Trial Outcomes & Findings for An Open-Label, Proof-of-Concept Study of Ixekizumab in the Treatment of Pyoderma Gangrenosum (NCT NCT03137160)

NCT ID: NCT03137160

Last Updated: 2024-02-23

Results Overview

The primary outcome will be the proportion of subjects achieving a 2-point reduction in the 5-point investigator global assessment for the target ulcer at Week 12. The measure type and unit of measure are the proportion of participants. The IGA utilizes a 5 point Investigator Global Assessment measuring disease severity from 0- clear, 1-minimal, 2-mild, 3-moderate, 4- severe. 4 is the worst

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

12 Weeks

Results posted on

2024-02-23

Participant Flow

The study will be conducted in Columbus, OH, at The Ohio State University (OSU) dermatology clinical trials center. Both the principal investigator and the OSU dermatology center have extensive experience with industry-sponsored clinical trials in PG, having completing two trials in 2015-16

These patients will have histological testing to rule out competing etiologies and require 3rd party adjudication/confirmation on agreement of the diagnosis

Participant milestones

Participant milestones
Measure
Ixekizumab (Taltz)
We have received funding for only a small pilot study to prove a benefit from Interleukin-17 inhibition in Pyoderma Gangrenosum . Therefore, there is only one treatment arm. The primary outcome will be a comparison of week 12 to baseline regarding a two-point improvement in the Investigator Global Assessment. Ixekizumab: Injection
Overall Study
STARTED
4
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ixekizumab (Taltz)
n=4 Participants
We have received funding for only a small pilot study to prove a benefit from Interleukin-17 inhibition in Pyoderma Gangrenosum . Therefore, there is only one treatment arm. The primary outcome will be a comparison of week 12 to baseline regarding a two-point improvement in the Investigator Global Assessment. Ixekizumab: Injection
Age, Categorical
<=18 years
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=4 Participants
Age, Continuous
49.5 years
n=4 Participants
Sex: Female, Male
Female
1 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=4 Participants
Number meeting criteria for inclusion
4 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 12 Weeks

Population: The proportion of subjects achieving a two point reduction in the five-point investigator global assessment (IGA) for the target ulcer from baseline to week 12.

The primary outcome will be the proportion of subjects achieving a 2-point reduction in the 5-point investigator global assessment for the target ulcer at Week 12. The measure type and unit of measure are the proportion of participants. The IGA utilizes a 5 point Investigator Global Assessment measuring disease severity from 0- clear, 1-minimal, 2-mild, 3-moderate, 4- severe. 4 is the worst

Outcome measures

Outcome measures
Measure
Ixekizumab (Taltz)
n=4 Participants
We have received funding for only a small pilot study to prove a benefit from Interleukin-17 inhibition in Pyoderma Gangrenosum . Therefore, there is only one treatment arm. The primary outcome will be a comparison of week 12 to baseline regarding a two-point improvement in the Investigator Global Assessment. Ixekizumab: Injection
The Proportion of Subjects Achieving 2-point Reduction in the 5-point Investigator Global Assessment (IGA) for the Target Ulcer at Week 12
0 Participants

Adverse Events

Ixekizumab (Taltz)

Serious events: 3 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ixekizumab (Taltz)
n=4 participants at risk
We have received funding for only a small pilot study to prove a benefit from Interleukin-17 inhibition in Pyoderma Gangrenosum . Therefore, there is only one treatment arm. The primary outcome will be a comparison of week 12 to baseline regarding a two-point improvement in the Investigator Global Assessment. Ixekizumab: Injection
Blood and lymphatic system disorders
sepsis
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Infections and infestations
infection
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.

Other adverse events

Other adverse events
Measure
Ixekizumab (Taltz)
n=4 participants at risk
We have received funding for only a small pilot study to prove a benefit from Interleukin-17 inhibition in Pyoderma Gangrenosum . Therefore, there is only one treatment arm. The primary outcome will be a comparison of week 12 to baseline regarding a two-point improvement in the Investigator Global Assessment. Ixekizumab: Injection
Cardiac disorders
hypotension
50.0%
2/4 • Number of events 2 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Immune system disorders
fever
50.0%
2/4 • Number of events 3 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Gastrointestinal disorders
vomitting
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Gastrointestinal disorders
diarrhea
25.0%
1/4 • Number of events 2 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Infections and infestations
infection of ulcer
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Immune system disorders
pneumonia
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Immune system disorders
h influenza
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Infections and infestations
low WBC
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Immune system disorders
low igG levels
25.0%
1/4 • Number of events 1 • Adverse event data was collected over 16 weeks per patient and 1 year for the trial. Patient 01: data collected for 16 weeks. Patient EOT at week 16 Patient 02: Data collected for 2 weeks. Lost to FU after week 2 Patient 03: data collected for 6 weeks. Patient EOT visit at week 6 Patient 04: data collected for 6 weeks. EOT visit at week 6
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.

Additional Information

Dr. Benjamin Kaffenberger, MD

The Ohio State University- Dermatology

Phone: 6143463399

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place