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Safety, Pharmacokinetics, and Efficacy of RA-18C3 in Subjects With Moderate to Severe Psoriasis

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RA-18C3
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects 18 years of age or older
  2. Diagnosis of plaque psoriasis for ≥ 6 months; INCLUDING subjects with chronic guttate lesions.
  3. Psoriasis area-and-severity index (PASI) score of ≥ 12
  4. Involvement of ≥ 5% of body-surface area
  5. For female subjects of childbearing age, a negative urine pregnancy test at screening and at specified time points throughout the trial. For subjects with reproductive potential, a willingness to utilize adequate, double barrier contraception during the study and including 3 months after study completion. Sexually active men must use an accepted method of contraception during the study and including 3 months after study completion.
  6. Signed and dated Institutional Review Board (IRB) approved informed consent before any protocol-specific screening procedures are performed

Exclusion Criteria:

  1. Treatment with any biologicals or investigational agents within the last 4 weeks (or 5 half-lives, whichever is longer).
  2. Treatment with conventional systemic psoriasis therapy within last 4 weeks
  3. Treatment with phototherapy within the last 4 weeks
  4. Topical psoriasis treatment with the last 2 weeks
  5. History of uncontrolled diabetes, unstable ischemic heart disease, active inflammatory bowel disease, active peptic ulcer disease, recent stroke (within 3 months), ongoing congestive heart failure, and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol.
  6. Hemoglobin <10.0 g/dL, WBC <3.0 x 103/mm3, platelet count <125 x 103/mm3, creatinine > 1.5mg/dL, AST/ALT >2 x ULN, alkaline phosphatase >2 x ULN
  7. Known HIV antibody, hepatitis B surface antigen and/or hepatitis C antibody.
  8. History of malignancy within 5 years prior to study entry other than carcinoma in situ of the cervix, or adequately treated, non-metastatic squamous or basal cell carcinoma of the skin.
  9. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies.
  10. History of tuberculosis (latent or active) or positive Interferon-gamma release assay (IGRA)
  11. Infectious disease:

    CRP >30 mg/L, fever, or infection requiring treatment with antibiotics within 3 weeks prior to Screening

  12. Immunodeficiency
  13. History of treatment with Tysabri or Raptiva
  14. Female subjects who are pregnant, planning to become pregnant during the course of the study, or breast-feeding
  15. Receipt of a live (attenuated) vaccine within 3 months prior to Screening
  16. Major surgery within 28 days prior to Day 0
  17. Participation in an investigational drug or device trial within 30 days prior to Screening

Sites / Locations

  • West Kentucky Dermatology
  • University of Michigan
  • Westlake Dermatology

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Single group

Arm Description

Outcomes

Primary Outcome Measures

Safety and Tolerability
Incidence and type of adverse clinical events

Secondary Outcome Measures

RA-18C3 Pharmacokinetics
Serum levels of RA-18C3 will be measured to determine drug half-life, bioavailability, volume of distribution, and area under the curve.
Psoriasis Area and Severity Index (PASI)
Percentage of subjects that acheive PASI 50, PASI 75, and PASI 90
Erythrocyte Sedimentation Rate
Physician's Global Assessment Score (PGA)
Change in PGA from baseline to day 56
Dermatology Life Quality Index Questionnaire (DLQI)
Change in DLQI from baseline to day 56
C-reactive protein

