A Study to Evaluate the Efficacy and Safety of Apremilast (CC-10004) in Japanese Subjects With Palmoplantar Pustulosis

NCT ID: NCT04057937

Last Updated: 2024-07-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-16

Study Completion Date

2021-06-07

Brief Summary

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This study will evaluate whether apremilast is better than placebo (inactive substance in the same form as the drug) for the treatment in Japanese subjects with PPP. This study also will evaluate the safety and tolerability of apremilast in Japanese subjects with PPP.CC-10004-PPP-001 is a multicenter, randomized, double-blind, placebo-controlled, parallel group, Phase 2 study of apremilast in Japanese subjects with PPP and inadequate response to treatment with topical steroid and/or topical vitamin D3 derivative preparations.

The placebo-controlled period will be 16 weeks and patients will receive apremilast or placebo. After the 16-week placebo-controlled period, all subjects will receive apremilast for 16 weeks. All subjects will have their final study visit 4 weeks after stopping apremilast treatment.

Detailed Description

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Conditions

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Palmoplantaris Pustulosis

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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Placebo then Apremilast 30mg BID

Participants received matched placebo as oral tablets twice daily (BID) for up to 16 weeks (Week 0 to Week 16). Participants who completed the placebo-controlled phase entered the active-treatment phase and received apremilast 30 mg as oral tablets BID for up to an additional 16 weeks (Week 16 to Week 32).

Group Type EXPERIMENTAL

Apremilast

Intervention Type DRUG

Apremilast

Placebo

Intervention Type DRUG

Placebo

Apremilast 30 mg BID then Apremilast 30 mg BID

Participants received apremilast 30 mg as oral tablets BID for up to 16 weeks (Week 0 to Week 16). Participants who completed the placebo-controlled phase entered the active-treatment phase and received apremilast 30 mg as oral tablets BID for up to an additional 16 weeks (Week 16 to Week 32).

Group Type EXPERIMENTAL

Apremilast

Intervention Type DRUG

Apremilast

Interventions

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Apremilast

Apremilast

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Other Intervention Names

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CC-10004

Eligibility Criteria

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Inclusion Criteria

Subjects must satisfy the following criteria to be enrolled in the study:

1. Subject has a diagnosis of Palmoplantar Pustulosis with or without pustulotic arthro-osteitis (PAO) for at least 24 weeks before screening.
2. Subject has a total score of PPPASI: ≥ 12 at screening and baseline.
3. Subject has moderate or severe pustules/vesicles on palms or soles (PPPASI severity score: ≥ 2) at screening and baseline.
4. Subject has inadequate response to treatment with topical steroid and/or topical vitamin D3 derivative preparations prior to or at screening.

Exclusion Criteria

The presence of any of the following will exclude a subject from enrollment:

1. Subject has a diagnosis of plaque-type psoriasis.
2. Subject has the presence of pustular psoriasis in any part of the body other than the palms and soles.
3. Subject has obvious improvement during screening (≥ 5 PPPASI total score improvement during the screening).
4. Subject has received any procedures for focal infection (e.g, tonsillectomy and dental therapy) within 24 weeks of baseline.
5. Subject has periodontitis obviously requiring treatment at screening.
6. Subject has chronic or recurrent tonsillitis or sinusitis requiring any continuous treatment for a month or more at screening.
7. Subject has evidence of skin conditions of hands and feet that would interfere with evaluations of the effect of study medication.
8. Subject is pregnant or breastfeeding.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

Ichinomiya, Aichi-ken, Japan

Site Status

Research Site

Nagoya, Aichi-ken, Japan

Site Status

Research Site

Fukuoka, Fukuoka, Japan

Site Status

Research Site

Sapporo, Hokkaido, Japan

Site Status

Research Site

Hitachi, Ibaraki, Japan

Site Status

Research Site

Sagamihara-shi, Kanagawa, Japan

Site Status

Research Site

Yokohoma-shi, Kanagawa, Japan

Site Status

Research Site

Yokosuka, Kanagawa, Japan

Site Status

Research Site

Izumo, Shimane, Japan

Site Status

Research Site

Chiyoda-ku, Tokyo, Japan

Site Status

Research Site

Itabashi-ku, Tokyo, Japan

Site Status

Research Site

Itabashi-ku, , Japan

Site Status

Research Site

Kisarazu, , Japan

Site Status

Research Site

Kofu, , Japan

Site Status

Research Site

Minokamo, , Japan

Site Status

Research Site

Nankoku-shi, , Japan

Site Status

Research Site

Osaka, , Japan

Site Status

Research Site

Sendai, , Japan

Site Status

Research Site

Shinjuku-ku, , Japan

Site Status

Research Site

Shinjyuku-ku, , Japan

Site Status

Research Site

Tōon, , Japan

Site Status

Research Site

Tsu, , Japan

Site Status

Countries

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Japan

References

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Terui T, Okubo Y, Kobayashi S, Sano S, Morita A, Imafuku S, Tada Y, Abe M, Yaguchi M, Uehara N, Handa T, Tanaka M, Zhang W, Paris M, Murakami M. Efficacy and Safety of Apremilast for the Treatment of Japanese Patients with Palmoplantar Pustulosis: Results from a Phase 2, Randomized, Placebo-Controlled Study. Am J Clin Dermatol. 2023 Sep;24(5):837-847. doi: 10.1007/s40257-023-00788-2. Epub 2023 May 26.

Reference Type BACKGROUND
PMID: 37233897 (View on PubMed)

Okubo Y, Terui T, Kobayashi S, Sano S, Morita A, Imafuku S, Tada Y, Abe M, Yaguchi M, Kimura T, Shimauchi J, Zhang W, Amouzadeh H, Murakami M. Exploratory Efficacy Evaluation of Apremilast for the Treatment of Japanese Patients with Palmoplantar Pustulosis: 32-Week Results from a Phase 2, Randomized, Placebo-Controlled Study. Dermatol Ther (Heidelb). 2024 Jul;14(7):1863-1873. doi: 10.1007/s13555-024-01195-z. Epub 2024 Jun 19.

Reference Type BACKGROUND
PMID: 38896381 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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U1111-1236-1239

Identifier Type: OTHER

Identifier Source: secondary_id

CC-10004-PPP-001

Identifier Type: -

Identifier Source: org_study_id

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