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Uno studio per studiare l'efficacia del tirzepatide dopo l'inizio di Ixekizumab nei partecipanti con artrite psoriasica attiva e sovrappeso o obesità nella pratica clinica

18 settembre 2026 aggiornato da: Eli Lilly and Company

Uno studio di fase 4, prospettico, aperto, a braccio singolo per valutare l'efficacia del tirzepatide dopo l'inizio di Ixekizumab nei partecipanti adulti con artrite psoriasica attiva e sovrappeso o obesità nella pratica clinica.

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.

Panoramica dello studio

Stato

Attivo, non reclutante

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

200

Fase

  • Fase 4

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: N / A
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Tirzepatide

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

Administered SC

Altri nomi:
  • LY3298176

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Percentage of Participants Achieving Normalized Functioning Health Assessment Questionnaire - Disability Index (HAQ-DI) ≤0.5 at 12 Months of Therapy
Lasso di tempo: 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
Lasso di tempo: 12 Months

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

12 Months

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Percentage of Participants Achieving Tender Joint Count (TJC) ≤1
Lasso di tempo: 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
Lasso di tempo: 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%
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: Month 6

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

Month 6
Mean Percent Change of Weight from Baseline
Lasso di tempo: Baseline, Month 6 and Baseline, Month 12

Mean percent change of weight from baseline.

Baseline, Month 6 and Baseline, Month 12

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Direttore dello studio: 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

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Collegamenti utili

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

6 marzo 2025

Completamento primario (Stimato)

1 agosto 2027

Completamento dello studio (Stimato)

1 agosto 2027

Date di iscrizione allo studio

Primo inviato

3 marzo 2025

Primo inviato che soddisfa i criteri di controllo qualità

4 marzo 2025

Primo Inserito (Effettivo)

7 marzo 2025

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

21 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

18 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • 27350
  • I1F-MC-RHDE (Altro identificatore: Eli Lilly and Company)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

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.

Periodo di condivisione IPD

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.

Criteri di accesso alla condivisione IPD

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

Tipo di informazioni di supporto alla condivisione IPD

  • STUDIO_PROTOCOLLO
  • LINFA
  • RSI

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

prodotto fabbricato ed esportato dagli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .