A Phase 3 Study in Participants With Moderate to Severe Psoriasis

NCT ID: NCT01474512

Last Updated: 2019-10-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1296 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-16

Study Completion Date

2018-09-20

Brief Summary

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This study will assess the safety and efficacy of LY2439821 compared to placebo in participants with moderate to severe, chronic plaque psoriasis.

Detailed Description

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Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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80 milligrams (mg) Ixekizumab Dosing Regimen 1 (Q2W)

Administered as two 80-mg subcutaneous (SC) injections at Week 0, then one 80-mg SC injection per Dosing Regimen 1 \[every 2 weeks (Q2W)\] up to and including Week 10. At Week 12, arm is re-randomized to placebo, Dosing Regimen 2 \[every 4 weeks (Q4W)\] or Dosing Regimen 3 \[every 12 weeks Q12W)\].

Group Type EXPERIMENTAL

80 mg Ixekizumab Dosing Regimens 1, 2, and 3

Intervention Type DRUG

Administered SC

80 mg Ixekizumab Dosing Regimen 2 (Q4W)

Administered as two 80-mg SC injections at Week 0, then one 80-mg SC injection per Dosing Regimen 2 (Q4W) up to and including Week 10. At Week 12, arm is re-randomized to placebo, Dosing Regimen 2 (Q4W) or Dosing Regimen 3 (Q12W).

Group Type EXPERIMENTAL

80 mg Ixekizumab Dosing Regimens 1, 2, and 3

Intervention Type DRUG

Administered SC

80 mg Ixekizumab Dosing Regimen 3 (Q12W)

Dosing Regimen 3 (Q12W) is not used until Week 12. At Week 12, participants who were re-randomized to this arm were administered one 80-mg SC injection Q12W.

Group Type EXPERIMENTAL

80 mg Ixekizumab Dosing Regimens 1, 2, and 3

Intervention Type DRUG

Administered SC

Placebo

Administered as 2 SC injections at Week 0, then 1 SC injection per Dosing Regimen 1 (Q2W) up to and including Week 10. At Week 12, arm is re-randomized to placebo or Dosing Regimen 2 (Q4W).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC

Interventions

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80 mg Ixekizumab Dosing Regimens 1, 2, and 3

Administered SC

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY2439821

Eligibility Criteria

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Inclusion Criteria

* Present with chronic plaque psoriasis based on a confirmed diagnosis of chronic psoriasis vulgaris for at least 6 months prior to randomization
* At least 10% Body Surface Area (BSA) of Psoriasis at screening and at randomization
* Static Physician Global Assessment (sPGA) score of at least 3 and Psoriasis Area and Severity Index (PASI) score of at least 12 at screening and at randomization
* Candidate for phototherapy and/or systemic therapy
* Men must agree to use a reliable method of birth control during the study
* Women must agree to use birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment

Exclusion Criteria

* Pustular, erythrodermic, and/or guttate forms of psoriasis
* History of drug-induced psoriasis
* Clinically significant flare of psoriasis during the 12 weeks prior to randomization
* Concurrent or recent use of any biologic agent
* Received systemic psoriasis therapy \[such as psoralen and ultraviolet A (PUVA) light therapy\] or phototherapy within the previous 4 weeks; or had topical psoriasis treatment within the previous 2 weeks prior to randomization
* Cannot avoid excessive sun exposure or use of tanning booths for at least 4 weeks prior to randomization and during the study
* Have participated in any study with interleukin (IL)-17 antagonists, including LY2439821
* Serious disorder or illness other than plaque psoriasis
* Serious infection within the last 3 months
* Breastfeeding or nursing (lactating) women.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Birmingham, Alabama, United States

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Anaheim, California, United States

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Bakersfield, California, United States

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Fremont, California, United States

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New Haven, Connecticut, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Miramar, Florida, United States

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Ocala, Florida, United States

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Ormond Beach, Florida, United States

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Pinellas Park, Florida, United States

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Tampa, Florida, United States

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West Palm Beach, Florida, United States

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Atlanta, Georgia, United States

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Arlington Heights, Illinois, United States

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Chicago, Illinois, United States

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Evansville, Indiana, United States

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Indianapolis, Indiana, United States

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South Bend, Indiana, United States

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Owensboro, Kentucky, United States

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Baton Rouge, Louisiana, United States

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Troy, Michigan, United States

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St Louis, Missouri, United States

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Rochester, New York, United States

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The Bronx, New York, United States

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Raleigh, North Carolina, United States

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Cleveland, Ohio, United States

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Portland, Oregon, United States

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Johnston, Rhode Island, United States

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Knoxville, Tennessee, United States

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Salt Lake City, Utah, United States

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Bellingham, Washington, United States

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Seattle, Washington, United States

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Kogarah, New South Wales, Australia

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Benowa, Queensland, Australia

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Woolloogabba, Queensland, Australia

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Adelaide, South Australia, Australia

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Carlton, Victoria, Australia

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Parkville, Victoria, Australia

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Fremantle, Western Australia, Australia

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Surrey, British Columbia, Canada

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Moncton, New Brunswick, Canada

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Halifax, Nova Scotia, Canada

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Ajax, Ontario, Canada

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Barrie, Ontario, Canada

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London, Ontario, Canada

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Richmond Hill, Ontario, Canada

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Aarhus, , Denmark

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Copenhagen, , Denmark

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Hellerup, , Denmark

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Berlin, , Germany

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Cologne, , Germany

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Darmstadt, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Hanau, , Germany

