A Clinical Trail of Adalimumab in Treating Chinese Children With Severe Plaque Psoriasis
A Multicenter, Open-label Study on the Efficacy and Safety of Adalimumab in Treating Chinese Children With Severe Plaque Psoriasis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Bin Yang, Doctor
- Phone Number: 13922207231
- Email: yangbin101@hotmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects and their guardians must sign an informed consent form. The research protocol/informed consent form for data collection and data verification should comply with local laws and regulations.
- Age 4 years ≤ age ≤ 17 years, regardless of gender;
- Subjects weigh ≥ 15kg;
- Subjects who respond poorly to local treatment and/or phototherapy or are unsuitable for such treatments;
- Diagnosed with severe plaque psoriasis in children according to the "Chinese Expert Consensus on the Diagnosis and Treatment of Pediatric Psoriasis (2021)"
Exclusion Criteria:
- Based on the prescribing information of Adalimumab Solution for Injection and the judgment of the treating physician, the subject is not eligible for treatment with Adalimumab Solution for Injection;
- Subjects who received psoralen combined with long-wave ultraviolet (UVA) therapy within 14 days prior to the screening period, or topical medium-wave ultraviolet (UVB) therapy within 7 days prior to the screening period;
- Subjects who received non-biological systemic treatments for paediatric psoriasis within 14 days prior to the screening period;
- Subjects who are currently using or have used other biological Disease-Modifying Antirheumatic Drug treatments within 12 weeks prior to the screening period;
- Subjects with significantly active psoriasis within 12 weeks prior to enrolment;
- Subjects who have received any live vaccine within 3 months prior to the first dose of Adalimumab Solution for Injection, or who plan to receive live vaccines during the study;
- Subjects currently participating in other clinical studies;
- Subjects deemed unsuitable for participation in this trial by the investigator.
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: Adalimumab Solution for Injection 20mg/40mg
For a body weight of 15 kg~30 kg, the initial dose is 20 mg, with 20mg administered every 2 weeks starting 1 week after the first dose.
For a body weight ≥30 kg, the initial dose is 40 mg, with 40mg administered every 2 weeks starting 1 week after the first dose.
|
Adalimumab is a fully human anti-tumour necrosis factor-alpha monoclonal antibody that inhibits the downstream inflammatory cascade by blocking Tumor Necrosis Factor-α (TNF-α), a core inflammatory factor in psoriasis.
In March 2020, adalimumab was approved in China for the treatment of severe plaque psoriasis in children and adolescents aged four years and older who have not responded well to topical therapies and phototherapy or are unsuitable for such treatments.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Psoriasis Area and Severity Index 75 at week 16
Time Frame: Week 16
|
The proportion of subjects achieving PASI 75 at week 16 (PASI score decreased by ≥75% from baseline).
|
Week 16
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Psoriasis Area and Severity Index 75 at weeks 8, 32, and 52
Time Frame: Week 8, Week 32, Week 52
|
Proportion of subjects achieving PASI 75 at weeks 8, 32, and 52
|
Week 8, Week 32, Week 52
|
|
Psoriasis Area and Severity Index 90
Time Frame: Week 8, Week 16, Week 32, Week 52
|
Proportion of subjects achieving PASI 90 (PASI score decreased by ≥90% from baseline) at weeks 8, 16, 32, and 52
|
Week 8, Week 16, Week 32, Week 52
|
|
Psoriasis Area and Severity Index 100
Time Frame: Week 8, Week 16, Week 32, Week 52
|
Proportion of subjects achieving PASI 100 (100% reduction in PASI score from baseline) at Weeks 8, 16, 32 and 52
|
Week 8, Week 16, Week 32, Week 52
|
|
Achieve a Physician's Global Assessment (PGA) score of clear (0) or very mild (1)
Time Frame: Week 8, Week 16, Week 32, Week 52
|
Proportion of subjects who achieved a PGA score of clear (0) or almost clear (1) at weeks 8, 16, 32, and 52
|
Week 8, Week 16, Week 32, Week 52
|
|
Children's Dermatology Life Quality Index (CDLQI) score
Time Frame: Week 8, Week 16, Week 32, Week 52
|
The changes from baseline in the Children's Dermatology Life Quality Index (CDLQI) score at Weeks 8, 16, 32 and 52 were used to assess efficacy.
|
Week 8, Week 16, Week 32, Week 52
|
|
Incidence of adverse events (AE), serious adverse events (SAE), adverse drug reactions (ADR), and serious ADRs
Time Frame: Up to 54 weeks
|
Incidence of adverse events (AE), serious adverse events (SAE), adverse drug reactions (ADR), and serious ADRs
|
Up to 54 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- ADM-IV-03
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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