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A Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of UCB4940 in Patients With Psoriasis

Primary Purpose

Mild to Moderate Psoriasis

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
UCB4940
Placebo
Sponsored by
UCB Celltech
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild to Moderate Psoriasis focused on measuring Psoriasis, UCB4940

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Subject is male or female, aged ≥ 18 years to ≤ 70 years at Screening. Female subjects must either be postmenopausal (at least 1 year), permanently sterilized or, if of childbearing potential, must be willing to use at least 2 effective methods of contraception, including a barrier method during the study period. Effective methods of contraception are methods of birth control, which result in a low failure rate when used consistently and correctly, such as implants, injectables, oral contraceptives, progesterone-releasing intrauterine systems or the TCu 380A intrauterine device, complete sexual abstinence, or vasectomized partner. Male subjects with partners of childbearing potential must be willing to use a condom when sexually active. Both male and female subjects must use the above mentioned contraception for 20 weeks after administration of study drug (anticipated 5 half-lives)
  • Subject has had a confirmed diagnosis of mild to moderate plaque-type psoriasis for at least 6 months involving ≤ 5 % of body surface area (BSA) (excluding the scalp)
  • Subject has a body mass index of ≤ 35 kg/m^2 at Screening
  • Subject has a minimum of 2 psoriatic lesions with at least 1 plaque in a site suitable for biopsy

Exclusion Criteria:

  • Female subject who is pregnant, or plans to become pregnant during the study, or lactating, or sexually active with childbearing potential who is not using a medically accepted birth control method
  • Subject has received systemic nonbiologic psoriasis therapy (methotrexate [MTX], steroids, cyclophosphamide) or psoralen plus ultraviolet A (PUVA)/ultraviolet A (UVA) phototherapy within 4 weeks prior to Screening
  • Subject has received treatment with biologic agents within 12 months prior to the study
  • Subject has received live attenuated vaccination within 6 weeks prior to Screening or intends to have such a vaccination during the course of the study
  • Subject has received any investigational drug or experimental procedure within 90 days or 5 half-lives, whichever is longer, prior to IMP administration
  • Subject requires treatment with a nonsteroidal anti-inflammatory drug during the study period. Paracetamol will be permitted for use as an antipyretic and/or analgesic
  • Subject has an active infection (eg, sepsis, pneumonia, abscess) or has had a serious infection (resulting in hospitalization or requiring parenteral antibiotic treatment) within 6 weeks prior to IMP administration. When in doubt, the Investigator should confer with the UCB Study Physician
  • Subject has a history of a positive tuberculosis (TB) test or evidence of possible TB or latent TB infection at Screening that cannot be attributed to a prior Bacillus Calmette-Guérin inoculation
  • Subject has renal or liver impairment, defined as:

    • For women, serum creatinine level ≥ 125 μmol/L; for men, ≥ 135 μmol/L, or
    • ALT and aspartate aminotransferase ≥ 2x ULN, or
    • Alkaline phosphatase and bilirubin > 1.5x ULN (an isolated bilirubin > 1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin is < 35 %)
  • Subject has active neoplastic disease or history of neoplastic disease within 5 years of Screening (except for basal or squamous cell carcinoma of the skin or carcinoma in situ that has been definitively treated with standard of care)

Sites / Locations

  • 1

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

UCB4940 8 mg

UCB4940 40 mg

UCB4940 160 mg

UCB4940 480 mg

UCB4940 640 mg

Placebo

Arm Description

Single intravenous (iv) infusion of UCB4940 8 mg over at least 60 minutes.

Single intravenous (iv) infusion of UCB4940 40 mg over at least 60 minutes.

Single intravenous (iv) infusion of UCB4940 160 mg over at least 60 minutes.

Single intravenous (iv) infusion of UCB4940 480 mg over at least 60 minutes.

Single intravenous (iv) infusion of UCB4940 640 mg over at least 60 minutes.

Single intravenous (iv) infusion of Placebo over at least 60 minutes.

