Clinical trial • Phase III • Musculoskeletal
IXEKIZUMAB for Psoriatic arthritis
Phase III trial of IXEKIZUMAB for Psoriatic arthritis.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Psoriatic arthritis
- Trial Stage
- Phase III
- Drug Modality
- Monoclonal antibody | Small molecule
Key dates
- Initial CTIS Submission Date
- 23-12-2024
- First CTIS Authorization Date
- 23-04-2025
Trial design
Randomised, metother 50 mg/ml soluzione iniettabile in siringa pre-riempita. (methotrexate) — route: subcutaneous; dosing fields in record: max daily dose 7 mg; max total dose 25 mg; product strength 50 mg/ml (as provided).-controlled Phase III trial across 9 sites in Italy.
- Randomised
- Yes
- Comparator
- Metother 50 mg/ml soluzione iniettabile in siringa pre-riempita. (methotrexate) — route: Subcutaneous; dosing fields in record: max daily dose 7 mg; max total dose 25 mg; product strength 50 mg/ml (as provided).
- Target Sample Size
- 60
Eligibility
Recruits 60 Vulnerable populations not selected. Trial enrols adults (≥18 years) only. Informed consent to be obtained from adult participants using adult informed consent form and subject information material (L1_ ICF adults, L1_ SIS adults, Privacy leaflet). No paediatric assent procedures..
- Pregnancy Exclusion
- Pregnant or lactating women (women of childbearing potential should have a negative test for HCG)
- Vulnerable Population
- Vulnerable populations not selected. Trial enrols adults (≥18 years) only. Informed consent to be obtained from adult participants using adult informed consent form and subject information material (L1_ ICF adults, L1_ SIS adults, Privacy leaflet). No paediatric assent procedures.
Inclusion criteria
- {"criterion_text":"- adult age (≥ 18 years);\n- fulfilment of CASPAR criteria for PsA [2];\n- naïve to csDMARDs and/or bDMARDs;;\n- presence of active dactylitis, diagnosed and evaluated at each centre through physical examination"}
Exclusion criteria
- {"criterion_text":"-participation in another concurrent clinical intervention study within 30 days of randomization;\n- planned administration of live vaccines during the study period;\n- previous treatment with lymphocyte-depleting therapies or alkylating agents;\n- presence of one or more contraindication reported in datasheets of administered study drugs;\n- haemoglobin<9.0 g/dL, white-cell count<3.0×109/L, absolute neutrophil count<1.2×109/L, platelet count<100×109/L;\n- estimated glomerular filtration rate<40 ml/min (method of Cockcroft and Gault);\n- aspartate aminotransferase and/or alanine aminotransferase >1.5 times the upper normal range;\n- another autoimmune rheumatic disease except Sjogren’s syndrome;\n- recent, current, or chronic infection, including hepatitis B or hepatitis C infection or human immunodeficiency virus infection;\n- evidence of active, latent, or inadequately-treated Mycobacterium Tuberculosis infection;\n- a history of lymphoproliferative disorder;\n- major surgery within two weeks before starting study drugs, or having unhealed operation wounds;\n- history of cancer, except adequately treated, non-metastatic basal-cell or squamous-cell cancer of the skin or cervical carcinoma in situ;\n- Pregnant or lactating women (women of childbearing potential should have a negative test for HCG);\n- significant history of alcohol/drug abuse or addiction;\n- foreseeable inability to cooperate with given instructions and study procedures;\n- any condition precluding the administration of study drugs in compliance with datasheets indications;\n- any condition or laboratory parameter precluding the inclusion of the participant according to investigator."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1)\tTo assess the efficacy of ixekizumab monotherapy versus MTX monotherapy in PsA dactylitis\n- 2)\tTo evaluate the degree of response by using the DACTOS score and the change of each sonographic detected elementary lesion of dactylitis in PsA participants","definition_or_measurement_approach":"- Not specified for endpoint 1)\n- Endpoint 2): measured using the DACTOS score and the change of each sonographic detected elementary lesion of dactylitis"}
Recruitment
- Planned Sample Size
- 60
- Recruitment Window Months
- 24
- Consent Approach
- Informed consent obtained from adult participants (≥18 years) using adult informed consent form(s) and subject information material (documents present: L1_ ICF adults, L1_ SIS adults, Privacy leaflet). No paediatric assent procedures described. Languages not specified.
