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Psoriatic Arthritis Study of Izokibep

Primary Purpose

Psoriatic Arthritis

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Izokibep
Placebo to izokibep
Sponsored by
ACELYRIN Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriatic Arthritis focused on measuring psoriatic arthritis (PsA), psoriasis, inflammatory arthritis, enthesitis

Eligibility Criteria

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

Inclusion Criteria: General Subject has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Subject must be ≥18 (or the legal age of consent in the jurisdiction in which the study is taking place) and ≤75 years of age, at the time of signing the informed consent. Type of Subject and Disease Characteristics Clinical diagnosis of psoriatic arthritis (PsA) with symptom onset at least 6 months prior to first dose of study drug and fulfillment of the ClASsification for Psoriatic ARthritis (CASPAR) criteria at Screening. Active PsA defined as ≥3 tender joints (based on 68 joint counts) and ≥3 swollen joints (based on 66 joint counts) at Screening and Baseline Visits Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) negative at screening. Subject must have had an inadequate response, intolerance, or contraindication to at least one of the following: nonsteroidal anti-inflammatory drug (NSAID) conventional-synthetic disease-modifying anti-rheumatic drugs (csDMARD) (i.e. methotrexate, sulfasalazine, leflunomide, hydroxychloroquine, cyclosporine A) tumor necrosis factor-alpha inhibitor(s) (TNFi) (e.g. adalimumab, infliximab, etanercept, golimumab, certolizumab). For subjects using methotrexate, leflunomide, sulfasalazine, hydroxychloroquine, or apremilast, treated for ≥3 months and a stable dose (not to exceed 25 mg methotrexate per week, 20 mg leflunomide per day, sulfasalazine 3 g per day, hydroxychloroquine 400 mg per day, or apremilast 60 mg per day) for ≥4 weeks prior to first dose of study drug. For subjects using corticosteroids, must have been on a stable dose and regimen and not to exceed 7.5 mg per day of prednisone (or other corticosteroid equivalent to 7.5 mg per day of prednisone) for ≥4 weeks prior to first dose of study drug. Subjects using NSAIDs, or low potency opioid medications (tramadol, paracetamol in combination with hydrocodone or with codeine) must have been on a stable dose and regimen for ≥2 weeks prior to first dose of study drug. Other Inclusions No known history of active tuberculosis (TB). Subject has a negative TB test at screening Exclusion Criteria: Disease-related Medical Conditions Any history or current confirmed diagnosis of inflammatory bowel disease (IBD) OR Any of the following symptoms (of unknown etiology) or any signs or symptoms within the last year that in the opinion of the Investigator may be suggestive of IBD, with fecal calprotectin ≥ 500 μg/g; OR if fecal calprotectin >150 to <500 μg/g without confirmed approval from a GI consult that an IBD diagnosis is clinically unlikely when the following clinical signs and symptoms are present: prolonged or recurrent diarrhea prolonged or recurrent abdominal pain blood in stool History of fibromyalgia, or any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than psoriatic arthritis (PsA) (including, but not limited to rheumatoid arthritis, gout, connective tissue diseases). Prior history of axial spondyloarthritis or fibromyalgia is permitted if documentation of change in diagnosis to PsA or documentation that the diagnosis was made incorrectly. Prior history of reactive arthritis or axial spondyloarthritis is permitted if an additional diagnosis of PsA is made. Chronic osteoarthritis symptoms that in the Investigator's opinion may interfere with study assessments. Uncontrolled, clinically significant system disease Malignancy within 5 years Severe, uncontrolled, medically unstable mood disorder, such as severe depression. History or evidence of any clinically significant disorder (including psychiatric), condition, or disease that, in the opinion of the investigator, may pose a risk to subject safety or interfere with the study evaluation, procedures, or completion. Active infection or history of certain infections Candida infection requiring systemic treatment within 3 months prior to first dose of study drug. Tuberculosis or fungal infection seen on available chest x-ray taken within 3 months prior to first dose of study drug or at screening (Exception: documented evidence of completed treatment and clinically resolved). Known history of human immunodeficiency virus (HIV) or positive HIV test at screening. Other protocol defined Inclusion/Exclusion criteria may apply

