Clinical trial • Phase III • Immunology|Dermatology
RISANKIZUMAB for Psoriatic arthritis
Phase III trial of RISANKIZUMAB for Psoriatic arthritis.
Overview
- Trial Therapeutic Area
- Immunology|Dermatology
- Trial Disease
- Psoriatic arthritis
- Trial Stage
- Phase III
- Drug Modality
- Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 22-01-2024
- First CTIS Authorization Date
- 29-02-2024
Trial design
Randomised, open-label, placebo for risankizumab (matching placebo). active treatment: risankizumab 150 mg administered subcutaneously (dosing in period 1 at week 0, week 4, and week 16; period 2 maintenance dosing every 12 weeks thereafter). randomization 1:1 risankizumab vs placebo during the 24-week double-blind period 1.-controlled Phase III trial.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Placebo for Risankizumab (matching placebo). Active treatment: Risankizumab 150 mg administered subcutaneously (dosing in Period 1 at Week 0, Week 4, and Week 16; Period 2 maintenance dosing every 12 weeks thereafter). Randomization 1:1 risankizumab vs placebo during the 24-week double-blind Period 1.
- Target Sample Size
- 880
- Trial Duration For Participant
- 2331
Eligibility
Recruits 880 No vulnerable population selected. Study enrols adult participants; informed consent is obtained from each participant using country-specific ICFs. Assent for minors or minor-specific consent procedures are not described in the available documentation..
- Vulnerable Population
- No vulnerable population selected. Study enrols adult participants; informed consent is obtained from each participant using country-specific ICFs. Assent for minors or minor-specific consent procedures are not described in the available documentation.
Inclusion criteria
- {"criterion_text":"- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) at the Screening Visit.\n- Subject has active disease at Baseline\n- Diagnosis of active plaque psoriasis with at least one psoriatic plaque of ≥ 2 centimeter (cm) diameter or nail changes consistent with psoriasis at Screening Visit.\n- Presence of either at Screening: 1. ≥ 1 erosion on radiograph as determined by central imaging review or; 2. hs-CRP ≥ 3.0 mg/L.\n- Subject must have demonstrated an inadequate response (lack of efficacy after minimum 12 week duration of therapy) to previous or current treatment with at least 1 csDMARD at maximally tolerated dose."}
Exclusion criteria
- {"criterion_text":"- Subject is considered by investigator, for any reason, to be an unsuitable candidate for the study.\n- Subject has a known hypersensitivity to Risankizumab.\n- Subject has previous treatment with biologic agent."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Proportion of subjects achieving ACR 20 response (ACR20) at Week 24.","definition_or_measurement_approach":"Assessed as the proportion of subjects achieving ACR20 response at Week 24."}
Secondary endpoints
- {"endpoint_text":"- Change from Baseline in Health Assessment Questionnaire – Disability Index (HAQ-DI) at Week 24.","definition_or_measurement_approach":"Change from Baseline in HAQ-DI at Week 24."}
- {"endpoint_text":"- Proportion of subjects achieving PASI 90 response at Week 24 (in the subset of subjects with a body surface area [BSA] ≥ 3% at Baseline.","definition_or_measurement_approach":"Proportion achieving PASI 90 at Week 24 in subset with BSA ≥ 3% at Baseline."}
- {"endpoint_text":"- Proportion of subjects achieving ACR20 at Week 16.","definition_or_measurement_approach":"Proportion achieving ACR20 at Week 16."}
- {"endpoint_text":"- Proportion of subjects achieving MDA at Week 24.","definition_or_measurement_approach":"Proportion achieving Minimal Disease Activity (MDA) at Week 24."}
- {"endpoint_text":"- Change from Baseline in modified Nail Psoriasis Severity Index (mNAPSI) at Week 24 in the subset of subjects with nail PsO at Baseline.","definition_or_measurement_approach":"Change from Baseline in mNAPSI at Week 24 in subset with nail psoriasis at Baseline."}
- {"endpoint_text":"- Change from Baseline in Physician Global Assessment of Fingernail Psoriasis (PGA-F) at Week 24 in the subset of subjects with nail PsO at Baseline.","definition_or_measurement_approach":"Change from Baseline in PGA-F at Week 24 in subset with nail psoriasis at Baseline."}
- {"endpoint_text":"- Proportion of subjects with resolution of enthesitis (Leeds Enthesitis Index [LEI] = 0) at Week 24 in subjects with enthesitis at Baseline.","definition_or_measurement_approach":"Proportion with LEI = 0 at Week 24 among those with enthesitis at Baseline."}
- {"endpoint_text":"- Proportion of subjects with resolution of dactylitis (Leeds Dactylitis Index [LDI] = 0) at Week 24 in subjects with dactylitis at Baseline.","definition_or_measurement_approach":"Proportion with LDI = 0 at Week 24 among those with dactylitis at Baseline."}
- {"endpoint_text":"- Change from Baseline in modified Total Sharp Score (PsA mTSS) at Week 24.","definition_or_measurement_approach":"Change from Baseline in PsA modified Total Sharp Score at Week 24."}
- {"endpoint_text":"- Change from Baseline in 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) at Week 24.","definition_or_measurement_approach":"Change from Baseline in SF-36 PCS at Week 24."}
- {"endpoint_text":"- Change from Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACITFatigue) Questionnaire at Week 24.","definition_or_measurement_approach":"Change from Baseline in FACIT-Fatigue score at Week 24."}
- {"endpoint_text":"- Proportion of subjects achieving ACR50 response at Week 24.","definition_or_measurement_approach":"Proportion achieving ACR50 at Week 24."}
- {"endpoint_text":"- Proportion of subjects achieving ACR70 response at Week 24.","definition_or_measurement_approach":"Proportion achieving ACR70 at Week 24."}
Recruitment
- Planned Sample Size
- 880
- Recruitment Window Months
- 84
- Consent Approach
- Informed consent obtained from each participant using country-specific subject information and informed consent forms (ICFs). Country-specific ICFs, optional ICFs, pregnant-partner ICFs and addenda are provided (multiple language versions available for sites in each participating country). No assent process for minors is described; consent is obtained from the adult participant.
Sponsor
Primary sponsor
- Full Name
- AbbVie Deutschland GmbH & Co. KG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Germany
Contract research organisations
- Name
- Perceptive Informatics Inc.
- Responsibilities
- Medical Imaging
- Name
- WCG Clinical Inc.
- Responsibilities
- ACI Adjudication Committee
- Name
- Labcorp Central Laboratory Services S.a.r.l.
- Name
- Medpoint Communications Inc.
- Responsibilities
- Document Portal
- Name
- Signant Health Global LLC
- Name
- Endpoint Clinical Inc.
Third parties
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical Imaging","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"ACI Adjudication Committee","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medpoint Communications Inc.","duties_or_roles":"Document Portal","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Risankizumab (ABBV-066 / ABBV-066 / ABBV-066)
- Active Substance
- RISANKIZUMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous use
- Route
- Subcutaneous
- Authorisation Status
- Authorised
- Starting Dose
- 150 mg
- Dose Levels
- 150 mg
- Frequency
- Dosing at Week 0, Week 4, Week 16 in Period 1; maintenance dosing every 12 weeks in Period 2
- Maximum Dose
- 150 mg (per dose); maxDailyDoseAmount reported as 150
- Investigational Product Name
- Placebo for Risankizumab Solution for injection in prefilled syringe
- Modality
- Other
- Authorisation Status
- Not applicable
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