A Study of Ixekizumab (LY2439821) Compared to Guselkumab in Participants With Moderate-to-Severe Plaque Psoriasis

NCT ID: NCT03573323

Last Updated: 2020-07-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

1027 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-09

Study Completion Date

2020-01-08

Brief Summary

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The purpose of this study is to compare the efficacy and safety of ixekizumab to guselkumab in 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

DOUBLE

Participants Investigators

Study Groups

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Ixekizumab

A starting dose of 160 milligram (mg) of ixekizumab was given as 2 subcutaneous (SC) injections at Week 0. During the Induction Period, ixekizumab 80 mg was given every 2 weeks (Q2W) at Weeks 2, 4, 6, 8, 10, and 12. During the Extension Period, ixekizumab 80 mg was given as 1 SC injection (Q4W) every 4 weeks at Weeks 16 and 20.

The Post Treatment Follow Up Period was for safety monitoring following the last treatment period.

Group Type EXPERIMENTAL

Ixekizumab

Intervention Type DRUG

Administered SC

Guselkumab

During the Induction Period, guselkumab 100 mg was given as 1 SC injection at Weeks 0, 4 and 12. 1 placebo injection (to maintain the blind) was given at Weeks 0, 2, 6, 8, and 10. During the Extension Period, guselkumab 100 mg was given at Week 20. 1 placebo injection (to maintain the blind) was given at Week 16.

The Post Treatment Follow Up Period was for safety monitoring following the last treatment period.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Administered SC

Placebo

Intervention Type DRUG

Administered SC

Interventions

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Ixekizumab

Administered SC

Intervention Type DRUG

Guselkumab

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

* Have chronic plaque psoriasis based on a diagnosis for at least 6 months before baseline as determined by the investigator.
* Are a candidate for phototherapy and/or systemic therapy.
* Have both an Static Physician Global Assessment (sPGA) score of ≥3 and a Psoriasis Area and Severity Index (PASI) score ≥12 at screening and at baseline.
* Have ≥10% body surface area (BSA) involvement at screening and baseline.
* If a male, agree to use a reliable method of birth control during the study.
* If female, agree to use highly effective method of contraception.

Exclusion Criteria

* Predominant pattern of pustular, erythrodermic, and/or guttate forms of psoriasis.
* Have a history of drug-induced psoriasis.
* Had a clinically significant flare of psoriasis during the 12 weeks before baseline.
* Use of tanning booths for at least 4 weeks before baseline.
* Concurrent or recent use of any biologic agent within the following periods prior to baseline: etanercept \<28 days; infliximab, adalimumab, certolizumab pegol, or alefacept \<60 days; golimumab \<90 days; rituximab \<12 months; secukinumab \<5 months; or any other biologic agent (e.g., ustekinumab) \<5 half lives.
* Have prior use of IL-23p19 antagonists (e.g., guselkumab, tildrakizumab, risankizumab), or have any condition or contraindication as addressed in the local labeling for guselkumab that would preclude the participant from participating in this protocol.
* Have previously completed or withdrawn from this study, participated in any other study with ixekizumab or guselkumab, have participated in any study investigating IL-23p19 antagonists, or have received treatment with ixekizumab.
* Have previously failed to respond to an IL-17 antagonist, per investigator assessment.
* Have had a live vaccination within 12 weeks of baseline.
* Have a known allergy or hypersensitivity to any biologic therapy.
* Have had any major surgery within 8 weeks of baseline.
* Have had a serious infection, have been hospitalized, or have received intravenous antibiotics for an infection within 12 weeks of baseline.
* Are women who are pregnant, or who are lactating (breast-feeding).
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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Total Skin and Beauty Dermatology Center PC

Birmingham, Alabama, United States

Site Status

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Alliance Dermatology and Mohs Center

Phoenix, Arizona, United States

Site Status

Perseverance Research Center

Scottsdale, Arizona, United States

Site Status

Johnson Dermatology

Fort Smith, Arkansas, United States

Site Status

Bakersfield Dermatology and Skin Cancer Medical Group

Bakersfield, California, United States

Site Status

Wallace Medical Group, Inc.

Beverly Hills, California, United States

Site Status

California Dermatology and Clinical Research Institute

Encinitas, California, United States

Site Status

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

Fountain Valley, California, United States

Site Status

Center for Dermatology Clinical Research, Inc.

Fremont, California, United States

Site Status

Advanced Research Center

Los Alamitos, California, United States

Site Status

Axis Clinical Trials

Los Angeles, California, United States

Site Status

Dermatology Clinical Trials

Newport Beach, California, United States

Site Status

Quest Dermatology Research

Northridge, California, United States

Site Status

Northern California Research Corporation

Sacramento, California, United States

Site Status

Advanced Research Center

San Diego, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

University Clinical Trials, Inc.

