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A Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
AK101
placebo
Sponsored by
Akeso
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis focused on measuring IL12/23

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Have had Plaque Psoriasis diagnosed at least 6 months prior to screening.
  2. Clinical diagnosis of stable plaque psoriasis with involvement of ≥ 10% body surface area. Psoriasis area and severity index(PASI) ≥12. Physicians Global Assessment score ≥3.
  3. Patients who have received systemic therapy or phototherapy, or who have been allowed by the investigator to receive systemic therapy or phototherapy.
  4. Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last dose of study treatment.
  5. Ability to provide written informed consent and to be compliant with the schedule of protocol assessments.
  6. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol.

Exclusion Criteria:

  1. Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular).
  2. Had other active skin diseases or skin infections (e.g., bacterial, fungal or viral infection) that could affect psoriasis evaluation.
  3. Had Imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening.
  4. History or evidence of active or latent tuberculosis at screening.
  5. Serious systemic infections or local infections during the 2 months prior to screening.
  6. History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved).
  7. Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.
  8. History of alcohol or drug abuse.
  9. History or known presence of recurrent or chronic infection (e.g., hepatitis B, or C, human immunodeficiency virus [HIV], syphilis, TB).
  10. Had received any DMARDs (e.g., anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening.
  11. Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening.
  12. Had received any systemic psoriasis therapy (e.g., glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening.
  13. Had Enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials.
  14. Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis.
  15. Had received previous treatment with natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening.
  16. Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.

Sites / Locations

  • Peking Union Medical College Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Phase I: AK101 45 mg

Phase I: AK101 135 mg

Phase I: AK101 270 mg

Phase I: Placebo

Phase II: AK101 45 mg

Phase II: AK101 90 mg

Phase II: AK101 135 mg

Phase II: Placebo to AK101

Arm Description

Biological: AK101 AK101 45 mg on Week 0 and 4 by subcutaneous injection

Biological: AK101 AK101 135 mg on Week 0 and 4 by subcutaneous injection

Biological: AK101 AK101 270 mg on Week 0 and 4 by subcutaneous injection

Biological: Placebo Placebo on Week 0 and 4 by subcutaneous injection

Biological: AK101 AK101 45 mg on Week 0, 4 and 16 by subcutaneous injection

Biological: AK101 AK101 90 mg on Week 0, 4 and 16 by subcutaneous injection

Biological: AK101 AK101 135 mg on Week 0, 4 and 16 by subcutaneous injection

Drug: Placebo Placebo on Week 1 and 4 by subcutaneous injection, and then AK101 on Week 12 16 by subcutaneous injection

Outcomes

Primary Outcome Measures

Incidence of treatment emergent adverse events (TEAEs)

Secondary Outcome Measures

Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75)
Number of participants who achieved ≥ 90% reduction in PASI (PASI90)
Change From Baseline in the Physician Global Assessment (PGA)
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs).
Area under the curve (AUC) of AK101
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.
Minimum observed concentration (Cmin) of AK101
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.
Maximum observed concentration (Cmax) of AK101
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.

Full Information

First Posted
November 19, 2019
Last Updated
November 19, 2019
Sponsor
Akeso
Collaborators
Akeso Tiancheng, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04172233
Brief Title
A Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis
Official Title
A Randomized, Double-blinded, and Placebo-controlled Phase I/II Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
January 9, 2018 (Actual)
Primary Completion Date
May 31, 2019 (Actual)
Study Completion Date
October 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Akeso
Collaborators
Akeso Tiancheng, Inc

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD) and the preliminary efficacy of AK101,an anti-IL-12/23p40 monoclonal antibody, when administered subcutaneously in subjects with moderate-to-severe plaque psoriasis.
Detailed Description
This was a single-center, randomized, double-blind, placebo-controlled trial which consisted of a dose escalation phase (Phase I) and a dose expansion phase (Phase II)..

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque Psoriasis
Keywords
IL12/23

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
96 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase I: AK101 45 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 45 mg on Week 0 and 4 by subcutaneous injection
Arm Title
Phase I: AK101 135 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 135 mg on Week 0 and 4 by subcutaneous injection
Arm Title
Phase I: AK101 270 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 270 mg on Week 0 and 4 by subcutaneous injection
Arm Title
Phase I: Placebo
Arm Type
Placebo Comparator
Arm Description
Biological: Placebo Placebo on Week 0 and 4 by subcutaneous injection
Arm Title
Phase II: AK101 45 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 45 mg on Week 0, 4 and 16 by subcutaneous injection
Arm Title
Phase II: AK101 90 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 90 mg on Week 0, 4 and 16 by subcutaneous injection
Arm Title
Phase II: AK101 135 mg
Arm Type
Experimental
Arm Description
Biological: AK101 AK101 135 mg on Week 0, 4 and 16 by subcutaneous injection
Arm Title
Phase II: Placebo to AK101
Arm Type
Placebo Comparator
Arm Description
Drug: Placebo Placebo on Week 1 and 4 by subcutaneous injection, and then AK101 on Week 12 16 by subcutaneous injection
Intervention Type
Biological
Intervention Name(s)
AK101
Intervention Description
AK101 is an anti-IL-12/23p40 monoclonal antibody.
Intervention Type
Biological
Intervention Name(s)
placebo
Intervention Description
matching placebo
Primary Outcome Measure Information:
Title
Incidence of treatment emergent adverse events (TEAEs)
Time Frame
From the time of signing informed consent till Week 16 for Phase I or Week 28 for Phase II
Secondary Outcome Measure Information:
Title
Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75)
Time Frame
At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)
Title
Number of participants who achieved ≥ 90% reduction in PASI (PASI90)
Time Frame
At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)
Title
Change From Baseline in the Physician Global Assessment (PGA)
Time Frame
At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)
Title
Number of subjects who develop detectable anti-drug antibodies (ADAs)
Description
The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs).
Time Frame
From first dose till Week 16 for Phase I or Week 28 for Phase II
Title
Area under the curve (AUC) of AK101
Description
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.
Time Frame
From first dose till Week 16 for Phase I
Title
Minimum observed concentration (Cmin) of AK101
Description
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.
Time Frame
From first dose till Week 16 for Phase I or Week 28 for Phase II
Title
Maximum observed concentration (Cmax) of AK101
Description
The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.
Time Frame
From first dose till Week 16 for Phase I or Week 28 for Phase II

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have had Plaque Psoriasis diagnosed at least 6 months prior to screening. Clinical diagnosis of stable plaque psoriasis with involvement of ≥ 10% body surface area. Psoriasis area and severity index(PASI) ≥12. Physicians Global Assessment score ≥3. Patients who have received systemic therapy or phototherapy, or who have been allowed by the investigator to receive systemic therapy or phototherapy. Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last dose of study treatment. Ability to provide written informed consent and to be compliant with the schedule of protocol assessments. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol. Exclusion Criteria: Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular). Had other active skin diseases or skin infections (e.g., bacterial, fungal or viral infection) that could affect psoriasis evaluation. Had Imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening. History or evidence of active or latent tuberculosis at screening. Serious systemic infections or local infections during the 2 months prior to screening. History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved). Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study. History of alcohol or drug abuse. History or known presence of recurrent or chronic infection (e.g., hepatitis B, or C, human immunodeficiency virus [HIV], syphilis, TB). Had received any DMARDs (e.g., anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening. Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening. Had received any systemic psoriasis therapy (e.g., glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening. Had Enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials. Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis. Had received previous treatment with natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening. Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rui Chen, MD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Hongzhong Jin, MD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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A Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

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