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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