- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT06602219
Eine dosisabhängige Phase-2-Studie von LY4100511 (Dice 853) bei erwachsenen Teilnehmern mit mittelschwerer bis schwerer Plaque-Psoriasis
Eine multizentrische, randomisierte, doppelblinde, placebokontrollierte Parallelgruppen-Dosisfindungsstudie der Phase 2 von LY4100511 (DC-853) zur Behandlung erwachsener Teilnehmer mit mittelschwerer bis schwerer Plaque-Psoriasis
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Dresden, Deutschland, 1307
- Universitätsklinikum Carl Gustav Carus an der TU
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Hamburg, Deutschland, 22391
- MensingDerma Research GmbH
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, Deutschland, 72076
- Universitatsklinikum Tubingen
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Bavaria
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Augsburg, Bavaria, Deutschland, 86150
- Praxis Dr. med. Virgil-Oreste Mihaescu Facharzt fr Dermatologie und STD
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Hesse
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Frankfurt am Main, Hesse, Deutschland, 60590
- Universitätsklinikum Frankfurt
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North Rhine-Westphalia
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Münster, North Rhine-Westphalia, Deutschland, 48149
- Universitätsklinikum Münster
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Tokyo, Japan
- Igarashi Dermatological Clinic
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Aichi-ken
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Nagoya, Aichi-ken, Japan, 450-0003
- Nagoya City University Hospital
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Hakkaido
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Sapporo, Hakkaido, Japan, 060-0063
- Medical Corporation Kojinkai Sapporo Skin Clinic
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Kagoshima-ken
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Kagoshima, Kagoshima-ken, Japan, 890-0063
- Katahira Dermatology Urology Clinic
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Kumamoto
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Kumamoto, Kumamoto, Japan, 861-4101
- Ohyama Dermatology Clinic
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Osaka
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Sakai-shi, Osaka, Japan, 593-8324
- Kume Clinic
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Tokyo
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Shinjuku-ku, Tokyo, Japan, 160-0023
- Tokyo Medical University Hospital
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Tachikawa, Tokyo, Japan, 190-0023
- Tachikawa Dermatology Clinic
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Toyama
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Takaoka, Toyama, Japan, 933-0871
- Shirasaki dermatology clinic
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British Columbia
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Kelowna, British Columbia, Kanada, V1W 4V5
- Interior Dermatology Centre - Probity - PPDS
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Nanaimo, British Columbia, Kanada, V9T1W1
- Skin Care West
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Ontario
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Barrie, Ontario, Kanada, L4M 7G1
- Simcoderm Medical & Surgical Dermatology Centre
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Hamilton, Ontario, Kanada, L8N 1Y2
- Dermatrials Research Inc.
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London, Ontario, Kanada, N6H 5L5
- DermEffects - Probity - PPDS
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London, Ontario, Kanada, N6A 5R9
- Lovegrove Dermatology - Probity - PPDS
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Markham, Ontario, Kanada, L3P 1X2
- Lynderm Research Inc.
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Mississauga, Ontario, Kanada, L4Y 4C5
- DermEdge Research
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Katowice, Polen, 40-611
- Centrum Medyczne Angelius Provita
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Warsaw, Polen, 02-665
- Centrum Medyczne Reuma Park NZOZ
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Lower Silesian Voivodeship
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Wroclaw, Lower Silesian Voivodeship, Polen, 50-566
- Cityclinic Przychodnia Lekarsko Psychologiczna Matusiak Spółka Partnerska
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Wroclaw, Lower Silesian Voivodeship, Polen, 50-381
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial we Wroclawiu
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polen, 00-710
- Clinical Best Solutions
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Podkarpackie Voivodeship
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Rzeszów, Podkarpackie Voivodeship, Polen, 35-055
- Uniwersytecki Szpital Kliniczny im. Fryderyka Chopina w Rzeszowie
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Polen, 80-382
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdansku
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Gdynia, Pomeranian Voivodeship, Polen, 81-537
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdyni
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Silesian Voivodeship
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Częstochowa, Silesian Voivodeship, Polen, 42-202
- Synexus Polska Sp. z o.o. Oddzial w Czestochowie
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West Pomeranian Voivodeship
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Szczecin, West Pomeranian Voivodeship, Polen, 70-332
- Laser Clinic Dermatologia Laserowa Medycyna Estetyczna
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Polen, 90-436
- Dermoklinika Centrum Medyczne s.c. M. Kierstan J. Narbutt A. Lesiak
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Pardubice, Tschechien, 530 02
- Pratia Pardubice a.s. - PRATIA - PPDS
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Prague, Tschechien, 100 34
- Fakultni nemocnice Kralovske Vinohrady
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Prague, Tschechien, 13000
- Pratia Prague s.r.o. - PRATIA - PPDS
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Prague, Tschechien, 160 00
- Kozni ambulance Fialova, s.r.o. - CRC - PPDS
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Praha 10
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Prague, Praha 10, Tschechien, 10100
- CLINTRIAL s.r.o.
