or 36 weeks (Part B)
Title
Change of dermatology life quality index (DLQI) score
Description
Change from baseline in DLQI over time. This DLQI is a 10-question patient administered questionnaire that covers six quality of life domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment, with total scores ranging from 0-30 (less to more impairment)
Time Frame
From baseline up to 12 weeks (Part A) or 36 weeks (Part B)
Title
Change from baseline in Body Surface Area (BSA)
Description
Change from baseline in the BSA affected by psoriasis over time.
Time Frame
From baseline through 12 weeks (Part A) or (Part B)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Major Inclusion Criteria: Provide written informed consent before any study assessment is performed. Male or female at least 18 years of age at screening. At the time of randomization, moderate to severe plaque psoriasis, defined by: PASI score of 12 or greater and PGA score of 3 or greater and BSA affected by plaque-type psoriasis of 10% or greater. Subject is a candidate for systemic psoriasis therapy and/or phototherapy and/or chemo phototherapy. Major Exclusion Criteria: Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic, and guttate psoriasis) at screening. Drug-induced psoriasis (i.e. new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) at randomization. Active systemic infections (other than common cold) during the two weeks before randomization (e.g., hepatitis), or serious infections requiring hospitalization and/or intravenous injection of antibiotic treatment within eight weeks from randomization. Presence of other skin conditions (e.g. skin infections, seborrheic dermatitis) that in the judgement of the Investigator could interfere with assessment of psoriasis. History of inflammatory bowel disease or have other ongoing active autoimmune diseases. At screening, history or symptoms of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. History of depression and/or suicidal ideation or behavior which in the opinion of the Investigator, makes the subject unsuitable for clinical study participation. Any severe, progressive or uncontrolled medical condition at randomization that in the judgement of the Investigator prevents the subject from participating in the study. Have a known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study. Concurrent or recent use of psoriasis treatments/ medications. Are currently enrolled in, or discontinued from a clinical trial involving an Investigational product (IP) within the last 4 weeks or at least 5 half-lives of the last dosing prior to randomization, whichever is longer; or concurrently enrolled (at randomization) in any other trials. Have had a live attenuated vaccination within 12 weeks before randomization, or intend to have a live attenuated vaccination during the course of the study, or have participated in a vaccine clinical trial within 12 weeks prior to randomization. Have evidence of positive test for hepatitis B, hepatitis C antibody, or human immunodeficiency virus (HIV) antibodies. A positive test for hepatitis B is defined as 1) positive for hepatitis B surface antigen [HBsAg], or 2) positive for anti-hepatitis B core antibody [HBcAb+] but negative for hepatitis B surface antibody [HBsAb-]. History or evidence of active or latent tuberculosis at screening. Have laboratory test values that are considered clinically significant at screening that, in the opinion of the Investigator, pose an unacceptable risk to the subject if participating in the study or of interfering with the interpretation of data. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or Day 0. Females of child bearing potential (defined as all females physiologically capable of becoming pregnant) and males who are unwilling or unable to use highly effective contraception during the study and 20 weeks after the last administration of investigational product (anticipated 5 half-lives). History of alcohol or illicit drug abuse within the year prior to screening. Are unwilling or unable to maintain their normal pattern of alcohol, caffeine, smoking, and exercise from the start to the end of the study. Have any other condition that precludes the subject from following and completing the protocol, in the opinion of the Investigator.
Facility Information:
Facility Name
Elite Clinical Studies, LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Anaheim Clinical Trials
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Revival Research
City
Doral
State/Province
Florida
ZIP/Postal Code
33122
Country
United States
Facility Name
Indago Research and Health Center - Emergency Medicine
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Great Lakes Clinical Trials LLC
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Clinical Partners, LLC
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Center for Clinical Studies
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Center for Clinical Studies
City
Webster
State/Province
Texas
ZIP/Postal Code
77598
Country
United States
Facility Name
St George Dermatology and Skin Cancer Centre - Dermatology
City
Kogarah
State/Province
New South Wales
ZIP/Postal Code
2217
Country
Australia
Facility Name
Westmead Hospital
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Facility Name
Veracity Clinical Research Pty Ltd
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Facility Name
Sinclair Dermatology - Dermatology
City
East Melbourne
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Facility Name
Shanghai Huanshan Hospital Fudan University-Dermatology
City
Shanghai
ZIP/Postal Code
200040
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
35026342
Citation
Zhang C, Yan K, Diao Q, Guo Q, Jin H, Yang S, Chen X, Lei T, Wu J, Yu H, Zheng M, Gao X, Sinclair R, Zhu Y, Xu Q, Xu J. A multicenter, randomized, double-blinded, placebo-controlled, dose-ranging study evaluating the efficacy and safety of vunakizumab in patients with moderate-to-severe plaque psoriasis. J Am Acad Dermatol. 2022 Jul;87(1):95-102. doi: 10.1016/j.jaad.2022.01.005. Epub 2022 Jan 10.
Results Reference
derived

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Multi-Dose Study of SHR-1314 in Subjects With Moderate-to-severe Plaque Psoriasis

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