- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06602219
Uno studio di fase 2 di dosaggio di LY4100511 (Dice 853) in partecipanti adulti con psoriasi a placche da moderata a grave
Uno studio di fase 2, multicentrico, randomizzato, in doppio cieco, controllato con placebo, a gruppi paralleli, con dosaggio variabile di LY4100511 (DC-853) per il trattamento di partecipanti adulti con psoriasi a placche da moderata a grave
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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British Columbia
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Kelowna, British Columbia, Canada, V1W 4V5
- Interior Dermatology Centre - Probity - PPDS
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Nanaimo, British Columbia, Canada, V9T1W1
- Skin Care West
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Ontario
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Barrie, Ontario, Canada, L4M 7G1
- Simcoderm Medical & Surgical Dermatology Centre
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Hamilton, Ontario, Canada, L8N 1Y2
- Dermatrials Research Inc.
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London, Ontario, Canada, N6H 5L5
- DermEffects - Probity - PPDS
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London, Ontario, Canada, N6A 5R9
- Lovegrove Dermatology - Probity - PPDS
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Markham, Ontario, Canada, L3P 1X2
- Lynderm Research Inc.
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Mississauga, Ontario, Canada, L4Y 4C5
- DermEdge Research
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Pardubice, Cechia, 530 02
- Pratia Pardubice a.s. - PRATIA - PPDS
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Prague, Cechia, 100 34
- Fakultni nemocnice Kralovske Vinohrady
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Prague, Cechia, 13000
- Pratia Prague s.r.o. - PRATIA - PPDS
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Prague, Cechia, 160 00
- Kozni ambulance Fialova, s.r.o. - CRC - PPDS
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Praha 10
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Prague, Praha 10, Cechia, 10100
- CLINTRIAL s.r.o.
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Dresden, Germania, 1307
- Universitätsklinikum Carl Gustav Carus an der TU
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Hamburg, Germania, 22391
- MensingDerma Research GmbH
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, Germania, 72076
- Universitatsklinikum Tubingen
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Bavaria
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Augsburg, Bavaria, Germania, 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, Germania, 60590
- Universitätsklinikum Frankfurt
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North Rhine-Westphalia
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Münster, North Rhine-Westphalia, Germania, 48149
- Universitätsklinikum Münster
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Tokyo, Giappone
- Igarashi Dermatological Clinic
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Aichi-ken
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Nagoya, Aichi-ken, Giappone, 450-0003
- Nagoya City University Hospital
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Hakkaido
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Sapporo, Hakkaido, Giappone, 060-0063
- Medical Corporation Kojinkai Sapporo Skin Clinic
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Kagoshima-ken
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Kagoshima, Kagoshima-ken, Giappone, 890-0063
- Katahira Dermatology Urology Clinic
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Kumamoto
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Kumamoto, Kumamoto, Giappone, 861-4101
- Ohyama Dermatology Clinic
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Osaka
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Sakai-shi, Osaka, Giappone, 593-8324
- Kume Clinic
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Tokyo
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Shinjuku-ku, Tokyo, Giappone, 160-0023
- Tokyo Medical University Hospital
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Tachikawa, Tokyo, Giappone, 190-0023
- Tachikawa Dermatology Clinic
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Toyama
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Takaoka, Toyama, Giappone, 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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Alabama
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Birmingham, Alabama, Stati Uniti, 35244
- Cahaba Dermatology Skin Health Center
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Arkansas
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Bryant, Arkansas, Stati Uniti, 72022
- Dermatology Trial Associates
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California
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Beverly Hills, California, Stati Uniti, 90212
- Zenith Research, Inc.
