A Safety and Efficacy Study of Ustekinumab in Patients With Plaque Psoriasis Who Have Had an Inadequate Response to Methotrexate (TRANSIT)
An Exploratory Trial to Assess Naturalistic Safety and Efficacy Outcomes in Patients With Moderate to Severe Plaque Psoriasis Transitiioned to Ustekinumab From Previous Methotrexate Therapy (TRANSIT)
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
Interventio / Hoito
Interventio / Hoito
Yksityiskohtainen kuvaus
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Todellinen)
Ilmoittautuminen
Vaihe
Vaihe
- Vaihe 4
Yhteystiedot ja paikat
Opiskelupaikat
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Nijmegen, Alankomaat
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Rotterdam, Alankomaat
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Brussels, Belgia
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Gent, Belgia
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Liège, Belgia
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Pleven, Bulgaria
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Sofia, Bulgaria
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Alicante, Espanja
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Badalona, Espanja
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Barcelona, Espanja
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Cordoba, Espanja
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La Coruÿa N/A, Espanja
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Madrid, Espanja
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Petah-Tikva, Israel
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Tel-Aviv, Israel
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Wien, Itävalta
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Athens, Kreikka
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Thessaloniki, Kreikka
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Kaunas, Liettua
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Vilnius, Liettua
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Oslo N/A, Norja
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Stavanger, Norja
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Lisboa, Portugali
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Porto, Portugali
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Poznan, Puola
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Wrocław, Puola
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Łódź, Puola
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Chambray-Lès-Tours, Ranska
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Creil, Ranska
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Jarez, Ranska
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Lille Cedex, Ranska
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Marseille, Ranska
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Montpellier N/A, Ranska
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Nantes Cedex 01 N/A, Ranska
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Nantes Cedex 1, Ranska
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Nice Cedex 3, Ranska
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Paris, Ranska
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Pessac, Ranska
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Pierre Benite, Ranska
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Poitiers, Ranska
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Rouen, Ranska
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Toulouse, Ranska
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Göteborg, Ruotsi
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Malmö, Ruotsi
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Solna, Ruotsi
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Uppsala, Ruotsi
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Berlin, Saksa
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Dresden, Saksa
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Erlangen, Saksa
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Essen, Saksa
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Frankfurt, Saksa
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Gottingen, Saksa
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Hamburg, Saksa
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Kiel, Saksa
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Landau, Saksa
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Leipzig, Saksa
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Mahlow, Saksa
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Marburg, Saksa
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Munster, Saksa
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München, Saksa
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Tÿbingen, Saksa
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Witten, Saksa
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Bratislava, Slovakia
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Tampere, Suomi
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Turku, Suomi
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Aarhus, Tanska
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Roskilde N/A, Tanska
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Debrecen, Unkari
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Szeged, Unkari
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Aberdeen, Yhdistynyt kuningaskunta
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Cardiff, Yhdistynyt kuningaskunta
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Craigavon, Yhdistynyt kuningaskunta
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Glasgow, Yhdistynyt kuningaskunta
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London, Yhdistynyt kuningaskunta
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Nottingham, Yhdistynyt kuningaskunta
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Salford, Yhdistynyt kuningaskunta
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Patients should have diagnosis of plaque-type psoriasis for at least 6 months prior to first administration of study agent (patients with concurrent psoriatic arthritis may be enrolled)
- Moderate-to-severe psoriasis scored as PASI >= 10 at screening and at the time of first administration of ustekinumab
- Should currently receive (and have been receiving for at least 8 weeks directly prior to screening) systemic therapy with methotrexate at a dose of at least 10 mg/week but not exceeding 25 mg/week, with an inadequate response to this treatment (due to either efficacy or tolerability) and, in the judgment of the treating physician and patient, a treatment change is needed
- Women should take adequate birth control measures throughout the study and must agree to continue to use such birth control measures and not to become pregnant or plan to become pregnant for at least 15 weeks after the last dose of ustekinumab and for at least 6 months after the last dose of methotrexate
- Men must be using adequate birth control measures whilst receiving methotrexate and for 6 months after the last dose of methotrexate
Exclusion Criteria:
- Patients should not have non-plaque forms of psoriasis (eg, erythrodermic, guttate, or pustular)
- Should currently (and within 12 months) not receive ciclosporin, fumarates, PUVA, etanercept, efalizumab, infliximab, adalimumab or alefacept or other biologic or systemic therapy (and other therapy as indicated in the protocol)
- Women who are pregnant, breastfeeding, or planning pregnancy (both men and women) while enrolled in the study
- Have previously failed treatment with any therapeutic agent directly targeted at reducing IL-12 or IL-23, including, but not limited to, ustekinumab and ABT-874
- Active or latent Tuberculosis or other chronic or recurrent infectious disease
- Known history of lymphoproliferative disease
- Known malignancy or history of malignancy
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
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Kokeellinen: Immediate Methotrexate Cessation
Patients will receive ustekinumab by SC injection at Weeks 0, 4, 16, 28 and 40.
