- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03073200
Study of Ixekizumab (LY2439821) in Children 6 to Less Than 18 Years With Moderate-to-Severe Plaque Psoriasis (Ixora-peds)
Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate Safety, Tolerability, and Efficacy of Ixekizumab in Patients From 6 to Less Than 18 Years of Age With Moderate-to-Severe Plaque Psoriasis
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1425BEA
- Instituto de Neumonologia y Dermatologia
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Buenos Aires, Argentina, C1425DKG
- Psoriahue Medicina Interdisciplinaria
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Buenos Aires
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Ciudad Autonoma de Buenos Aire, Buenos Aires, Argentina, C1056ABJ
- Centro de Investigaciones Metabólicas (CINME)
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Santa Fe
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Rosario, Santa Fe, Argentina, 5200
- Fundación Estudios Clínicos- Servicio de Dermatología
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Alberta
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Calgary, Alberta, Canada, T3A 2N1
- Institute For Skin Advancement
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Ontario
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Markham, Ontario, Canada, L3P1X2
- Lynderm Research Inc
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Waterloo, Ontario, Canada, N2J 1C4
- K. Papp Clinical Research Inc
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Quebec
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Montreal, Quebec, Canada, H3T 1C5
- Hospital Ste Justine
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Brno, Czechia, 613 00
- Detska fakultni nemocnice
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Hradec Kralove, Czechia, 500 05
- Fakultni nemocnice Hradec Kralove
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Plzen-Bory, Czechia, 305 99
- Fakultni nemocnice Plzen
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Praha, Czechia, 120 00
- LF UK - Fakultni poliklinika
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Praha 10, Czechia, 100 34
- Fakultni nemocnice Kralovske Vinohrady
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Praha 8, Czechia, 180 81
- Nemocnice Na Bulovce
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Bordeaux, France, 33076
- Centre hospitalier universitaire Pellegrin
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Bron, France, 69500
- Hôpital Femme Mère Enfant
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Nice, France, 06202
- CHU De Nice Hopital De l'Archet
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Berlin, Germany, 10789
- ISA GmbH
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Bayern
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Erlangen, Bayern, Germany, 91054
- Universitatsklinikum Erlangen
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Hessen
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Frankfurt am Main, Hessen, Germany, 60590
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
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Nordrhein-Westfalen
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Münster, Nordrhein-Westfalen, Germany, 48149
- Universitatsklinikum Munster
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Rheinland-Pfalz
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Mainz, Rheinland-Pfalz, Germany, 55131
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
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Budapest, Hungary, 1123
- Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
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Oroshaza, Hungary, 5901
- Oroshaza Varosi Onkormanyzat Korhaza
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Csongrad
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Szeged, Csongrad, Hungary, 6720
- SZTE AOK Borgyogyaszati es Allergologiai Klinika
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Hajdu-Bihar
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Debrecen, Hajdu-Bihar, Hungary, 4032
- Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika
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Jasz-Nagykun-Szolnok
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Szolnok, Jasz-Nagykun-Szolnok, Hungary, 5000
- Allergo-Derm Bakos Kft
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Distrito Federal, Mexico, 3100
- RM Pharma Specialists S.A. de C.V.
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Veracruz, Mexico, 91910
- ARKE Estudios Clínicos S.A. de C.V.
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Federal District
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Ciudad de Mexico, Federal District, Mexico, 06720
- Hospital Infantil de Mexico
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64460
- Hospital Univ. Dr. Jose Eleuterio Gonzalez
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Nijmegen, Netherlands, 6525 GL
- Universitair Medisch Centrum St Radboud Nijmegen
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Lodz, Poland, 90-265
- "DERMED" Centrum Medyczne Sp. z o.o.
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Warszawa, Poland, 02-507
- Centralny Szpital Kliniczny MSW
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Wroclaw, Poland, 51-318
- Dermmedica Sp. Z O.O.
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Caguas, Puerto Rico, 00727
- Office of Dr. Samuel Sanchez PSC
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Carolina, Puerto Rico, 00985
- Grupo Dermatologico de Carolina
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Ponce, Puerto Rico, 00716
- Ponce School of Medicine CAIMED Center
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San Juan, Puerto Rico, 00917
- GCM Medical Group PSC
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Krasnodar, Russian Federation, 350000
- GBUZ Clinical dermatology and venereological dispensary
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Moscow, Russian Federation, 119991
- Center of Children's Health
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spain, 28046
- Hospital Universitario La Paz
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Barcelona
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Esplugues de Llobregat, Barcelona, Spain, 08950
- Hospital Sant Joan de Déu
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Alabama
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Birmingham, Alabama, United States, 35233
- University of Alabama at Birmingham
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California
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Fountain Valley, California, United States, 92708
- Tien Q. Nguyen, MD inc. DBA First OC Dermatology
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Children's National Medical Center
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Florida
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Clearwater, Florida, United States, 33756
- Olympian Clinical Research
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Jacksonville, Florida, United States, 32256
- Solutions Through Advanced Research, Inc.
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Tampa, Florida, United States, 33612
- University of South Florida
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Tampa, Florida, United States, 33624
- Forward Clinical Trials, Inc
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Georgia
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Sandy Springs, Georgia, United States, 30328
- Advanced Medical Research
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Chicago, Illinois, United States, 60637
- University of Chicago Medical Center
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Rolling Meadows, Illinois, United States, 60008
- Arlington Dermatology
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Indiana
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South Bend, Indiana, United States, 46617
- The South Bend Clinic
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Missouri
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Columbia, Missouri, United States, 65212
- University of Missouri
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Saint Louis, Missouri, United States, 63104
- SSM Health Cardinal Glennon Children's Hospital
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New Jersey
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East Windsor, New Jersey, United States, 08520
- Psoriasis Treatment Center of Central New Jersey
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North Carolina
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Chapel Hill, North Carolina, United States, 27516
- University of North Carolina Dermatology and Skin Cancer Cen
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Ohio
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Fairborn, Ohio, United States, 45324
- Wright State Physicians Dermatology
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Gahanna, Ohio, United States, 43230
- Ohio State Univ College Of Medicine
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Portland, Oregon, United States, 97210
- Oregon Dermatology and Research Center
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Pennsylvania
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Exton, Pennsylvania, United States, 19341
- Dermatology and Skin Surgery Center
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Texas
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Dallas, Texas, United States, 75231
- Modern Research Associates PLLC
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San Antonio, Texas, United States, 78218
- Texas Dermatology and Laser Specialists
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Virginia
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Norfolk, Virginia, United States, 23502
- Virginia Clinical Research
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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EXPERIMENTAL: Ixekizumab
Ixekizumab given subcutaneously (SC) during the double-blind treatment period and the open-label maintenance period.
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Administered SC
Other Names:
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PLACEBO_COMPARATOR: Placebo
Placebo given SC during the double-blind treatment period and then ixekizumab given SC during the open-label maintenance period.
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Administered SC
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EXPERIMENTAL: Open-Label Etanercept
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.
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Administered SC
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) (Placebo and Ixekizumab)
Time Frame: Week 12
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PASI combines assessments of the extent of body surface involvement in 4 regions (head & neck(h), trunk(t), arms(u), legs(l)) & severity of scaling (S), redness (R), & plaque induration/infiltration (thickness, T) in each region. Severity is rated for each index (R, S, T) on a 0-4 scale (0 for no involvement up to 4 for severe involvement): 0 = none, 1 = slight, 2 = mild, 3 = moderate, 4 = severe Fraction of total body surface area (BSA) affected is graded on a 0-6 scale (0 for no involvement to 6 for 90% - 100% involvement): 0 = 0% (clear), 1 = >0% to <10%, 2 = 10% to <30%, 3 = 30% to <50%, 4 = 50% to <70%, 5 = 70% to 90%, 6 = 90% to 100%. Overall score ranges from 0 (no psoriasis) to 72 (most severe disease). |
Week 12
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Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1) (Placebo and Ixekizumab)
Time Frame: Week 12
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Static Physician Global Assessment (sPGA): The physician's global assessment of the Participant's psoriasis lesions at a given time point.
Plaques are assessed for induration, erythema, and scaling, and an overall rating of psoriasis severity is given using the anchors of clear (0), minimal (1), mild (2), moderate (3), severe (4), or very severe (5).
An sPGA assessed as either 0 or 1 represents a clinically meaningful response of minimal plaque severity or complete resolution of plaque psoriasis.
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Week 12
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90)
Time Frame: Week 12
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PASI combines assessments of the extent of body surface involvement in 4 regions (head & neck(h), trunk(t), arms(u), legs(l)) & severity of scaling (S), redness (R), & plaque induration/infiltration (thickness, T) in each region.
Severity is rated for each index (R, S, T) on a 0-4 scale (0 for no involvement up to 4 for severe involvement): 0 = none, 1 = slight, 2 = mild, 3 = moderate, 4 = severe Fraction of total BSA affected is graded on a 0-6 scale (0 for no involvement to 6 for 90% - 100% involvement): 0 = 0% (clear), 1 = >0% to <10%, 2 = 10% to <30%, 3 = 30% to <50%, 4 = 50% to <70%, 5 = 70% to 90%, 6 = 90% to 100%.Overall score ranges from 0 (no psoriasis) to 72 (most severe disease).
