Efficacy and Safety of Tildrakizumab Compared to Placebo in Anti-TNF naïve Subjects With Active Psoriatic Arthritis II (INSPIRE 2)

NCT ID: NCT04314531

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

296 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-01

Study Completion Date

2026-01-31

Brief Summary

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This is a randomized, double-blinded, placebo-controlled, Phase 3 study to evaluate the efficacy and safety of tildrakizumab compared to placebo in anti-TNF naïve subjects with active PsA .

Detailed Description

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Conditions

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Active Psoriatic Arthritis

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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Arm A

Group Type EXPERIMENTAL

TILD

Intervention Type DRUG

one 1 mL injection of study medication

Arm B

Group Type PLACEBO_COMPARATOR

matching placebo injections

Intervention Type DRUG

one 1 mL injection of placebo

Interventions

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TILD

one 1 mL injection of study medication

Intervention Type DRUG

matching placebo injections

one 1 mL injection of placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subject has provided written informed consent.
2. Subject is ≥ 18 years of age at time of Screening.
3. Subject has a diagnosis of active PsA for at least 6 months before the first administration of the study agent and has active PsA at Screening or Baseline.
4. Rheumatoid factor (RF) and anti-cyclic citrullinated peptide antibodies (anti-CCP Ab) negative.
5. Subjects must have no prior exposure to anti-tumor necrosis factor (anti-TNF) agent(s) use for the treatment of PsO or PsA.

Exclusion Criteria

1. The subject has a planned surgical intervention between Baseline and the Week 52 evaluation for a pretreatment condition.
2. Subject has an active infection or history of infections as follows:

* any active infection for which systemic anti-infectives were used within 28 days prior to first IMP dose, with the last dose having been received within 7 days of Screening,
* a serious infection, defined as requiring hospitalization or intravenous (IV) anti-infectives within 8 weeks prior to the first IMP dose, with the last dose having been received within 7 days of Screening,
* recurrent or chronic infections, e.g., chronic pyelonephritis, chronic osteomyelitis, bronchiectasis, or other active infection that, in the opinion of the Investigator, might cause this study to be detrimental to the subject.
3. Subject has any concurrent medical condition or uncontrolled, clinically significant systemic disease (e.g., renal failure, heart failure, hypertension, liver disease, diabetes, or anemia) that, in the opinion of the Investigator, could cause this study to be detrimental to the subject.
4. Subject has a known history of infection with hepatitis B, hepatitis C, or human immunodeficiency virus.
5. Subject had myocardial infarction, unstable angina pectoris, or ischemic stroke within the past 6 months prior to the first IMP dose.
6. Subject has any active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma.
7. Subjects with a history of alcohol or drug abuse in the previous 2 years.
8. Female subjects of childbearing potential who do not agree to abstain from heterosexual activity or practice a dual method of contraception, for example, a combination of the following: (1) oral contraceptive, depo progesterone, or intrauterine device; and (2) a barrier method (condom or diaphragm). Male subjects with female partners of childbearing potential who are not using birth control as described above must use a barrier method of contraception (e.g., condom) if not surgically sterile (i.e., vasectomy). Contraceptive methods must be practiced upon signing the Informed Consent and through 24 weeks after the last dose of IMP. If a subject discontinues prematurely, the contraceptive method must be practiced for 17 weeks following final administration of IMP. A follicle-stimulating hormone (FSH) test should be performed to confirm menopause (per reference values of the laboratory) for those women with no menses for less than 1 year.
9. Subject currently enrolled in another investigational device/procedure or drug study, or Baseline of this study is less than 30 days or 5 half-lives (whichever is longer) since ending another investigational device/procedure or drug study(s), or receiving other investigational agent(s).
10. Subject previously has been enrolled (randomized) in this study.
11. Subject has any kind of disorder that, in the opinion of the Investigator, may compromise the ability of the subject to give written informed consent and/or to comply with all required study procedures.
12. Donation or loss of 400 milliliter (mL) or more of blood within 8 weeks before first dose of IMP.
13. Subjects who have been placed in an institution on official or judicial orders.
14. Subjects who are related to or dependent on the Investigator, Sponsor, or study site such that a conflict of interest could arise.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Pharmaceutical Industries Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sunpharma site no. 12

