Apremilast as a Direct Treatment for Mild-to-moderate Plaque Psoriasis Versus Placebo: an Analysis of Clinical Safety and Efficacy (ADVANCE)
Psoriasis

About this trial
This is an interventional treatment trial for Psoriasis focused on measuring Phase 3, Double-Blind, Efficacy, Safety, Apremilast, Otezla, CC-10004, Plaque Psoriasis, Mild, Moderate, Scalp, Nail, Itch
Eligibility Criteria
Inclusion Criteria:
Subjects must satisfy the following criteria to be enrolled in the study:
- Subject must be male or female, ≥18 years of age at the time of signing the informed consent form (ICF).
- Subject must have a diagnosis of chronic plaque psoriasis for at least 6 months prior to signing the ICF.
- Subject must have a diagnosis of mild to moderate plaque psoriasis at both Screening and Baseline.
- Subject must be inadequately controlled with or intolerant of at least one topical therapy at both Screening and Baseline.
- Subject must be in good health (except for psoriasis) as judged by the investigator, based on medical history, physical examination, clinical laboratories, and urinalysis.
- Subject must meet laboratory criteria.
- Subject has not had prior exposure to biologics for the treatment of psoriatic arthritis or psoriasis, or any other condition that could impact the assessment of psoriasis.
Exclusion Criteria:
The presence of any of the following will exclude a subject from enrollment:
- Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
- Subjects has any condition, including the presence of laboratory abnormalities, which would place the subject at unacceptable risk if he/she were to participate in the study.
2. Subject has hepatitis B surface antigen positive at Screening. 3. Subject has active tuberculosis (TB) or a history of incompletely treated TB.
4. Subject has history of positive human immunodeficiency virus (HIV), or has congenital or acquired immunodeficiency (eg, common variable immunodeficiency disease).
5. Subject has hepatitis B surface antigen or anti-hepatitis C antibody positive at Screening.
6. Subject has prior history of suicide attempt at any time in the subject's life time or major psychiatric illness requiring hospitalization within the last 3 years prior to signing the informed consent. 7. Subject has current or planned concurrent use of therapies that may have a possible effect on psoriasis during the course of the treatment phase of the trial.
8. Use of any investigational drug beginning 4 weeks prior to randomization, or 5 pharmacokinetic/pharmacodynamic half-lives, if known (whichever is longer).
9. Subject had prior treatment with apremilast.
Sites / Locations
- Total Skin & Beauty Dermatology Center
- Johnson Dermatology Clinic
- Northwest Arkansas Clinical Trials Center, PLLC / Hull Dermatology
- Dermatology Research Associates
- TCR Medical Corporation
- University of California San Francisco Psoriasis and Skin Treatment Center
- Clinical Science Institute
- University of Colorado Hospital - Dermatology Clinic
- Total Vein and Skin, LLC
- Florida Academic Centers Research and Education
- International Dermatology Research
- Center for Clinical and Cosmetic Research
- Renstar Medical Research
- University of South Florida - Carol and Frank Morsani Center for Advanced Health Care
- Atlanta Dermatology, Vein and Research Center, PC
- Medical Dermatology Specialists, Inc. - Advanced Medical Research
- MedaPhase INC
- Gwinnett Clinical Research Center, Inc.
- Dawes Fretzin Clinical Research Group, LLC
- Clinical Trials Management LLC
- Derm Associates
- Lawrence Green, MD, LLC
- ActivMed Practices & Research Inc
- Massachusetts General Hospital
- Henry Ford Medical Center - New Center One
- Minnesota Clinical Study Center
- Central Dermatology
- JDR Dermatology Research, LLC
- Psoriasis Treatment Center of Central New Jersey
- Albert Einstein College of Medicine - Montefiore Medical Center
- Icahn School of Medicine at Mount Sinai
- Wake Forest University Health Sciences
- Ohio State University Wexner Medical Center
- Wright State Physicians
- Temple University - Lewis Katz School of Medicine
- University of Pittsburgh Medical Center
- Clinical Partners, LLC
- Clinical Research Center of the Carolinas
- Austin Institute for Clinical Research
- Center for Clinical Studies
- University of Utah MidValley Dermatology
- Virginia Clinical Research Inc
- Dermatology Center for Skin Health
- Institute for Skin Advancement
- Stratica Medical
- Chih-Ho Hong Medical, Inc.
- Enverus Medical Research
- Winnipeg Clinic Dermatology Research
- SkinWise Dermatology
- Brunswick Dermatology Centre
- Karma Clinical Trials
- SimcoDerm Medical and Surgical Dermatology Center
- Guelph Dermatology Research
- DermEffects
- Lynderm Research
- North Bay Dermatology Centre
- Skin Center for Dermatology
- Toronto Research Centre
- Sameh Hanna Medicine Professional Corporation DBA Dermatology on Bloor
- K. Papp Clinical Research
- Windsor Clinical Research Inc.
- Dr Isabelle Delorme inc
- Dre Angelique Gagne-Henley M.D. Inc.
- Skinsense Medical Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Placebo-controlled Phase:
Placebo-controlled Phase: Apremilast 30 mg
Extension Phase: Apremilast 30 mg
Participants received placebo as oral tablets twice daily (BID) for up to 16 weeks (Week 0 to Week 16).
Participants received apremilast 30 mg as oral tablets BID for up to 16 weeks (Week 0 to Week 16).
Eligible participants who completed the placebocontrolled phase entered the extension phase and received apremilast 30 mg as oral tablets BID for up to an additional 16 weeks (Week 16 to Week 32).