The last dose of methotrexate will be taken anytime in the week prior to baseline (week 0).
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Patients weighting ≤ 100 kg will receive ustekinumab 45 mg at Weeks 0, 4 and 16.
Patients who achieve a PASI 75 response at Week 28 and 40 will continue receiving ustekinumab 45 mg at Week 28 and 40.
Patients who fail to achieve PASI 75 response at Week 28 will receive ustekinumab 90 mg at Week 28 and 40.
Patients who achieve a PASI 75 response at Week 28, but fail to achieve PASI 75 response at Week 40 will receive ustekinumab 90 mg at Week 40.
Patients > 100 kg will receive ustekinumab 90 mg at Weeks 0, 4, 16, 28 and 40, regardless of achievement of PASI 75 response.
Consideration will be given to discontinuing treatment in these patients if they show no response at Week 28.
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Active Comparator: Gradual Reduction of Methotrexate
Patients will receive ustekinumab by SC injection at Weeks 0, 4, 16, 28 and 40.
Patients will gradually reduce the dose of methotrexate over the 4 week period after week 0.
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Patients weighting ≤ 100 kg will receive ustekinumab 45 mg at Weeks 0, 4 and 16.
Patients who achieve a PASI 75 response at Week 28 and 40 will continue receiving ustekinumab 45 mg at Week 28 and 40.
Patients who fail to achieve PASI 75 response at Week 28 will receive ustekinumab 90 mg at Week 28 and 40.
Patients who achieve a PASI 75 response at Week 28, but fail to achieve PASI 75 response at Week 40 will receive ustekinumab 90 mg at Week 40.
Patients > 100 kg will receive ustekinumab 90 mg at Weeks 0, 4, 16, 28 and 40, regardless of achievement of PASI 75 response.
Consideration will be given to discontinuing treatment in these patients if they show no response at Week 28.
Gradual reduction of methotrexate therapy over the 4 week period after Week 0. The methotrexate dose reduction regime will depend on the dose of methotrexate at screening.
All patients will stop methotrexate regardless of the final dose after 4 overlapping weeks.
The last dose of methotrexate will be given within the 7 day period before the second dose of ustekinumab.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
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Number of Patients Experiencing One or More Adverse Events Occurring From Week 0 Through Week 12
Aikaikkuna: from week 0 to week 12
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from week 0 to week 12
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Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Rate of Adverse Events (AEs), Serious AEs (SAEs) and Deaths During the Study Period
Aikaikkuna: at week 12, 16, 28 40 and 52
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The number of patients with any of the following Treatment Emergent AEs (TEAEs) were summarized through Week 12 and through Week 52, by treatment arm and body weight category (≤100 kg and >100 kg): AE; SAE and Death.
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at week 12, 16, 28 40 and 52
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Rate of Severe AEs, Reasonably Related AEs, and AEs Leading to Discontination During the Study Period
Aikaikkuna: at week 12, 16, 28 40 and 52
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The number of patients with any of the following TEAEs were summarized through Week 12 and through Week 52, by treatment arm and body weight category (≤100 kg and >100 kg): AE with severe intensity; AE or SAE reasonably related to ustekinumab (i.e., AEs classified by the investigator as 'possibly', 'probably', or 'very likely' related to study agent); AE or SAE leading to permanent discontinuation of ustekinumab.
