E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the long term safety, tolerability and clinical efficacy of adalimumab in subjects with moderate to severe chronic plaque psoriasis entering from studies M02-529,M02-538, M03-596 and the planned Phase 3 psoriasis studies. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Psoriasis subjects with a PASI >50 at final visit for M02-529 or M03-596, subjects who relapse after Week 24 in M02-538,Phase 3 subjects who meet the entry criteria specified in the preceeding Ph 3 protocol,subjects over 18 years of age, female subjects either postmenopausal or sterile 1 year preceeding,or if she is of child-bearing capacity, then should be practising one of a selection of birth-control measures and have had a negative urine pregnancy test or negative serum pregnancy test at the last visit of the previous study,subjects able to self-inject or have a responsible person available to assist with the injections. |
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E.4 | Principal exclusion criteria |
Subjects who discontinue the M02-538 study for reasons other than relapse, M02-529 and M03-596 subjects with a PASI <50 at final visit,subjects who cmplete the M03-568 360day visit, and subjects who do not meet the requirements of the M03-658 study as specified in thier protocol,subjects with abnormal laboratory values, subjects with other skin diseases,subjects who need topical therapies or phototherapies,subjects with underlying cardiac, pulmonary, renal, metabolic or gastrointestinal conditions who the Investigator deems unsuitable, subjects with a history of TB, who are known immuno-deficient or immunocompromised, with a history of drug or alcohol abuse, breast-feeding females or those planning a pregnancy. |
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E.5 End points |
E.5.1 | Primary end point(s) |
PASI response will be measured every 12 weeks. Primary endpoint is measured as subjects reaching and maintaining a PASI score of >=50% of that at Week 0 in their original psoriasis study. Investigators will evaluate the risk/benefit of subjects who do not maintain or achieve a 50% increase in thier PASI score. These patients may be discontinued from the study.Any subject who develops erythrodermic or generalised pustular psoriasis will be discontinued from the study. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |