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En undersøgelse til undersøgelse

18. september 2026 opdateret af: Eli Lilly and Company

En fase 4, fremtidig, åben mærket, enkeltarmundersøgelse for at vurdere effektiviteten af ​​tirzepatid efter påbegyndelse af Ixekizumab hos voksne deltagere med aktiv psoriasisartritis og overvægt eller fedme i klinisk praksis.

The main purpose of this study is to assess the effectiveness of adding tirzepatide to ixekizumab therapy in standard clinical practice in participants with active PsA and obesity or overweight with at least 1 weight-related comorbidity.

The study will last up to 12 months.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

200

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Arizona
      • Avondale, Arizona, Forenede Stater, 85392
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Avondale
      • Chandler, Arizona, Forenede Stater, 85225
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Chandler
      • Flagstaff, Arizona, Forenede Stater, 86001
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Flagstaff
      • Gilbert, Arizona, Forenede Stater, 85297
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Gilbert
      • Glendale, Arizona, Forenede Stater, 85306
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Glendale
      • Mesa, Arizona, Forenede Stater, 85210
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Mesa
      • Phoenix, Arizona, Forenede Stater, 85032
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix PV
      • Sun City, Arizona, Forenede Stater, 85351
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Sun City
      • Tucson, Arizona, Forenede Stater, 85748
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson Southeast
      • Tucson, Arizona, Forenede Stater, 85704
        • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson
    • California
      • Apple Valley, California, Forenede Stater, 92307
        • Medvin Clinical Research - Apple Valley
      • Covina, California, Forenede Stater, 91722
        • Medvin Clinical Research - Covina
      • Huntington Beach, California, Forenede Stater, 92648
        • Newport Huntington Medical Group
      • La Mesa, California, Forenede Stater, 91942
        • Purushotham & Akther Kotha MD, Inc
      • Riverside, California, Forenede Stater, 92508
        • Medvin Clinical Research - Riverside
      • San Diego, California, Forenede Stater, 92128
        • Rheumatology Center of San Diego
      • Santa Monica, California, Forenede Stater, 90404
        • Providence Saint John's Medical Foundation
      • Temecula, California, Forenede Stater, 92592
        • Medvin Clinical Research - Temecula
      • Tujunga, California, Forenede Stater, 91042
        • Medvin Clinical Research - Tujunga
      • Whittier, California, Forenede Stater, 90602
        • Medvin Clinical Research - Whittier
    • Florida
      • Kissimmee, Florida, Forenede Stater, 34741
        • Vida Clinical Research
      • Margate, Florida, Forenede Stater, 33063
        • Life Clinical Trials
      • Miami Beach, Florida, Forenede Stater, 33140
        • CZ Rheumatology
      • Palm Beach Gardens, Florida, Forenede Stater, 33410
        • Vitalia Medical Research
      • Tampa, Florida, Forenede Stater, 33614
        • International Center for Research
    • Georgia
      • Marietta, Georgia, Forenede Stater, 30060
        • Atlanta Research Center for Rheumatology
      • Waycross, Georgia, Forenede Stater, 31501
        • Satilla Rheumatology & Internal Medicine
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60640
        • Great Lakes Clinical Trials - Ravenswood
      • Schaumburg, Illinois, Forenede Stater, 60195
        • Greater Chicago Specialty Physicians
      • Skokie, Illinois, Forenede Stater, 60076
        • Arnold Arthritis & Rheumatology
      • Willowbrook, Illinois, Forenede Stater, 60527
        • Willow Rheumatology and Wellness PLLC
    • Indiana
      • New Albany, Indiana, Forenede Stater, 47150
        • Lake Cumberland Rheumatology
    • Louisiana
      • Lake Charles, Louisiana, Forenede Stater, 70605
        • Accurate Clinical Research, Inc
    • Maryland
      • Cumberland, Maryland, Forenede Stater, 21502
        • Klein & Associates, M.D., P.A.
      • Hagerstown, Maryland, Forenede Stater, 21740
        • Klein & Associates, M.D., P.A.
    • Michigan
      • Saint Clair Shores, Michigan, Forenede Stater, 48081
        • Clinical Research Institute of Michigan, LLC
    • Montana
      • Kalispell, Montana, Forenede Stater, 59901
        • Logan Health Rheumatology
    • New York
      • Rochester, New York, Forenede Stater, 14642
        • University of Rochester Medical Center
    • North Carolina
      • Salisbury, North Carolina, Forenede Stater, 28144
        • Onsite Clinical Solutions, LLC - Brenner Ave
    • Ohio
      • Middleburg Heights, Ohio, Forenede Stater, 44130
        • Paramount Medical Research & Consulting, LLC
    • Oklahoma
      • Tulsa, Oklahoma, Forenede Stater, 74137
        • Essential Medical Research
    • Tennessee
      • Jackson, Tennessee, Forenede Stater, 38305
        • West Tennessee Research Institute
      • Murfreesboro, Tennessee, Forenede Stater, 37128
        • AARA Clinical Research - Murfreesboro Medical Clinic
    • Texas
      • Colleyville, Texas, Forenede Stater, 76034
        • Precision Comprehensive Clinical Research Solutions - Colleyville
      • Fort Worth, Texas, Forenede Stater, 76109
        • AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Fort Worth
      • Houston, Texas, Forenede Stater, 77089
        • Research Physicians Network, LLC
      • Houston, Texas, Forenede Stater, 77089
        • Accurate Clinical Research, Inc
      • Irving, Texas, Forenede Stater, 75039
        • AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Irving
      • Katy, Texas, Forenede Stater, 77494
        • Biopharma Informatic, LLC
      • The Woodlands, Texas, Forenede Stater, 77382
        • Advanced Rheumatology of Houston - Woodlands
      • Tomball, Texas, Forenede Stater, 77375
        • DM Clinical Research - TRA
    • Washington
      • Seattle, Washington, Forenede Stater, 98104
        • Seattle Rheumatology Associates PLLC
      • Spokane Valley, Washington, Forenede Stater, 99216
        • Arthritis Northwest, PLLC
      • Guaynabo, Puerto Rico, 00968
        • Reuviva Research Center
      • San Juan, Puerto Rico, 00918
        • CMRC Headlands, LLC

