Randomized, Placebo and Ciclosporin Controlled Study of ISA247 in Plaque Psoriasis Patients

NCT ID: NCT00408187

Last Updated: 2009-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

642 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-31

Study Completion Date

2008-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine the safety and efficacy of voclosporin in patients with plaque psoriasis.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Psoriasis is a chronic skin condition that can have a significant impact on a patient's physical and mental well being. The most common form of psoriasis is plaque psoriasis. Targeted treatments in psoriasis have been reported recently, yet ciclosporin, a calcineurin inhibitor (CNi) remains one of the treatments which has the greatest efficacy. Voclosporin represents the possibility of a calcineurin inhibitor which is not only as efficacious as ciclosporin A, but also has an improved toxicity profile.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Psoriasis

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Randomized Controlled Trials Immunosuppression Adult Chronic Disease Dermatologic Agents Female Humans Male Middle Aged Severity of Illness Index Treatment Outcome Quality of Life Double-Blind Method

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

1.

Group Type ACTIVE_COMPARATOR

voclosporin

Intervention Type DRUG

voclosporin 0.4 mg/kg po BID

3.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

2.

Group Type ACTIVE_COMPARATOR

Ciclosporin

Intervention Type DRUG

ciclosporin 1.5 mg/kg po BID

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

voclosporin

voclosporin 0.4 mg/kg po BID

Intervention Type DRUG

Ciclosporin

ciclosporin 1.5 mg/kg po BID

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Aged greater than or equal to 18 years of age inclusive at time of screening.
* Diagnosed with plaque psoriasis greater than or equal to 6 months prior to screening.
* Diagnosis of stable, plaque psoriasis; i.e. psoriasis must not be spontaneously improving or worsening in the 4 weeks prior to the screening visit.
* Psoriasis failing at least one systemic treatment regimen or where other systemic therapies are contraindicated or where tolerability is an issue.
* Plaque psoriasis involving greater than or equal to 10% of the body surface area and a SPGA score greater than or equal to 3 at screening and prior to randomization at the day 0 visit.
* Not pregnant or nursing.
* Sexually active women of childbearing potential or less than 1 year post-menopausal and sexually active men who are not surgically sterile must use a reliable form of birth control during study treatment and for at least 3 months after the last dose of study drug. Surgically sterile females are not considered to be of childbearing potential. Reliable forms of birth control include oral or depot contraceptives, and double-barrier methods.
* Written informed consent prior to washout and screening procedures.
* Able to keep study appointments and cooperate with all study requirements, in the opinion of the Investigator.

Exclusion Criteria

* Has generalized erythrodermic, guttate, or pustular psoriasis.
* Have other dermatoses that would interfere with the evaluation of psoriasis, at the discretion of the Investigator.
* A current malignancy or history of malignancy within 5 years or a history of lymphoma at any time. Subjects can be enrolled with a history of squamous or basal cell carcinoma that has been surgically excised or removed with curettage and electrodesiccation.
* Has a current, uncontrolled bacterial, viral, or fungal infection that requires intravenous antibiotics or antifungals or has had such infections within 60 days prior to screening.
* A known history of tuberculosis.
* Serologic evidence or known latent HIV, HBV or HCV virus.
* Uncontrolled hypertension of systolic blood pressure greater than or equal to 160 mmHg or diastolic blood pressure greater than or equal to 90 mmHg.
* MDRD GFR \< 60 mL/min.
* Variation between the screening and Visit 1 SCr greater than or equal to 30%.
* ALT, AST, GGT greater than or equal to 2x upper limit of normal (ULN).
* White blood cell count less than or equal to 2.8 x 10 to the ninth power/L.
* Requires the following prohibited medications or treatments during the washout or treatment period: drugs potentiating the nephrotoxicity of voclosporin, drugs interfering with its pharmacokinetics, drugs considered to contribute to psoriasis flare; or, systemic and topical psoriasis medication that may interfere with assessment of study drug efficacy.
* Has used any investigational drug or device within 30 days or 10 half lives (whichever is longer) prior to the screening visit.
* Current participation in another clinical trial of any drug or biological agent.
* Has taken biological agent(s), except flu shots, tetanus shots, or boosters, within 3 months of randomization. Biological agents include any virus, live vaccine, therapeutic serum, toxin, antitoxin, monoclonal antibodies or analogous product applicable to the prevention, treatment, or cure of diseases or injuries of man.
* Previous exposure to voclosporin.
* A history of clinically defined allergy to ciclosporin, constituents of Neoral or any of the constituents of the ISA247 formulation.
* A history of alcoholism or drug addiction.
* Weighs \< 45kg (99 lbs).
* A history of disease, including mental/emotional disorder that would interfere with the subject's participation in the study, in the evaluation of his/her response or that might cause the administration of voclosporin to pose a significant risk to the subject, in the opinion of the Investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Aurinia Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Isotechnika

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Wayne Gulliver, M.D.

Role: PRINCIPAL_INVESTIGATOR

NewLab Clinical Research

Vincent Ho, M.D.

