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Efficacy, Safety, and Immunogenicity of AVT02 With Moderate-to-Severe Chronic Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Adalimumab
Sponsored by
Alvotech Swiss AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis

Eligibility Criteria

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

Inclusion Criteria:

  • Patient with moderate-to-severe chronic plaque psoriasis who has involved body surface area (BSA) ≥ 10% (Palm Method), ≥ 12 on the PASI, and static Physicians Global Assessments (sPGA) ≥ 3 (moderate) at Screening and at BL.
  • Patient has had stable psoriatic disease for at least 2 months (ie, without significant changes as defined by the Investigator or designee).
  • Patient is a candidate for systemic therapy and the patient has a previous failure, inadequate response, intolerance, or contraindication to at least 1 systemic antipsoriatic therapy including, but not limited to, methotrexate, cyclosporine, psoralen plus ultraviolet light A (PUVA), and ultraviolet light B (UVB).

Exclusion Criteria:

  • Patient has prior use of 2 or more biologics for treatment of PsO.
  • Patient diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, other skin conditions (eg, eczema), or other systemic autoimmune disorder inflammatory disease at the time of the Screening visit that would interfere with evaluations of the effect of the study drug on psoriasis.
  • Patient has prior use of any of the following medications within specified time periods or will require use during the study:

    1. Topical medications within 2 weeks of BL (Week 1).
    2. PUVA phototherapy and/or UVB phototherapy within 4 weeks prior to the BL Visit.
    3. Nonbiologic psoriasis systemic therapies (eg, cyclosporine, methotrexate, and acitretin) within 4 weeks prior to the BL Visit.
    4. Any prior or concomitant or biosimilar adalimumab therapy, either approved or investigational.
    5. Any systemic steroid in the 4 weeks prior to BL.

Note: Only key inclusion/exclusion criteria mentioned here. Patients will be screened and randomized per the list in the protocol

Sites / Locations

  • North Estonia Medical Centre Foundation, Dermatovenerology Centre
  • Innomedica OU
  • OU Vahlberg & Pild
  • Tartu University Hospital, Dermatology Clinic
  • Aleksandre Aladashvili Clinic LLC
  • The first University Clinic of Tbilisi State Medical University
  • Scientific Research National Center of Dermatology and Venereology LLC
  • Health Institute LLC
  • David Abuladze Georgian-Italian Clinic LTD
  • ClinicMed Daniluk, Nowak Spółka Jawna
  • NZOZ Osteo-Medic s.c. Artur Racewicz, Jerzy Supronik
  • Centrum Badań Klinicznych PI-House Sp. Z o.o.
  • Synexus Polska Sp. z o.o. Oddział w Gdańsku
  • Center Med Kraków Sp. Z o.o.
  • NZOZ "Nasz Lekarz" Sławomir Jeka, Praktyka Grupowa Lekarzy Rodzinnych z Przychodnią Specjalistyczną
  • Synexus Polska Sp. z o.o.Oddział w Warszawie
  • DermMedica Sp. z o.o.
  • Synexus Polska Sp. z o.o. Oddział we Wrocławiu
  • Centrum Medyczna ALL-MED
  • Zaporizhzhya Regional Dermatology and Venereology Clinical Dispensary

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

AVT02 100mg/mL (Adalimumab Biosimilar)

EU-Humira 100mg/mL (Adalimumab Originator)

Arm Description

Patients will be randomized to AVT02 on 1: 1 basis from the dosing day of Day 1 until week 48

Patients will be randomized to EU-Humira on 1: 1 basis from the dosing day of Day 1 until week 48

Outcomes

Primary Outcome Measures

Psoriasis Area and Severity Index (PASI)
Percent (%) change in Psoriasis Area and Severity Index (PASI)

Secondary Outcome Measures

Psoriasis Area and Severity Index (PASI)
Percent (%) change in Psoriasis Area and Severity Index (PASI)

Full Information

First Posted
February 5, 2019
Last Updated
July 27, 2020
Sponsor
Alvotech Swiss AG
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1. Study Identification

