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A Safety Study of CC-92252 in Healthy Adult Subjects and Adult Subjects With Psoriasis

Primary Purpose

Healthy Volunteers, Psoriasis

Status
Terminated
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
CC-92252
Placebo
Sponsored by
Celgene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Volunteers focused on measuring Psoriasis, Healthy Volunteer, Safety, CC-92252

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subjects must satisfy the following criteria to be enrolled in the study:

Part 1, Part 2, and Part 3

  1. Subject is ≥ 18 and ≤ 55 years (Part 1 and Part 2) and age is ≥ 18 and ≤ 60 years (Part 3) of age at the time of signing the ICF.
  2. Subject has provided informed consent prior to initiation of any study specific activities/procedures
  3. Subject has a body mass index (BMI) ≥ 18 and ≤ 30 kg/m2 (Part 1 and Part 2) and BMI ≥ 18 and ≤ 33 kg/m2 (Part 3), at screening.
  4. Subject has clinical laboratory safety test results that are within normal limits or considered not clinically significant by the Investigator.

    Applicable to Part 3 only

  5. Subject has a clinical diagnosis of stable plaque-type PsO at least 6 months prior to screening, defined as:

    BSA ≥ 5% (at both screening and baseline), and sPGA score ≥ 3 (at both screening and baseline)

  6. Must have at least two plaques, at least 3 x 3 centimeters (cm) in diameter. One plaque will be used for punch biopsy and the other for Target Plaque Severity Score (TPSS) evaluation.
  7. Must be in generally good health (except for PsO) as judged by the Investigator
  8. No prior exposure to systemic treatments or biologics for the treatment of psoriasis

Exclusion Criteria:

The presence of any of the following will exclude a subject from enrollment:

Part 1, Part 2, and Part 3

  1. Subject has any significant medical condition that would prevent the subject from participating in the study.

    a. Part 3 only: This exclusion does not apply to plaque psoriasis

  2. History or presence of cancer
  3. Presence of pre-cancerous conditions
  4. History or presence of a systemic infection or any potentially opportunistic infections
  5. Subject has any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study
  6. Subject has any condition that confounds the ability to interpret data from the study
  7. Subject is pregnant or breastfeeding
  8. Part 1 and Part 2 only: Subject was exposed to an investigational drug (new chemical entity) within 30 days preceding the first dose administration, or 5 half-lives of that investigational drug, if known (whichever is longer)
  9. Part 1 and Part 2 only: Subject has used any prescribed systemic or topical medication within 30 days prior to the first dose administration.
  10. Part 1 and Part 2 only: Subject has used any non-prescribed systemic or topical medication within 14 days prior to the first dose administration. Exceptions may apply on a case-by-case basis if considered not to interfere with the study objectives as agreed to and documented by the Investigator and Sponsor's Medical Monitor.
  11. Subject has a history of drug abuse (as defined by the current version of the Diagnostic and Statistical Manual [DSM]) within 2 years before the first dose administration, or positive drug screening test reflecting consumption of illicit drugs
  12. Subject has a history of alcohol abuse (as defined by the current version of the DSM) within 2 years before the first dose administration, or positive alcohol screen
  13. Subject is known to have a history of hepatitis B and/or hepatitis C, or have a positive result to the test for human immunodeficiency virus (HIV) antibodies at screening Note: Subjects who received hepatitis B vaccination and who test positive for hepatitis B surface antibody and negative for both hepatitis B surface antigen and hepatitis B core antibody remain eligible for study participation
  14. Subject smokes > 10 cigarettes per day, or the equivalent in other tobacco products (self-reported)
  15. Vaccination within 30 days prior to the first dose administration or subject has plans to receive a vaccination during the course of the study
  16. Subject has received immunization with a live or live attenuated vaccine within 2 months prior to the first dose administration or is planning to receive immunization with a live or live attenuated vaccine for 2 months following the last dose administration
  17. Subject has a positive QuantiFERON®-TB Gold (or equivalent) TB test at screening or 2 successive indeterminate QuantiFERON®-TB Gold (or equivalent) TB tests at screening
  18. Subject has a history of incompletely treated Mycobacterium tuberculosis (TB) infection
  19. Topical therapy within 2 weeks of randomization (including, but not limited to, topical corticosteroids, retinoids or vitamin D analog preparations, tacrolimus, pimecrolimus, or anthralin/dithranol). Use of phototherapy within 4 weeks prior to first dose administration.
  20. Prolonged sun exposure or use of tanning booths Applicable to Part 3 only
  21. Presence of non-plaque psoriasis
  22. Subject has psoriasis flare within 4 weeks before screening
  23. Presence of dermatological diseases other than plaque psoriasis
  24. Presence of Psoriatic Arthritis
  25. Use of topical therapy for psoriasis within 14 days of first dosing (including but not limited to corticosteroids, retinoids, vitamin D analog, calcineurin inhibitors, salicylic acid) Exceptions: low potency topical corticosteroids will be allowed as background therapy for treatment of psoriatic lesions of the face, axillae and groin in accordance with the manufacturers' suggested usage; subjects with scalp psoriasis will be permitted to use coal tar shampoo and/or salicylic acid scalp preparations on scalp lesions; Eucerin® cream (the standard emollient for this study; or equivalent) will also be permitted for body lesions only. Subjects must not use these treatments within 24 hours prior to each clinic visit.
  26. Use of systemic therapy for psoriasis within 30 days of first dose administration
  27. Use of phototherapy for psoriasis within 30 days of first dose administration
  28. Use of systemic biologic treatment within 24 weeks of first dose administration
  29. Exposure to an immunosuppressive or immunomodulatory drug within 30 days of first dose administration, or five half-lives of the drug (whichever is longer)
  30. Exposure to an investigational drug (new chemical entity) within 30 days preceding the first dose administration, or five half-lives of that investigational drug, if known (whichever is longer)

