Phase 3b Safety and Efficacy Study of Apremilast to Treat Moderate to Severe Plaque-plaque Psoriasis
Psoriasis, Psoriatic Arthritis
About this trial
This is an interventional treatment trial for Psoriasis focused on measuring Psoriasis, arthritis, psoriatic, palmoplantar, scalp, psoriasis pill, psoriasis tablet, plaque psoriasis, plaque type psoriasis, moderate to severe plaque type psoriasis, psoriatic arthritis
Eligibility Criteria
Inclusion Criteria:
- Males or females, ≥ 18 years of age
- Diagnosis of chronic, moderate to severe plaque psoriasis for at least 12 months prior to Screening, and a candidate for phototherapy and/or systemic (including etanercept) therapy
- Had an inadequate response, intolerance, or contraindication to at least 1 conventional systemic agent for the treatment of psoriasis.
- No prior exposure to biologics for treatment of psoriatic arthritis or psoriasis
Exclusion Criteria:
- Other than psoriasis, history of any clinically significant and uncontrolled systemic diseases; any condition, including the presence of laboratory abnormalities, which would place the subject at unacceptable risk if he/she were to participate in the study.
- Pregnant or breast feeding.
- Have failed more than 3 systemic agents for treatment of psoriasis.
- History of allergy to any component of the investigational product (IP), including human immunoglobulin (Ig) proteins or allergy to etanercept.
- Hepatitis B surface antigen or anti-hepatitis C antibody positive at Screening.
- Latent, active tuberculosis (TB) or inadequately treated TB; nontuberculous mycobacterial infection or opportunistic infection (eg, cytomegalovirus, Pneumocystis carinii, aspergillosis, Clostridium difficile).
- Have a history of, or ongoing, chronic or recurrent infectious disease
- Have received, or are expected to receive, any live virus or bacterial vaccination within 3 months before first administration of IP, or through Week 20 during the study.
- Had a Bacillus Calmette-Guérin (BCG) vaccination within 1 year prior to screening.
- History of positive human immunodeficiency virus (HIV), or have congenital or acquired immunodeficiency (eg, common variable immunodeficiency disease).
- Active substance abuse or a history of substance abuse within 6 months prior to Screening.
- Malignancy or history of malignancy, except for treated [ie, cured] basal cell or squamous cell in situ skin carcinomas and cervical intraepithelial neoplasia [CIN] or carcinoma in situ of the cervix with no evidence of recurrence within the previous 5 years.
- Psoriasis flare or rebound within 4 weeks prior to Screening.
- Topical therapy within 2 weeks of randomization or systemic therapy for psoriasis within 4 weeks prior to randomization
- Use of phototherapy within 4 weeks prior to randomization or prolonged sun exposure or use of tanning booths or other ultraviolet (UV) light sources.
- Any investigational drug within 4 weeks prior to randomization, or 5 pharmacokinetic/pharmacodynamic half lives, if known (whichever is longer).
- Prior treatment with apremilast or etanercept.
Sites / Locations
- Arizona Research Center
- Bakersfield Dermatology and Skin Cancer Medical Group
- University of California Irvine-Department of Dermatology
- University of California San Diego Medical Center
- Horizons Clinical Research
- George Washington University
- Florida Center for Dermatology, PA
- Florida Academic Dermatology Center
- International Dermatology Research
- Renstar Medical Research
- Atlanta Dermatology, Vein and Research Center, PC
- NorthShore University HealthSystem
- Southern Illinois University School of Medicine
- Dawes Fretzin Clinical Research Group, LLC
- Dermatology and Advanced Aesthetics
- Lawrence Green, MD, LLC
- Dartmouth Hitchcock Medical Center
- Robert Wood Johnson Medical School
- Forest Hills Dermatology Group
- NYU Department of Dermatology
- University of North Carolina
- Duke University Medical Center
- Wake Forest University Health Sciences
- University Hospitals Case Medical Center
- Ohio State University Medical Center
- University of Pittsburgh Medical Center
- Tennesse Clinical Research Center
- Teckton Research
- The Education and Research Foundation
- Virginia Clinical Research Inc
- Dermatology Associates of Seattle
- The Skin Centre
- Sinclair Dermatology
- Fremantle Dermatology
- Gairdner Hospital
- Rheumatology unit Ward 5C Queen Elizabeth Hospital
- Veracity Clinical Research
- Cliniques Universitaires St-Luc
- University Hospital Ghent
- University Hospital of Liege CHU Liege
- Eastern Canada Cutaneous Research Associates Ltd
- Skin Center for Dermatology
- K. Papp Clinical Research Inc.
- Siena Medical Research
- Q & T Research Sherbrooke Inc.
- Dorothea, Kožní a korektivne dermatologické pracovište
- Dermamedica
- Východoceské dermatologické centrum Homea s.r.o.
- Krajská nemocnice Pardubice, Kožní oddelení
- Dermatovenerologicka ambulance
- Koznia zilni ambulance
- South Estonian Hospital Ltd
- Dermatology Clinic of Tartu University Hospital
- Psoriasis Study Center
- Dermatologische Praxis
- Klinische Forschung Berlin - Buch GmbH
- University Hospital Carl Gustav Carus
- Hautklinik Universitatsklinikum Erlangen
- University Hospital Frankfurt
- SCIderm GmbH
- Institute for Health Services Research in Dermatology and Nursing - IVDP, University Medical Center
- Universitatsklinikum Heidelberg
- UniversitatsKlinikum Leipzig A.o.R.
- Comprehensive Center of Inflammatory Medicine (CCIM) University Medical Center Schleswig-Holstein
- Gemeinschaftspraxis Mahlow
- University Hospital Munster
- Praxis fr Dermatologie und Venerologie
- Tolna Megyei Balassa Janos Korhaz
- Allergo-Derm Bakos Kft.
- LTD M & M centrs
- Arija's Ancane's Family Doctor Private Practice
- Riga 1st Hospital Skin and Sexually Transmitted Diseases Clinical Centre
- Adoria Ltd
- Family Doctor's Indra's Kenina's Practice
- Health Center of Talsi Ltd
- Academic Medical Center
- Radboud University Medical Centre
- University Hospital of Wales
- Leeds Teaching Hospitals Trust
- Whipps Cross University Hospital
- St Helier Hospital
- George Eliot Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Apremilast 30 mg plus placebo injection
Etanercept 50 mg plus placebo tablet
Oral placebo tablets plus SC placebo injections
Apremilast 30 mg tablets orally twice a day (BID) plus once weekly (QW) evaluator/subject-blinded subcutaneous (SC) saline (placebo) injections
Etanercept 50 mg evaluator/subject-blinded SC QW injections plus placebo tablets orally BID
Identically matching placebo tablets and evaluator/subject-blinded SC injections