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Fountain Valley, California, Stati Uniti, 92708
- First OC Dermatology Research Inc
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Fremont, California, Stati Uniti, 94538-1614
- Center for Dermatology Clinical Research
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Los Angeles, California, Stati Uniti, 90045
- Dermatology Research Associates
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Santa Monica, California, Stati Uniti, 90404
- Clinical Science Institute
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Florida
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Coral Gables, Florida, Stati Uniti, 33134
- Driven Research
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Hialeah, Florida, Stati Uniti, 33012
- Direct Helpers Research Center
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Ocala, Florida, Stati Uniti, 34470
- Renstar Medical Research
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St. Petersburg, Florida, Stati Uniti, 33713-8012
- GCP Global Clinical Professionals, LLC
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Tampa, Florida, Stati Uniti, 33613
- ForCare Clinical Research
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Illinois
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Skokie, Illinois, Stati Uniti, 60077-1049
- Endeavor Clinical Trials Center - Dermatology - Skokie
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Maryland
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Rockville, Maryland, Stati Uniti, 20850
- Lawrence J Green, M.D, LLC
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Texas
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Webster, Texas, Stati Uniti, 77598
- Center for Clinical Studies, LTD.LLP
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Gyöngyös, Ungheria, 3200
- Gyongyosi Bugat Pal Korhaz
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Veszprém, Ungheria, 8200
- MedMare Bt
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Hajdú-Bihar
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Debrecen, Hajdú-Bihar, Ungheria, 4032
- Debreceni Egyetem Klinikai Kozpont
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, Ungheria, 5000
- Allergo-Derm Bakos Kft
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Criteri di inclusione:
- Diagnosi clinica di psoriasi a placche per 6 mesi prima della randomizzazione al basale del giorno 1
- Deve avere un indice di massa corporea (BMI) compreso tra 18 e 40 chilogrammi/metro quadrato (kg/m2) (incluso).
- Deve essere disposto a interrompere le terapie topiche e/o sistemiche per la psoriasi prima della prima dose dell'intervento in studio.
- Deve accettare di evitare l'esposizione prolungata al sole e di astenersi dall'uso di cabine abbronzanti, lampade solari e altre fonti di luce ultravioletta durante lo studio
Criteri di esclusione:
- Hanno avuto una riacutizzazione clinicamente significativa della psoriasi durante le 12 settimane precedenti al basale, come valutato dallo sperimentatore.
- Avere una storia di psoriasi eritrodermica, psoriasi pustolosa generalizzata o localizzata, prevalentemente psoriasi guttata o psoriasi indotta o esacerbata da farmaci.
- Avere qualsiasi diagnosi nota o sospetta di condizioni infiammatorie diverse dalla psoriasi e dall'artrite psoriasica, incluse ma non limitate a artrite reumatoide, sarcoidosi, IBD (morbo di Crohn o colite ulcerosa) o lupus eritematoso sistemico.
- Hanno una diagnosi di artrite psoriasica che richiede, o stanno attualmente ricevendo, un trattamento medico immunosoppressore sistemico (inclusi corticosteroidi, immunosoppressori e farmaci biologici).
- Avere un'infezione acuta attiva attuale o recente. Il partecipante non deve presentare sintomi o segni di infezione confermata o sospetta e deve aver completato qualsiasi trattamento antinfettivo appropriato per almeno 30 giorni prima dello screening e fino alla randomizzazione/basale.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: LY4100511 200 mg BID
Participants received LY4100511 200 milligrams (mg) administered orally twice daily (BID) for 12 weeks.
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Somministrato per via orale
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Sperimentale: LY4100511 400 mg BID
Participants received LY4100511 400 mg administered orally BID for 12 weeks.
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Somministrato per via orale
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Sperimentale: 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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Somministrato per via orale
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Comparatore placebo: Placebo BID
Participants received placebo administered orally BID for 12 weeks.
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Somministrato per via orale
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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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)
Lasso di tempo: 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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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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.
|
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
Lasso di tempo: 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 ≥90% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-90) at Week 12
Lasso di tempo: 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
|
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Percentage of Participants Achieving ≥100% Reduction From Baseline in Psoriasis Area and Severity Index (PASI-100) at Week 12
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: Predose at Day 8, 15, 29, 57 and 85
|
Ctrough,ss of LY4100511
|
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
Lasso di tempo: 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
|
Collaboratori e investigatori
Investigatori
- Direttore dello studio: 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
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 18845
- J5C-MC-FOAB (Altro identificatore: DCE853201)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
Informazioni su farmaci e dispositivi, documenti di studio
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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 .