- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT06602219
Un estudio de fase 2 de rango de dosis de LY4100511 (Dice 853) en participantes adultos con psoriasis en placas de moderada a grave
Un estudio de fase 2, multicéntrico, aleatorizado, doble ciego, controlado con placebo, de grupos paralelos y de rango de dosis de LY4100511 (DC-853) para el tratamiento de participantes adultos con psoriasis en placas de moderada a grave
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 2
Contactos y Ubicaciones
Ubicaciones de estudio
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Dresden, Alemania, 1307
- Universitätsklinikum Carl Gustav Carus an der TU
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Hamburg, Alemania, 22391
- MensingDerma Research GmbH
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, Alemania, 72076
- Universitatsklinikum Tubingen
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Bavaria
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Augsburg, Bavaria, Alemania, 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, Alemania, 60590
- Universitätsklinikum Frankfurt
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North Rhine-Westphalia
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Münster, North Rhine-Westphalia, Alemania, 48149
- Universitätsklinikum Münster
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British Columbia
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Kelowna, British Columbia, Canadá, V1W 4V5
- Interior Dermatology Centre - Probity - PPDS
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Nanaimo, British Columbia, Canadá, V9T1W1
- Skin Care West
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Ontario
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Barrie, Ontario, Canadá, L4M 7G1
- Simcoderm Medical & Surgical Dermatology Centre
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Hamilton, Ontario, Canadá, L8N 1Y2
- Dermatrials Research Inc.
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London, Ontario, Canadá, N6H 5L5
- DermEffects - Probity - PPDS
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London, Ontario, Canadá, N6A 5R9
- Lovegrove Dermatology - Probity - PPDS
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Markham, Ontario, Canadá, L3P 1X2
- Lynderm Research Inc.
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Mississauga, Ontario, Canadá, L4Y 4C5
- DermEdge Research
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Pardubice, Chequia, 530 02
- Pratia Pardubice a.s. - PRATIA - PPDS
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Prague, Chequia, 100 34
- Fakultni nemocnice Kralovske Vinohrady
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Prague, Chequia, 13000
- Pratia Prague s.r.o. - PRATIA - PPDS
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Prague, Chequia, 160 00
- Kozni ambulance Fialova, s.r.o. - CRC - PPDS
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Praha 10
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Prague, Praha 10, Chequia, 10100
- CLINTRIAL s.r.o.
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Alabama
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Birmingham, Alabama, Estados Unidos, 35244
- Cahaba Dermatology Skin Health Center
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Arkansas
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Bryant, Arkansas, Estados Unidos, 72022
- Dermatology Trial Associates
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California
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Beverly Hills, California, Estados Unidos, 90212
- Zenith Research, Inc.
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Fountain Valley, California, Estados Unidos, 92708
- First OC Dermatology Research Inc
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Fremont, California, Estados Unidos, 94538-1614
- Center for Dermatology Clinical Research
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Los Angeles, California, Estados Unidos, 90045
- Dermatology Research Associates
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Santa Monica, California, Estados Unidos, 90404
- Clinical Science Institute
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Florida
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Coral Gables, Florida, Estados Unidos, 33134
- Driven Research
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Hialeah, Florida, Estados Unidos, 33012
- Direct Helpers Research Center
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Ocala, Florida, Estados Unidos, 34470
- Renstar Medical Research
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St. Petersburg, Florida, Estados Unidos, 33713-8012
- GCP Global Clinical Professionals, LLC
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Tampa, Florida, Estados Unidos, 33613
- ForCare Clinical Research
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Illinois
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Skokie, Illinois, Estados Unidos, 60077-1049
- Endeavor Clinical Trials Center - Dermatology - Skokie
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Maryland
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Rockville, Maryland, Estados Unidos, 20850
- Lawrence J Green, M.D, LLC
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Texas
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Webster, Texas, Estados Unidos, 77598
- Center for Clinical Studies, LTD.LLP
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Gyöngyös, Hungría, 3200
- Gyongyosi Bugat Pal Korhaz
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Veszprém, Hungría, 8200
- MedMare Bt
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Hajdú-Bihar
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Debrecen, Hajdú-Bihar, Hungría, 4032
- Debreceni Egyetem Klinikai Kozpont
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, Hungría, 5000
- Allergo-Derm Bakos Kft
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Tokyo, Japón
- Igarashi Dermatological Clinic
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Aichi-ken
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Nagoya, Aichi-ken, Japón, 450-0003
- Nagoya City University Hospital
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Hakkaido
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Sapporo, Hakkaido, Japón, 060-0063
- Medical Corporation Kojinkai Sapporo Skin Clinic
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Kagoshima-ken
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Kagoshima, Kagoshima-ken, Japón, 890-0063
- Katahira Dermatology Urology Clinic
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Kumamoto
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Kumamoto, Kumamoto, Japón, 861-4101
- Ohyama Dermatology Clinic
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Osaka
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Sakai-shi, Osaka, Japón, 593-8324
- Kume Clinic
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Tokyo
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Shinjuku-ku, Tokyo, Japón, 160-0023
- Tokyo Medical University Hospital
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Tachikawa, Tokyo, Japón, 190-0023
- Tachikawa Dermatology Clinic
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Toyama
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Takaoka, Toyama, Japón, 933-0871
- Shirasaki dermatology clinic
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Katowice, Polonia, 40-611
- Centrum Medyczne Angelius Provita
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Warsaw, Polonia, 02-665
- Centrum Medyczne Reuma Park NZOZ
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Lower Silesian Voivodeship
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Wroclaw, Lower Silesian Voivodeship, Polonia, 50-566
- Cityclinic Przychodnia Lekarsko Psychologiczna Matusiak Spółka Partnerska
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Wroclaw, Lower Silesian Voivodeship, Polonia, 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, Polonia, 00-710
- Clinical Best Solutions
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Podkarpackie Voivodeship
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Rzeszów, Podkarpackie Voivodeship, Polonia, 35-055
- Uniwersytecki Szpital Kliniczny im. Fryderyka Chopina w Rzeszowie
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Polonia, 80-382
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdansku
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Gdynia, Pomeranian Voivodeship, Polonia, 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, Polonia, 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, Polonia, 70-332
- Laser Clinic Dermatologia Laserowa Medycyna Estetyczna
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Polonia, 90-436
- Dermoklinika Centrum Medyczne s.c. M. Kierstan J. Narbutt A. Lesiak
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Criterios de inclusión:
- Diagnóstico clínico de psoriasis en placas durante 6 meses antes de la aleatorización inicial del día 1
- Debe tener un índice de masa corporal (IMC) de 18 a 40 kilogramos/metro cuadrado (kg/m2) (inclusive).