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Have a diagnosis of active psoriatic arthritis (PsA) as defined by a rheumatologist or other healthcare professional (HCP) experienced in treating PsA.
  • Body Mass Index (BMI) of 30 kilograms per meter squared (kg/m²) or greater (obesity) or 27 kg/m2 to <30 kg/m² (overweight) in the presence of at least 1 weight-related comorbid condition (hypertension, dyslipidemia, type 2 diabetes, obstructive sleep apnea, or cardiovascular disease).
  • Who have been treated with ixekizumab for approximately 3 months (±1 month) prior to decision to add tirzepatide.
  • Must be able to initiate tirzepatide (Day 0) within 30 days of treatment decision (baseline or screening).

Exclusion Criteria:

  • Have currently received ixekizumab for more than 4 months or less than 2 months.
  • Had any exposure to tirzepatide or other glucagon-like peptide-1 (GLP-1) receptor agonist (for example, dulaglutide, liraglutide, or semaglutide).
  • Are currently enrolled in any other clinical study.
  • Have a known hypersensitivity to any component of tirzepatide.
  • Have a personal or family history of medullary thyroid cancer.
  • Have multiple endocrine neoplasia type 2.
  • Have type 1 diabetes mellitus.
  • Have a history of chronic or acute pancreatitis at any time before screening.
  • Have a history of proliferative diabetic retinopathy, diabetic maculopathy, or nonproliferative diabetic retinopathy that requires acute treatment.
  • Have a history of ketoacidosis or hyperosmolar state/coma.
  • Have a history of severe hypoglycemia unawareness within the 6 months before screening.
  • Have a history of severe gastrointestinal complications, including gastroparesis, gastroesophageal reflux disease, dyspepsia, chronic nausea/vomiting.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Tirzepatide

Participants will continue on ixekizumab and take tirzepatide administered subcutaneously (SC) as per label.

Administered SC

Andre navne:
  • LY3298176

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants Achieving Normalized Functioning Health Assessment Questionnaire - Disability Index (HAQ-DI) ≤0.5 at 12 Months of Therapy
Tidsramme: 12 Months

The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function.

12 Months
Percentage of Participants Achieving at Least a 10% Weight Loss at 12 Months of Therapy
Tidsramme: 12 Months

Percentage of participants achieving at least a 10% weight loss at 12 months of therapy.

12 Months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants Achieving Tender Joint Count (TJC) ≤1
Tidsramme: Month 6 and Month 12

Percentage of participants achieving TJC ≤1.

Month 6 and Month 12
Percentage of Participants Achieving Swollen Joint Count (SJC) ≤1
Tidsramme: Month 6 and Month 12

Percentage of participants achieving SJC ≤1.

Month 6 and Month 12
Percentage of Participants Achieving Body Surface Area (BSA) ≤3%
Tidsramme: Month 6 and Month 12

Percentage of participants achieving BSA ≤3%.

