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Comparative Study of BAT2206 With Stelara® in Patients With Moderate to Severe Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
BAT2206
Stelara (EU-sourced)
Sponsored by
Bio-Thera Solutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female ≥ 18 years old with a diagnosis of plaque-type psoriasis for at least 24 weeks before screening.
  2. Have moderate to severe plaque-type psoriasis as defined at screening and baseline by:

    1. PASI ≥ 12,
    2. sPGA ≥ 3, and
    3. body surface area affected by chronic plaque-type psoriasis ≥ 10%
  3. Failed to respond to, or have a contraindication to, or is intolerant to other systemic therapies including cyclosporine, methotrexate or psoralen and ultraviolet (UV) A
  4. Female patients of childbearing potential and male patients with a female partner of childbearing potential must be willing to use a highly effective contraceptive precaution throughout the study period and continuing for at least 15 weeks after the last dose of study drug. See APPENDIX 1 for the acceptable highly effective contraceptive methods. Abstinence from heterosexual intercourse is accepted when this is the usual lifestyle of the patient and must be continued for at least 15 weeks after the last dose of study drug. A female patient is considered not of childbearing potential when postmenopausal (at least 12 consecutive months without menses without an alternative medical cause) or surgically sterilized (hysterectomy, bilateral salpingectomy, and bilateral oophorectomy).
  5. If female of childbearing potential, patient should have a negative pregnancy test result at screening and baseline visits.
  6. Must be willing to provide written consent and to comply with the requirements of the study protocol.

Exclusion Criteria:

  1. Have any forms of psoriasis at the time of the screening visit other than plaque-type such as erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis or other skin conditions (eg, eczema) that would interfere with evaluations of the effect of investigational product on psoriasis.
  2. Have previously received ustekinumab, a biosimilar of ustekinumab, or any drug that targets interleukin-12 or interleukin-23.
  3. Have received any biologic agents other than those prohibited (see exclusion #2) within 12 weeks or 5 half-lives (whichever is longer) before the baseline visit.
  4. Have received topical therapies for the treatment of psoriasis (such as corticosteroids, vitamin D analogs, or retinoids) within 2 weeks before baseline visit.
  5. Have received UVA phototherapy (with or without oral psoralen), UVB phototherapy, any systemic steroids or nonbiological drugs for the treatment of psoriasis within 4 weeks before baseline visit
  6. Have received any investigational drug within 8 weeks or 5 half-lives (whichever is longer) before baseline visit
  7. Have received any herbal remedies or traditional medicines used to treat psoriasis within 4 weeks before baseline visit
  8. History of allergy to the active substance or any of the excipients of study drugs, or of hypersensitivity to latex.
  9. History of invasive infection (eg, histoplasmosis, coccidioidomycosis, blastomycosis).
  10. Presence of active infection at screening, history of infection requiring intravenous antibiotics and/or hospitalization ≤ 8 weeks before baseline visit or oral antibiotics ≤ 2 weeks before baseline visit. Minor fungal infections may be allowed.
  11. Any recurrent bacterial, fungal, or viral infection that, (based on the investigator´s clinical assessment), makes the patient unsuitable for the study, including recurrent/disseminated herpes zoster.
  12. Meet any of the following criteria relative to latent or active tuberculosis (TB) infection.
  13. Evidence of malignancy, lung infection, or abnormalities suggestive of active TB on chest radiography (x-ray or computed tomography) performed within 12 weeks before the screening visit or during the screening period.
  14. Any history of malignancy or lymphoproliferative disease at any time, except curative treatment for nonmelanoma skin cancer or resected carcinoma in situ of the cervix.
  15. Have a transplanted organ/tissue or stem cell transplantation.
  16. Have an underlying metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious, or gastrointestinal condition, which in the opinion of the investigator places the patient at unacceptable risk.
  17. Have a history of demyelinating diseases (including myelitis) or neurologic symptoms suggestive of demyelinating disease.
  18. Any major surgical procedure within 12 weeks of the baseline visit or planned during the study.
  19. History of clinically significant drug or alcohol abuse in the last 12 months as judged by the investigator.
  20. Pregnant or breastfeeding (lactating) women.
  21. Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study.
  22. Patients participating in another investigational drug or device (a device is an instrument, apparatus, implement, machine, contrivance, or implant, including a component part or accessory intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease) trial or planning on participating in another clinical trial during the course of the study.

