Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population
Primary Purpose
Psoriasis
Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
"Secukinumab" "Cosentyx TM"
Sponsored by
About this trial
This is an interventional treatment trial for Psoriasis focused on measuring Moderate to severe plaque psoriasis, PASI, secukinumab, monoclonal antibody, Turkish population
Eligibility Criteria
Inclusion Criteria:
- Subjects must be able to understand and comply with the requirements of the study and communicate with the investigator
- Diagnosis of chronic plaque psoriasis for at least 6 months before enrollment
- Patients who were evaluated as candidates for systemic therapy, defined as having psoriasis intolerant or /and inadequately controlled by: topical treatment (including topical corticosteroid) and/or phototherapy and/or any previous systemic treatment for psoriasis or any previous treatment with biologic agents
Exclusion Criteria:
- Forms of psoriasis other than plaque psoriasis
- Drug-induced psoriasis
- Previous exposure to secukinumab or any other biologic drug directly targeting IL-17A or IL-17RA
- Pregnant or nursing (lactating) women
- Active ongoing inflammatory diseases other than psoriasis or psoriatic arthritis that might confound the evaluation of the benefit of secukinumab
- Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal conditions)
- Pre-existing or recent-onset central or peripheral nervous system demyelinating disorders
- Significant medical problems, including but not limited to the following: uncontrolled hypertension, congestive heart failure
- Active systemic infections during the 2 weeks prior to enrollment
- History of an ongoing, chronic or recurrent infectious disease, or evidence of tuberculosis infection
- Past medical history record of, or current infection with, human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to enrollment
- History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years
- History or evidence of ongoing alcohol or drug abuse, within the last 6 months prior to enrollment
- Plans for administration of live vaccines during the study period or in the 6 weeks prior to enrollment
- Not willing to limit UV light exposure
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
"Secukinumab" "Cosentyx TM"
Arm Description
"Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit. First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month
Outcomes
Primary Outcome Measures
Percentage of PASI 90 responder patients at Week 16 as compared to baseline
The primary endpoint has been chosen as percentage of PASI 90 responder patients. PASI 90 is accepted as clear or almost clear of psoriatic lesions which are the ultimate goal of treatment in plaque psoriasis.
Secondary Outcome Measures
Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4
Patients, who achieved PASI 75 and PASI 90 response at week 4 will be counted by using frequencies and percentages (a subject is defined as a PASI 90 responder if the PASI score is reduced by 90% or more compared to baseline visit)
The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16
Investigator's Global Assessment (IGA mod 2011) score will be explained by using descriptive statistics at week 4 and week 16. Change between week 4 and week 16 comparing to baseline
Work productivity (measured with WPAI-PSO) at Week 16
Work productivity (WPAI-PSO) at week 16 will be evaluated by using descriptive statistics at week 16. Changes at work productivity through the visits will be inspected by using Repeated Measures ANOVA test.
Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16
Changes in quality of life measured with Dermatology Life Quality Index (DLQI) through visits will be evaluated by using Repeated Measures ANOVA test.
Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)
Health Assessment Questionnaire-Disability Index (HAQ-DI) will be evaluated at all visits by using descriptive statistics. The change between visits will be evaluated by Repeated Measures ANOVA test.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02795416
Brief Title
Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population
Official Title
A 16-week, Single Arm, Multicenter Study for the Assessment of Efficacy and Safety of Secukinumab in aduLt Patients With Moderate to Severe plaquE Psoriasis in Turkish Population
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Withdrawn
Study Start Date
June 2016 (undefined)
Primary Completion Date
March 2017 (Anticipated)
Study Completion Date
March 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Secukinumab targets a different interleukin and has potential to be used as alternative to existing treatments. This study will provide clinical data with respect to efficacy through Psoriasis Area and Severity Index (PASI) at 16 weeks, safety/tolerability of secukinumab and evaluate the impact of the treatment on quality of life and work productivity in subjects with moderate to severe plaque psoriasis in the Turkish population.
Detailed Description
To demonstrate the efficacy of secukinumab in subjects with moderate to severe plaque psoriasis based on the percentage of PASI 90 responder patients at Week 16 as compared to baseline Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4 The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16 Work productivity (measured with WPAI-PSO) at Week 16 Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16 Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
Moderate to severe plaque psoriasis, PASI, secukinumab, monoclonal antibody, Turkish population
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
"Secukinumab" "Cosentyx TM"
Arm Type
Experimental
Arm Description
"Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit.
First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month
Intervention Type
Drug
Intervention Name(s)
"Secukinumab" "Cosentyx TM"
Intervention Description
"Secukinumab" "Cosentyx TM" 150 mg PFS (pre-filled syringe) containing for solution for s.c. injection will be applied as 2 units (300 mg dosage) per patient at each visit.
First month: 300 mg injections/week, 4 weeks Starting from 4th week until Week 16, one injection/month
Primary Outcome Measure Information:
Title
Percentage of PASI 90 responder patients at Week 16 as compared to baseline
Description
The primary endpoint has been chosen as percentage of PASI 90 responder patients. PASI 90 is accepted as clear or almost clear of psoriatic lesions which are the ultimate goal of treatment in plaque psoriasis.