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Gyöngyös, Ungarn, 3200
- Gyongyosi Bugat Pal Korhaz
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Veszprém, Ungarn, 8200
- MedMare Bt
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Hajdú-Bihar
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Debrecen, Hajdú-Bihar, Ungarn, 4032
- Debreceni Egyetem Klinikai Kozpont
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, Ungarn, 5000
- Allergo-Derm Bakos Kft
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Alabama
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Birmingham, Alabama, Vereinigte Staaten, 35244
- Cahaba Dermatology Skin Health Center
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Arkansas
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Bryant, Arkansas, Vereinigte Staaten, 72022
- Dermatology Trial Associates
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California
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Beverly Hills, California, Vereinigte Staaten, 90212
- Zenith Research, Inc.
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Fountain Valley, California, Vereinigte Staaten, 92708
- First OC Dermatology Research Inc
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Fremont, California, Vereinigte Staaten, 94538-1614
- Center for Dermatology Clinical Research
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Los Angeles, California, Vereinigte Staaten, 90045
- Dermatology Research Associates
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Santa Monica, California, Vereinigte Staaten, 90404
- Clinical Science Institute
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Florida
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Coral Gables, Florida, Vereinigte Staaten, 33134
- Driven Research
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Hialeah, Florida, Vereinigte Staaten, 33012
- Direct Helpers Research Center
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Ocala, Florida, Vereinigte Staaten, 34470
- Renstar Medical Research
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St. Petersburg, Florida, Vereinigte Staaten, 33713-8012
- GCP Global Clinical Professionals, LLC
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Tampa, Florida, Vereinigte Staaten, 33613
- ForCare Clinical Research
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Illinois
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Skokie, Illinois, Vereinigte Staaten, 60077-1049
- Endeavor Clinical Trials Center - Dermatology - Skokie
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Maryland
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Rockville, Maryland, Vereinigte Staaten, 20850
- Lawrence J Green, M.D, LLC
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Texas
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Webster, Texas, Vereinigte Staaten, 77598
- Center for Clinical Studies, LTD.LLP
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
- Klinische Diagnose von Plaque-Psoriasis für 6 Monate vor der Baseline-Randomisierung am ersten Tag
- Muss einen Body-Mass-Index (BMI) von 18 bis 40 Kilogramm/Quadratmeter (kg/m2) (einschließlich) haben.
- Muss bereit sein, topische und/oder systemische Therapien gegen Psoriasis vor der ersten Dosis der Studienintervention abzubrechen.
- Muss zustimmen, längere Sonnenexposition zu vermeiden und während der Studie auf die Nutzung von Solarien, Sonnenlampen und anderen Quellen ultravioletten Lichts zu verzichten
Ausschlusskriterien:
- In den 12 Wochen vor Studienbeginn einen klinisch signifikanten Schub von Psoriasis erlitten haben, wie vom Prüfer beurteilt.
- Sie haben eine Vorgeschichte von erythrodermischer Psoriasis, generalisierter oder lokalisierter pustulöser Psoriasis, überwiegend guttata Psoriasis oder medikamenteninduzierter oder medikamentenverschlimmerter Psoriasis.
