Clinical trial • Phase III • Immunology|Dermatology
BIMEKIZUMAB for Moderate to severe plaque psoriasis|Psoriatic arthritis
Phase III trial of BIMEKIZUMAB for Moderate to severe plaque psoriasis|Psoriatic arthritis. open-label. 44 participants.
Overview
- Trial Therapeutic Area
- Immunology|Dermatology
- Trial Disease
- Moderate to severe plaque psoriasis|Psoriatic arthritis
- Trial Stage
- Phase III
- Drug Modality
- Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 15-05-2024
- First CTIS Authorization Date
- 15-08-2024
Trial design
open-label Phase III trial across 8 sites in Germany, Poland.
- Open Label
- Yes
- Target Sample Size
- 44
- Trial Duration For Participant
- 336
Eligibility
Recruits 44 No vulnerable population selected; participants must be at least 18 years old and must sign the Informed Consent Form (ICF)..
- Pregnancy Exclusion
- A female study participant is eligible to participate if they are not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP) OR A WOCBP who agrees to follow the contraceptive guidance during the Run In Treatment Period, the Randomized Treatment Extension Period, the Treatment Extension Period, the Escape Treatment Period, and for 17 weeks after the final dose of investigational medicinal product (IMP)
- Vulnerable Population
- No vulnerable population selected; participants must be at least 18 years old and must sign the Informed Consent Form (ICF).
Inclusion criteria
- {"criterion_text":"- Cohort A and Cohort B"}
- {"criterion_text":"- Study participant must be at least 18 years of age inclusive at the time of signing the Informed Consent Form (ICF)"}
- {"criterion_text":"- Study participant must have: a) Cohort A and Cohort B: Plaque psoriasis (PSO) diagnosed for at least 6 months prior to the Screening Visit b) Cohort B only: In addition to the criteria specified above, study participant has a documented diagnosis of adult-onset psoriatic arthritis (PsA) and meets the CASPAR classification criteria for at least 6 months prior to Screening for active PsA and must have ≥1 tender joint count (TJC) out of 68 and ≥1 swollen joint count (SJC) out of 66 at Screening or up to 3 months before Screening (documented evidence)"}
- {"criterion_text":"- Study participant must have Psoriasis Area and Severity Index (PASI) score ≥12 and body surface area (BSA) affected by PSO ≥10% and Investigator’s Global Assessment (IGA) score ≥3 on a 5 point scale"}
- {"criterion_text":"- Study participant must be a candidate for systemic PSO therapy and/or phototherapy"}
- {"criterion_text":"- Study participant agrees not to change their usual sun exposure during the course of the study and to use ultraviolet A/ultraviolet B sunscreens if unavoidable exposure occurs"}
- {"criterion_text":"- Study participant has body weight <120 kg"}
- {"criterion_text":"- A female study participant is eligible to participate if they are not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP) OR A WOCBP who agrees to follow the contraceptive guidance during the Run In Treatment Period, the Randomized Treatment Extension Period, the Treatment Extension Period, the Escape Treatment Period, and for 17 weeks after the final dose of investigational medicinal product (IMP)"}
Exclusion criteria
- {"criterion_text":"- Cohort A and Cohort B"}
- {"criterion_text":"- Study participant has a form of PSO other than plaque type (eg, pustular, erythrodermic and guttate PSO, or drug induced PSO)"}
- {"criterion_text":"- Study participant has an active infection or history of infection(s) as follows: a) Any active systemic infection within 14 days prior to Baseline b) A serious infection, defined as requiring hospitalization or intravenous anti-infective(s) within 2 months prior to the Baseline Visit c) A history of opportunistic, recurrent, or chronic infections that, in the opinion of the investigator, might cause this study to be detrimental to the study participant"}
- {"criterion_text":"- At investigator’s discretion, study participant with chronic (medically controlled) viral hepatitis B or C or human immunodeficiency virus (HIV) infection, or history of hepatitis B."}
- {"criterion_text":"- Study participant has any of the following: a) Known active tuberculosis (TB) disease. b) History of active TB involving any organ system unless adequately treated c) High risk of acquiring TB infection"}