Sites / Locations

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  • Clinical Research Site (003)
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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1

Group 2

Group 3

Group 4

Arm Description

Placebo from Day 1/Week 0 to Week 15, then izokibep from Week 16 to Week 51

Izokibep Dose 1 from Day 1/Week 0 to Week 51

Izokibep Dose 2 from Day 1/Week 0 to Week 51

Izokibep Dose 3 from Day 1/Week 0 to Week 51

Outcomes

Primary Outcome Measures

Proportion of subjects achieving 50% improvement in American College of Rheumatology (ACR50)

Secondary Outcome Measures

Proportion of subjects with resolution of enthesitis Leeds Enthesitis Index in subjects with enthesitis (LEI>0) at baseline
Proportion of subjects achieving an improvement in Psoriatic Arthritis Impact of Disease (PsAID) of at least 3 units at Week 16 compared to baseline in subjects with PsAID ≥3 at baseline
Proportion of subjects achieving minimal disease activity (MDA)
Proportion of subjects achieving 90% or greater reduction in Psoriasis Area and Severity Index (PASI) score from baseline (PASI90) at Week 16 in subjects with ≥3% body surface area (BSA) psoriasis at baseline
Change in physical function as assessed by Health Assessment Questionnaire - Disability Index (HAQ-DI) change from baseline to Week 16
Proportion of subjects achieving 20% improvement in American College of Rheumatology (ACR20)
Incidence of treatment-emergent adverse events (TEAEs)
Incidence of events of interest
Incidence of serious adverse events (SAEs)
Incidence of clinically significant changes in laboratory values
Incidence of clinically significant changes in vital signs
Incidence of treatment-emergent anti-drug antibodies (ADAs)

Full Information

First Posted
November 13, 2022
Last Updated
October 3, 2023
Sponsor
ACELYRIN Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05623345
Brief Title
Psoriatic Arthritis Study of Izokibep
Official Title
A Randomized, Double-blind, Placebo-controlled, Multicenter Phase 2b/3 Study to Evaluate the Efficacy and Safety of Izokibep in Subjects With Active Psoriatic Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 21, 2022 (Actual)
Primary Completion Date
January 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
Izokibep is a potent and selective inhibitor of interleukin (IL)-17A that is being developed for treatment of psoriatic arthritis (PsA). This study will evaluate the efficacy of izokibep in subjects with PsA.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriatic Arthritis
Keywords
psoriatic arthritis (PsA), psoriasis, inflammatory arthritis, enthesitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
351 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
Placebo from Day 1/Week 0 to Week 15, then izokibep from Week 16 to Week 51
Arm Title
Group 2
Arm Type
Experimental
Arm Description
Izokibep Dose 1 from Day 1/Week 0 to Week 51
Arm Title
Group 3
Arm Type
Experimental
Arm Description
Izokibep Dose 2 from Day 1/Week 0 to Week 51
Arm Title
Group 4
Arm Type
Experimental
Arm Description
Izokibep Dose 3 from Day 1/Week 0 to Week 51
Intervention Type
Drug
Intervention Name(s)
Izokibep
Intervention Description
Biologic: IL-17A inhibitor Form: Solution for injection Route of administration: Subcutaneous (SC)
Intervention Type
Drug
Intervention Name(s)
Placebo to izokibep
Intervention Description
Form: Solution for injection Route of administration: Subcutaneous (SC)
Primary Outcome Measure Information:
Title
Proportion of subjects achieving 50% improvement in American College of Rheumatology (ACR50)
Time Frame
Week 16
Secondary Outcome Measure Information:
Title
Proportion of subjects with resolution of enthesitis Leeds Enthesitis Index in subjects with enthesitis (LEI>0) at baseline
Time Frame
Week 16
Title
Proportion of subjects achieving an improvement in Psoriatic Arthritis Impact of Disease (PsAID) of at least 3 units at Week 16 compared to baseline in subjects with PsAID ≥3 at baseline
Time Frame
Week 16
Title
Proportion of subjects achieving minimal disease activity (MDA)
Time Frame
Week 16
Title
Proportion of subjects achieving 90% or greater reduction in Psoriasis Area and Severity Index (PASI) score from baseline (PASI90) at Week 16 in subjects with ≥3% body surface area (BSA) psoriasis at baseline
Time Frame
Week 16
Title
Change in physical function as assessed by Health Assessment Questionnaire - Disability Index (HAQ-DI) change from baseline to Week 16
Time Frame
Week 16
Title
Proportion of subjects achieving 20% improvement in American College of Rheumatology (ACR20)
Time Frame
Week 16
Title
Incidence of treatment-emergent adverse events (TEAEs)
Time Frame
Day 1 to end of treatment; Up to 52 weeks (±3 days)
Title
Incidence of events of interest
Time Frame
Screening to Safety Follow-up; Up to 59 weeks (±5 days)
Title
Incidence of serious adverse events (SAEs)
Time Frame
Screening to Safety Follow-up; Up to 59 weeks (±5 days)
Title
Incidence of clinically significant changes in laboratory values
Time Frame
Screening to End of Study; Up to 65 weeks (±5 days)
Title
Incidence of clinically significant changes in vital signs
Time Frame
Screening to Safety Follow-up; Up to 59 weeks (±5 days)
Title
Incidence of treatment-emergent anti-drug antibodies (ADAs)
Time Frame
Day 1 to End of Study; Up to 65 weeks (±5 days)

