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A Study of PRCL-02 in Moderate to Severe Chronic Plaque Psoriasis

Primary Purpose

Psoriasis Vulgaris, Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PRCL-02
Placebo
Sponsored by
PRCL Research Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis Vulgaris

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Presents with moderate to severe psoriasis vulgaris based on:

    • Chronic psoriasis vulgaris for at least 6 months
    • Plaque psoriasis involving at least 10% body surface area (BSA)
    • Psoriasis Area and Severity Index (PASI) total score of at least 12
  • Have at least 2 evaluable plaques located in 2 different body regions. (Also for participants who elect to have plaques biopsied, should be suitable for a total of 4 punch biopsies each, and one lesion, preferably on a region of the body that is not normally exposed (e.g., trunk), should be selected for biopsy)
  • Have a Static Physician's Global Assessment (sPGA) score of greater than or equal to (≥)3
  • Are candidates for systemic therapy
  • Have a body mass index (BMI) within the range of 18 to 40 kilograms per square meter (kg/m2)
  • Women who are of childbearing potential must agree to use 1 highly effective method of contraception, or a combination of 2 effective methods of contraception for the entirety of the study
  • Women of non childbearing potential are defined as women who are:

    • Infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as mullerian agenesis; or
    • Post-menopausal, defined as either:

      • A woman at least 50 years of age with an intact uterus, not on hormone therapy, who has had either: cessation of menses for at least 1 year; or at least 6 months of spontaneous amenorrhea with a follicle stimulating hormone greater than (>)40 milli-international units per milliliter (mIU/mL); or
      • A woman 55 years or older not on hormone therapy, who has had at least 6 months of spontaneous amenorrhea; or
      • A woman at least 55 years of age with a diagnosis of menopause prior to staring hormone replacement therapy

Exclusion Criteria:

  • Currently enrolled in any other clinical trial involving a study drug or device, or any other type of medical research judged not compatible with this study (Participants in the previous PRCL study (SMAD) will be allowed to be included in this study, provided that they meet all inclusion and none of the exclusion criteria)
  • Participated in a clinical study within last 30 days
  • Present with pustular, erythrodermic psoriasis, generalized pustular psoriasis, or acute guttate psoriasis
  • Have current serious or unstable illnesses including hepatic, renal, gastroenterologic, respiratory, cardiovascular (including a history of ischemic or structural heart disease, conduction system disease or history of clinically significant arrhythmia), endocrinologic, neurologic, psychiatric, immunologic, hematologic, or dermatologic disease
  • Have a history of clinically significant severe drug allergies or severe post treatment hypersensitivity reactions
  • Have received inactivated vaccine within 4 weeks prior to dosing in this study, or a live vaccine within the last 3 months
  • A history of clinically significant opportunistic infection (for example, invasive candidiasis or Pneumocystis pneumonia)
  • Had symptomatic herpes zoster within last 3 months or other recent or ongoing infection
  • Present with any of the following laboratory test results:

    • Positive QuantiFERON®-tuberculosis test
    • For women, positive serum pregnancy test
    • Evidence of Human Immunodeficiency Virus (HIV) infection or are positive for HIV antibodies
    • Positive test for active hepatitis B
    • Positive of anti-hepatitis C antibody with confirmed presence of hepatitis C virus, or chronic liver disease
  • Evidence of clinically significant hepatic or renal impairment
  • Clinically significant ECG (electrocardiogram) abnormalities or personal or family history of heart disease, including:

    • Confirmed corrected QT interval with Frederica's correction (QTcF) >450 milliseconds (msec) for both men and women
    • Specific bundle branch blocks, irregular rhythms, history of unexplained syncope, or family history of unexplained death
  • Are receiving any of the following therapies for psoriasis:

    • Systemic retinoids within last 12 weeks
    • Systemic psoriasis therapy, such as psoralen and ultraviolet A (PUVA) light therapy, cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate mofetil, thioguanine, hydroxyurea, sirolimus, azathioprine, or phototherapy (including ultraviolet B or self-treatment with tanning beds or therapeutic sunbathing) within last 4 weeks
    • Topical psoriasis treatment within last 2 weeks; or
    • Any biologic agent within the following washout periods: 30 days for anti-tumor necrosis factor (TNF) inhibitors, and 90 days for other agents

Sites / Locations

  • Wiseman Dermatology Research Inc.
  • SimcoDerm Medical and Surgical Dermatology
  • DermEffects
  • Lynderm Research Inc.
  • SKiN Centre for Dermatology
  • K. Papp Clinical Research
  • Carey-Wang - Dermatology & Dermatologic Surgery Center
  • Maxderm Dermatovenerologická ambulancia
  • SKINKLINIK Dermatovenerologická ambulancia
  • BeneDerma
  • Derma therapy, spol.
  • AHS Dermatology
  • SANARE - Dermatovenerologická ambulancia
  • Oleksandrivska Clinical Hospital, Department of Dermatology and Venereology
  • LLC MK BLAGOMED, Department of Dermatology
  • Zaporizhzhya Regional Dermatovenereology Clinical Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