Sites / Locations

  • Charite Research Organisation GmbH

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Administration of CC-92252 and Placebo in Healthy Subjects

Administration of CC-92252 and Placebo in Psoriasis subjects

Arm Description

Part 1 of the study will be conducted as a single ascending dose study, each cohort will consist of 9 subjects. Part 2 of the study will be conducted as a multiple ascending dose study, each cohort will consist of 8 subjects. In part 3, subjects with psoriasis will receive CC-92252 or placebo for up to 12 weeks.

Part 1 of the study will be conducted as a single ascending dose study, each cohort will consist of 9 subjects. Part 2 of the study will be conducted as a multiple ascending dose study, each cohort will consist of 8 subjects. In part 3, subjects with psoris will receive CC-92252 or placebo for up to 12 weeks.

Outcomes

Primary Outcome Measures

Adverse Events (AEs)
Number of participants with adverse event

Secondary Outcome Measures

Pharmacokinetics - Cmax
Observed maximum serum concentration
Pharmacokinetics - AUC0-t
Area under the serum concentration-time curve calculated from time zero to the last measured time point
Pharmacokinetics - AUC0-∞
The area under the curve extrapolated to infinity, calculated using the observed value of the last non-zero concentration
Pharmacokinetics - Tmax
Time to Cmax
Pharmacokinetics - t1/2z
Terminal elimination half-life
Pharmacokinetics - CL/F
Apparent clearance of drug from serum after subcutaneous dosing administration
Pharmacokinetics - CL
clearance of drug from serum after IV dosing
Pharmacokinetics - Vz/F
Apparent volume of distribution during the terminal phase
Pharmacokinetics - Vz
Apparent volume of distribution during the terminal phase
Anti-drug Antibody Immunogenicity Anti-drug antibody
Evaluation of anti-CC-92252 antibody formation
Assessment of Pharmacodynamic biomarkers
Change in lymphocyte counts

Full Information

First Posted
May 31, 2019
Last Updated
August 24, 2021
Sponsor
Celgene
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1. Study Identification

Unique Protocol Identification Number
NCT03971825
Brief Title
A Safety Study of CC-92252 in Healthy Adult Subjects and Adult Subjects With Psoriasis
Official Title
A Phase 1, Randomized, 3-Part Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Doses of CC-92252 in Healthy Adult Subjects and Adult Subjects With Psoriasis.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Terminated
Why Stopped
Did not meet progression criteria
Study Start Date
July 24, 2018 (Actual)
Primary Completion Date
August 5, 2021 (Actual)
Study Completion Date
August 5, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celgene

