Status:

COMPLETED

A Study to Evaluate the Switch From Etanercept to Infliximab in Subjects With Moderate-to-Severe Psoriasis (Study P05133)

Lead Sponsor:

Merck Sharp & Dohme LLC

Collaborating Sponsors:

Centocor, Inc.

Conditions:

Psoriasis

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

This study will evaluate the efficacy, tolerability, and effect on the quality of life of infliximab in adults with moderate-to-severe psoriasis who are resistant to etanercept after 12 weeks of treat...

Eligibility Criteria

Inclusion

  • \>=18 to 75 years of age at Screening, either sex, and any race.
  • Diagnosis of moderate-to-severe plaque psoriasis \>6 months prior to Screening.
  • Resistant (after 12 weeks) or failed 24 weeks of etanercept treatment.
  • Not reached PASI 75 at Screening Visit after 24 weeks of etanercept treatment or resistant to etanercept.
  • Agree to avoid prolonged sun exposure or artificial ultraviolet light sources during study.
  • Satisfy requirements of Screening and tuberculosis (TB) test as specified in protocol.
  • Chest x-ray at Visit 1 or within 3 months prior to Visit 1 with no evidence of malignancy, infection, or fibrosis.
  • Laboratory tests must be within protocol-specified parameters.
  • Free of any clinically significant disease that would interfere with study evaluations.
  • Willing to participate and adhere to study procedures by signing written informed consent.
  • Women of childbearing potential and all men must be using adequate birth control measures and continue to do so until 6 months after receiving last dose of study medication.
  • Females of childbearing potential must have negative serum pregnancy test at Visit 1 and negative urine pregnancy test at Visit 2.

Exclusion

  • Achieve PASI 75 or have BSA \<10% after 24 weeks of etanercept.
  • Current drug-induced psoriasis.
  • Females who are pregnant or nursing and both males and females who are planning pregnancy during study period or during 6 months after receiving last dose of study medication.
  • Previously treated with infliximab.
  • Currently taking or have taken protocol-specified prohibited drugs within specified time frame prior to Baseline.
  • Congestive Heart Failure (CHF)
  • Chronic or recurrent infectious disease.
  • Have or have had serious infection, or been hospitalized or received IV antibiotics for this infection during the 2 months prior to Visit 1.
  • Have or have had opportunistic infection within 6 months prior to Visit 1.
  • Have or have had herpes zoster infection within 2 months prior to Visit 1.
  • Human Immunodeficiency Virus (HIV), hepatitis B or C.
  • History of any clinically significant adverse events (AEs) to murine or chimeric proteins or human/murine recombinant products.
  • Current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, cerebral, or psychiatric disease.
  • History of demyelinating disease or symptoms suggestive of multiple sclerosis or optic neuritis.
  • Current signs and symptoms or history of systemic lupus erythematosus.
  • Transplanted organ (exception - corneal transplant \>3 months prior to Visit 1).
  • History of lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy of unusual size or location.
  • Malignancy within previous 5 years (exception - basal cell carcinoma of skin that has been treated with no evidence of recurrence).
  • Unable or unwilling to undergo multiple venipunctures because of poor tolerability or lack of easy access to veins.
  • Have had substance abuse (drug or alcohol) problem within previous 3 years.
  • History of any clinically significant adverse reactions (including allergic reactions) to paracetamol/acetaminophen or histamine H1 receptor antagonist.
  • In a situation or have a condition that, in opinion of investigator, may interfere with optimal participation in study.
  • Used investigational drugs within 4 weeks of Screening.
  • Participating in any other clinical study.
  • Staff personnel directly involved with this study.
  • Family members of investigational study staff.

Key Trial Info

Start Date :

October 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2009

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT00686595

Start Date

October 1 2007

End Date

October 1 2009

Last Update

August 9 2023

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