A Study of Ixekizumab (LY2439821) in Participants With Moderate-to-Severe Plaque Psoriasis Naive to Systemic Treatment

NCT ID: NCT02634801

Last Updated: 2019-10-09

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-20

Study Completion Date

2017-11-14

Brief Summary

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The main purpose of this study is to evaluate the efficacy of ixekizumab compared to fumaric acid esters (FAE) and methotrexate (MTX) in participants with moderate-to-severe plaque psoriasis who are naive to systemic treatment.

Detailed Description

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Conditions

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Plaque Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Ixekizumab

160 milligrams (mg) ixekizumab given as two subcutaneous injections (SC) followed by 80 mg ixekizumab given SC every 2 weeks until week 12 and then 80 mg ixekizumab given SC every 4 weeks until week 24.

Extension Period: At week 24, participants have the option to continue ixekizumab treatment for up to 36 weeks.

Group Type EXPERIMENTAL

Ixekizumab

Intervention Type DRUG

Administered SC

Fumaric Acid Esters

Starting dose of 105 mg FAE given orally followed by 215 mg FAE given orally 1 to 3 times per day until week 24.

Extension Period: At week 24, participants have the option to begin ixekizumab treatment for up to 36 weeks.

Group Type ACTIVE_COMPARATOR

Fumaric Acid Esters

Intervention Type DRUG

Administered orally

Ixekizumab

Intervention Type DRUG

Administered SC

Methotrexate

7.5 mg starting dose up to 30 mg MTX given orally once a week until week 24.

Extension Period: At week 24, participants have the option to begin ixekizumab treatment for up to 36 weeks.

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

Administered orally

Ixekizumab

Intervention Type DRUG

Administered SC

Interventions

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Fumaric Acid Esters

Administered orally

Intervention Type DRUG

Methotrexate

Administered orally

Intervention Type DRUG

Ixekizumab

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY2439821

Eligibility Criteria

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Inclusion Criteria

* Present with moderate-to-severe chronic plaque psoriasis based on a diagnosis of chronic psoriasis for at least 6 months before baseline.
* Participants who are candidates for systemic therapy and who are naive to systemic treatment for psoriasis.
* Have a (PASI score \>10 or BSA \>10) and DLQI \>10 at screening and at baseline.

Exclusion Criteria

* Have predominant pattern of pustular, erythrodermic, and/or guttate forms of psoriasis.
* Have received systemic nonbiologic psoriasis therapy.
* Have prior, concurrent, or recent use of ixekizumab or any other biological psoriasis therapy.
* Have any condition or contraindication as addressed in the local labeling for MTX or FAE.
* Presence of significant uncontrolled cerebro-cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, neurologic, or neuropsychiatric disorders or abnormal laboratory values at screening.
* Have severe gastrointestinal disease, oral ulcer, or known, active gastrointestinal ulcer.
* Have had a serious infection or are immunocompromised.
* At screening, participants with significant, present, or early liver disease, e.g., explained by alcohol consumption or hepatic insufficiency.
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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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Augsburg, , Germany

Site Status

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Berlin, , Germany

Site Status

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Bochum, , Germany

Site Status

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Bonn, , Germany

Site Status

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Buxtehude, , Germany

Site Status

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Dresden, , Germany

Site Status

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Erlangen, , Germany

Site Status

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Essen, , Germany

Site Status

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Frankfurt, , Germany

Site Status

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Friedrichshafen, , Germany

Site Status

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Gelsenkirchen, , Germany

Site Status

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Hamburg, , Germany

Site Status

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Hanau, , Germany

Site Status

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Kiel, , Germany

Site Status

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Lübeck, , Germany

Site Status

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Mannheim, , Germany

Site Status

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Münster, , Germany

Site Status

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Selters, , Germany

Site Status

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Stuttgart, , Germany

Site Status

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Tübingen, , Germany

Site Status

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Ulm, , Germany

Site Status

Countries

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Germany

References

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Reich K, Augustin M, Thaci D, Pinter A, Leutz A, Henneges C, Schneider E, Schacht A, Dossenbach M, Mrowietz U. A 24-week multicentre, randomized, open-label, parallel-group study comparing the efficacy and safety of ixekizumab vs. fumaric acid esters and methotrexate in patients with moderate-to-severe plaque psoriasis naive to systemic treatment. Br J Dermatol. 2020 Apr;182(4):869-879. doi: 10.1111/bjd.18384. Epub 2019 Nov 19.

Reference Type DERIVED
PMID: 31376153 (View on PubMed)

Other Identifiers

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I1F-EW-RHBZ

Identifier Type: OTHER

Identifier Source: secondary_id

2015-002649-69

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

16190

Identifier Type: -

Identifier Source: org_study_id

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