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
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

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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