Unique Protocol Identification Number
NCT03849404
Brief Title
Efficacy, Safety, and Immunogenicity of AVT02 With Moderate-to-Severe Chronic Plaque Psoriasis
Official Title
A Multicenter, Double-blind, Randomized, Parallel-group, Active Control Study to Compare the Efficacy, Safety, and Immunogenicity of AVT02 Versus Humira® in Patients With Moderate-to-Severe Chronic Plaque Psoriasis (ALVOPAD PS)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
February 20, 2019 (Actual)
Primary Completion Date
December 23, 2019 (Actual)
Study Completion Date
July 20, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alvotech Swiss AG

4. Oversight

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

5. Study Description

Brief Summary
Safety and Efficacy study of AVT02 (Alvotech Biosimilar to Adalimumab), in patients with moderate to severe plaque psoriasis.
Detailed Description
A Multicenter, Double-blind, Randomized, Parallel-group, Active Control Study to Compare the Efficacy, Safety, and Immunogenicity of AVT02 Versus Humira® in Patients with Moderate-to-Severe Chronic Plaque Psoriasis (ALVOPAD PS). This study will be conducted at about 40 study centers in central and eastern European countries. A contract research organization, will oversee operational aspects of this study on behalf of Alvotech Swiss AG (Alvotech), the Sponsor of the study.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This is a double blind study.
Allocation
Randomized
Enrollment
413 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AVT02 100mg/mL (Adalimumab Biosimilar)
Arm Type
Experimental
Arm Description
Patients will be randomized to AVT02 on 1: 1 basis from the dosing day of Day 1 until week 48
Arm Title
EU-Humira 100mg/mL (Adalimumab Originator)
Arm Type
Experimental
Arm Description
Patients will be randomized to EU-Humira on 1: 1 basis from the dosing day of Day 1 until week 48
Intervention Type
Biological
Intervention Name(s)
Adalimumab
Intervention Description
Patients in AVT02 arm will receive an initial loading dose of AVT02 80 mg (2 × 40 mg) administered subcutaneously (SC), followed by 40 mg given SC once every other week (EOW) starting 1 week after the loading dose, and will continue to receive AVT02 until Week 48 Patients in EU-Humira arm will receive an initial loading dose of Humira 80 mg (2 × 40 mg) administered SC, followed by 40 mg given SC EOW starting 1 week after the loading dose and will continue to receive Humira until Week 48
Primary Outcome Measure Information:
Title
Psoriasis Area and Severity Index (PASI)
Description
Percent (%) change in Psoriasis Area and Severity Index (PASI)
Time Frame
Baseline to Week 16
Secondary Outcome Measure Information:
Title
Psoriasis Area and Severity Index (PASI)
Description
Percent (%) change in Psoriasis Area and Severity Index (PASI)
Time Frame
Percent improvement in PASI from BL to Week 8, 12, 24, 32, 42, and 50