- {"criterion_text":"- Study participant has a verified diagnosis of inflammatory conditions other than PSO or PsA, including but not limited to rheumatoid arthritis (RA), sarcoidosis, inflammatory bowel diseases (IBD), or systemic lupus erythematosus. Note: Study participants with a diagnosis of IBD are allowed if they have no active symptomatic disease at Screening or Baseline"}
- {"criterion_text":"- Study participant has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma, or in situ cervical cancer"}
- {"criterion_text":"- Study participant has any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize or would compromise the study participant’s ability to participate in this study"}
- {"criterion_text":"- Study participant has a known hypersensitivity to any components of the IMP as stated in this protocol"}
- {"criterion_text":"- Study participant has a history of primary failure to any biologic (ie, no response within the first 12 weeks of treatment)"}
- {"criterion_text":"- Study participant has laboratory abnormalities at Screening"}
- {"criterion_text":"- Study participant has a current history of alcohol or drug use disorder, as defined in Diagnostic and Statistical Manual of Mental Disorders (DSM) V, within the previous 6 months prior to Screening, as evaluated by the investigator based on medical history, and/or site interview"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Composite gene expression score using reverse transcription-polymerase chain reaction (RT-PCR) in lesional skin at Baseline and Week 48 using preselected genes based on Bimekizumab mechanism of action and PSO disease biology pathways","definition_or_measurement_approach":"Measured by RT-PCR in lesional skin at Baseline and Week 48 using preselected genes based on bimekizumab mechanism of action and psoriasis (PSO) disease biology pathways."}
Secondary endpoints
- {"endpoint_text":"- 1. Treatment-emergent adverse events (TEAEs) from Baseline to the end of the Safety Follow-Up (SFU)","definition_or_measurement_approach":"Assessment and recording of TEAEs occurring from Baseline through the end of the Safety Follow-Up period."}
- {"endpoint_text":"- 2. Treatment-emergent serious adverse event (TESAEs) from Baseline to the end of the SFU","definition_or_measurement_approach":"Assessment and recording of treatment-emergent serious adverse events from Baseline through the end of the Safety Follow-Up period."}
- {"endpoint_text":"- 3. TEAEs leading to permanent discontinuation of IMP from Baseline to the end of the SFU","definition_or_measurement_approach":"Recording of any treatment-emergent adverse events that result in permanent discontinuation of the investigational medicinal product from Baseline through the end of the Safety Follow-Up period."}
Recruitment
- Registry Or Advocacy Recruitment
- True; Center For Information And Study On Clinical Research Participation Inc.
- Digital Remote Recruitment
- True; documents indicate use of HTML email and social media materials and country-specific digital recruitment materials for Poland and Germany
- Planned Sample Size
- 46
- Recruitment Window Months
- 33
- Consent Approach
- Informed consent obtained by the participant (ICF required). Participants must be ≥18 years and sign the ICF. Subject information and informed consent form documents are provided in country-specific versions (Polish and German versions are listed among the public documents; English navigation/consent guidance documents are also present). A pregnancy-specific ICF is included.
Methods
- Country-specific recruitment materials/documents listed on CTIS including posters (e.g., ps0039-pl-poster-pl-PL-public for Poland, ps0039-de-poster-de-DE-public for Germany)
- Email outreach/HTML email (e.g., ps0039-de-html-email-de-DE-public for Germany)
- Social media materials (e.g., ps0039-pl-recr-smam-pl-PL-public and ps0039-de-recr-sm-de-DE-public indicating social media campaigns)
- Site-based recruitment materials and procedures (recruitment procedure documents: ps0039-pl-recr-proc-en-pl-PL-public, ps0039-de-icf-recr-proc-en-public)
- Site information brochures and patient-facing leaflets (e.g., sibd/sibp documents listed per country)
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 46
Germany
- Earliest CTIS Part Ii Submission Date
- 01-07-2024
- Latest Decision Or Authorization Date
- 22-04-2026
- Processing Time Days
- 660
- Number Of Sites
- 3
- Number Of Participants
- 16
Sites
- Site Name
- Goethe University Frankfurt
- Department Name
- #40287; Dermatology
- Principal Investigator Name
- Andreas Pinter
- Principal Investigator Email
- pinter-klifo-ffm@gmx.de
- Contact Person Name
- Andreas Pinter
- Contact Person Email
- pinter-klifo-ffm@gmx.de
- Site Name
- Charite Universitaetsmedizin Berlin KöR
- Department Name
- #40515; Dermatologie & Allergologie
- Principal Investigator Name
- Sonja Christine Molin
- Principal Investigator Email
- sonja-christine.molin@charite.de
- Contact Person Name
- Sonja Christine Molin
- Contact Person Email
- sonja-christine.molin@charite.de
- Site Name
- Medical Center - University Of Freiburg
- Department Name
- #40072; Klinik für Dermatologie und Allergologie
- Principal Investigator Name
- Kilian Eyerich
- Principal Investigator Email
- kilian.eyerich@uniklinik-freiburg.de
- Contact Person Name
- Kilian Eyerich
- Contact Person Email
- kilian.eyerich@uniklinik-freiburg.de
Poland
- Earliest CTIS Part Ii Submission Date
- 22-07-2024
- Latest Decision Or Authorization Date
- 07-03-2026
- Processing Time Days
- 593
- Number Of Sites
- 5
- Number Of Participants
- 30
Sites
- Site Name
- Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
- Department Name
- #40761; Klinika Dermatologii
- Principal Investigator Name
- Irena Walecka-Herniczek
- Principal Investigator Email
- irena.walecka@cskmswia.gov.pl
- Contact Person Name
- Irena Walecka-Herniczek
- Contact Person Email
- irena.walecka@cskmswia.gov.pl
- Site Name
- Dermed Centrum Medyczne Sp. z o.o.
- Department Name
- #40625; Clinical Trials Department
- Principal Investigator Name
- Andrzej Kaszuba
- Principal Investigator Email
- andrzej.kaszuba@dermed.com.pl
- Contact Person Name
- Andrzej Kaszuba
- Contact Person Email
- andrzej.kaszuba@dermed.com.pl
- Site Name
- Dermmedica Sp. z o.o.
- Department Name
- #40773; Clinical Trials Department
- Principal Investigator Name
- Jolanta Weglowska
- Principal Investigator Email
- jolaweglowska@tlen.pl
- Contact Person Name
- Jolanta Weglowska
- Contact Person Email
- jolaweglowska@tlen.pl
- Site Name
- Solumed Centrum Medyczne Sp. z o.o.
- Department Name
- #40757
- Principal Investigator Name
- Kinga Adamska
- Principal Investigator Email
- kingabyczkowska@gmail.com
- Contact Person Name
- Kinga Adamska
- Contact Person Email
- kingabyczkowska@gmail.com
- Site Name
- Dermoklinika Centrum Medyczne s.c. M.Kierstan, J.Narbutt, A.Lesiak
- Department Name
- #40347
- Principal Investigator Name
- Joanna Narbutt
- Principal Investigator Email
- joanna.narbutt@dermoklinika.pl
- Contact Person Name
- Joanna Narbutt
- Contact Person Email
- joanna.narbutt@dermoklinika.pl
Sponsor
Primary sponsor
- Full Name
- UCB Biopharma
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Belgium
Contract research organisations
- Name
- Icon Laboratory Services Inc.
- Responsibilities
- code: 4
- Name
- PPD Development LP
- Responsibilities
- code: 4
- Name
- Medidata Solutions Inc.
- Responsibilities
- code: 6
- Name
- 4G Clinical B.V.
- Responsibilities
- code: 3
Third parties
- {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"Scales & Linguistic validation services","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Icon Laboratory Services Inc.","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Center For Information And Study On Clinical Research Participation Inc.","duties_or_roles":"code: 11","organisation_type":"Patient organisation/association"}
- {"country":"Germany","full_name":"BioAgilytix Europe GmbH","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Longboat Clinical Limited","duties_or_roles":"Provider of an online SaaS Portal that supports stakeholders involved in the clinical trial (patients/caregivers, study team/CRO staff, and clinical site staff).","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Netherlands","full_name":"4G Clinical B.V.","duties_or_roles":"code: 3","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"ePROs/eClinROs/eConsent","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Sweden","full_name":"TATAA Biocenter AB","duties_or_roles":"RT-qPCR and RNA Sequencing","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Quantificare SA","duties_or_roles":"Photography Vendor","organisation_type":"Industry"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"code: 6","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- bimekizumab
- Active Substance
- BIMEKIZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- SUBCUTANEOUS USE
- Route
- SUBCUTANEOUS USE
- Authorisation Status
- Authorised (prodAuthStatus: 1)
- Maximum Dose
- 320 mg
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