E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate to severe plaque psoriasis |
Psoriasis en placas de grado moderado a severo |
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E.1.1.1 | Medical condition in easily understood language |
Psoriasis is a skin condition that causes red, raised scaly patches on the skin |
La Soriaris es una afección cutanéa que provoca placas escamosas rojas y abultadas en la piel. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10071117 |
E.1.2 | Term | Plaque psoriasis |
E.1.2 | System Organ Class | 10040785 - Skin and subcutaneous tissue disorders |
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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 |
Efficacy of Anti-IL-17 MAb vs. etanercept in subjects with moderate to severe chronic plaque psoriasis based on sPGA and PASI at 12 weeks. |
Eficacia del anticuerpo monoclonal (Anti-IL-17A) versus etanercept en sujetos con placas de grado moderado a severo basado en sPGA y PASI a las 12 semanas. |
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E.2.2 | Secondary objectives of the trial |
-Efficacy of anti-IL-17 MAb in subjects with moderate to severe chronic plaque psoriasis based on sPGA and PASI over 12 and 60 weeks -Efficacy of anti-IL-17 MAb vs. etanercept over 12 weeks -Quality of life assessments based on patient reported outcomes over 12 and 60 weeks |
-Eficacia del anticuerpo monoclonal IL-17 en pacientes con psoriasis en placas de grado severo a crónico basado en sPGA (Evaluación global estática por el médico)y PASI (Índice de áreas y severidad de la psoriasis) entre la semana 12 y 60. -Eficacia del anticuerpo monoclonal IL-17 frente a etanercept pasada la semana 12. - Evaluaciones de la calidad de vida basada en resultados obtenidos de los pacientes entre la semana 12 y la 60 |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Present with chronic plaque psoriasis based on a confirmed diagnosis of chronic psoriasis vulgaris for at least 6 months prior to randomization -At least 10% Body Surface Area (BSA) of Psoriasis at screening and at randomization -Static Physician Global Assessment (sPGA) score of at least 3 and Psoriasis Area and Severity Index (PASI) score of at least 12 at screening and at randomization -Candidate for phototherapy and/or systemic therapy -Men must agree to use a reliable method of birth control during the study -Women must agree to use birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment |
-Presentar psoriasis en placas crónica, según un diagnóstico confirmado de psoriasis en placas crónica durante al menos 6 meses antes del momento basal -Presentar afectación de ?10% de la BSA en la selección (visita 1) y en el momento basal (semana 0; visita 2). -Presentar una puntuación sPGA de?3 y una puntuación PASI?12 en la selección (visita 1) y en el momento basal (semana 0; visita 2). -Ser candidato a la fototerapia o al tratamiento sistémico. -Los pacientes varones deberán comprometerse a utilizar un método anticonceptivo fiable durante el estudio. -Los pacientes mujeres deberán comprometerse a utilizar un método anticonceptivo fiable durante el estudio o a abstenerse de mantener relaciones sexuales durante el estudio y hasta 12 semanas después de recibir la última dosis |
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E.4 | Principal exclusion criteria |
-Pustular, erythrodermic, and/or guttate forms of psoriasis -History of drug-induced psoriasis -Prior use of etanercept -Clinically significant flare of psoriasis during the 12 weeks prior to randomization -Concurrent or recent use of any biologic agent -Received non-biologic systemic psoriasis therapy or phototherapy (including psoralens and ultraviolet A [PUVA], ultraviolet B [UVB]) within the previous 4 weeks; or had topical psoriasis treatment within the previous 2 weeks prior to randomization -Cannot avoid excessive sun exposure or use of tanning booths for at least 4 weeks prior to randomization and during the study -Have participated in any study with IL-17 antagonists, including LY2439821 -Serious disorder or illness other than plaque psoriasis -Serious infection within the last 3 months -Breastfeeding or nursing (lactating) women |
-Presentar psoriasis pustulosa, eritrodérmica o en gotas. -Presentar antecedentes de psoriasis inducida por fármacos. -Uso previo de etanercept. -Haber presentado un exacerbación de la psoriasis clínicamente significativa en las 12 semanas previas al momento basal (semana 0; visita 2). -Haber recibido tratamiento no biológico sistémico para la psoriasis -Haber recibido tratamiento no biológico sistémico para la psoriasis (incluidos los psoralenos y las luces ultravioleta A [PUVA] y B [UVB] en las 4 semanas previas al momento basal o el autotratamiento con camas de bronceado o exposición al sol terapéutica dentro de las 2 semanas previas a la randomización. -Imposibilidad de evitar la exposición al sol o el uso de cabinas de bronceado en al menos las 4 semanas previas al momento basal. -Haber participado en otro estudio con antagonistas de la IL-17 incluyendo LY2439821 -Haber padecido una enfermedad grave aparte de soriasis en placas. -Haber padecido una infección grave en los últimos 3 meses -Encontrarse en periodo de lactancia. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Static Physician Global Assessment (sPGA) and Psoriasis Area and Severity Index (PASI) |
(sPGA)Evaluación global estática por el médico(PASI)Índice de áreas y severidad de la psoriasis |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
PASI and sPGA Quality of life assessments |
PASI y sPGA Evaluaciones de la calidad de vida |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
At week 12 and Week 60 |
En la semana 12 y semana 60 |
|
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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Pharmacokinetic may be done for immunogenicity purposes only. |
El estudio farmacocinético será realizdo sólamente por motivos inmunogenéticos. |
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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 | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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) | Yes |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 60 |
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 | No |
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 |
Australia |
Austria |
Canada |
Czech Republic |
France |
Germany |
Netherlands |
Poland |
Romania |
Spain |
United Kingdom |
United States |
|
E.8.7 | Trial has a data monitoring committee | Yes |
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
|
End of study is the date of the last visit or last scheduled procedure for the last active subject in the study. |
El final del estudio es la fecha de de la última visita o el último procedimiento programado para el último paciente activo en el estudio. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 6 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 0 |