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
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
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

Related trials

Other published trials that may interest you.