Sites / Locations

  • The Second Affiliated Hospital of Zhejiang University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

BAT2206

Stelara (EU-sourced)

Arm Description

Patients who weigh ≤ 100 kg: BAT2206 45 mg (1 injection of 45 mg/0.5 mL) by SC injection via PFS. Patients who weigh > 100 kg: EU-sourced Stelara 90 mg (2 injections of 45 mg/0.5 mL each) by SC injection via PFS.

Patients who weigh ≤ 100 kg: EU-sourced Stelara 45 mg (1 injection of 45 mg/0.5 mL) by SC injection via PFS. Patients who weigh > 100 kg: EU-sourced Stelara 90 mg (2 injections of 45 mg/0.5 mL each) by SC injection via PFS.

Outcomes

Primary Outcome Measures

PASI
Percent improvement from baseline in Psoriasis Area and Severity Index (PASI) score to Week 12

Secondary Outcome Measures

PASI score
Percent improvement from baseline in PASI score to Weeks 4, 8, 16, 20, 28, 40, and 52
PASI-50/75/90/100
Proportion of patients who achieve at least 50/75/90/100% improvement from baseline in PASI (PASI-50/75/90/100) at Weeks 4, 8, 12, 16, 20, 28, 40, and 52
Static Physician's Global Assessment (sPGA) score
Change from baseline in static Physician's Global Assessment (sPGA) score to Weeks 4, 8, 12, 16, 20, 28, 40, and 52

Full Information

First Posted
January 24, 2021
Last Updated
July 19, 2023
Sponsor
Bio-Thera Solutions
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1. Study Identification

Unique Protocol Identification Number
NCT04728360
Brief Title
Comparative Study of BAT2206 With Stelara® in Patients With Moderate to Severe Plaque Psoriasis
Official Title
A Multicenter, Randomized, Double-Blind, Parallel-Arm, Phase 3 Study to Compare Efficacy and Safety of BAT2206 With Stelara® in Patients With Moderate to Severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
July 6, 2021 (Actual)
Primary Completion Date
October 12, 2022 (Actual)
Study Completion Date
July 7, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bio-Thera Solutions

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
This study is a multicenter, randomized, double-blind, parallel-arm, Phase 3 study designed to compare efficacy, safety, immunogenicity, and PK of BAT2206 with Stelara in patients with moderate to severe plaque psoriasis. The study is composed of a ≤ 28-day screening period, a 16-week initial treatment period (TP1), a 24-week secondary treatment period (TP2), a 12-week efficacy and safety follow-up period up to end-of-study visit, for a maximum total study duration of 56 weeks.