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Week 12
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Percentage of Participants With a sPGA (0)
Time Frame: Week 12
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Static Physician Global Assessment (sPGA): The physician's global assessment of the Participant's psoriasis lesions at a given time point. Plaques are assessed for induration, erythema, and scaling, and an overall rating of psoriasis severity is given using the anchors of clear (0), minimal (1), mild (2), moderate (3), severe (4), or very severe (5). An sPGA assessed as either 0 or 1 represents a clinically meaningful response of minimal plaque severity or complete resolution of plaque psoriasis. An sPGA assessed as 0 represents a clinically important endpoint indicating complete resolution of plaque psoriasis. |
Week 12
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Percentage of Participants With a 100% Improvement in Psoriasis Area and Severity Index (PASI 100)
Time Frame: Week 12
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PASI combines assessments of the extent of body surface involvement in 4 regions (head & neck(h), trunk(t), arms(u), legs(l)) & severity of scaling (S), redness (R), & plaque induration/infiltration (thickness, T) in each region. Severity is rated for each index (R, S, T) on a 0-4 scale (0 for no involvement up to 4 for severe involvement): 0 = none, 1 = slight, 2 = mild, 3 = moderate, 4 = severe Fraction of total BSA affected is graded on a 0-6 scale (0 for no involvement to 6 for 90% - 100% involvement): 0 = 0% (clear), 1 = >0% to <10%, 2 = 10% to <30%, 3 = 30% to <50%, 4 = 50% to <70%, 5 = 70% to 90%, 6 = 90% to 100%. Overall score ranges from 0 (no psoriasis) to 72 (most severe disease). |
Week 12
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Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75)
Time Frame: Week 4
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PASI combines assessments of the extent of body surface involvement in 4 regions (head & neck(h), trunk(t), arms(u), legs(l)) & severity of scaling (S), redness (R), & plaque induration/infiltration (thickness, T) in each region.
Severity is rated for each index (R, S, T) on a 0-4 scale (0 for no involvement up to 4 for severe involvement): 0 = none, 1 = slight, 2 = mild, 3 = moderate, 4 = severe Fraction of total BSA affected is graded on a 0-6 scale (0 for no involvement to 6 for 90% - 100% involvement): 0 = 0% (clear), 1 = >0% to <10%, 2 = 10% to <30%, 3 = 30% to <50%, 4 = 50% to <70%, 5 = 70% to 90%, 6 = 90% to 100%.
Overall score ranges from 0 (no psoriasis) to 72 (most severe disease).
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Week 4
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Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1)
Time Frame: Week 4
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Static Physician Global Assessment (sPGA): The physician's global assessment of the Participant's psoriasis lesions at a given time point.
Plaques are assessed for induration, erythema, and scaling, and an overall rating of psoriasis severity is given using the anchors of clear (0), minimal (1), mild (2), moderate (3), severe (4), or very severe (5).
An sPGA assessed as either 0 or 1 represents a clinically meaningful response of minimal plaque severity or complete resolution of plaque psoriasis.
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Week 4
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Percentage of Participants With an Improvement of ≥4 in Those Who Had a Baseline Itch Numeric Rating Scale (NRS) Score of ≥4
Time Frame: Week 12
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Itch Numeric Rating Scale (NRS): is a single-item, patient-reported outcome (PRO) measure designed to capture the overall severity of a participant's itching due to his/her psoriasis by having the patient circle the integer that describes the worst level of itching in the past 24 hours on an 11-point NRS anchored at 0 representing "no itching" and 10 representing "worst itch imaginable.
