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
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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
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
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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 |