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Hanover, , Germany

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Kiel, , Germany

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Mahlow, , Germany

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Mainz, , Germany

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Münster, , Germany

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Quedlinburg, , Germany

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Wuppertal, , Germany

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Budapest, , Hungary

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Debrecen, , Hungary

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Miskolc, , Hungary

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Szeged, , Hungary

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Szolnok, , Hungary

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Szombathely, , Hungary

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Bergamo, , Italy

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Bologna, , Italy

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Padua, , Italy

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Pisa, , Italy

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Aichi, , Japan

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Fukuoka, , Japan

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Kochi, , Japan

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Kyoto, , Japan

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Shiga, , Japan

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Shizuoka, , Japan

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Tochigi, , Japan

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Tokyo, , Japan

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Bialystok, , Poland

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Elblag, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Szczecin, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Baia Mare, , Romania

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Bucharest, , Romania

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Craiova, , Romania

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Iași, , Romania

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Salford, Manchester, United Kingdom

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Scunthorpe, North Lincolnshire, United Kingdom

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Dundee, Scotland, United Kingdom

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Nuneaton, Warwickshire, United Kingdom

Site Status

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Lanarkshire, , United Kingdom

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Countries

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United States Australia Canada Denmark Germany Hungary Italy Japan Poland Romania United Kingdom

References

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Egeberg A, Hawkes JE, Somani N, Burge R, See K, Gallo G, McKean-Matthews M, Gooderham M, Han G, Armstrong A. Sustained Improvements in Clinical and Patient-Reported Outcomes and Quality of Life Through 5 Years Among Ixekizumab-Treated Patients with Complete Clearance of Scalp Psoriasis by Week 60. Dermatol Ther (Heidelb). 2024 Apr;14(4):1007-1018. doi: 10.1007/s13555-024-01147-7. Epub 2024 Apr 22.

Reference Type DERIVED
PMID: 38647975 (View on PubMed)

Kirkham BW, Egeberg A, Behrens F, Pinter A, Merola JF, Holzkamper T, Gallo G, Ng KJ, Bolce R, Schuster C, Nash P, Puig L. A Comprehensive Review of Ixekizumab Efficacy in Nail Psoriasis from Clinical Trials for Moderate-to-Severe Psoriasis and Psoriatic Arthritis. Rheumatol Ther. 2023 Oct;10(5):1127-1146. doi: 10.1007/s40744-023-00553-1. Epub 2023 Jul 3.

Reference Type DERIVED
PMID: 37400681 (View on PubMed)

Elewski BE, Blauvelt A, Gallo G, Wolf E, McKean-Matthews M, Burge R, Merola JF, Gottlieb AB, Guenther LC. Simultaneous Nail and Skin Clearance in Ixekizumab Head-to-Head Trials for Moderate-to-Severe Psoriasis and Psoriatic Arthritis. Dermatol Ther (Heidelb). 2022 Apr;12(4):911-920. doi: 10.1007/s13555-022-00704-2. Epub 2022 Mar 13.

Reference Type DERIVED
PMID: 35279805 (View on PubMed)

Leonardi C, Reich K, Foley P, Torii H, Gerdes S, Guenther L, Gooderham M, Ferris LK, Griffiths CEM, ElMaraghy H, Crane H, Patel H, Burge R, Gallo G, Shrom D, Leung A, Lin CY, Papp K. Efficacy and Safety of Ixekizumab Through 5 Years in Moderate-to-Severe Psoriasis: Long-Term Results from the UNCOVER-1 and UNCOVER-2 Phase-3 Randomized Controlled Trials. Dermatol Ther (Heidelb). 2020 Jun;10(3):431-447. doi: 10.1007/s13555-020-00367-x. Epub 2020 Mar 21.

Reference Type DERIVED
PMID: 32200512 (View on PubMed)

Gordon KB, Blauvelt A, Papp KA, Langley RG, Luger T, Ohtsuki M, Reich K, Amato D, Ball SG, Braun DK, Cameron GS, Erickson J, Konrad RJ, Muram TM, Nickoloff BJ, Osuntokun OO, Secrest RJ, Zhao F, Mallbris L, Leonardi CL; UNCOVER-1 Study Group; UNCOVER-2 Study Group; UNCOVER-3 Study Group. Phase 3 Trials of Ixekizumab in Moderate-to-Severe Plaque Psoriasis. N Engl J Med. 2016 Jul 28;375(4):345-56. doi: 10.1056/NEJMoa1512711. Epub 2016 Jun 8.

Reference Type DERIVED
PMID: 27299809 (View on PubMed)

Armstrong AW, Lynde CW, McBride SR, Stahle M, Edson-Heredia E, Zhu B, Amato D, Nikai E, Yang FE, Gordon KB. Effect of Ixekizumab Treatment on Work Productivity for Patients With Moderate-to-Severe Plaque Psoriasis: Analysis of Results From 3 Randomized Phase 3 Clinical Trials. JAMA Dermatol. 2016 Jun 1;152(6):661-9. doi: 10.1001/jamadermatol.2016.0269.

Reference Type DERIVED
PMID: 26953848 (View on PubMed)

Other Identifiers

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I1F-MC-RHAZ

Identifier Type: OTHER

Identifier Source: secondary_id

12972

Identifier Type: -

Identifier Source: org_study_id

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