PRCL-02 Dose 1

PRCL-02 Dose 2

Placebo

Arm Description

Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks

Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks

Loading dose followed by a once daily maintenance dose at matching treatment levels, commencing on Day 2 and continuing for 12 weeks

Outcomes

Primary Outcome Measures

Percentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement
Following 12 weeks of treatment. The Psoriasis Area and Severity Index (PASI) scores the severity of disease on a scale from 0 to 72 (where a score of 72 indicates extreme disease severity). PASI 75 indicates 75% improvement from baseline to Week 12 in the Psoriasis Area and Severity Index

Secondary Outcome Measures

Number of Participants With Any Treatment Emergent Adverse Event
Following 12 weeks of treatment
Area Under the Concentration Time Curve (AUC0-τ)
Steady state after 12 weeks of treatment
Maximum Observed Drug Concentration (Cmax)
Steady state after 12 weeks of treatment
Time to Reach Maximum Observed Drug Concentration (Tmax)
Steady state after 12 weeks of treatment

Full Information

First Posted
July 30, 2018
Last Updated
March 9, 2020
Sponsor
PRCL Research Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03614078
Brief Title
A Study of PRCL-02 in Moderate to Severe Chronic Plaque Psoriasis
Official Title
A Phase 2a Study to Evaluate Safety, Tolerability, and Efficacy of PRCL-02 in Patients With Moderate to Severe Chronic Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
September 25, 2018 (Actual)
Primary Completion Date
April 29, 2019 (Actual)
Study Completion Date
July 8, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PRCL Research Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to evaluate safety, tolerability, and efficacy of PRCL-02 in 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
Psoriasis Vulgaris, Plaque Psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
92 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRCL-02 Dose 1
Arm Type
Experimental
Arm Description
Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks
Arm Title
PRCL-02 Dose 2
Arm Type
Experimental
Arm Description
Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Loading dose followed by a once daily maintenance dose at matching treatment levels, commencing on Day 2 and continuing for 12 weeks
Intervention Type
Drug
Intervention Name(s)
PRCL-02
Intervention Description
Oral tablets
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral tablets
Primary Outcome Measure Information:
Title
Percentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement
Description
Following 12 weeks of treatment. The Psoriasis Area and Severity Index (PASI) scores the severity of disease on a scale from 0 to 72 (where a score of 72 indicates extreme disease severity). PASI 75 indicates 75% improvement from baseline to Week 12 in the Psoriasis Area and Severity Index
Time Frame
Baseline to week 12
Secondary Outcome Measure Information:
Title
Number of Participants With Any Treatment Emergent Adverse Event
Description
Following 12 weeks of treatment
Time Frame
Baseline up to week 18
Title
Area Under the Concentration Time Curve (AUC0-τ)
Description
Steady state after 12 weeks of treatment
Time Frame
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84
Title
Maximum Observed Drug Concentration (Cmax)
Description
Steady state after 12 weeks of treatment
Time Frame
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84
Title
Time to Reach Maximum Observed Drug Concentration (Tmax)
Description
Steady state after 12 weeks of treatment
Time Frame
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84