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: Patient with moderate-to-severe chronic plaque psoriasis who has involved body surface area (BSA) ≥ 10% (Palm Method), ≥ 12 on the PASI, and static Physicians Global Assessments (sPGA) ≥ 3 (moderate) at Screening and at BL. Patient has had stable psoriatic disease for at least 2 months (ie, without significant changes as defined by the Investigator or designee). Patient is a candidate for systemic therapy and the patient has a previous failure, inadequate response, intolerance, or contraindication to at least 1 systemic antipsoriatic therapy including, but not limited to, methotrexate, cyclosporine, psoralen plus ultraviolet light A (PUVA), and ultraviolet light B (UVB). Exclusion Criteria: Patient has prior use of 2 or more biologics for treatment of PsO. Patient diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, other skin conditions (eg, eczema), or other systemic autoimmune disorder inflammatory disease at the time of the Screening visit that would interfere with evaluations of the effect of the study drug on psoriasis. Patient has prior use of any of the following medications within specified time periods or will require use during the study: Topical medications within 2 weeks of BL (Week 1). PUVA phototherapy and/or UVB phototherapy within 4 weeks prior to the BL Visit. Nonbiologic psoriasis systemic therapies (eg, cyclosporine, methotrexate, and acitretin) within 4 weeks prior to the BL Visit. Any prior or concomitant or biosimilar adalimumab therapy, either approved or investigational. Any systemic steroid in the 4 weeks prior to BL. Note: Only key inclusion/exclusion criteria mentioned here. Patients will be screened and randomized per the list in the protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven Feldman, MD, PhD
Organizational Affiliation
Wake Forest University Health Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
North Estonia Medical Centre Foundation, Dermatovenerology Centre
City
Tallinn
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Innomedica OU
City
Tallin
ZIP/Postal Code
10117
Country
Estonia
Facility Name
OU Vahlberg & Pild
City
Tallin
ZIP/Postal Code
10134
Country
Estonia
Facility Name
Tartu University Hospital, Dermatology Clinic
City
Tartu
ZIP/Postal Code
50406
Country
Estonia
Facility Name
Aleksandre Aladashvili Clinic LLC
City
Tbilisi
ZIP/Postal Code
0102
Country
Georgia
Facility Name
The first University Clinic of Tbilisi State Medical University
City
Tbilisi
ZIP/Postal Code
0141
Country
Georgia
Facility Name
Scientific Research National Center of Dermatology and Venereology LLC
City
Tbilisi
ZIP/Postal Code
0159
Country
Georgia
Facility Name
Health Institute LLC
City
Tbilisi
ZIP/Postal Code
0160
Country
Georgia
Facility Name
David Abuladze Georgian-Italian Clinic LTD
City
Tbilisi
ZIP/Postal Code
0179
Country
Georgia
Facility Name
ClinicMed Daniluk, Nowak Spółka Jawna
City
Białystok
Country
Poland
Facility Name
NZOZ Osteo-Medic s.c. Artur Racewicz, Jerzy Supronik
City
Białystok
Country
Poland
Facility Name
Centrum Badań Klinicznych PI-House Sp. Z o.o.
City
Gdańsk
ZIP/Postal Code
80-546
Country
Poland
Facility Name
Synexus Polska Sp. z o.o. Oddział w Gdańsku
City
Gdańsk
Country
Poland
Facility Name
Center Med Kraków Sp. Z o.o.
City
Kraków
Country
Poland
Facility Name
NZOZ "Nasz Lekarz" Sławomir Jeka, Praktyka Grupowa Lekarzy Rodzinnych z Przychodnią Specjalistyczną
City
Toruń
Country
Poland
Facility Name
Synexus Polska Sp. z o.o.Oddział w Warszawie
City
Warsaw
Country
Poland
Facility Name
DermMedica Sp. z o.o.
City
Wrocław
Country
Poland
Facility Name
Synexus Polska Sp. z o.o. Oddział we Wrocławiu
City
Wrocław
Country
Poland
Facility Name
Centrum Medyczna ALL-MED
City
Łódź
Country
Poland
Facility Name
Zaporizhzhya Regional Dermatology and Venereology Clinical Dispensary
City
Zaporizhzhya
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
34657274
Citation
Feldman SR, Reznichenko N, Pulka G, Kingo K, George Galdava, Berti F, Sobierska J, Dias R, Guenzi E, Hendrik Otto, Haliduola HN, Kay R, Stroissnig H. Efficacy, Safety and Immunogenicity of AVT02 Versus Originator Adalimumab in Subjects with Moderate to Severe Chronic Plaque Psoriasis: A Multicentre, Double-Blind, Randomised, Parallel Group, Active Control, Phase III Study. BioDrugs. 2021 Nov;35(6):735-748. doi: 10.1007/s40259-021-00502-w. Epub 2021 Oct 16.
Results Reference
derived

Learn more about this trial

Efficacy, Safety, and Immunogenicity of AVT02 With Moderate-to-Severe Chronic Plaque Psoriasis

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