Outcomes

Primary Outcome Measures

Number of subjects reporting at least 1 Treatment-Emergent Adverse Event (TEAE) during the Treatment Period (20 Weeks)
Number of subjects prematurely discontinuing due to a Treatment-Emergent Adverse Event (TEAE) during the Treatment Period (20 Weeks)
Number of subjects reporting at least 1 Serious Adverse Event (SAE) during the Treatment Period (20 Weeks)

Secondary Outcome Measures

Maximum plasma concentration (Cmax)
Area under the plasma concentration-time curve from time 0 to infinity (AUC(0-inf))
Area under the plasma concentration-time curve from time 0 to the time of last quantifiable concentration (AUC(0-t))
Time to reach Cmax (Tmax)
Terminal elimination half-life (t1/2)
First order terminal elimination rate constant (λz)
Total body clearance (CL)
Volume of distribution in terminal phase (Vz)
Percentage Change from Baseline to Week 12 in the Lesion Severity Score (LSS)
Percentage Change from Baseline to Week 12 in thickness of the plaque
Percentage Change from Baseline to Week 12 in lesion area
Percentage Change from Baseline to Week 12 in Psoriasis Area and Severity Index (PASI)
Percentage Change from Baseline to Week 12 in Physician's Global Assessment (PGA)

Full Information

First Posted
August 19, 2015
Last Updated
August 19, 2015
Sponsor
UCB Celltech
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1. Study Identification

Unique Protocol Identification Number
NCT02529956
Brief Title
A Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of UCB4940 in Patients With Psoriasis
Official Title
A Randomized, Subject-blind, Investigator-blind, Placebo-controlled, Single-dose, Dose-escalating Study Evaluating the Safety, Pharmacokinetics, and Pharmacodynamics of UCB4940 in Patients With Mild to Moderate Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UCB Celltech

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the safety of UCB4940 administered by iv infusion of a single ascending dose in subjects with mild to moderate plaque psoriasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild to Moderate Psoriasis
Keywords
Psoriasis, UCB4940