- Debe estar dispuesto a suspender las terapias tópicas y/o sistémicas para la psoriasis antes de la primera dosis de la intervención del estudio.
- Debe aceptar evitar la exposición prolongada al sol y abstenerse del uso de cabinas de bronceado, lámparas solares y otras fuentes de luz ultravioleta durante el estudio.
Criterios de exclusión:
- Haber tenido un brote de psoriasis clínicamente significativo durante las 12 semanas anteriores al inicio, según la evaluación del investigador.
- Tiene antecedentes de psoriasis eritrodérmica, psoriasis pustulosa generalizada o localizada, psoriasis predominantemente guttata o psoriasis inducida o exacerbada por medicamentos.
- Tiene algún diagnóstico conocido o sospechado de afecciones inflamatorias distintas de la psoriasis y la artritis psoriásica, incluidas, entre otras, artritis reumatoide, sarcoidosis, EII (enfermedad de Crohn o colitis ulcerosa) o lupus eritematoso sistémico.
- Tiene un diagnóstico de artritis psoriásica que requiere, o está recibiendo actualmente, tratamiento médico inmunosupresor sistémico (incluidos corticosteroides, inmunosupresores y productos biológicos).
- Tiene una infección activa aguda actual o reciente. El participante no debe tener síntomas ni signos de infección confirmada o sospechada y debe haber completado cualquier tratamiento antiinfeccioso adecuado durante al menos 30 días antes de la selección y hasta la aleatorización/valor inicial.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: LY4100511 200 mg BID
Participants received LY4100511 200 milligrams (mg) administered orally twice daily (BID) for 12 weeks.
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Administrado por vía oral
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Experimental: LY4100511 400 mg BID
Participants received LY4100511 400 mg administered orally BID for 12 weeks.
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Administrado por vía oral
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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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Administrado por vía oral
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Comparador de placebos: Placebo BID
Participants received placebo administered orally BID for 12 weeks.
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Administrado por vía oral
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Percentage of Participants Achieving ≥75% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12 (LY4100511 Versus Placebo)
Periodo de tiempo: Week 12
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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.
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Week 12
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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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)
Periodo de tiempo: Week 12
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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.
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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
Periodo de tiempo: Week 12
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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
Periodo de tiempo: Week 12
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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.
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Week 12
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Percentage of Participants Achieving ≥75% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12
Periodo de tiempo: 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.
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Week 12
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Percentage of Participants Achieving ≥90% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-90) at Week 12
Periodo de tiempo: Week 12
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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
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Percentage of Participants Achieving ≥100% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-100) at Week 12
Periodo de tiempo: 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
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Change From Baseline in PASI Score at Week 12
Periodo de tiempo: Baseline, Week 12
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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
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Percent Change From Baseline in PASI Score at Week 12
Periodo de tiempo: 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
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Change From Baseline in the Percentage of Body Surface Area (BSA) Affected at Week 12
Periodo de tiempo: 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
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Percent Change From Baseline in the Percentage of BSA Affected at Week 12
Periodo de tiempo: 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
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Pharmacokinetics (PK): Steady State Maximum Concentration of LY4100511 (Cmax,ss)
Periodo de tiempo: 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
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Steady State Maximum Concentration of LY4100511 (Cmax,ss) is reported.
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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
|
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Pharmacokinetics (PK): Steady State Trough Concentration (Ctrough,ss) of LY4100511
Periodo de tiempo: Predose at Day 8, 15, 29, 57 and 85
|
Ctrough,ss of LY4100511
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Predose at Day 8, 15, 29, 57 and 85
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Number of Participants With TEAEs and SAEs Observed During the Study of LY4100511
Periodo de tiempo: 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:
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Baseline up to Week 12
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Colaboradores e Investigadores
Investigadores
- Director de estudio: 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
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 18845
- J5C-MC-FOAB (Otro identificador: DCE853201)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
- SAVIA
- CIF
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .