Status:

COMPLETED

A Trial Comparing the Efficacy of Subcutaneous Injections of Brodalumab to Oral Administrations of Fumaric Acid Esters in Adults With Moderate to Severe Plaque Psoriasis

Lead Sponsor:

LEO Pharma

Conditions:

Psoriasis Vulgaris

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The primary objective is to demonstrate added benefit of brodalumab versus a selected systemic comparator in treatment of moderate to severe plaque psoriasis in Germany in subjects who have not previo...

Detailed Description

A 24-week, randomised, open-label, active-controlled, parallel group, multi-centre trial with investigator-blinded efficacy assessments

Eligibility Criteria

Inclusion

  • Main Criteria for Inclusion:
  • Men or women ≥18 years of age at the time of screening.
  • Subjects with chronic plaque type psoriasis diagnosed at least 6 months before randomisation.
  • Subjects with moderate to severe plaque psoriasis in whom topical therapy is not adequate and who are candidates for systemic therapy, defined at randomisation by PASI 10, affected BSA \>10%, and DLQI \>10.
  • Subject has no known history of active tuberculosis.
  • Subject has a negative test for tuberculosis taken at screening (negative Quantiferon test).
  • Subject and/or subject's designee is/are capable of administering subcutaneous injections.
  • Main Criteria for Exclusion:
  • Previous or current systemic treatment of plaque psoriasis or known contraindication for systemic therapy.
  • Previous or current PUVA (psoralens and ultraviolet A) therapy.
  • Washouts and non-permitted drugs:
  • Have received phototherapy (UVA light therapy without psoralens, UVB light therapy, excimer laser, tanning beds etc. within 4 weeks of baseline, or
  • Have had topical psoriasis treatment within 2 weeks of baseline (exceptions: bland emollients without urea or beta or alpha hydroxy acids)
  • Have received any biologic immune modulating treatments used for indication other than psoriasis within 4 weeks of baseline or within a period of 5 half-lives of the IMP, whichever is longer
  • Have received any other systemic immune modulating treatment (including but not limited to oral retinoids, methotrexate, calcineurin inhibitors, oral or parenteral corticosteroids etc. used for indications other than psoriasis) within 4 weeks of baseline or within a period of 5 half-lives of the IMP, whichever is longer.
  • Subjects with any of the following laboratory abnormalities at screening:
  • Leukocyte cell count below 3×10\^9/L or lymphocyte count below 0.7×10\^9/L
  • Aspartate aminotransferase (AST) or alanine transferase (ALT) \> 2× ULN (upper level of normal limit)
  • Absolute neutrophil count \< 2×10\^9/L
  • Serum creatinine \> ULN.
  • History of depressive disorder within the last 2 years including current antidepressive treatment.
  • Subjects with a history of suicidal behaviour (suicide attempt).
  • Any suicidal ideation of severity 4 or 5 based on the eC-SSRS questionnaire at screening.
  • A PHQ-8 score of ≥10 corresponding to moderate to severe depression at screening.

Exclusion

    Key Trial Info

    Start Date :

    November 3 2017

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 21 2019

    Estimated Enrollment :

    210 Patients enrolled

    Trial Details

    Trial ID

    NCT03331835

    Start Date

    November 3 2017

    End Date

    March 21 2019

    Last Update

    March 13 2025

    Active Locations (30)

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    Page 1 of 8 (30 locations)

    1

    Fachklinik Bad Bentheim Klinik für Dermatologie

    Bad Bentheim, Germany, 48455

    2

    Charité - Universitätsmedizin Berlin Klinik für Dermatologie, Venerologie und Allergologie Psoriasis Studien Zentrum

    Berlin, Germany, 10117

    3

    Rothhaar Studien GmbH Dermatologisches Studienzentrum

    Berlin, Germany, 10783

    4

    Hautarztpraxis Dr. Wildfeuer

    Berlin, Germany, 13055