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
UCB4940 8 mg
Arm Type
Experimental
Arm Description
Single intravenous (iv) infusion of UCB4940 8 mg over at least 60 minutes.
Arm Title
UCB4940 40 mg
Arm Type
Experimental
Arm Description
Single intravenous (iv) infusion of UCB4940 40 mg over at least 60 minutes.
Arm Title
UCB4940 160 mg
Arm Type
Experimental
Arm Description
Single intravenous (iv) infusion of UCB4940 160 mg over at least 60 minutes.
Arm Title
UCB4940 480 mg
Arm Type
Experimental
Arm Description
Single intravenous (iv) infusion of UCB4940 480 mg over at least 60 minutes.
Arm Title
UCB4940 640 mg
Arm Type
Experimental
Arm Description
Single intravenous (iv) infusion of UCB4940 640 mg over at least 60 minutes.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single intravenous (iv) infusion of Placebo over at least 60 minutes.
Intervention Type
Drug
Intervention Name(s)
UCB4940
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: Solution for infusion Concentration: 80 mg/ml Route of Administration: Intravenous use
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Active Substance: Placebo Pharmaceutical Form: Solution for infusion Concentration: 0.9 % sodium chloride aqueous solution Route of Administration: Intravenous use
Primary Outcome Measure Information:
Title
Number of subjects reporting at least 1 Treatment-Emergent Adverse Event (TEAE) during the Treatment Period (20 Weeks)
Time Frame
Baseline to 20 Weeks
Title
Number of subjects prematurely discontinuing due to a Treatment-Emergent Adverse Event (TEAE) during the Treatment Period (20 Weeks)
Time Frame
Baseline to 20 Weeks
Title
Number of subjects reporting at least 1 Serious Adverse Event (SAE) during the Treatment Period (20 Weeks)
Time Frame
Baseline to 20 Weeks
Secondary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Area under the plasma concentration-time curve from time 0 to infinity (AUC(0-inf))
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Area under the plasma concentration-time curve from time 0 to the time of last quantifiable concentration (AUC(0-t))
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Time to reach Cmax (Tmax)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Terminal elimination half-life (t1/2)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
First order terminal elimination rate constant (λz)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Total body clearance (CL)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Volume of distribution in terminal phase (Vz)
Time Frame
Pharmacokinetic samples will be taken predose and 0-48 hr post-dose, 72 hr post-dose, 96 hr post-dose, Week-1 through Week-20
Title
Percentage Change from Baseline to Week 12 in the Lesion Severity Score (LSS)
Time Frame
Baseline to Week 12
Title
Percentage Change from Baseline to Week 12 in thickness of the plaque
Time Frame
Baseline to Week 12
Title
Percentage Change from Baseline to Week 12 in lesion area
Time Frame
Baseline to Week 12
Title
Percentage Change from Baseline to Week 12 in Psoriasis Area and Severity Index (PASI)
Time Frame
Baseline to Week 12
Title
Percentage Change from Baseline to Week 12 in Physician's Global Assessment (PGA)
Time Frame
Baseline to Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Subject is male or female, aged ≥ 18 years to ≤ 70 years at Screening. Female subjects must either be postmenopausal (at least 1 year), permanently sterilized or, if of childbearing potential, must be willing to use at least 2 effective methods of contraception, including a barrier method during the study period. Effective methods of contraception are methods of birth control, which result in a low failure rate when used consistently and correctly, such as implants, injectables, oral contraceptives, progesterone-releasing intrauterine systems or the TCu 380A intrauterine device, complete sexual abstinence, or vasectomized partner. Male subjects with partners of childbearing potential must be willing to use a condom when sexually active. Both male and female subjects must use the above mentioned contraception for 20 weeks after administration of study drug (anticipated 5 half-lives) Subject has had a confirmed diagnosis of mild to moderate plaque-type psoriasis for at least 6 months involving ≤ 5 % of body surface area (BSA) (excluding the scalp) Subject has a body mass index of ≤ 35 kg/m^2 at Screening Subject has a minimum of 2 psoriatic lesions with at least 1 plaque in a site suitable for biopsy Exclusion Criteria: Female subject who is pregnant, or plans to become pregnant during the study, or lactating, or sexually active with childbearing potential who is not using a medically accepted birth control method Subject has received systemic nonbiologic psoriasis therapy (methotrexate [MTX], steroids, cyclophosphamide) or psoralen plus ultraviolet A (PUVA)/ultraviolet A (UVA) phototherapy within 4 weeks prior to Screening Subject has received treatment with biologic agents within 12 months prior to the study Subject has received live attenuated vaccination within 6 weeks prior to Screening or intends to have such a vaccination during the course of the study Subject has received any investigational drug or experimental procedure within 90 days or 5 half-lives, whichever is longer, prior to IMP administration Subject requires treatment with a nonsteroidal anti-inflammatory drug during the study period. Paracetamol will be permitted for use as an antipyretic and/or analgesic Subject has an active infection (eg, sepsis, pneumonia, abscess) or has had a serious infection (resulting in hospitalization or requiring parenteral antibiotic treatment) within 6 weeks prior to IMP administration. When in doubt, the Investigator should confer with the UCB Study Physician Subject has a history of a positive tuberculosis (TB) test or evidence of possible TB or latent TB infection at Screening that cannot be attributed to a prior Bacillus Calmette-Guérin inoculation Subject has renal or liver impairment, defined as: For women, serum creatinine level ≥ 125 μmol/L; for men, ≥ 135 μmol/L, or ALT and aspartate aminotransferase ≥ 2x ULN, or Alkaline phosphatase and bilirubin > 1.5x ULN (an isolated bilirubin > 1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin is < 35 %) Subject has active neoplastic disease or history of neoplastic disease within 5 years of Screening (except for basal or squamous cell carcinoma of the skin or carcinoma in situ that has been definitively treated with standard of care)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
UCB Clinical Trial Call Center
Organizational Affiliation
+1 877 8229493 (UCB)
Official's Role
Study Director
Facility Information:
Facility Name
1
City
Harrow
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
27859546
Citation
Glatt S, Helmer E, Haier B, Strimenopoulou F, Price G, Vajjah P, Harari OA, Lambert J, Shaw S. First-in-human randomized study of bimekizumab, a humanized monoclonal antibody and selective dual inhibitor of IL-17A and IL-17F, in mild psoriasis. Br J Clin Pharmacol. 2017 May;83(5):991-1001. doi: 10.1111/bcp.13185. Epub 2017 Jan 10.
Results Reference
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A Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of UCB4940 in Patients With Psoriasis

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