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: General Subject has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Subject must be ≥18 (or the legal age of consent in the jurisdiction in which the study is taking place) and ≤75 years of age, at the time of signing the informed consent. Type of Subject and Disease Characteristics Clinical diagnosis of psoriatic arthritis (PsA) with symptom onset at least 6 months prior to first dose of study drug and fulfillment of the ClASsification for Psoriatic ARthritis (CASPAR) criteria at Screening. Active PsA defined as ≥3 tender joints (based on 68 joint counts) and ≥3 swollen joints (based on 66 joint counts) at Screening and Baseline Visits Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) negative at screening. Subject must have had an inadequate response, intolerance, or contraindication to at least one of the following: nonsteroidal anti-inflammatory drug (NSAID) conventional-synthetic disease-modifying anti-rheumatic drugs (csDMARD) (i.e. methotrexate, sulfasalazine, leflunomide, hydroxychloroquine, cyclosporine A) tumor necrosis factor-alpha inhibitor(s) (TNFi) (e.g. adalimumab, infliximab, etanercept, golimumab, certolizumab). For subjects using methotrexate, leflunomide, sulfasalazine, hydroxychloroquine, or apremilast, treated for ≥3 months and a stable dose (not to exceed 25 mg methotrexate per week, 20 mg leflunomide per day, sulfasalazine 3 g per day, hydroxychloroquine 400 mg per day, or apremilast 60 mg per day) for ≥4 weeks prior to first dose of study drug. For subjects using corticosteroids, must have been on a stable dose and regimen and not to exceed 7.5 mg per day of prednisone (or other corticosteroid equivalent to 7.5 mg per day of prednisone) for ≥4 weeks prior to first dose of study drug. Subjects using NSAIDs, or low potency opioid medications (tramadol, paracetamol in combination with hydrocodone or with codeine) must have been on a stable dose and regimen for ≥2 weeks prior to first dose of study drug. Other Inclusions No known history of active tuberculosis (TB). Subject has a negative TB test at screening Exclusion Criteria: Disease-related Medical Conditions Any history or current confirmed diagnosis of inflammatory bowel disease (IBD) OR Any of the following symptoms (of unknown etiology) or any signs or symptoms within the last year that in the opinion of the Investigator may be suggestive of IBD, with fecal calprotectin ≥ 500 μg/g; OR if fecal calprotectin >150 to <500 μg/g without confirmed approval from a GI consult that an IBD diagnosis is clinically unlikely when the following clinical signs and symptoms are present: prolonged or recurrent diarrhea prolonged or recurrent abdominal pain blood in stool History of fibromyalgia, or any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than psoriatic arthritis (PsA) (including, but not limited to rheumatoid arthritis, gout, connective tissue diseases). Prior history of axial spondyloarthritis or fibromyalgia is permitted if documentation of change in diagnosis to PsA or documentation that the diagnosis was made incorrectly. Prior history of reactive arthritis or axial spondyloarthritis is permitted if an additional diagnosis of PsA is made. Chronic osteoarthritis symptoms that in the Investigator's opinion may interfere with study assessments. Uncontrolled, clinically significant system disease Malignancy within 5 years Severe, uncontrolled, medically unstable mood disorder, such as severe depression. History or evidence of any clinically significant disorder (including psychiatric), condition, or disease that, in the opinion of the investigator, may pose a risk to subject safety or interfere with the study evaluation, procedures, or completion. Active infection or history of certain infections Candida infection requiring systemic treatment within 3 months prior to first dose of study drug. Tuberculosis or fungal infection seen on available chest x-ray taken within 3 months prior to first dose of study drug or at screening (Exception: documented evidence of completed treatment and clinically resolved). Known history of human immunodeficiency virus (HIV) or positive HIV test at screening. Other protocol defined Inclusion/Exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Apinya Lert, MD
