Study of Ixekizumab (LY2439821) in Children 6 to Less Than 18 Years With Moderate-to-Severe Plaque Psoriasis

NCT ID: NCT03073200

Last Updated: 2021-09-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-28

Study Completion Date

2021-03-23

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of ixekizumab in pediatric participants with moderate-to-severe plaque psoriasis.

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

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ixekizumab

Ixekizumab given subcutaneously (SC) during the double-blind treatment period and the open-label maintenance period.

Group Type EXPERIMENTAL

Ixekizumab

Intervention Type DRUG

Administered SC

Placebo

Placebo given SC during the double-blind treatment period and then ixekizumab given SC during the open-label maintenance period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC

Open-Label Etanercept

Etanercept given SC during the double-blind treatment period and then ixekizumab given SC during the open-label maintenance period. Participants will only be randomized to etanercept in countries where it is approved for severe pediatric psoriasis treatment.

Group Type EXPERIMENTAL

Etanercept

Intervention Type DRUG

Administered SC

Interventions

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Ixekizumab

Administered SC

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Etanercept

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY2439821

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of moderate-to-severe plaque-type psoriasis for at least 6 months prior to baseline as determined by the investigator.
* Have Psoriasis Area and Severity Index (PASI) score ≥12 and a Static Physician Global Assessment (sPGA) ≥3 and body surface area involvement ≥10% at screening and baseline.
* Are candidates for phototherapy or systemic treatment or considered by the investigator as not adequately controlled by topical therapies.
* Male subjects agree to use a reliable method of birth control during the study.
* Female subjects: Participants of childbearing age or childbearing potential who are sexually active who test negative for pregnancy must be counselled and agree to use either 1 highly effective method of contraception or 2 acceptable methods of contraception combined for the duration of the study and for at least 12 weeks following the last dose of study drug, or remain abstinent during the study and for at least 12 weeks following the last dose of study drug.
* Both the child or adolescent and a parent or legal guardian are able to understand and fully participate in the activities of the clinical study and sign their assent and consent, respectively.
* All immunizations are up-to-date in agreement with current immunization guidelines as noted by country specific paediatric authorities (e.g., the American Academy of Paediatrics). Note, subjects who are not up to date or have never been immunized are not to be enrolled in the trial.

Exclusion Criteria

* Have pustular, erythrodermic, and/or guttate forms of psoriasis.
* Have drug-induced psoriasis.
* Have clinical and/or laboratory evidence of untreated latent or active tuberculosis (TB).
* Participants with a documented history of immune deficiency syndrome.
* Have any other active or recent infection, including chronic or localized infections, within 4 weeks of baseline.
* Subjects with a known history of malignancy, lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy and/or splenomegaly unless ruled out by biopsy.
* Have used any therapeutic agent targeted at reducing interleukin-17.
* Have received other therapies within the specified time frames prior to screening (see below):

* adalimumab and infliximab 60 days, abatacept 90 days, anakinra 7 days, or any other biologic disease-modifying antirheumatic drug 5 half-lives.
* systemic therapy for psoriasis and psoriatic arthritis (PsA) (other than above, eg, methotrexate, cyclosporine), phototherapy (eg, photochemotherapy \[psoralen plus ultraviolet A\]) in the previous 4 weeks.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 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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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Tien Q. Nguyen, MD inc. DBA First OC Dermatology

Fountain Valley, California, United States

Site Status

Children's National Medical Center

Washington D.C., District of Columbia, United States

Site Status

Olympian Clinical Research

Clearwater, Florida, United States

Site Status

Solutions Through Advanced Research, Inc.

Jacksonville, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Forward Clinical Trials, Inc

Tampa, Florida, United States

Site Status

Advanced Medical Research

Sandy Springs, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Arlington Dermatology

Rolling Meadows, Illinois, United States

Site Status

The South Bend Clinic

South Bend, Indiana, United States

Site Status

University of Missouri

Columbia, Missouri, United States

Site Status

SSM Health Cardinal Glennon Children's Hospital

St Louis, Missouri, United States

Site Status

Psoriasis Treatment Center of Central New Jersey

East Windsor, New Jersey, United States

Site Status

University of North Carolina Dermatology and skin Cancer Cen

Chapel Hill, North Carolina, United States

Site Status

Wright State Physicians Dermatology

Fairborn, Ohio, United States

Site Status

Ohio State Univ College Of Medicine

Gahanna, Ohio, United States

Site Status

Oregon Dermatology and Research Center

Portland, Oregon, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Dermatology and Skin Surgery Center

Exton, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Modern Research Associates PLLC

Dallas, Texas, United States

Site Status

Texas Dermatology and Laser Specialists

San Antonio, Texas, United States

Site Status

Virginia Clinical Research

Norfolk, Virginia, United States

Site Status

Centro de Investigaciones Metabólicas (CINME)