Time Frame
16 week
Secondary Outcome Measure Information:
Title
Evaluation of onset of efficacy measured by the percentage of patient achieving PASI 75 and PASI 90 at week 4
Description
Patients, who achieved PASI 75 and PASI 90 response at week 4 will be counted by using frequencies and percentages (a subject is defined as a PASI 90 responder if the PASI score is reduced by 90% or more compared to baseline visit)
Time Frame
4 week
Title
The efficacy of treatment using Investigator's Global Assessment modified 2011 (IGA mod 2011) at week 4 and week 16
Description
Investigator's Global Assessment (IGA mod 2011) score will be explained by using descriptive statistics at week 4 and week 16. Change between week 4 and week 16 comparing to baseline
Time Frame
4 and 16 week
Title
Work productivity (measured with WPAI-PSO) at Week 16
Description
Work productivity (WPAI-PSO) at week 16 will be evaluated by using descriptive statistics at week 16. Changes at work productivity through the visits will be inspected by using Repeated Measures ANOVA test.
Time Frame
16 week
Title
Changes in quality of life measured with the Dermatology Life Quality Index (DLQI) at Week 16
Description
Changes in quality of life measured with Dermatology Life Quality Index (DLQI) through visits will be evaluated by using Repeated Measures ANOVA test.
Time Frame
16 week
Title
Health assessment questionnaire -Disability index (HAQ-DI) in patients with psoriatic arthritis (PsA)
Description
Health Assessment Questionnaire-Disability Index (HAQ-DI) will be evaluated at all visits by using descriptive statistics. The change between visits will be evaluated by Repeated Measures ANOVA test.
Time Frame
16 week
Other Pre-specified Outcome Measures:
Title
In case of insulin resistance determined at the baseline, the change in the resistance level as measured by HOMA-IR
Description
Change in HOMA-IR level between baseline and week 16 will be evaluated
Time Frame
16 week
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects must be able to understand and comply with the requirements of the study and communicate with the investigator
Diagnosis of chronic plaque psoriasis for at least 6 months before enrollment
Patients who were evaluated as candidates for systemic therapy, defined as having psoriasis intolerant or /and inadequately controlled by: topical treatment (including topical corticosteroid) and/or phototherapy and/or any previous systemic treatment for psoriasis or any previous treatment with biologic agents
Exclusion Criteria:
Forms of psoriasis other than plaque psoriasis
Drug-induced psoriasis
Previous exposure to secukinumab or any other biologic drug directly targeting IL-17A or IL-17RA
Pregnant or nursing (lactating) women
Active ongoing inflammatory diseases other than psoriasis or psoriatic arthritis that might confound the evaluation of the benefit of secukinumab
Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal conditions)
Pre-existing or recent-onset central or peripheral nervous system demyelinating disorders
Significant medical problems, including but not limited to the following: uncontrolled hypertension, congestive heart failure
Active systemic infections during the 2 weeks prior to enrollment
History of an ongoing, chronic or recurrent infectious disease, or evidence of tuberculosis infection
Past medical history record of, or current infection with, human immunodeficiency virus (HIV), hepatitis B or hepatitis C prior to enrollment
History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years
History or evidence of ongoing alcohol or drug abuse, within the last 6 months prior to enrollment
Plans for administration of live vaccines during the study period or in the 6 weeks prior to enrollment
Not willing to limit UV light exposure
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nilgun Atakan, Prof.Dr
Organizational Affiliation
Hacettepe University Medical Faculty
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Server Serdaroglu, Prof.Dr
Organizational Affiliation
Istanbul University Cerrahpasa Medical Faculty
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Emel Bulbul Baskan, Prof.Dr
Organizational Affiliation
Uludag University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Erkan Alpsoy, Prof.Dr
Organizational Affiliation
Akdeniz University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ferda Artuz, Prof.Dr
Organizational Affiliation
Ankara City Hospital Bilkent
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Guliz Ikizoglu, Prof.Dr
Organizational Affiliation
Mersin University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Guzin Ozarmagan, Prof.Dr
Organizational Affiliation
Istanbul University Istanbul Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ilgen Ertam, Prof.Dr
Organizational Affiliation
Ege University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Murat Borlu, Prof.Dr
Organizational Affiliation
Erciyes University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Muzeyyen Sanlı Gonul, Ass.Prof
Organizational Affiliation
Dıskapi Training and Research Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Nilgun Senturk, Prof.Dr
Organizational Affiliation
Ondokuz Mayıs University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Savas Yaylı, Ass.Prof
Organizational Affiliation
Karadeniz Technical University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Serhat Inaloz, Prof.Dr.
Organizational Affiliation
Gaziantep University Medical Faculty
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sinan Dogan, Spec.Dr
Organizational Affiliation
Bozyaka Training and Research Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tulin Ergun, Prof.Dr
Organizational Affiliation
Marmara university Medical Faculty
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Assessment of Efficacy and Safety of Secukinumab in Adult Patients in Turkish Population
We'll reach out to this number within 24 hrs