Organizational Affiliation
ACELYRIN Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Research Site
City
Flagstaff
State/Province
Arizona
ZIP/Postal Code
86001
Country
United States
Facility Name
Clinical Research Site
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85306
Country
United States
Facility Name
Clinical Research Site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85210
Country
United States
Facility Name
Clinical Research Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85040
Country
United States
Facility Name
Clinical Research Site
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Clinical Research Site
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
Facility Name
Clinical Research Site
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Facility Name
Clinical Research Site
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Clinical Research Site
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
Clinical Research Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Clinical Research Site
City
Palm Desert
State/Province
California
ZIP/Postal Code
92260
Country
United States
Facility Name
Clinical Research Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95815
Country
United States
Facility Name
Clinical Research Site
City
San Diego
State/Province
California
ZIP/Postal Code
92128
Country
United States
Facility Name
Clinical Research Site
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Clinical Research Site
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Clinical Research Site
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Clinical Research Site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Clinical Research Site
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
Facility Name
Clinical Research Site
City
New Port Richey
State/Province
Florida
ZIP/Postal Code
34652
Country
United States
Facility Name
Clinical Research Site
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32714
Country
United States
Facility Name
Clinical Research Site
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239-6900
Country
United States
Facility Name
Clinical Research Site
City
Gainesville
State/Province
Georgia
ZIP/Postal Code
30501
Country
United States
Facility Name
Clinical Research Site
City
Hinsdale
State/Province
Illinois
ZIP/Postal Code
60521
Country
United States
Facility Name
Clinical Research Site
City
Orland Park
State/Province
Illinois
ZIP/Postal Code
60467
Country
United States
Facility Name
Clinical Research Site
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60076
Country
United States
Facility Name
Clinical Research Site
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40504
Country
United States
Facility Name
Clinical Research Site
City
Grand Blanc
State/Province
Michigan
ZIP/Postal Code
48439
Country
United States
Facility Name
Clinical Research Site
City
Kalispell
State/Province
Montana
ZIP/Postal Code
59901
Country
United States
Facility Name
Clinical Research Site
City
Santa Fe
State/Province
New Mexico
ZIP/Postal Code
87505
Country
United States
Facility Name
Clinical Research Site
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28602
Country
United States
Facility Name
Clinical Research Site
City
Middleburg Heights
State/Province
Ohio
ZIP/Postal Code
44130
Country
United States
Facility Name
Clinical Research Site
City
Corvallis
State/Province
Oregon
ZIP/Postal Code
97330
Country
United States
Facility Name