Ciudad Autonoma de Buenos Aire, Buenos Aires, Argentina

Site Status

Fundación Estudios Clínicos- Servicio de Dermatología

Rosario, Santa Fe Province, Argentina

Site Status

Instituto de Neumonología y Dermatología

Buenos Aires, , Argentina

Site Status

Psoriahue Medicina Interdisciplinaria

Buenos Aires, , Argentina

Site Status

Institute for Skin Advancement

Calgary, Alberta, Canada

Site Status

Lynderm Research Inc

Markham, Ontario, Canada

Site Status

K. Papp Clinical Research Inc

Waterloo, Ontario, Canada

Site Status

Hospital Ste Justine

Montreal, Quebec, Canada

Site Status

Detska fakultni nemocnice

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Fakultni Nemocnice Plzen

Plzen-Bory, , Czechia

Site Status

Fakultni nemocnice Kralovske Vinohrady

Prague, , Czechia

Site Status

LF UK - Fakultni poliklinika

Prague, , Czechia

Site Status

Nemocnice Na Bulovce

Prague, , Czechia

Site Status

Centre hospitalier universitaire Pellegrin

Bordeaux, , France

Site Status

Hôpital Femme Mère Enfant

Bron, , France

Site Status

CHU de Nice Hopital de L'Archet

Nice, , France

Site Status

Universitätsklinikum Erlangen

Erlangen, Bavaria, Germany

Site Status

Klinikum der Johann Wolfgang Goethe-Universität Frankfurt

Frankfurt am Main, Hesse, Germany

Site Status

Universitätsklinikum Münster

Münster, North Rhine-Westphalia, Germany

Site Status

Universitätsmedizin der Johannes Gutenberg-Universität Mainz

Mainz, Rhineland-Palatinate, Germany

Site Status

ISA GmbH

Berlin, , Germany

Site Status

SZTE AOK Borgyogyaszati es Allergologiai Klinika

Szeged, Csongrád megye, Hungary

Site Status

Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika

Debrecen, Hajdú-Bihar, Hungary

Site Status

Allergo-Derm Bakos Kft

Szolnok, Jász-Nagykun-Szolnok, Hungary

Site Status

Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak

Budapest, , Hungary

Site Status

Oroshaza Varosi Onkormanyzat Korhaza

Orosháza, , Hungary

Site Status

Hospital Infantil de Mexico

Mexico City, Federal District, Mexico

Site Status

Hospital Univ. Dr. Jose Eleuterio Gonzalez

Monterrey, Nuevo León, Mexico

Site Status

RM Pharma Specialists S.A. de C.V.

Distrito Federal, , Mexico

Site Status

Arke Estudios Clinicos S.A. de C.V.

Veracruz, , Mexico

Site Status

Universitair Medisch Centrum St Radboud Nijmegen

Nijmegen, , Netherlands

Site Status

"Dermed" Centrum Medyczne Sp. z o.o.

Lodz, , Poland

Site Status

Centralny Szpital Kliniczny MSW

Warsaw, , Poland

Site Status

DermMEDICA Sp. z o.o.

Wroclaw, , Poland

Site Status

Office of Dr. Samuel Sanchez PSC

Caguas, PR, Puerto Rico

Site Status

Grupo Dermatologico de Carolina

Carolina, PR, Puerto Rico

Site Status

Ponce School of Medicine CAIMED Center

Ponce, PR, Puerto Rico

Site Status

GCM Medical Group PSC

San Juan, , Puerto Rico

Site Status

GBUZ Clinical dermatology and venereological dispensary

Krasnodar, , Russia

Site Status

Center of Children's Health

Moscow, , Russia

Site Status

Hospital Sant Joan de Déu

Esplugues de Llobregat, Barcelona, Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Countries

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United States Argentina Canada Czechia France Germany Hungary Mexico Netherlands Poland Puerto Rico Russia Spain

References

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Paller AS, Seyger MMB, Magarinos GA, Pinter A, Cather JC, Rodriguez-Capriles C, Zhu D, Somani N, Garrelts A, Papp KA; IXORA-PEDS Investigators. Long-term Efficacy and Safety of Up to 108 Weeks of Ixekizumab in Pediatric Patients With Moderate to Severe Plaque Psoriasis: The IXORA-PEDS Randomized Clinical Trial. JAMA Dermatol. 2022 May 1;158(5):533-541. doi: 10.1001/jamadermatol.2022.0655.

Reference Type DERIVED
PMID: 35416908 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: RHCD 05 Protocol (b)_Redacted

View Document

Document Type: Study Protocol: I1F-MC-RHCD(2.1) Clinical Protocol Addendum

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lillytrialguide.com/en-US/trial/2xPbhh7bJKOwooYG2OKg6c

Study of Ixekizumab (LY2439821) in Children 6 to Less Than 18 Years With Moderate-to-Severe Plaque Psoriasis

Other Identifiers

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I1F-MC-RHCD

Identifier Type: OTHER

Identifier Source: secondary_id

2016-003331-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

16367

Identifier Type: -

Identifier Source: org_study_id

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