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. 2017 Dec 22;2017(12):CD011535. doi: 10.1002/14651858.CD011535.pub2
Trial name or title Randomized controlled double blind trial to study safety and efficaccy of itolizumab (antiCD6) in moderate‐to‐severe psoriasis
Methods RCT, placebo‐controlled, double‐blind trial
Date of study: February 2016 ‐
Location: worldwide
Phase 3
Participants Randomised: 144 participants
Inclusion criteria
  • Able and willing to give written informed consent

  • Diagnosis of plaque psoriasis or vulgar

  • Time course of the disease in ≥ 1 year

  • Be tributary of systemic therapy

  • Willingness to complete a washout period prior to receiving the first dose of treatment (for participants in treatment only): interrupting or systemic therapy ≥ 4 weeks; interrupting or topical steroid treatment ≥ 2 weeks

  • Moderate‐severe psoriasis activity, defined by: PASI ≥ 10; BSA ≥ 10%

  • Normal laboratory values, considering laboratory range of each institution: CBC: haemoglobin men ≥ 12.0 g/dL, women ≥ 11.0 g/dL, leukocytes ≥ 5 x109 L, platelets ≥ 150 x 109/L, neutrophils ≥ 1.8 x 109/L, lymphocytes > 1.2 x 109 cells/mL; renal function: creatinine normal value; liver function: ALT, AST, GGT, up to 2.5 times the upper limit of normal

  • Aged 18‐70 years (both included)


Exclusion criteria
  • Diagnosis of other types of psoriasis, psoriatic arthritis

  • Critical State of psoriasis (erythroderma)

  • Suffering from decompensated chronic diseases (heart disease, diabetes mellitus, hypertension, chronic kidney disease, bronchial asthma, etc) to the doctor involves an unreasonable risk to the participant's life

  • Malignancy

  • Immunocompromised patient

  • Received systemic retinoids or immunosuppressive therapy including steroids, within < 30 days prior to enrolment, except participants with psoriatic arthritis who are receiving stable treatment for ≥ 30 days prior to inclusion of oral steroids ≤ 10 mg/day

  • Significant acute or chronic systemic infection that to the doctor involves an unreasonable risk to the participant

  • Being treated with a monoclonal antibody, including itolizumab

  • Allergy to any component of the formulation

  • Pregnancy, postpartum and/or breastfeeding

  • Be reproductive age and refuse to use contraception (pills, IUDs, barrier methods, etc) during treatment and ≥ 8 weeks after the last dose of itolizumab

  • Suffering intellectual or sensory psychological dysfunction that may impede understanding and compliance with the requirements of the study at the discretion of the clinical investigator

Interventions Intervention
Itolizumab: itolizumab 1.6 mg/kg body weight bi‐weekly administered IV by 12 weeks (weeks 0‐8), and every 4 weeks by 24 weeks (Week 12‐36).
Control intervention
Placebo 1.6 mg/kg body weight bi‐weekly administered intravenously by 12 weeks (weeks 0‐8), then 1.6 mg/kg body weight biweekly administered intravenously by 12 weeks (weeks 12‐20), and every 4 weeks by 12 weeks (weeks 24‐36)
Outcomes At week 12
Primary outcome
  • PASI 75


Secondary outcomes
  • PASI 50, 75, 90, 100 at weeks 12, 24, 36, 48 and 60

  • IGA 0/1 at weeks 12, 24, 36, 48 and 60

  • DLQI at weeks 12, 24, 36, 48 and 60

  • AEs

Starting date Start study date: 15/10/2015
Study completion date: not specified
Contact information Dr Gray Lovio, ogray@infomed.sld.cu
Notes Ongoing study