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
This is a phase 1, randomized, single-center, 3-part, study to assess the safety, tolerability, PK, and PD, of single and multiple doses of CC-92252 in healthy adult subjects and multiple doses of CC-92252 in adult subjects with psoriasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers, Psoriasis
Keywords
Psoriasis, Healthy Volunteer, Safety, CC-92252

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
131 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Administration of CC-92252 and Placebo in Healthy Subjects
Arm Type
Experimental
Arm Description
Part 1 of the study will be conducted as a single ascending dose study, each cohort will consist of 9 subjects. Part 2 of the study will be conducted as a multiple ascending dose study, each cohort will consist of 8 subjects. In part 3, subjects with psoriasis will receive CC-92252 or placebo for up to 12 weeks.
Arm Title
Administration of CC-92252 and Placebo in Psoriasis subjects
Arm Type
Experimental
Arm Description
Part 1 of the study will be conducted as a single ascending dose study, each cohort will consist of 9 subjects. Part 2 of the study will be conducted as a multiple ascending dose study, each cohort will consist of 8 subjects. In part 3, subjects with psoris will receive CC-92252 or placebo for up to 12 weeks.
Intervention Type
Drug
Intervention Name(s)
CC-92252
Intervention Description
CC-92252
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Adverse Events (AEs)
Description
Number of participants with adverse event
Time Frame
From enrollment until at least 28 days after completion of study treatment
Secondary Outcome Measure Information:
Title
Pharmacokinetics - Cmax
Description
Observed maximum serum concentration
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - AUC0-t
Description
Area under the serum concentration-time curve calculated from time zero to the last measured time point
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - AUC0-∞
Description
The area under the curve extrapolated to infinity, calculated using the observed value of the last non-zero concentration
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - Tmax
Description
Time to Cmax
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - t1/2z
Description
Terminal elimination half-life
Time Frame
UP to 16 weeks
Title
Pharmacokinetics - CL/F
Description
Apparent clearance of drug from serum after subcutaneous dosing administration
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - CL
Description
clearance of drug from serum after IV dosing
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - Vz/F
Description
Apparent volume of distribution during the terminal phase
Time Frame
Up to 16 weeks
Title
Pharmacokinetics - Vz
Description
Apparent volume of distribution during the terminal phase
Time Frame
Up to 16 weeks
Title
Anti-drug Antibody Immunogenicity Anti-drug antibody
Description
Evaluation of anti-CC-92252 antibody formation
Time Frame
Up to 16 weeks
Title
Assessment of Pharmacodynamic biomarkers
Description
Change in lymphocyte counts
Time Frame
UP to 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must satisfy the following criteria to be enrolled in the study: Part 1, Part 2, and Part 3 Subject is ≥ 18 and ≤ 55 years (Part 1 and Part 2) and age is ≥ 18 and ≤ 60 years (Part 3) of age at the time of signing the ICF. Subject has provided informed consent prior to initiation of any study specific activities/procedures Subject has a body mass index (BMI) ≥ 18 and ≤ 30 kg/m2 (Part 1 and Part 2) and BMI ≥ 18 and ≤ 33 kg/m2 (Part 3), at screening. Subject has clinical laboratory safety test results that are within normal limits or considered not clinically significant by the Investigator. Applicable to Part 3 only Subject has a clinical diagnosis of stable plaque-type PsO at least 6 months prior to screening, defined as: BSA ≥ 5% (at both screening and baseline), and sPGA score ≥ 3 (at both screening and baseline) Must have at least two plaques, at least 3 x 3 centimeters (cm) in diameter. One plaque will be used for punch biopsy and the other for Target Plaque Severity Score (TPSS) evaluation. Must be in generally good health (except for PsO) as judged by the Investigator No prior exposure to systemic treatments or biologics for the treatment of psoriasis Exclusion Criteria: The presence of any of the following will exclude a subject from enrollment: Part 1, Part 2, and Part 3 Subject has any significant medical condition that would prevent the subject from participating in the study. a. Part 3 only: This exclusion does not apply to plaque psoriasis History or presence of cancer Presence of pre-cancerous conditions History or presence of a systemic infection or any potentially opportunistic infections Subject has any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study Subject has any condition that confounds the ability to interpret data from the study