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: Presents with moderate to severe psoriasis vulgaris based on: Chronic psoriasis vulgaris for at least 6 months Plaque psoriasis involving at least 10% body surface area (BSA) Psoriasis Area and Severity Index (PASI) total score of at least 12 Have at least 2 evaluable plaques located in 2 different body regions. (Also for participants who elect to have plaques biopsied, should be suitable for a total of 4 punch biopsies each, and one lesion, preferably on a region of the body that is not normally exposed (e.g., trunk), should be selected for biopsy) Have a Static Physician's Global Assessment (sPGA) score of greater than or equal to (≥)3 Are candidates for systemic therapy Have a body mass index (BMI) within the range of 18 to 40 kilograms per square meter (kg/m2) Women who are of childbearing potential must agree to use 1 highly effective method of contraception, or a combination of 2 effective methods of contraception for the entirety of the study Women of non childbearing potential are defined as women who are: Infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as mullerian agenesis; or Post-menopausal, defined as either: A woman at least 50 years of age with an intact uterus, not on hormone therapy, who has had either: cessation of menses for at least 1 year; or at least 6 months of spontaneous amenorrhea with a follicle stimulating hormone greater than (>)40 milli-international units per milliliter (mIU/mL); or A woman 55 years or older not on hormone therapy, who has had at least 6 months of spontaneous amenorrhea; or A woman at least 55 years of age with a diagnosis of menopause prior to staring hormone replacement therapy Exclusion Criteria: Currently enrolled in any other clinical trial involving a study drug or device, or any other type of medical research judged not compatible with this study (Participants in the previous PRCL study (SMAD) will be allowed to be included in this study, provided that they meet all inclusion and none of the exclusion criteria) Participated in a clinical study within last 30 days Present with pustular, erythrodermic psoriasis, generalized pustular psoriasis, or acute guttate psoriasis Have current serious or unstable illnesses including hepatic, renal, gastroenterologic, respiratory, cardiovascular (including a history of ischemic or structural heart disease, conduction system disease or history of clinically significant arrhythmia), endocrinologic, neurologic, psychiatric, immunologic, hematologic, or dermatologic disease Have a history of clinically significant severe drug allergies or severe post treatment hypersensitivity reactions Have received inactivated vaccine within 4 weeks prior to dosing in this study, or a live vaccine within the last 3 months A history of clinically significant opportunistic infection (for example, invasive candidiasis or Pneumocystis pneumonia) Had symptomatic herpes zoster within last 3 months or other recent or ongoing infection Present with any of the following laboratory test results: Positive QuantiFERON®-tuberculosis test For women, positive serum pregnancy test Evidence of Human Immunodeficiency Virus (HIV) infection or are positive for HIV antibodies Positive test for active hepatitis B Positive of anti-hepatitis C antibody with confirmed presence of hepatitis C virus, or chronic liver disease Evidence of clinically significant hepatic or renal impairment Clinically significant ECG (electrocardiogram) abnormalities or personal or family history of heart disease, including: Confirmed corrected QT interval with Frederica's correction (QTcF) >450 milliseconds (msec) for both men and women Specific bundle branch blocks, irregular rhythms, history of unexplained syncope, or family history of unexplained death Are receiving any of the following therapies for psoriasis: Systemic retinoids within last 12 weeks Systemic psoriasis therapy, such as psoralen and ultraviolet A (PUVA) light therapy, cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate mofetil, thioguanine, hydroxyurea, sirolimus, azathioprine, or phototherapy (including ultraviolet B or self-treatment with tanning beds or therapeutic sunbathing) within last 4 weeks Topical psoriasis treatment within last 2 weeks; or Any biologic agent within the following washout periods: 30 days for anti-tumor necrosis factor (TNF) inhibitors, and 90 days for other agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
PRCL Research Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Wiseman Dermatology Research Inc.
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3M3Z4
Country
Canada
Facility Name
SimcoDerm Medical and Surgical Dermatology
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M 7G1
Country
Canada
Facility Name
DermEffects
City
London
State/Province
Ontario
ZIP/Postal Code
N6H5L5
Country
Canada
Facility Name
Lynderm Research Inc.
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P1X2
Country
Canada
Facility Name
SKiN Centre for Dermatology
City
Peterborough
State/Province
Ontario
ZIP/Postal Code
K9J5K2
Country
Canada
Facility Name
K. Papp Clinical Research
City
Waterloo
State/Province
Ontario
ZIP/Postal Code
N2J1C4
Country
Canada
Facility Name
Carey-Wang - Dermatology & Dermatologic Surgery Center
City
Westmount
State/Province
Quebec
ZIP/Postal Code
H3Z2S6
Country
Canada
Facility Name
Maxderm Dermatovenerologická ambulancia
City
Bardejov
ZIP/Postal Code
085 01
Country
Slovakia
Facility Name
SKINKLINIK Dermatovenerologická ambulancia
City
Bratislava
ZIP/Postal Code
831 03
Country
Slovakia
Facility Name
BeneDerma
City
Bratislava
ZIP/Postal Code
841 02
Country
Slovakia
Facility Name
Derma therapy, spol.
City
Bratislava
ZIP/Postal Code
851 01
Country
Slovakia
Facility Name
AHS Dermatology
City
Nitra
ZIP/Postal Code
949 01
Country
Slovakia
Facility Name
SANARE - Dermatovenerologická ambulancia
City
Svidník
ZIP/Postal Code
089 01
Country
Slovakia
Facility Name
Oleksandrivska Clinical Hospital, Department of Dermatology and Venereology
City
Kiev
ZIP/Postal Code
01601
Country
Ukraine
Facility Name
LLC MK BLAGOMED, Department of Dermatology
City
Kyiv
ZIP/Postal Code
04050
Country
Ukraine
Facility Name
Zaporizhzhya Regional Dermatovenereology Clinical Hospital
City
Zaporizhzhya
ZIP/Postal Code
69063
Country
Ukraine

12. IPD Sharing Statement

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A Study of PRCL-02 in Moderate to Severe Chronic Plaque Psoriasis

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