Geography
- Total Number Of Sites
- 9
- Total Number Of Participants
- 60
Italy
- Earliest CTIS Part Ii Submission Date
- 31-03-2025
- Latest Decision Or Authorization Date
- 23-04-2025
- Processing Time Days
- 23
- Number Of Sites
- 9
- Number Of Participants
- 60
Sites
- Site Name
- Universita' Degli Studi Di Palermo
- Department Name
- Dipartimento PROMISE
- Principal Investigator Name
- Giuliana Guggino
- Principal Investigator Email
- giuliana.guggino@unipa.it
- Contact Person Name
- Giuliana Guggino
- Contact Person Email
- giuliana.guggino@unipa.it
- Site Name
- Azienda Sanitaria Locale Roma 1
- Department Name
- UOSD Reumatologia
- Principal Investigator Name
- Marco Canzoni
- Principal Investigator Email
- marco.canzoni@aslroma1.it
- Contact Person Name
- Marco Canzoni
- Contact Person Email
- marco.canzoni@aslroma1.it
- Site Name
- Universita Degli Studi Di Padova
- Department Name
- Department of Medicin DIMED
- Principal Investigator Name
- Roberta Ramonda
- Principal Investigator Email
- roberta.ramonda@unipd.it
- Contact Person Name
- Roberta Ramonda
- Contact Person Email
- roberta.ramonda@unipd.it
- Site Name
- Istituti Clinici Scientifici Maugeri S.p.A. Societa' Benefit In Forma Abbreviata Istituti Clinici Scientifici Maugeri S.p.A. Sb O Anche Ics Maugeri S.p.A. Sb O Maugeri S.p.A. Sb
- Department Name
- Dipartimento di Medicina Interna e Terapia Medica
- Principal Investigator Name
- Garifallia Sakellariou
- Principal Investigator Email
- garifallia.sakellariou@unipv.it
- Contact Person Name
- Garifallia Sakellariou
- Contact Person Email
- garifallia.sakellariou@unipv.it
- Site Name
- Asst Centro Specialistico Ortopedico Traumatologico Gaetano Pini Cto
- Department Name
- Divisione di Reumatologia Clinica
- Principal Investigator Name
- Orazio De Lucia
- Principal Investigator Email
- orazio.delucia@asst-pini-cto.it
- Contact Person Name
- Orazio De Lucia
- Contact Person Email
- orazio.delucia@asst-pini-cto.it
- Site Name
- Azienda Ospedaliera Ordine Mauriziano Di Torino
- Department Name
- Medico
- Principal Investigator Name
- Annamaria Iagnocco
- Principal Investigator Email
- aiagnocco@mauriziano.it
- Contact Person Name
- Annamaria Iagnocco
- Contact Person Email
- aiagnocco@mauriziano.it
- Site Name
- Policlinico Universitario Campus Bio-Medico
- Department Name
- Medico
- Principal Investigator Name
- Roberto Giacomelli
- Principal Investigator Email
- r.giacomelli@unicampus.it
- Contact Person Name
- Roberto Giacomelli
- Contact Person Email
- r.giacomelli@unicampus.it
- Site Name
- Universita' Degli Studi Di Perugia
- Department Name
- Distretto sanitario n.1, Presidio di via Canova 19
- Principal Investigator Name
- Carlo Perricone
- Principal Investigator Email
- carlo.perricone@unipg.it
- Contact Person Name
- Carlo Perricone
- Contact Person Email
- carlo.perricone@unipg.it
- Site Name
- Universita Politecnica Delle Marche
- Department Name
- Dipartimento di Scienze Cliniche e Molecolari,
- Principal Investigator Name
- Emilio Filippucci
- Principal Investigator Email
- sperimentazioni@mauriziano.it
- Contact Person Name
- Emilio Filippucci
- Contact Person Email
- sperimentazioni@mauriziano.it
Sponsor
Primary sponsor
- Full Name
- Azienda Ospedaliera Ordine Mauriziano Di Torino
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Italy
Third parties
- {"country":"","full_name":"Eli Lilly Italia","duties_or_roles":"Source of monetary support","organisation_type":""}
- {"country":"","full_name":"Eli Lilly Italia S.p.A.,","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Taltz 80 mg solution for injection in pre-filled syringe
- Active Substance
- IXEKIZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Authorised
- Maximum Dose
- 160 mg
- Investigational Product Name
- Metother 50 mg/ml soluzione iniettabile in siringa pre-riempita.
- Active Substance
- METHOTREXATE
- Modality
- Small molecule
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Authorised
- Maximum Dose
- 25 mg
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