|
Week 12
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Percentage of Participants Achieving Children's Dermatology Life Quality Index (CDLQI)/Dermatology Life Quality Index (DLQI) (0/1)
Time Frame: Week 12
|
DLQI is a validated, dermatology-specific, patient reported measure that evaluates participant's health-related quality of life. It consists of 10 items that are grouped in 6 domains: symptoms & feelings, daily activities, leisure, work & school , personal relationships, & treatment. The recall period of this scale is over the "last week." Response categories and corresponding scores are: Very much = 3, A lot = 2, A little = 1, Not at all = 0, Not relevant = 0. A DLQI total score is calculated by summing all 10 items responses, and has a range of 0 to 30 (higher scores are indicative of greater impairment). CDLQI questionnaire is designed for use in children (4 to 16 years of age). It consists of 10 items that are grouped into 6 domains: symptoms & feelings, leisure, school or holidays, personal relationships, sleep, & treatment. A CDLQI total score is calculated by summing all 10 items responses, and has a range of 0 to 30 (higher scores are indicative of greater impairment). |
Week 12
|
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Change From Baseline on the Nail Psoriasis Severity Index (NAPSI)
Time Frame: Baseline, Week 12
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NAPSI is a numeric, reproducible, objective tool for evaluation of nail psoriasis. This scale was used to evaluate the severity of nail bed psoriasis & nail matrix psoriasis by area of involvement in the nail unit. Both fingernail & toenail involvement were assessed.The nail is divided with imaginary horizontal & longitudinal lines into quadrants. Each nail is given a score for nail bed psoriasis (0 to 4) & nail matrix psoriasis (0 to 4), depending on the presence (score of 1) or absence (score of 0) of any of the features of nail bed & nail matrix psoriasis in each quadrant: 0 = None
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Baseline, Week 12
|
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Change From Baseline on the Psoriasis Scalp Severity Index (PSSI)
Time Frame: Baseline, Week 12
|
The scalp was assessed for erythema (redness), induration (hardness), and desquamation (shedding of skin) and percentage of area affected as follows: Erythema, Induration and Desquamation: 0 = Absent
Percent of Scalp Involved:
The PSSI score is a composite score derived from the sum of the scores for erythema, induration and desquamation multiplied by the score for the extent of scalp area involved (percent of scalp involved). The range is 0 (no psoriasis) to 72 (Most severe Disease). LSMean was calculated using treatment, region, baseline sPGA score, baseline weight category, baseline value, visit, treatment-by-visit, and baseline-by-visit interactions as fixed factors. |
Baseline, Week 12
|
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Change From Baseline on the Palmoplantar Psoriasis Severity Index (PPASI)
Time Frame: Baseline, Week 12
|
PPASI was used if the participant has palmoplantar psoriasis at baseline. Both the palms & soles on each hand & foot was assessed for erythema, induration, desquamation & percentage of area affected as follows: Erythema (E), Induration (I), & Desquamation (D):0 = None, 1 = Slight, 2 = Moderate, 3 = Severe, 4 = Very Severe Percent of Palm and Sole Area Covered: 0 = None, 1 = <10%, 2 = 10% - 29%, 3 = 30% - 49%, 4 = 50% - 69%, 5 = 70% - 89%, 6 = 90% - 100% PPASI score is a composite score derived from the sum scores for E, I, & D multiplied by a score for the extent of palm & sole area involvement. The range is 0 (no psoriasis) to 72 (most severe disease). |
Baseline, Week 12
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Number of Participants With Anti-Ixekizumab Antibodies
Time Frame: Baseline through Week 48
|
A treatment emergent - antidrug antibody (TE-ADA) positive participant were defined as:
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Baseline through Week 48
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Pharmacokinetics (PK): Trough Ixekizumab Concentration at Steady State (Ctrough ss)
Time Frame: Week 12
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Pharmacokinetics (PK): Trough Ixekizumab Concentration at Steady State (Ctrough ss).
|
Week 12
|
|
Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) (Etanercept Approved Countries)
Time Frame: Week 12
|
PASI combines assessments of the extent of body surface involvement in 4 regions (head & neck(h), trunk(t), arms(u), legs(l)) & severity of scaling (S), redness (R), & plaque induration/infiltration (thickness, T) in each region. Severity is rated for each index (R, S, T) on a 0-4 scale (0 for no involvement up to 4 for severe involvement): 0 = none, 1 = slight, 2 = mild, 3 = moderate, 4 = severe Fraction of total BSA affected is graded on a 0-6 scale (0 for no involvement to 6 for 90% - 100% involvement): 0 = 0% (clear), 1 = >0% to <10%, 2 = 10% to <30%, 3 = 30% to <50%, 4 = 50% to <70%, 5 = 70% to 90%, 6 = 90% to 100%. Overall score ranges from 0 (no psoriasis) to 72 (most severe disease). |
Week 12
|
|
Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1) (Etanercept Approved Countries)
Time Frame: Week 12
|
Static Physician Global Assessment (sPGA): The physician's global assessment of the Participant's psoriasis lesions at a given time point.
Plaques are assessed for induration, erythema, and scaling, and an overall rating of psoriasis severity is given using the anchors of clear (0), minimal (1), mild (2), moderate (3), severe (4), or very severe (5).
An sPGA assessed as either 0 or 1 represents a clinically meaningful response of minimal plaque severity or complete resolution of plaque psoriasis.
|
Week 12
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Skin Diseases, Papulosquamous
- Psoriasis
- Physiological Effects of Drugs
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Gastrointestinal Agents
- Dermatologic Agents
- Etanercept
- Ixekizumab
Other Study ID Numbers
- 16367
- I1F-MC-RHCD (OTHER: Eli Lilly and Company)
- 2016-003331-38 (EUDRACT_NUMBER)
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
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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