Study of Ixekizumab (LY2439821) in Children 6 to Less Than 18 Years With Moderate-to-Severe Plaque Psoriasis (Ixora-peds)
Plaque Psoriasis
About this trial
This is an interventional treatment trial for Plaque Psoriasis focused on measuring children, psoriasis treatment, adolescents
Eligibility Criteria
Inclusion Criteria:
- Have a diagnosis of moderate-to-severe plaque-type psoriasis for at least 6 months prior to baseline as determined by the investigator.
- Have Psoriasis Area and Severity Index (PASI) score ≥12 and a Static Physician Global Assessment (sPGA) ≥3 and body surface area involvement ≥10% at screening and baseline.
- Are candidates for phototherapy or systemic treatment or considered by the investigator as not adequately controlled by topical therapies.
- Male subjects agree to use a reliable method of birth control during the study.
- Female subjects: Participants of childbearing age or childbearing potential who are sexually active who test negative for pregnancy must be counselled and agree to use either 1 highly effective method of contraception or 2 acceptable methods of contraception combined for the duration of the study and for at least 12 weeks following the last dose of study drug, or remain abstinent during the study and for at least 12 weeks following the last dose of study drug.
- Both the child or adolescent and a parent or legal guardian are able to understand and fully participate in the activities of the clinical study and sign their assent and consent, respectively.
- All immunizations are up-to-date in agreement with current immunization guidelines as noted by country specific paediatric authorities (e.g., the American Academy of Paediatrics). Note, subjects who are not up to date or have never been immunized are not to be enrolled in the trial.
Exclusion Criteria:
- Have pustular, erythrodermic, and/or guttate forms of psoriasis.
- Have drug-induced psoriasis.
- Have clinical and/or laboratory evidence of untreated latent or active tuberculosis (TB).
- Participants with a documented history of immune deficiency syndrome.
- Have any other active or recent infection, including chronic or localized infections, within 4 weeks of baseline.
- Subjects with a known history of malignancy, lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy and/or splenomegaly unless ruled out by biopsy.
- Have used any therapeutic agent targeted at reducing interleukin-17.
Have received other therapies within the specified time frames prior to screening (see below):
- adalimumab and infliximab 60 days, abatacept 90 days, anakinra 7 days, or any other biologic disease-modifying antirheumatic drug 5 half-lives.
- systemic therapy for psoriasis and psoriatic arthritis (PsA) (other than above, eg, methotrexate, cyclosporine), phototherapy (eg, photochemotherapy [psoralen plus ultraviolet A]) in the previous 4 weeks.
Sites / Locations
- University of Alabama at Birmingham
- Tien Q. Nguyen, MD inc. DBA First OC Dermatology
- Children's National Medical Center
- Olympian Clinical Research
- Solutions Through Advanced Research, Inc.
- University of South Florida
- Forward Clinical Trials, Inc
- Advanced Medical Research
- Northwestern University
- University of Chicago Medical Center
- Arlington Dermatology
- The South Bend Clinic
- University of Missouri
- SSM Health Cardinal Glennon Children's Hospital
- Psoriasis Treatment Center of Central New Jersey
- University of North Carolina Dermatology and skin Cancer Cen
- Wright State Physicians Dermatology
- Ohio State Univ College Of Medicine
- Oregon Dermatology and Research Center
- Oregon Health and Science University
- Dermatology and Skin Surgery Center
- Medical University of South Carolina
- Modern Research Associates PLLC
- Texas Dermatology and Laser Specialists
- Virginia Clinical Research
- Centro de Investigaciones Metabólicas (CINME)
- Fundación Estudios Clínicos- Servicio de Dermatología
- Instituto de Neumonología y Dermatología
- Psoriahue Medicina Interdisciplinaria
- Institute for Skin Advancement
- Lynderm Research Inc
- K. Papp Clinical Research Inc
- Hospital Ste Justine
- Detska fakultni nemocnice
- Fakultni nemocnice Hradec Kralove
- Fakultni Nemocnice Plzen
- Fakultni nemocnice Kralovske Vinohrady
- Nemocnice Na Bulovce
- LF UK - Fakultni poliklinika
- Centre hospitalier universitaire Pellegrin
- Hôpital Femme Mère Enfant
- CHU de Nice Hopital de L'Archet
- Universitätsklinikum Erlangen
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
- Universitätsklinikum Münster
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
- ISA GmbH
- SZTE AOK Borgyogyaszati es Allergologiai Klinika
- Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika
- Allergo-Derm Bakos Kft
- Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
- Oroshaza Varosi Onkormanyzat Korhaza
- Hospital Infantil de Mexico
- Hospital Univ. Dr. Jose Eleuterio Gonzalez
- RM Pharma Specialists S.A. de C.V.
- Arke Estudios Clinicos S.A. de C.V.
- Universitair Medisch Centrum St Radboud Nijmegen
- "Dermed" Centrum Medyczne Sp. z o.o.
- Centralny Szpital Kliniczny MSW
- DermMEDICA Sp. z o.o.
- Office of Dr. Samuel Sanchez PSC
- Grupo Dermatologico de Carolina
- Ponce School of Medicine CAIMED Center
- GCM Medical Group PSC
- GBUZ Clinical dermatology and venereological dispensary
- Center of Children's Health
- Hospital Sant Joan de Déu
- Hospital Universitario 12 de Octubre
- Hospital Universitario La Paz
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Placebo Comparator
Experimental
Ixekizumab
Placebo
Open-Label Etanercept
Ixekizumab given subcutaneously (SC) during the double-blind treatment period and the open-label maintenance period.
Placebo given SC during the double-blind treatment period and then ixekizumab given SC during the open-label maintenance period.
Etanercept given SC during the double-blind treatment period and then ixekizumab given SC during the open-label maintenance period. Participants will only be randomized to etanercept in countries where it is approved for severe pediatric psoriasis treatment.