Clinical trial • Phase III • Immunology

DEUCRAVACITINIB for Psoriatic arthritis

Phase III trial of DEUCRAVACITINIB for Psoriatic arthritis. Randomised, placebo to match deucravacitinib tablet (matching placebo)-controlled.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Psoriatic arthritis
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
21-11-2023
First CTIS Authorization Date
09-01-2024

Trial design

Randomised, placebo to match deucravacitinib tablet (matching placebo)-controlled Phase III trial.

Randomised
Yes
Comparator
Placebo to match deucravacitinib tablet (matching placebo)
Target Sample Size
324

Eligibility

Recruits 324 Vulnerable population selected (isVulnerablePopulationSelected=true). Informed consent is to be obtained using Subject Information Sheets and Informed Consent Forms (L1_SIS and ICF documents). Multiple language versions of participant information/ICF are provided (examples include English, French, Polish, Spanish, Hungarian, Czech, Italian). Specific details on assent or minor consent procedures are not provided in the available records..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected=true). Informed consent is to be obtained using Subject Information Sheets and Informed Consent Forms (L1_SIS and ICF documents). Multiple language versions of participant information/ICF are provided (examples include English, French, Polish, Spanish, Hungarian, Czech, Italian). Specific details on assent or minor consent procedures are not provided in the available records.

Inclusion criteria

  • {"criterion_text":"- Diagnosed to have psoriatic arthritis (PsA) of at least 3 months duration at screening"}
  • {"criterion_text":"- Meets the Classification Criteria for Psoriatic Arthritis (CASPAR) criteria at Screening"}
  • {"criterion_text":"- Active plaque psoriatic skin lesion(s) or documented medical history of plaque psoriasis (PsO) at screening"}
  • {"criterion_text":"- Active arthritis as shown by ≥ 3 swollen joints and ≥ 3 tender joints at Screening and day 1"}
  • {"criterion_text":"- Participant has high sensitivity C-reactive protein (hsCRP) ≥ 3 mg/L at Screening"}
  • {"criterion_text":"- ≥ 1 PsA-related hand and/or foot joint erosion on X-ray during Screening Period that is confirmed by central reading"}

Exclusion criteria

  • {"criterion_text":"- Nonplaque psoriasis at screening or day 1"}
  • {"criterion_text":"- Other autoimmune condition such as systemic lupus erythematous, mixed connective tissue disease,multiple sclerosis, or vasculitis"}
  • {"criterion_text":"- History of or current inflammatory joint disease other than PsA (e.g., gout, reactive arthritis, rheumatoid arthritis, ankylosing spondylitis, Lyme disease)"}
  • {"criterion_text":"- Active fibromyalgia"}
  • {"criterion_text":"- Received an approved or investigational biologic therapy for the treatment of PsA or PsO"}
  • {"criterion_text":"- Participant has received a JAK inhibitor for the treatment of PsA and/or PsO."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR 20) response at Week 16","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in DAS28-CRP score at Week 16","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Change from baseline in HAQ-DI score at Week 16","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Proportion of participants meeting PASI 75 response at Week 16, in participants with at least 3% BSA involvement AND at least sPGA 2 at baseline","definition_or_measurement_approach":"PASI 75 response assessed at Week 16 among participants who had ≥3% BSA involvement and sPGA ≥2 at baseline."}
  • {"endpoint_text":"- Change from baseline in the SF-36 PCS score at Week 16","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Proportion of participants meeting enthesitis resolution (score of 0) among participants with enthesitis at baseline by LEI at Week 16","definition_or_measurement_approach":"Enthesitis resolution defined as LEI score of 0 at Week 16 among participants with enthesitis at baseline."}
  • {"endpoint_text":"- Proportion of participants meeting achievement of MDA where an MDA response is achievement of 5 of 7 following outcomes at Week 16: a) Tender joint count ≤ 1 b) Swollen joint count ≤ 1 c) PASI ≤ 1 or BSA ≤ 3% d) Patient assessment of PsA pain ≤ 15 e) Patient Global Assessment of PsA disease activity ≤ 20 f) HAQ-DI ≤ 0.5 g) Tender enthesial points ≤ 1","definition_or_measurement_approach":"MDA is achieved when 5 of the 7 listed component criteria are met at Week 16 (components a–g as specified)."}
  • {"endpoint_text":"- Change from baseline in FACIT-Fatigue score at Week 16","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Proportion of participants meeting dactylitis resolution at Week 16 among the participants with dactylitis at baseline, where resolution is defined as a tender dactylitis count of 0 in participants with a tender dactylitis count ≥ 1 at baseline","definition_or_measurement_approach":"Dactylitis resolution defined as tender dactylitis count = 0 at Week 16 among participants with baseline tender dactylitis count ≥1."}
  • {"endpoint_text":"- Change from baseline in PsA-modified SvdH score at Week 16","definition_or_measurement_approach":""}

Recruitment

Digital Remote Recruitment
True, Facebook posts and website/homepage recruitment materials (country-specific K2 recruitment material and banner/post templates) are included among recruitment materials
Planned Sample Size
324
Recruitment Window Months
74
Consent Approach
Informed consent obtained using Subject Information Sheets and Informed Consent Forms (L1_SIS and ICF). Multiple language versions of SIS/ICF available (examples: English, French, Polish, Spanish, Hungarian, Czech, Italian). Separate ICF materials for OLE (open-label extension) and for 'pregnant partner' are provided. The documents indicate standard informed consent procedures via ICF but age-specific assent procedures for minors are not provided in the available records.

Methods

  • Study invitation website / homepage recruitment materials (country-specific K2 recruitment material documents; e.g., 'K2_Recruitment material_Psoriatic Arthritis_Homepage')
  • Printed recruitment materials and patient brochures (country-specific K2 recruitment material_Patient Brochure documents)
  • Posters and banners for patients (country-specific K2 recruitment material_Patient Poster and banner documents; examples include PL, ES, FI, BG versions)
  • Social media posts (Facebook) (documents titled 'K2_ Recruitment material_postare-Facebook-regular' and carousel variants)
  • Study invitation and site-specific recruitment arrangements documents (K1_ Recruitment arrangements documents per country)

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Iqvia Inc.
Responsibilities
Operational support including SUSAR reporting and multiple study operational roles (various sponsorDuties codes)
Name
Medidata Solutions Inc.
Responsibilities
Data management platform
Name
Bioclinica Inc.
Responsibilities
Medical image analysis/ review - X-ray, MRI, ultrasound, etc.
Name
Myriad RBM Inc.
Responsibilities
Specialty Biomarker Laboratory; Exploratory Serum Biomarkers analysis

Third parties

  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Storage of serum, plasma, and whole-blood samples","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Laboratories Inc.","duties_or_roles":"Data entry of Local Laboratory Values","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Q2 Solutions","duties_or_roles":"Sample mgmt, Kit building, Storage and distribution to other vendor for analysis","organisation_type":"Health care"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited (Chennai site)","duties_or_roles":"Pharmacovigilance: Medical review & Cases Data Entry.","organisation_type":"Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited (Bengaluru site)","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Myriad RBM Inc.","duties_or_roles":"Specialty Biomarker Laboratory; Exploratory Serum Biomarkers analysis","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Data management platform","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Inc.","duties_or_roles":"Multiple operational roles including SUSAR reporting and other clinical operations functions (codes present in sponsor duties)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Clario","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Health care"}

Investigational products

Investigational Product Name
deucravacitinib
Active Substance
DEUCRAVACITINIB
Modality
Small molecule
Routes Of Administration
Oral
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
6 mg (max daily dose amount: 6 mg)
Investigational Product Name
Placebo to match deucravacitinib tablet
Modality
Other

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