Role: PRINCIPAL_INVESTIGATOR

UBC

Andrzej Langner, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

IWOLANG

Thomas A. Luger, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Universität Münster

Slawomir Majewski, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Akademia Medyczna

Wolfram Sterry, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Charite Universitatsmedizin Berlin

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Isotechnika Investigational Site

Edmonton, Alberta, Canada

Site Status

Isotechnika Investigational Site

Surrey, British Columbia, Canada

Site Status

Isotechnika Investigational Site

Vancouver, British Columbia, Canada

Site Status

Isotechnika Investigational Site

St. John's, Newfoundland and Labrador, Canada

Site Status

Isotechnika Investigational Site

St. John's, Newfoundland and Labrador, Canada

Site Status

Isotechnika Investigational Site

Halifax, Nova Scotia, Canada

Site Status

Isotechnika Investigational Site

Barrie, Ontario, Canada

Site Status

Isotechnika Investigational Site

London, Ontario, Canada

Site Status

Isotechnika Investigational Site

Markham, Ontario, Canada

Site Status

Isotechnika Investigational Site

North Bay, Ontario, Canada

Site Status

Isotechnika Investigational Site

Ottawa, Ontario, Canada

Site Status

Isotechnika Investigational Site

Waterloo, Ontario, Canada

Site Status

Isotechnika Investigational Site

Montreal, Quebec, Canada

Site Status

Isotechnika Investigational Site

Montreal, Quebec, Canada

Site Status

Isotechnika Investigational Site

Québec, Quebec, Canada

Site Status

Isotechnika Investigational Site

Ausburg, , Germany

Site Status

Isotechnika Investigational Site

Berlin, , Germany

Site Status

Isotechnika Investigational Site

Berlin, , Germany

Site Status

Isotechnika Investigational Site

Berlin, , Germany

Site Status

Isotechnika Investigational Site

Berlin, , Germany

Site Status

Isotechnika Investigational Site

Bochum, , Germany

Site Status

Isotechnika Investigational Site

Bochum, , Germany

Site Status

Isotechnika Investigational Site

Dresden, , Germany

Site Status

Isotechnika Investigational Site

Dresden, , Germany

Site Status

Isotechnika Investigational Site

Frankfurt, , Germany

Site Status

Isotechnika Investigational Site

Geiβen, , Germany

Site Status

Isotechnika Investigational Site

Hamburg, , Germany

Site Status

Isotechnika Investigational Site

Hamburg, , Germany

Site Status

Isotechnika Investigational Site

Kiel, , Germany

Site Status

Isotechnika Investigational Site

Leipzig, , Germany

Site Status

Isotechnika Investigational Site

Lübeck, , Germany

Site Status

Isotechnika Investigational Site

Mahlow, , Germany

Site Status

Isotechnika Investigational Site

Mainz, , Germany

Site Status

Isotechnika Investigational Site

Münster, , Germany

Site Status

Isotechnika Investigational Site

Potsdam, , Germany

Site Status

Isotechnika Investigational Site

Salzwedel, , Germany

Site Status

Isotechnika Investigational Site

Wuppertal, , Germany

Site Status

Isotechnika Investigational Site

Bialystock, , Poland

Site Status

Isotechnika Investigational Site

Bydgoszcz, , Poland

Site Status

Isotechnika Investigational Site

Gliwice, , Poland

Site Status

Isotechnika Investigational Site

Iwonicz-Zdrój, , Poland

Site Status

Isotechnika Investigational Site

Krakow, , Poland

Site Status

Isotechnika Investigational Site

Lodz, , Poland

Site Status

Isotechnika Investigational Site

Lublin, , Poland

Site Status

Isotechnika Investigational Site

Poznan, , Poland

Site Status

Isotechnika Investigational Site

Szczcin, , Poland

Site Status

Isotechnika Investigational Site

Warsaw, , Poland

Site Status

Isotechnika Investigational Site

Warzszawa, , Poland

Site Status

Isotechnika Investigational Site

Zabrze, , Poland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Canada Germany Poland

References

Explore related publications, articles, or registry entries linked to this study.

Gregory CR, Kyles AE, Bernsteen L, Wagner GS, Tarantal AF, Christe KL, Brignolo L, Spinner A, Griffey SM, Paniagua RT, Hubble RW, Borie DC, Morris RE. Compared with cyclosporine, ISATX247 significantly prolongs renal-allograft survival in a nonhuman primate model. Transplantation. 2004 Sep 15;78(5):681-5. doi: 10.1097/01.tp.0000131950.75697.71.

Reference Type BACKGROUND
PMID: 15371668 (View on PubMed)

Stalder M, Birsan T, Hubble RW, Paniagua RT, Morris RE. In vivo evaluation of the novel calcineurin inhibitor ISATX247 in non-human primates. J Heart Lung Transplant. 2003 Dec;22(12):1343-52. doi: 10.1016/s1053-2498(03)00033-0.

Reference Type BACKGROUND
PMID: 14672749 (View on PubMed)

Abel MD, Aspeslet LJ, Freitag DG, Naicker S, Trepanier DJ, Kneteman NM, Foster RT, Yatscoff RW. ISATX247: a novel calcineurin inhibitor. J Heart Lung Transplant. 2001 Feb;20(2):161. doi: 10.1016/s1053-2498(00)00290-4. No abstract available.

Reference Type BACKGROUND
PMID: 11250240 (View on PubMed)

Bissonnette R, Papp K, Poulin Y, Lauzon G, Aspeslet L, Huizinga R, Mayo P, Foster RT, Yatscoff RW, Maksymowych WP; ISA247 Psoriasis Study Group. A randomized, multicenter, double-blind, placebo-controlled phase 2 trial of ISA247 in patients with chronic plaque psoriasis. J Am Acad Dermatol. 2006 Mar;54(3):472-8. doi: 10.1016/j.jaad.2005.10.061. Epub 2006 Jan 23.

Reference Type BACKGROUND
PMID: 16488299 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ISA05-25

Identifier Type: -

Identifier Source: org_study_id