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at week 12, 16, 28 40 and 52
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Rate of Infections, Severe Infections and Infections Requiring Oral or Parenteral Antimicrobial Treatment During the Study Period
Aikaikkuna: at week 12, 16, 28 40 and 52
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The number of patients with any of the following TEAEs were summarized through Week 12 and through Week 52, by treatment arm and body weight category (≤100 kg and >100 kg): infections, serious infections, and infections requiring oral or parenteral antimicrobial treatment (infections being considered any event that by the investigator was indicated as infection on the CRF).
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at week 12, 16, 28 40 and 52
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Rate of Malignancies and Other Events of Clinical Interest (Tuberculosis, Serious Cardiovascular Events, Anaphylactic/Serum Sickness Reaction)
Aikaikkuna: at week 12, 16, 28 40 and 52
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The number of patients with a malignancy and other event of clinical interest (tuberculosis, serious cardiovascular events, anaphylactic/serum sickness reaction) were summarized through Week 12 and through Week 52, by treatment arm and body weight category (≤100 kg and >100 kg)
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at week 12, 16, 28 40 and 52
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Change in Mean Psoriasis Area-and-severity Index (PASI) Score Compared to Baseline
Aikaikkuna: at Weeks 0, 2, 4, 12, 16, 28, 40 and 52
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Change from baseline in Psoriasis Area and Severity Index (PASI) (0 [best] - 72 [worst]).
The PASI is a test of how bad a person's psoriasis is.
The combination of redness, scaling, and thickness, as well as overall body involvement determine the PASI score.
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at Weeks 0, 2, 4, 12, 16, 28, 40 and 52
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Proportion of Patients Achieving PASI 50 Response
Aikaikkuna: at Weeks 2, 4, 12, 16, 28, 40 and 52
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This is based on the number of participants achieving at least 50% improvement from baseline in Psoriasis Area and Severity Index (PASI) (0 [best] - 72 [worst]).
The PASI is a test of how bad a person's psoriasis is.
The combination of redness, scaling, and thickness, as well as overall body involvement determine the PASI score.
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at Weeks 2, 4, 12, 16, 28, 40 and 52
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Proportion of Patients Achieving PASI 75 Response
Aikaikkuna: at Weeks 2, 4, 12, 16, 28, 40 and 52
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This is based on the number of participants achieving at least 75% improvement from baseline in Psoriasis Area and Severity Index (PASI) (0 [best] - 72 [worst]).
The PASI is a test of how bad a person's psoriasis is.
The combination of redness, scaling, and thickness, as well as overall body involvement determine the PASI score.
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at Weeks 2, 4, 12, 16, 28, 40 and 52
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Proportion of Patients Achieving PASI 90 Response
Aikaikkuna: at Weeks 2, 4, 12, 16, 28, 40 and 52
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This is based on the number of participants achieving at least 90% improvement from baseline in Psoriasis Area and Severity Index (PASI) (0 [best] - 72 [worst]).
The PASI is a test of how bad a person's psoriasis is.
The combination of redness, scaling, and thickness, as well as overall body involvement determine the PASI score.
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at Weeks 2, 4, 12, 16, 28, 40 and 52
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Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Ensisijainen valmistuminen
Opintojen valmistuminen (Todellinen)
Opintojen valmistuminen
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Ensimmäinen Lähetetty
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Arvio)
Viimeisin päivitys julkaistu
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Ihosairaudet
- Ihosairaudet, papulosquamous
- Psoriasis
- Huumeiden fysiologiset vaikutukset
- Farmakologisen vaikutuksen molekyylimekanismit
- Nukleiinihapposynteesin estäjät
- Entsyymin estäjät
- Reumaattiset aineet
- Antimetaboliitit, antineoplastiset
- Antimetaboliitit
- Antineoplastiset aineet
- Immunosuppressiiviset aineet
- Immunologiset tekijät
- Dermatologiset aineet
- Lisääntymistä säätelevät aineet
- Raskaudenkeskeytysaineet, ei-steroidiset
- Abortiagentit
- Foolihappoantagonistit
- Metotreksaatti
- Ustekinumabi
Muut tutkimustunnusnumerot
Muut tutkimustunnusnumerot
- CR016639 (Rekisterin tunniste: ClinicalTrials.gov)
- CNTO1275PSO4004 (Muu tunniste: Janssen CTMS ID)
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