- Sie haben eine bekannte oder vermutete Diagnose anderer entzündlicher Erkrankungen als Psoriasis und Psoriasis-Arthritis, einschließlich, aber nicht beschränkt auf rheumatoide Arthritis, Sarkoidose, IBD (Morbus Crohn oder Colitis ulcerosa) oder systemischen Lupus erythematodes.
- Bei Ihnen wurde eine Psoriasis-Arthritis diagnostiziert, die eine systemische immunsuppressive medizinische Behandlung (einschließlich Kortikosteroide, Immunsuppressiva und Biologika) erfordert oder derzeit erhält.
- Eine aktuelle oder kürzlich aufgetretene akute, aktive Infektion haben. Der Teilnehmer darf keine Symptome oder Anzeichen einer bestätigten oder vermuteten Infektion aufweisen und muss vor dem Screening und bis zur Randomisierung/Baseline mindestens 30 Tage lang eine geeignete antiinfektiöse Behandlung abgeschlossen haben.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: LY4100511 200 mg BID
Participants received LY4100511 200 milligrams (mg) administered orally twice daily (BID) for 12 weeks.
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Oral verabreicht
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Experimental: LY4100511 400 mg BID
Participants received LY4100511 400 mg administered orally BID for 12 weeks.
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Oral verabreicht
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Experimental: LY4100511 800 mg QD
Participants received LY4100511 800 mg administered orally once daily (QD) for 12 weeks, with matching placebo administered in the evening.
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Oral verabreicht
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Placebo-Komparator: Placebo BID
Participants received placebo administered orally BID for 12 weeks.
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Oral verabreicht
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Percentage of Participants Achieving ≥75% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12 (LY4100511 Versus Placebo)
Zeitfenster: Week 12
|
Percentage of participants achieving ≥75% reduction from baseline in PASI-75 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Percentage of Participants Achieving ≥75% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12 (LY4100511 200mg vs 400mg vs 800mg)
Zeitfenster: Week 12
|
Percentage of participants achieving ≥75% reduction from baseline in PASI-75 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
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Percentage of Participants Achieving an sPGA Score of 0 (Clear) or 1 (Almost Clear) With ≥2 Grade Improvement From Baseline at Week 12
Zeitfenster: Week 12
|
Percentage of participants achieving a static Physician's Global Assessment (sPGA) score of 0 (clear) or 1 (almost clear) with ≥2-grade improvement from baseline at Week 12. The investigator assessed psoriasis severity on a 5-point scale from 0 (clear) to 4 (severe):
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Week 12
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Percentage of Participants Achieving ≥50% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-50) at Week 12
Zeitfenster: Week 12
|
Percentage of participants achieving ≥50% reduction from baseline in PASI-50 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
|
Percentage of Participants Achieving ≥75% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12
Zeitfenster: Week 12
|
Percentage of participants achieving ≥75% reduction from baseline in PASI-75 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
|
Percentage of Participants Achieving ≥90% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-90) at Week 12
Zeitfenster: Week 12
|
Percentage of participants achieving ≥90% reduction from baseline in PASI-90 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
|
Percentage of Participants Achieving ≥100% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-100) at Week 12
Zeitfenster: Week 12
|
Percentage of participants achieving ≥100% reduction from baseline in PASI-100 at Week 12 without use of background antipsoriasis therapy were responders.
The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected.
Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs.
Area involvement in each region is graded from 0 (none) to 6 (90-100%).
The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4).
Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity.
|
Week 12
|
|
Change From Baseline in PASI Score at Week 12
Zeitfenster: Baseline, Week 12
|
Least square mean was determined with mixed model repeated measures (MMRM) using an unstructured covariance matrix, including treatment, visit, treatment-by-visit interaction, baseline PASI score, prior biologic therapy (Yes/No), and geographic region as fixed effects. The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected. Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs. Area involvement in each region is graded from 0 (none) to 6 (90-100%). The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4). Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity. |
Baseline, Week 12
|
|
Percent Change From Baseline in PASI Score at Week 12
Zeitfenster: Baseline, Week 12
|
Least square mean was determined with mixed model repeated measures (MMRM) using an unstructured covariance matrix, including treatment, visit, treatment-by-visit interaction, baseline PASI score, prior biologic therapy (Yes/No), and geographic region as fixed effects. The PASI measures psoriasis severity based on lesion characteristics and body surface area (BSA) affected. Erythema, thickness, and scaling are each scored from 0 (none) to 4 (very severe) across four regions: head, trunk, upper limbs, and lower limbs. Area involvement in each region is graded from 0 (none) to 6 (90-100%). The sum of severity scores for erythema, thickness, and scaling is multiplied by the degree of involvement for each anatomic region and a region-specific BSA weight (0.1, 0.3, 0.2, 0.4). Regional scores are summed to give a total PASI score ranging from 0 to 72, with higher values indicating greater severity. |
Baseline, Week 12
|
|
Change From Baseline in the Percentage of Body Surface Area (BSA) Affected at Week 12
Zeitfenster: Baseline, Week 12
|
Least square mean was determined with MMRM using an unstructured covariance matrix, including treatment, visit, treatment-by-visit interaction, baseline BSA, prior biologic therapy (Yes/No), geographic region, and baseline BMI, baseline is the last non-missing pre-dose value. BSA is a measurement of the affected skin area. It was defined as the percentage of surface area of the body involved with the condition being assessed, (that is, plaque psoriasis). The overall BSA affected by psoriasis plaques is estimated based on the palm area of the participant hand (entire palmar surface or "handprint" including the fingers), which equates to approximately 1% of total BSA. Negative change from baseline indicates improvement. |
Baseline, Week 12
|
|
Percent Change From Baseline in the Percentage of BSA Affected at Week 12
Zeitfenster: Baseline, Week 12
|
Least square mean was determined with MMRM using an unstructured covariance matrix, including treatment, visit, treatment-by-visit interaction, baseline BSA, prior biologic therapy (Yes/No), geographic region, and baseline BMI, baseline is the last non-missing pre-dose value. BSA is a measurement of the affected skin area. It was defined as the percentage of surface area of the body involved with the condition being assessed, (that is, plaque psoriasis). The overall BSA affected by psoriasis plaques is estimated based on the palm area of the participant hand (entire palmar surface or "handprint" including the fingers), which equates to approximately 1% of total BSA. Negative change from baseline indicates improvement. |
Baseline, Week 12
|
|
Pharmacokinetics (PK): Steady State Maximum Concentration of LY4100511 (Cmax,ss)
Zeitfenster: Day 1: Predose, 0.5, 1 hours postdose; Day 15: Predose, 0.5, 1, 4 hours postdose; Day 57: Predose, 0.5, 1, 4 hours postdose
|
Steady State Maximum Concentration of LY4100511 (Cmax,ss) is reported.
|
Day 1: Predose, 0.5, 1 hours postdose; Day 15: Predose, 0.5, 1, 4 hours postdose; Day 57: Predose, 0.5, 1, 4 hours postdose
|
|
Pharmacokinetics (PK): Steady State Trough Concentration (Ctrough,ss) of LY4100511
Zeitfenster: Predose at Day 8, 15, 29, 57 and 85
|
Ctrough,ss of LY4100511
|
Predose at Day 8, 15, 29, 57 and 85
|
|
Number of Participants With TEAEs and SAEs Observed During the Study of LY4100511
Zeitfenster: Baseline up to Week 12
|
The number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) observed during the study of LY4100511. A TEAE is defined as an AE that occurs during or after the first study drug administration and up to and including the follow-up visit. A serious adverse event (SAE) is any untoward medical occurrence at any dose that:
|
Baseline up to Week 12
|
Mitarbeiter und Ermittler
Ermittler
- Studienleiter: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 18845
- J5C-MC-FOAB (Andere Kennung: DCE853201)
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- STUDIENPROTOKOLL
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