Month 6 and Month 12
Percentage of Participants Achieving Patient Global Assessment of Disease Activity Numeric Rating Score (PaGADA NRS) of ≤2
Tidsramme: Month 6 and Month 12

The PaGADA NRS is an 11-point scale from 0 to 10 that is anchored by 2 verbal descriptors, "very well" and "very poor." Higher scores represent a higher level of disease activity.

Month 6 and Month 12
Percentage of Participants Achieving Patient Pain Visual Analogue Scale (VAS) ≤15
Tidsramme: Month 6 and Month 12

The Patient's Assessment of Arthritis Pain is a single-item, patient-reported outcome instrument, used to access the current severity of participants' joint pain in relation to their PsA on a horizontal VAS of 0 to 100 mm. The Patient's Assessment of Arthritis Pain is anchored by 2 verbal descriptors, "no pain" and "as severe as can imagine."

Month 6 and Month 12
Percentage of Participants Achieving Physician Global Assessment of Disease Activity (PhGADA) NRS ≤2
Tidsramme: Month 6 and Month 12

The PhGADA NRS is an 11-point scale anchored by 2 verbal descriptors, "none" and "extremely active disease."

Month 6 and Month 12
Percentage of Participants Achieving HAQ-DI Sore ≤0.5 and at Least a 10% Weight Loss
Tidsramme: Month 6 and Month 12

The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function.

Month 6 and Month 12
Percentage of Participants With a Functional Assessment of Chronic Illness Therapy (FACIT) -Fatigue With ≥4-point Increase from Baseline
Tidsramme: Month 6 and Month 12

FACIT-F is a patient-reported, 13-item questionnaire that specifically assess the self-reported severity of fatigue and its impact upon daily activities and functioning. The FACIT-F uses 0 ("not at all") to 4 ("very much") Likert scale to assess fatigue and its impact in the past 7 days. Total score ranges from 0 to 52, based on a rating of 5-point Likert scale. Scores for negatively worded items are reversed, such that higher scores are better (that is, less fatigue).

Month 6 and Month 12
Percentage of Participants With a Short-Form 36 (SF36) Physical Component Score (PCS) Minimum Clinically Important Difference (MCID)
Tidsramme: Month 6 and Month 12

The SF-36v2 acute form is a 36-item, generic, patient-completed measure designed to assess health-related quality of life with 8 health domains. Items are rated on 3-, 5-, or 6-point Likert scales. Each domain is individually scored by summing item responses and transforming them to a 0-100 scale. The eight domains are aggregated into two summary scores: Physical and Mental Component Summaries. Each summary score is norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10, with higher scores indicating better health status or functioning.

Month 6 and Month 12
Percentage of Participants With a Short-Form 36 (SF36) Mental Component Score (MCS) MCID
Tidsramme: Month 6 and Month 12

The SF-36v2 acute form is a 36-item, generic, patient-completed measure designed to assess health-related quality of life with 8 health domains. Items are rated on 3-, 5-, or 6-point Likert scales. Each domain is individually scored by summing item responses and transforming them to a 0-100 scale. The eight domains are aggregated into two summary scores: Physical and Mental Component Summaries. Each summary score is norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10, with higher scores indicating better health status or functioning.

Month 6 and Month 12
Percentage of Participants Achieving a HAQ-DI score ≤0.5
Tidsramme: Month 6

The HAQ-DI is a patient-reported outcome questionnaire that is used to measure disease associated disability as an assessment of physical function. It consists of 20 questions referring to 8 domains of functioning. Participants assess their degree of difficulty when performing the activities over the past week on a 4-item ordinal scale, ranging from 0, "without any difficulty," to 3, "unable to do." The scores of each of the 8 domains are summed and divided by 8. Higher scores indicate more limitations in physical function.

Month 6
Percentage of Participants with ≥10% Weight Loss at Month 6
Tidsramme: Month 6

Percentage of participants with ≥10% weight loss at month 6.

Month 6
Mean Percent Change of Weight from Baseline
Tidsramme: Baseline, Month 6 and Baseline, Month 12

Mean percent change of weight from baseline.

Baseline, Month 6 and Baseline, Month 12

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

6. marts 2025

Primær færdiggørelse (Anslået)

1. august 2027

Studieafslutning (Anslået)

1. august 2027

Datoer for studieregistrering

Først indsendt

3. marts 2025

Først indsendt, der opfyldte QC-kriterier

4. marts 2025

Først opslået (Faktiske)

7. marts 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 27350
  • I1F-MC-RHDE (Anden identifikator: Eli Lilly and Company)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Plan Description: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

IPD-delingstidsramme

Time Frame: Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

IPD-delingsadgangskriterier

A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • CSR

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .