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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