Clinical Research Site
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635-8445
Country
United States
Facility Name
Clinical Research Site
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305
Country
United States
Facility Name
Clinical Research Site
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
Clinical Research Site
City
Colleyville
State/Province
Texas
ZIP/Postal Code
76034
Country
United States
Facility Name
Clinical Research Site
City
Irving
State/Province
Texas
ZIP/Postal Code
75063
Country
United States
Facility Name
Clinical Research Site
City
Mesquite
State/Province
Texas
ZIP/Postal Code
75150
Country
United States
Facility Name
Clinical Research Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
Country
United States
Facility Name
Clinical Research Site
City
Beckley
State/Province
West Virginia
ZIP/Postal Code
25801
Country
United States
Facility Name
Clinical Research Site
City
Bourgas
ZIP/Postal Code
8000
Country
Bulgaria
Facility Name
Clinical Research Site
City
Pleven
ZIP/Postal Code
5808
Country
Bulgaria
Facility Name
Clinical Research Site
City
Ruse
ZIP/Postal Code
7012
Country
Bulgaria
Facility Name
Clinical Research Site
City
Sofia
ZIP/Postal Code
1303
Country
Bulgaria
Facility Name
Clinical Research Site
City
Sydney
State/Province
Nova Scotia
ZIP/Postal Code
B1S 3N1
Country
Canada
Facility Name
Clinical Research Site
City
Windsor
State/Province
Ontario
ZIP/Postal Code
N8X 1T3
Country
Canada
Facility Name
Clinical Research Site
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1V 3M7
Country
Canada
Facility Name
Clinical Research Site
City
Trois-Rivières
State/Province
Quebec
ZIP/Postal Code
G8Z 1Y2
Country
Canada
Facility Name
Clinical Research Site
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7H 5M7
Country
Canada
Facility Name
Clinical Research Site
City
Ostrava
ZIP/Postal Code
702 00
Country
Czechia
Facility Name
Clinical Research Site
City
Praha
ZIP/Postal Code
140 00
Country
Czechia
Facility Name
Clinical Research Site
City
Zlin
ZIP/Postal Code
760 01
Country
Czechia
Facility Name
Clinical Research Site
City
Frankfurt am Main
ZIP/Postal Code
60590
Country
Germany
Facility Name
Clinical Research Site
City
Hamburg
ZIP/Postal Code
20095
Country
Germany
Facility Name
Clinical Research Site
City
Budapest
ZIP/Postal Code
1027
Country
Hungary
Facility Name
Clinical Research Site (003)
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
Facility Name
Clinical Research Site
City
Kalocsa
ZIP/Postal Code
6300
Country
Hungary
Facility Name
Clinical Research Site
City
Székesfehérvár
ZIP/Postal Code
8000
Country
Hungary
Facility Name
Clinical Research Site
City
Veszprém
ZIP/Postal Code
8200
Country
Hungary
Facility Name
Clinical Research Site
City
Bialystok
ZIP/Postal Code
15-351
Country
Poland
Facility Name
Clinical Research Site
City
Białystok
ZIP/Postal Code
15-077
Country
Poland
Facility Name
Clinical Research Site
City
Bydgoszcz
ZIP/Postal Code
85-650
Country
Poland
Facility Name
Clinical Research Site
City
Elbląg
ZIP/Postal Code
82-300
Country
Poland
Facility Name
Clinical Research Site
City
Kraków
ZIP/Postal Code
30-510
Country
Poland
Facility Name
Clinical Research Site
City
Poznań
ZIP/Postal Code
00-874
Country
Poland
Facility Name
Clinical Research Site
City
Poznań
ZIP/Postal Code
61-113
Country
Poland
Facility Name
Clinical Research Site
City
Warszawa
ZIP/Postal Code
00-874
Country
Poland
Facility Name
Clinical Research Site
City
Warszawa
ZIP/Postal Code
02-691
Country
Poland
Facility Name
Clinical Research Site
City
Alcobendas
ZIP/Postal Code
28100
Country
Spain
Facility Name
Clinical Research Site
City
Santiago De Compostela
ZIP/Postal Code
15702
Country
Spain
Facility Name
Clinical Research Site
City
Sevilla
ZIP/Postal Code
41010
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Psoriatic Arthritis Study of Izokibep

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