Subject is pregnant or breastfeeding Part 1 and Part 2 only: Subject was exposed to an investigational drug (new chemical entity) within 30 days preceding the first dose administration, or 5 half-lives of that investigational drug, if known (whichever is longer) Part 1 and Part 2 only: Subject has used any prescribed systemic or topical medication within 30 days prior to the first dose administration. Part 1 and Part 2 only: Subject has used any non-prescribed systemic or topical medication within 14 days prior to the first dose administration. Exceptions may apply on a case-by-case basis if considered not to interfere with the study objectives as agreed to and documented by the Investigator and Sponsor's Medical Monitor. Subject has a history of drug abuse (as defined by the current version of the Diagnostic and Statistical Manual [DSM]) within 2 years before the first dose administration, or positive drug screening test reflecting consumption of illicit drugs Subject has a history of alcohol abuse (as defined by the current version of the DSM) within 2 years before the first dose administration, or positive alcohol screen Subject is known to have a history of hepatitis B and/or hepatitis C, or have a positive result to the test for human immunodeficiency virus (HIV) antibodies at screening Note: Subjects who received hepatitis B vaccination and who test positive for hepatitis B surface antibody and negative for both hepatitis B surface antigen and hepatitis B core antibody remain eligible for study participation Subject smokes > 10 cigarettes per day, or the equivalent in other tobacco products (self-reported) Vaccination within 30 days prior to the first dose administration or subject has plans to receive a vaccination during the course of the study Subject has received immunization with a live or live attenuated vaccine within 2 months prior to the first dose administration or is planning to receive immunization with a live or live attenuated vaccine for 2 months following the last dose administration Subject has a positive QuantiFERON®-TB Gold (or equivalent) TB test at screening or 2 successive indeterminate QuantiFERON®-TB Gold (or equivalent) TB tests at screening Subject has a history of incompletely treated Mycobacterium tuberculosis (TB) infection Topical therapy within 2 weeks of randomization (including, but not limited to, topical corticosteroids, retinoids or vitamin D analog preparations, tacrolimus, pimecrolimus, or anthralin/dithranol). Use of phototherapy within 4 weeks prior to first dose administration. Prolonged sun exposure or use of tanning booths Applicable to Part 3 only Presence of non-plaque psoriasis Subject has psoriasis flare within 4 weeks before screening Presence of dermatological diseases other than plaque psoriasis Presence of Psoriatic Arthritis Use of topical therapy for psoriasis within 14 days of first dosing (including but not limited to corticosteroids, retinoids, vitamin D analog, calcineurin inhibitors, salicylic acid) Exceptions: low potency topical corticosteroids will be allowed as background therapy for treatment of psoriatic lesions of the face, axillae and groin in accordance with the manufacturers' suggested usage; subjects with scalp psoriasis will be permitted to use coal tar shampoo and/or salicylic acid scalp preparations on scalp lesions; Eucerin® cream (the standard emollient for this study; or equivalent) will also be permitted for body lesions only. Subjects must not use these treatments within 24 hours prior to each clinic visit. Use of systemic therapy for psoriasis within 30 days of first dose administration Use of phototherapy for psoriasis within 30 days of first dose administration Use of systemic biologic treatment within 24 weeks of first dose administration Exposure to an immunosuppressive or immunomodulatory drug within 30 days of first dose administration, or five half-lives of the drug (whichever is longer) Exposure to an investigational drug (new chemical entity) within 30 days preceding the first dose administration, or five half-lives of that investigational drug, if known (whichever is longer)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francisco Ramirez-Valle, MD, PhD
Organizational Affiliation
Celgene
Official's Role
Study Director
Facility Information:
Facility Name
Charite Research Organisation GmbH
City
Berlin
ZIP/Postal Code
10117
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Information relating to our policy on data sharing and the process for requesting data can be found at the following link: https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/
IPD Sharing Time Frame
See Plan Description
IPD Sharing Access Criteria
See Plan Description
IPD Sharing URL
https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/

Learn more about this trial

A Safety Study of CC-92252 in Healthy Adult Subjects and Adult Subjects With Psoriasis

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