Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

Plaque Psoriasis Clinical Trial

Official title:

A Randomized, Double-blinded, Placebo-controlled, Phase IIb Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04173637
• Other study ID #: AK101-301
• Status: Completed
• Phase: Phase 2
• Start date: December 19, 2019
• Est. completion date: March 3, 2022

Study information

• Verified date: March 2023
• Source: Akeso
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a multiple-center, randomized, double-blind, placebo-controlled Phase IIb study to evaluate the efficacy and safety of AK101, an anti-IL-12/23 p40 antibody, when administered subcutaneously, in subjects with moderate-to-severe plaque psoriasis. The study will consist of 3 periods: up to 4 weeks screening, 12 weeks double-blinded treatment and long-term follow-up period(up to 52 weeks).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 330
• Est. completion date: March 3, 2022
• Est. primary completion date: June 27, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

1. Have had Plaque Psoriasis diagnosed at least 6 months prior to screening.

2. Clinical diagnosis of stable plaque psoriasis with involvement of = 10% body surface area. Psoriasis area and severity index(PASI) =12. Physicians Global Assessment score =3.

3. Candidate for systemic therapy, defined as having psoriasis inadequately controlled by topical treatment (including topical corticosteroids) and/or phototherapy and/or previous systemic therapy.

4. Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last doses of study treatment.

5. Ability to provide written informed consent and to be compliant with the schedule of protocol assessments.

6. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol.

Exclusion Criteria:

1. Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular).

2. Had other active skin diseases or skin infections (e.g., Bacterial, fungal or viral infection) that could affect psoriasis evaluation.

3. Had imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening.

4. History or evidence of active or latent tuberculosis at screening.

5. Serious systemic infections or local infections during the 2 months prior to screening.

6. History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved).

7. Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.

8. Known history of alcohol or drug abuse.

9. History or known presence of recurrent or chronic infection (e.g., hepatitis or C, human immunodeficiency virus [HIV], syphilis, TB).

10. Had received any DMARDs (e.g., Anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening.

11. Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening.

12. Had received any systemic psoriasis therapy (e.g., Glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening.

13. Had enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials.

14. Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis.

15. Had received natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening.

16. Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.

Related Conditions & MeSH terms

• Plaque Psoriasis
• Psoriasis

Intervention

Biological:
• AK101
an anti-IL-12/23p40 monoclonal antibody
• Placebo
matching placebo

Locations

Country	Name	City	State
China	Peking Union Medical College Hospital	Beijing	Beijing
China	Peking University People's Hospital	Beijing	Beijing

Sponsors (2)

Lead Sponsor	Collaborator
Akeso	Akeso Tiancheng, Inc

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of participants who achieved = 75% reduction in Psoriasis Area and Severity Index (PASI75) at Week 12		Week 12
Primary	Incidence of treatment emergent adverse events (TEAEs)		From the time of signing the informed consent form till last follow-up visit (Up to Week 52)
Secondary	Number of participants who achieved = 90% reduction in Psoriasis Area and Severity Index (PASI90) at Week 12		At baseline and Week 12
Secondary	Number of participants who achieved = 75% reduction in Psoriasis Area and Severity Index (PASI75)		Up to Week 52 (except for Week 12)
Secondary	Number of participants who achieved = 90% reduction in Psoriasis Area and Severity Index (PASI90)		Up to Week 52( except for Week 12)
Secondary	Number of participants who achieved 100% reduction in Psoriasis Area and Severity Index (PASI100) at Week 12		Up to Week 52
Secondary	Proportion of subjects who achieve a = 4-point reduction in DLQI from baseline	The DLQI is a dermatology-specific quality of life (QoL) instrument designed to assess the impact of the disease on a participant's QoL. It is a 10-item questionnaire that, in addition to evaluating overall Qol, can be used to assess six different aspects that mey affect QoL: 1) symptoms and feelings, 2) daily activities, 3) leisure, 4) work or school performance, 5) personal relationships, and 6) treatment.	Up to Week 52
Secondary	Proportion of subjects who achieve Physician Global Assessment (PGA) of clear or almost clear (0 or 1) after treatment		Up to Week 52
Secondary	Number of subjects who develop detectable anti-drug antibodies (ADAs)	The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs)	Up to Week 52
Secondary	Minimum observed concentration (Cmin) of AK101 at steady state		Up to Week 52