A Study Assessing the Efficacy and Safety of Adalimumab in Active Ulcer(s) of Pyoderma Gangrenosum in Participants in Japan
A Phase 3 Multicenter, Open-Label, Single Arm Study of the Efficacy and Safety of Adalimumab in Active Ulcer(s) of Pyoderma Gangrenosum in Subjects in Japan
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Hirakata-shi, Osaka, Japan, 573-1191
- Kansai Medical Univ Hosp /ID# 165802
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Sapporo, Japan, 060-8648
- Hokkaido University Hospital /ID# 164419
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Aichi
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Nagoya-shi, Aichi, Japan, 467-8602
- Nagoya City University Hospital /ID# 164510
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Chiba
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Urayasu Shi, Chiba, Japan, 279-0021
- Juntendo University Urayasu Hospital /ID# 164422
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 814-0180
- Fukuoka University Hospital /ID# 164416
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Fukushima
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Fukushima-shi, Fukushima, Japan, 960-1295
- Fukushima Medical University Hospital /ID# 164358
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Gunma
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Maebashi-shi, Gunma, Japan, 371-8511
- Gunma University Hospital /ID# 164464
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Hokkaido
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Asahikawa-shi, Hokkaido, Japan, 078-8510
- Asahikawa Medical University Hospital /ID# 164589
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Kanagawa
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Yokohama-shi, Kanagawa, Japan, 227-0043
- Showa University Fujigaoka Hospital /ID# 164406
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Mie
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Tsu-shi, Mie, Japan, 514-8507
- Mie University Hospital /ID# 164389
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Miyagi
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Sendai-shi, Miyagi, Japan, 980-8574
- Tohoku University Hospital /ID# 164360
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Nagano
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Matsumoto-shi, Nagano, Japan, 〒390-8621
- Shinshu University Hospital /ID# 164852
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Nagasaki
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Nagasaki-shi, Nagasaki, Japan, 852-8501
- Nagasaki University Hospital /ID# 167604
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Okinawa
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Nakagami-gun, Okinawa, Japan, 903-0215
- University of the Ryukyus Hospital /ID# 164981
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Shizuoka
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Hamamatsu-shi, Shizuoka, Japan, 431-3192
- Hamamatsu University Hospital /ID# 165890
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Tokushima
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Tokushima-shi, Tokushima, Japan, 770-8503
- Tokushima University Hospital /ID# 164359
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Tokyo
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Itabashi-ku, Tokyo, Japan, 173-8605
- Teikyo University Hospital /ID# 165665
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Shinjuku-ku, Tokyo, Japan, 160-0023
- Tokyo Medical University Hospital /ID# 165810
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Shinjuku-ku, Tokyo, Japan, 160-8582
- Keio University Hospital /ID# 165680
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Yamaguchi
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Ube-shi, Yamaguchi, Japan, 7558505
- Yamaguchi University Hospital /ID# 164562
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participant must be able and willing to provide written informed consent. If the participant is < 20 years old, a parent or legal guardian must be willing to give written informed consent
- Participants must have a diagnosis of ulcerative (classic) PG made by the Investigator
- Participants must have demonstrated an inadequate response to conventional PG therapy or in the opinion of the Investigator they are not a suitable candidate for conventional PG treatment.
Exclusion Criteria:
- Participants with pustular, bullous/atypical, or vegetative variants of PG
- Participants with clinical evidence of ulceration that is non-PG related, vasculitis, thrombosisprone conditions, or monoclonal gammopathy
- Participants with a histopathological finding that is consistent with a diagnosis other than PG
- Participants receiving a therapeutic dose of prednisolone
- Participants with prior exposure to adalimumab or previous participation in an adalimumab clinical study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm A
Participants receiving adalimumab for Pyoderma Gangrenosum active ulcer(s).
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Study drug will be administered subcutaneously.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of participants who have achieved target Pyoderma Gangrenosum Area Reduction (PGAR)
Time Frame: Week 26
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The participants will be assessed whether they meet target PGAR at Week 26 based on PGAR score.
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Week 26
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Proportion of participants achieving Physician's Global Assessment (PGA) 0 or 1
Time Frame: Week 6 and Week 26
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The Investigator assesses the global improvement of all ulcers including the target ulcer according to the scales at the specified visits.
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Week 6 and Week 26
|
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Mean time to occurrence of new PG ulcers
Time Frame: Up to Week 26
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A new PG ulcer is defined as not present at Baseline and not caused by the epithelial bridging of an existing ulcer at Baseline.
The time after Baseline when the new lesion was observed will be recorded.
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Up to Week 26
|
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Change from Baseline in total number of active ulcers
Time Frame: Week 26
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The number of all active PG ulcers will be counted at the specified visits.
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Week 26
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Change from Baseline in Dermatology Life Quality Index (DLQI)
Time Frame: Week 6 and Week 26
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The DLQI will be used to assess the symptoms and the impact of skin problems on quality of life.
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Week 6 and Week 26
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Changes from Baseline in total ulcer area
Time Frame: Week 6 and Week 26
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The change in total ulcer area is assessed.
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Week 6 and Week 26
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Proportion of participants with inflammation reduction as assessed on an Investigator Inflammation Assessment (IIA) Score
Time Frame: Up to Week 26
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The Investigator assesses the inflammation status of the target ulcer at the specified visits according to the scales.
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Up to Week 26
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Mean time to occurrence of a new PG ulcer(s)
Time Frame: Up to Week 52
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Mean time to occurrence of a new PG ulcer(s) is assessed.
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Up to Week 52
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Mean time to healing of target ulcer
Time Frame: Up to Week 52
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Up to Week 52
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Proportion of participants achieving healing per PGAR for the target ulcer
Time Frame: Week 52
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Week 52
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Proportion of participants who have achieved target PGAR
Time Frame: Up to Week 26
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Up to Week 26
|
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Percentage change in target Pyoderma Gangrenosum (PG) ulcer area
Time Frame: Up to Week 26
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The percentage change in target PG ulcer area is assessed.
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Up to Week 26
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Proportion of participants achieving PGA 0
Time Frame: Week 6 and Week 26
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The Investigator assesses the global improvement of all ulcers including the target ulcer according to the scales at the specified visits.
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Week 6 and Week 26
|
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Change from Baseline in Pain as measured by Numerical Rating Scale (NRS)
Time Frame: Week 6 and Week 26
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The Numerical Rating Scale of Pain sheet will be filled out in the office by participants at the designated visits.
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Week 6 and Week 26
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Changes from baseline in the proportion of participants taking analgesics
Time Frame: Week 6 and Week 26
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Proportion of participants taking analgesics is assessed.
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Week 6 and Week 26
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Velocities of healing
Time Frame: Up to Week 26
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This is assessed from baseline.
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Up to Week 26
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Proportion of participants achieving ulcer healing as assessed by PGAR
Time Frame: Week 6
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Week 6
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Proportion of participants achieving PGA 0 of all PG ulcers
Time Frame: Week 52
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The Investigator assesses the global improvement of all ulcers including the target ulcer according to the scales at the specified visits.
|
Week 52
|
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Mean time to relapse of the target PG ulcer
Time Frame: Up to Week 26
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Up to Week 26
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Mean time to healing as defined by PGAR
Time Frame: Up to Week 26
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The PG Area Reduction (PGAR) is calculated as the percentage area change in the target PG ulcer from Baseline.
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Up to Week 26
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- M16-119
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Clinical Study Report (CSR)
- Analytic Code
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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