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
Allocation
Randomized
Enrollment
556 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BAT2206
Arm Type
Experimental
Arm Description
Patients who weigh ≤ 100 kg: BAT2206 45 mg (1 injection of 45 mg/0.5 mL) by SC injection via PFS. Patients who weigh > 100 kg: EU-sourced Stelara 90 mg (2 injections of 45 mg/0.5 mL each) by SC injection via PFS.
Arm Title
Stelara (EU-sourced)
Arm Type
Active Comparator
Arm Description
Patients who weigh ≤ 100 kg: EU-sourced Stelara 45 mg (1 injection of 45 mg/0.5 mL) by SC injection via PFS. Patients who weigh > 100 kg: EU-sourced Stelara 90 mg (2 injections of 45 mg/0.5 mL each) by SC injection via PFS.
Intervention Type
Drug
Intervention Name(s)
BAT2206
Intervention Description
45 mg/0.5 mL
Intervention Type
Drug
Intervention Name(s)
Stelara (EU-sourced)
Intervention Description
45 mg/0.5 mL
Primary Outcome Measure Information:
Title
PASI
Description
Percent improvement from baseline in Psoriasis Area and Severity Index (PASI) score to Week 12
Time Frame
0-12 weeks
Secondary Outcome Measure Information:
Title
PASI score
Description
Percent improvement from baseline in PASI score to Weeks 4, 8, 16, 20, 28, 40, and 52
Time Frame
Weeks 4, 8, 16, 20, 28, 40, and 52
Title
PASI-50/75/90/100
Description
Proportion of patients who achieve at least 50/75/90/100% improvement from baseline in PASI (PASI-50/75/90/100) at Weeks 4, 8, 12, 16, 20, 28, 40, and 52
Time Frame
Weeks 4, 8, 12, 16, 20, 28, 40, and 52
Title
Static Physician's Global Assessment (sPGA) score
Description
Change from baseline in static Physician's Global Assessment (sPGA) score to Weeks 4, 8, 12, 16, 20, 28, 40, and 52
Time Frame
Weeks 4, 8, 12, 16, 20, 28, 40, and 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥ 18 years old with a diagnosis of plaque-type psoriasis for at least 24 weeks before screening. Have moderate to severe plaque-type psoriasis as defined at screening and baseline by: PASI ≥ 12, sPGA ≥ 3, and body surface area affected by chronic plaque-type psoriasis ≥ 10% Failed to respond to, or have a contraindication to, or is intolerant to other systemic therapies including cyclosporine, methotrexate or psoralen and ultraviolet (UV) A Female patients of childbearing potential and male patients with a female partner of childbearing potential must be willing to use a highly effective contraceptive precaution throughout the study period and continuing for at least 15 weeks after the last dose of study drug. See APPENDIX 1 for the acceptable highly effective contraceptive methods. Abstinence from heterosexual intercourse is accepted when this is the usual lifestyle of the patient and must be continued for at least 15 weeks after the last dose of study drug. A female patient is considered not of childbearing potential when postmenopausal (at least 12 consecutive months without menses without an alternative medical cause) or surgically sterilized (hysterectomy, bilateral salpingectomy, and bilateral oophorectomy). If female of childbearing potential, patient should have a negative pregnancy test result at screening and baseline visits. Must be willing to provide written consent and to comply with the requirements of the study protocol. Exclusion Criteria: Have any forms of psoriasis at the time of the screening visit other than plaque-type such as erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis or other skin conditions (eg, eczema) that would interfere with evaluations of the effect of investigational product on psoriasis. Have previously received ustekinumab, a biosimilar of ustekinumab, or any drug that targets interleukin-12 or interleukin-23. Have received any biologic agents other than those prohibited (see exclusion #2) within 12 weeks or 5 half-lives (whichever is longer) before the baseline visit. Have received topical therapies for the treatment of psoriasis (such as corticosteroids, vitamin D analogs, or retinoids) within 2 weeks before baseline visit. Have received UVA phototherapy (with or without oral psoralen), UVB phototherapy, any systemic steroids or nonbiological drugs for the treatment of psoriasis within 4 weeks before baseline visit Have received any investigational drug within 8 weeks or 5 half-lives (whichever is longer) before baseline visit Have received any herbal remedies or traditional medicines used to treat psoriasis within 4 weeks before baseline visit History of allergy to the active substance or any of the excipients of study drugs, or of hypersensitivity to latex. History of invasive infection (eg, histoplasmosis, coccidioidomycosis, blastomycosis). Presence of active infection at screening, history of infection requiring intravenous antibiotics and/or hospitalization ≤ 8 weeks before baseline visit or oral antibiotics ≤ 2 weeks before baseline visit. Minor fungal infections may be allowed. Any recurrent bacterial, fungal, or viral infection that, (based on the investigator´s clinical assessment), makes the patient unsuitable for the study, including recurrent/disseminated herpes zoster. Meet any of the following criteria relative to latent or active tuberculosis (TB) infection. Evidence of malignancy, lung infection, or abnormalities suggestive of active TB on chest radiography (x-ray or computed tomography) performed within 12 weeks before the screening visit or during the screening period. Any history of malignancy or lymphoproliferative disease at any time, except curative treatment for nonmelanoma skin cancer or resected carcinoma in situ of the cervix. Have a transplanted organ/tissue or stem cell transplantation. Have an underlying metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious, or gastrointestinal condition, which in the opinion of the investigator places the patient at unacceptable risk. Have a history of demyelinating diseases (including myelitis) or neurologic symptoms suggestive of demyelinating disease. Any major surgical procedure within 12 weeks of the baseline visit or planned during the study. History of clinically significant drug or alcohol abuse in the last 12 months as judged by the investigator. Pregnant or breastfeeding (lactating) women. Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study. Patients participating in another investigational drug or device (a device is an instrument, apparatus, implement, machine, contrivance, or implant, including a component part or accessory intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease) trial or planning on participating in another clinical trial during the course of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Min Zheng
Organizational Affiliation
Second Affiliated Hospital, School of Medicine, Zhejiang University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Second Affiliated Hospital of Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Comparative Study of BAT2206 With Stelara® in Patients With Moderate to Severe Plaque Psoriasis

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