Full Information

First Posted
June 8, 2011
Last Updated
February 12, 2021
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01384630
Brief Title
Safety, Pharmacokinetics, and Efficacy of RA-18C3 in Subjects With Moderate to Severe Psoriasis
Official Title
A Phase II Open Label Study of the Safety, Pharmacokinetics, and Efficacy of a True Human Anti-inflammatory Therapeutic Antibody (RA-18C3) in Subjects With Moderate to Severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
September 30, 2011 (Actual)
Primary Completion Date
July 31, 2012 (Actual)
Study Completion Date
August 31, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a 73-day phase II, open label trial of the true human monoclonal antibody RA-18C3 in subjects with moderate to severe plaque psoriasis. Ten (10) subjects will receive 200 mg of RA-18C3 via subcutaneous injection. Subjects will receive injections at Days 0, 21, and 42 for a total of 3 injections. Study drug will be administered under close observation in a facility equipped to handle medical emergencies. Subjects will not be discharged from the facility until at least 1 hour following the end of the injection or 1 hour after their vital signs have stabilized. Safety will be assessed by pre- and post-treatment serial measurements of vital signs, clinical laboratory assessments, and the recording of adverse clinical events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single group
Arm Type
Other
Intervention Type
Drug
Intervention Name(s)
RA-18C3
Intervention Description
200 mg subcutaneous injection
Primary Outcome Measure Information:
Title
Safety and Tolerability
Description
Incidence and type of adverse clinical events
Time Frame
56 days
Secondary Outcome Measure Information:
Title
RA-18C3 Pharmacokinetics
Description
Serum levels of RA-18C3 will be measured to determine drug half-life, bioavailability, volume of distribution, and area under the curve.
Time Frame
56 days
Title
Psoriasis Area and Severity Index (PASI)
Description
Percentage of subjects that acheive PASI 50, PASI 75, and PASI 90
Time Frame
56 days
Title
Erythrocyte Sedimentation Rate
Time Frame
56 days
Title
Physician's Global Assessment Score (PGA)
Description
Change in PGA from baseline to day 56
Time Frame
56 days
Title
Dermatology Life Quality Index Questionnaire (DLQI)
Description
Change in DLQI from baseline to day 56
Time Frame
56 days
Title
C-reactive protein
Time Frame
56 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects 18 years of age or older Diagnosis of plaque psoriasis for ≥ 6 months; INCLUDING subjects with chronic guttate lesions. Psoriasis area-and-severity index (PASI) score of ≥ 12 Involvement of ≥ 5% of body-surface area For female subjects of childbearing age, a negative urine pregnancy test at screening and at specified time points throughout the trial. For subjects with reproductive potential, a willingness to utilize adequate, double barrier contraception during the study and including 3 months after study completion. Sexually active men must use an accepted method of contraception during the study and including 3 months after study completion. Signed and dated Institutional Review Board (IRB) approved informed consent before any protocol-specific screening procedures are performed Exclusion Criteria: Treatment with any biologicals or investigational agents within the last 4 weeks (or 5 half-lives, whichever is longer). Treatment with conventional systemic psoriasis therapy within last 4 weeks Treatment with phototherapy within the last 4 weeks Topical psoriasis treatment with the last 2 weeks History of uncontrolled diabetes, unstable ischemic heart disease, active inflammatory bowel disease, active peptic ulcer disease, recent stroke (within 3 months), ongoing congestive heart failure, and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol. Hemoglobin <10.0 g/dL, WBC <3.0 x 103/mm3, platelet count <125 x 103/mm3, creatinine > 1.5mg/dL, AST/ALT >2 x ULN, alkaline phosphatase >2 x ULN Known HIV antibody, hepatitis B surface antigen and/or hepatitis C antibody. History of malignancy within 5 years prior to study entry other than carcinoma in situ of the cervix, or adequately treated, non-metastatic squamous or basal cell carcinoma of the skin. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies. History of tuberculosis (latent or active) or positive Interferon-gamma release assay (IGRA) Infectious disease: CRP >30 mg/L, fever, or infection requiring treatment with antibiotics within 3 weeks prior to Screening Immunodeficiency History of treatment with Tysabri or Raptiva Female subjects who are pregnant, planning to become pregnant during the course of the study, or breast-feeding Receipt of a live (attenuated) vaccine within 3 months prior to Screening Major surgery within 28 days prior to Day 0 Participation in an investigational drug or device trial within 30 days prior to Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Johann Gudjonsson, M.D., PhD
Organizational Affiliation
University of Michigan
Official's Role
Principal Investigator
Facility Information:
Facility Name
West Kentucky Dermatology
City
Owensboro
State/Province
Kentucky
ZIP/Postal Code
42303
Country
United States
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Westlake Dermatology
City
Austin
State/Province
Texas
ZIP/Postal Code
78746
Country
United States

12. IPD Sharing Statement

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Safety, Pharmacokinetics, and Efficacy of RA-18C3 in Subjects With Moderate to Severe Psoriasis

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