Covina, California, United States

Site Status

Sunpharma site no. 04

Miami Beach, Florida, United States

Site Status

Sunpharma site no. 02

New Port Richey, Florida, United States

Site Status

Sunpharma site no. 07

Tamarac, Florida, United States

Site Status

Sunpharma site no. 05

Springfield, Missouri, United States

Site Status

Sunpharma site no. 10

Lincoln, Nebraska, United States

Site Status

Sunpharma site no. 11

Greenville, South Carolina, United States

Site Status

Sunpharma site no. 09

Lubbock, Texas, United States

Site Status

Sunpharma site no. 03

San Antonio, Texas, United States

Site Status

Sunpharma site no. 01

Tomball, Texas, United States

Site Status

Sunpharma site no. 06

Spokane, Washington, United States

Site Status

Sunpharma Site 39

Phillip, Australian Capital Territory, Australia

Site Status

Sunpharma site no. 08

Hobart, Tasmania, Australia

Site Status

Sunpharma Site 64

Brno, , Czechia

Site Status

Sunpharma Site 97

Prague, , Czechia

Site Status

Sunpharma Site 63

Zlín, , Czechia

Site Status

Sunpharma Site 73

Berlin, , Germany

Site Status

Sunpharma Site 92

Herne, , Germany

Site Status

Sunpharma Site 111

Surat, Gujarat, India

Site Status

Sunpharma Site 110

Bangalore, Karnataka, India

Site Status

Sunpharma Site 107

Belagavi, Karnataka, India

Site Status

Sunpharma Site 109

Hubli, Karnataka, India

Site Status

Sunpharma Site 108

Pune, Maharashtra, India

Site Status

Sunpharma Site 112

Hyderabad, Telangana, India

Site Status

Sunpharma Site 106

Lucknow, Uttar Pradesh, India

Site Status

Sunpharma Site 113

Kochi, , India

Site Status

Sunpharma Site 84

Nagoya, Aichi-ken, Japan

Site Status

Sunpharma Site 89

Kitakyushu, Fukuoka, Japan

Site Status

Sunpharma Site 86

Sendai, Miyagi, Japan

Site Status

Sunpharma Site 24

Miyazaki, Miyazaki, Japan

Site Status

Sunpharma Site 91

Mitaka, Tokyo, Japan

Site Status

Sunpharma Site 85

Shinjuku, Tokyo, Japan

Site Status

Sunpharma Site 90

tabashi City, Tokyo, Japan

Site Status

Sunpharma Site 22

Kitakyushu-shi, , Japan

Site Status

Sunpharma Site 88

Kumamoto, , Japan

Site Status

Sunpharma Site 87

Osaka, , Japan

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Sunpharma Site 23

Tsu, , Japan

Site Status

Sunpharma Site 93

Bialystok, , Poland

Site Status

Sunpharma Site 95

Bialystok, , Poland

Site Status

Sunpharma Site 94

Lublin, , Poland

Site Status

Sunpharma Site 74

Poznan, , Poland

Site Status

Sunpharma Site 96

Warsaw, , Poland

Site Status

Sunpharma Site 18

Incheon, , South Korea

Site Status

Sunpharma Site 20

Seoul, , South Korea

Site Status

Sunpharma Site 19

Seoul, , South Korea

Site Status

Sunpharma Site 75

A Coruña, , Spain

Site Status

Sunpharma Site 71

Córdoba, , Spain

Site Status

Sunpharma Site 100

Madrid, , Spain

Site Status

Sunpharma Site 72

Seville, , Spain

Site Status

Countries

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Taiwan United States Australia Czechia Germany India Japan Poland South Korea Spain

Other Identifiers

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TILD-19-19

Identifier Type: -

Identifier Source: org_study_id