San Diego, California, United States

Site Status

Synergy Dermatology

San Francisco, California, United States

Site Status

Southern California Dermatology

Santa Ana, California, United States

Site Status

Mosaic Dermatology

Santa Monica, California, United States

Site Status

Clinical Science Institute

Santa Monica, California, United States

Site Status

Unison Clinical Trials

Sherman Oaks, California, United States

Site Status

Care Access Research-Walnut Creek

Walnut Creek, California, United States

Site Status

Dermatology Physicians of Connecticut

Shelton, Connecticut, United States

Site Status

Florida Academic Dermatology Centers

Coral Gables, Florida, United States

Site Status

Olympian Clinical Research

Largo, Florida, United States

Site Status

Suncoast Research Group, LLC

Miami, Florida, United States

Site Status

Miami Dermatology & Laser Research

Miami, Florida, United States

Site Status

Suncoast Clinical Research

New Port Richey, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

Sensible Healthcare

Ocoee, Florida, United States

Site Status

Park Avenue Dermatology

Orange Park, Florida, United States

Site Status

International Clinical Research

Sanford, Florida, United States

Site Status

MOORE Clinical Research

Tampa, Florida, United States

Site Status

ForCare Clinical Research

Tampa, Florida, United States

Site Status

Olympian Clinical Research

Tampa, Florida, United States

Site Status

Atlanta Dermatology, Vein Research Center, PC

Alpharetta, Georgia, United States

Site Status

Skin Care Physicians of Georgia

Macon, Georgia, United States

Site Status

Arlington Dermatology

Rolling Meadows, Illinois, United States

Site Status

Dermatology Institute of Dupage Medical Group

Wheaton, Illinois, United States

Site Status

Qualmedica Research LLC

Evansville, Indiana, United States

Site Status

Dawes Fretzin Clinical Research

Indianapolis, Indiana, United States

Site Status

Dermatology Specialists Research Indiana

New Albany, Indiana, United States

Site Status

The Indiana Clinical Trials Center, PC

Plainfield, Indiana, United States

Site Status

The South Bend Clinic

South Bend, Indiana, United States

Site Status

Integrated Clinical Trial Services, Inc.

West Des Moines, Iowa, United States

Site Status

Kansas City Dermatology, PA

Overland Park, Kansas, United States

Site Status

Dermatology Specialist

Louisville, Kentucky, United States

Site Status

Owensboro Dermatology Associates

Owensboro, Kentucky, United States

Site Status

Lawrence J Green, M.D, LLC

Rockville, Maryland, United States

Site Status

ActivMed Practices & Research, Inc

Beverly, Massachusetts, United States

Site Status

Fivenson Dermatology

Ann Arbor, Michigan, United States

Site Status

Great Lakes Research Group, Inc.

Bay City, Michigan, United States

Site Status

Clarkston Skin Research

Clarkston, Michigan, United States

Site Status

Henry Ford Medical Center- New Center One

Detroit, Michigan, United States

Site Status

St Joseph Dermatology and Vein Clinic

Saint Joseph, Michigan, United States

Site Status

Central Dermatology PC

St Louis, Missouri, United States

Site Status

Impact Clinical Trials

Las Vegas, Nevada, United States

Site Status

ActivMed Practices & Research, Inc

Portsmouth, New Hampshire, United States

Site Status

Psoriasis Treatment Center of Central New Jersey

East Windsor, New Jersey, United States

Site Status

Forest Hills Dermatology Group

Forest Hills, New York, United States

Site Status

Sadick Research Group

New York, New York, United States

Site Status

Piedmont Plastic Surgery and Dermatology

Charlotte, North Carolina, United States

Site Status

Dermatology Consulting Services

High Point, North Carolina, United States

Site Status

PMG Research of Rocky Mount, LLC

Rocky Mount, North Carolina, United States

Site Status

PMG Research of Wilmington, LLC

Wilmington, North Carolina, United States

Site Status

Bexley Dermatology Research

Bexley, Ohio, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Wright State Univ School of Medicine

Fairborn, Ohio, United States

Site Status

Ohio State Univ College Of Medicine

Gahanna, Ohio, United States

Site Status

Dermatologists of Southwest Ohio, Inc.

Mason, Ohio, United States

Site Status

Oregon Medical Research Center

Portland, Oregon, United States

Site Status

Dermatology and Skin Surgery Center

Exton, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Yardley Dermatology

Yardley, Pennsylvania, United States

Site Status

Clinical Partners LLC

Johnston, Rhode Island, United States

Site Status

Clinical Research Center of the Carolinas

Charleston, South Carolina, United States

Site Status

International Clinical Research

Murfreesboro, Tennessee, United States

Site Status

Arlington Research Center, Inc

Arlington, Texas, United States

Site Status

Austin Institute for Clinical Research, Inc.

Austin, Texas, United States

Site Status

Bellaire Dermatology

Bellaire, Texas, United States

Site Status

Dermatology Treatment and Research Center

Dallas, Texas, United States

Site Status

Modern Research Associates PLLC

Dallas, Texas, United States

Site Status

Center for Clinical Studies

Houston, Texas, United States

Site Status

Suzanne Bruce and Associates, PA

Houston, Texas, United States

Site Status

Progressive Clinical Research

San Antonio, Texas, United States

Site Status

Dermatology Clinical Research Center of San Antonio

San Antonio, Texas, United States

Site Status

Stephen L Miller, MD, PA

San Antonio, Texas, United States

Site Status

University of Utah MidValley Dematology

Murray, Utah, United States

Site Status

Virginia Clinical Research

Norfolk, Virginia, United States

Site Status

Virginia Dermatology & Skin Cancer Center

Norfolk, Virginia, United States

Site Status

Eastern Virginia Medical School

Norfolk, Virginia, United States

Site Status

National Clinical Research - Richmond

Richmond, Virginia, United States

Site Status

Dermatology Associates

Seattle, Washington, United States

Site Status

West Virginia Research Institute

Morgantown, West Virginia, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Dermatology Research Institute Inc.

Calgary, Alberta, Canada

Site Status

Kirk Barber Research

Calgary, Alberta, Canada

Site Status

Stratica Medical

Edmonton, Alberta, Canada

Site Status

Dr. Chih-ho Hong Medical Inc.

Surrey, British Columbia, Canada

Site Status

Enverus Medical Research

Surrey, British Columbia, Canada

Site Status

Wiseman Dermatology Research Inc.

Winnipeg, Manitoba, Canada

Site Status

Karma Clinical Trials Inc

St. John's, Newfoundland and Labrador, Canada

Site Status

Eastern Canada Cutaneous Research Assoicates Ltd

Halifax, Nova Scotia, Canada

Site Status

Dermatrials Research Inc.

Hamilton, Ontario, Canada

Site Status

Mediprobe Research Inc

London, Ontario, Canada

Site Status

The Guenther Dermatology Research Centre

London, Ontario, Canada

Site Status

Lynderm Research Inc

Markham, Ontario, Canada

Site Status

DermEdge Research Inc

Mississauga, Ontario, Canada

Site Status

North Bay Dermatology Centre

North Bay, Ontario, Canada

Site Status

SKiN Centre for Dermatology

Peterborough, Ontario, Canada

Site Status

The Centre for Dermatology

Richmond Hill, Ontario, Canada

Site Status

K. Papp Clinical Research Inc

Waterloo, Ontario, Canada

Site Status

Dr Isabelle Delorme Inc.

Drummondville, Quebec, Canada

Site Status

Innovaderm Research Inc

Montreal, Quebec, Canada

Site Status

Q&T Research Sherbrooke Inc

Sherbrooke, Quebec, Canada

Site Status

Centro Reumatologico de Caguas

Caguas, PR, Puerto Rico

Site Status

Office of Dr. Samuel Sanchez PSC

Caguas, PR, Puerto Rico

Site Status

Ponce School of Medicine CAIMED Center

Ponce, PR, Puerto Rico

Site Status

GCM Medical Group PSC

San Juan, PR, Puerto Rico

Site Status

Mindful Medical Research

San Juan, PR, Puerto Rico

Site Status

Santa Cruz Behavioral PSC

Bayamón, , Puerto Rico

Site Status

Countries

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United States Canada Puerto Rico

References

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Armstrong A, Gonzalez-Cantero A, Khattri S, Muzy G, Malatestinic WN, Lampropoulou A, Feely M, See SK, Mert C, Blauvelt A. Comparing Achievement of National Psoriasis Foundation Treatment Targets among Patients with Plaque Psoriasis Treated with Ixekizumab versus Other Biologics in Clinical and Real-World Studies. Dermatol Ther (Heidelb). 2024 Apr;14(4):933-952. doi: 10.1007/s13555-024-01136-w. Epub 2024 Mar 23.

Reference Type DERIVED
PMID: 38521874 (View on PubMed)

Gooderham M, Vender R, Crowley J, Hong HC, Feely M, Garrelts A, See K, Konicek B, Green L. Speed and Cumulative Responses According to Body Regions in Patients with Moderate-to-Severe Plaque Psoriasis Treated with Ixekizumab (Interleukin-17A Antagonist) versus Guselkumab (Interleukin-23p19 Inhibitor). Dermatol Ther (Heidelb). 2024 Feb;14(2):441-451. doi: 10.1007/s13555-023-01075-y. Epub 2024 Feb 9.

Reference Type DERIVED
PMID: 38332436 (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)

Blauvelt A, Leonardi C, Elewski B, Crowley JJ, Guenther LC, Gooderham M, Langley RG, Vender R, Pinter A, Griffiths CEM, Tada Y, Elmaraghy H, Lima RG, Gallo G, Renda L, Burge R, Park SY, Zhu B, Papp K; IXORA-R Study Group. A head-to-head comparison of ixekizumab vs. guselkumab in patients with moderate-to-severe plaque psoriasis: 24-week efficacy and safety results from a randomized, double-blinded trial. Br J Dermatol. 2021 Jun;184(6):1047-1058. doi: 10.1111/bjd.19509. Epub 2020 Oct 25.

Reference Type DERIVED
PMID: 32880909 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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I1F-MC-RHCR

Identifier Type: OTHER

Identifier Source: secondary_id

17119

Identifier Type: -

Identifier Source: org_study_id

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