E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
moderate to severe palmoplantar psoriasis |
psoriasis palmoplantar de moderada a severa |
|
E.1.1.1 | Medical condition in easily understood language |
Psoriasis looks like red, raised scaly areas of the skin, it can also involve the palms of hands and soles of feet. |
La psoriasis se muestra roja, con areas de piel descamadas y engrosadas, también puede aparecer en las palmas de las manos y en las suelas de los pies |
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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 | 15.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10037158 |
E.1.2 | Term | Psoriasis palm & soles |
E.1.2 | System Organ Class | 100000004858 |
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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 |
To demonstrate the superiority of secukinumab 150 mg and/or 300 mg to placebo in subjects with moderate to severe palmoplantar psoriasis as assessed by the palmoplantar Investigator's Global Assessment (ppIGA) at Week 16 |
Demostrar la superioridad de secukinumab 150 mg y/o 300 mg frente al placebo en pacientes con psoriasis palmoplantar de moderada a severa evaluada mediante la Evaluación Global de la psoriasis palmoplantar efectuada por el Investigador (ppIGA) en la Semana 16 |
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E.2.2 | Secondary objectives of the trial |
- To assess the efficacy of secukinumab 150 mg and 300 mg in subjects with moderate to severe palmoplantar psoriasis as assessed by the ppIGA over time up to Week 16 compared to placebo, and over time up to Week 80 ? To assess the efficacy of secukinumab 150 mg and 300 mg in subjects with moderate to severe palmoplantar psoriasis as assessed by the ppPASI (palmoplantar Psoriasis Area and Severity Index) over time up to Week 16 compared to placebo, and over time up to Week 80 ? To investigate the overall safety and tolerability of secukinumab 150mg and 300 mg |
- Evaluar la eficacia de secukinumab 150 mg y 300 mg en pacientes con psoriasis palmoplantar de moderada a severa evaluada mediante la ppIGA hasta la Semana 16 en comparación con placebo, y hasta la Semana 80 ? Evaluar la eficacia de secukinumab 150 mg y 300 mg en pacientes con psoriasis palmoplantar de moderada a severa evaluada mediante el ppPASI (Índice de severidad y área de la psoriasis palmoplantar) hasta la Semana 16 en comparación con placebo, y hasta la Semana 80 ? Investigar la seguridad global y la tolerabilidad de secukinumab 150 mg y 300 mg |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
?Men or women at least 18 years at the time of screening ?Subjects should have chronic moderate to severe plaque type psoriasis for at least 6 months prior to entering the study, including significant involvement of plaque type psoriasis on the palms and soles defined by a palmplantar Investiator Global Assessment (ppIGA) score of > 3 (on a 5-point scale) and at least one extra palmoplantar plaque on the skin ?Subjects should be candidates for systemic therapy, which means having psoriasis considered inadequately controlled by topical treatment (including super potent topical corticosteroid) and/or phototherapy and/or previous systemic therapy |
2. Hombres o mujeres de al menos 18 años de edad en el momento de la selección 3. Psoriasis en placas crónica de moderada a severa durante al menos 6 meses antes de la aleatorización, incluida la visita basal: afectación significativa de las palmas y plantas definida por una puntuación ppIGA de > 3 (en una escala de 5 puntos) y al menos una placa no palmoplantar en la piel 4. Ser candidato a terapia sistémica, definida como tener psoriasis que se considere inadecuadamente controlada mediante: Tratamiento tópico (incluido corticoesteroide tópico muy potente) y/o Fototerapia y/o Terapia sistémica previa |
|
E.4 | Principal exclusion criteria |
?Forms of psoriasis other than chronic plaque type psoriasis (e.g., pustular psoriasis, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic and guttate psoriasis) ?Drug-induced psoriasis (e.g. new onset or current exacerbation from ?-blockers, calcium channel inhibitors or lithium) ?Ongoing use of prohibited treatments (e.g. topical or systemic corticosteroids (CS), UV therapy). Washout periods have to be adhered to. ?Prior exposure to secukinumab (AIN457) or any other biologic drug directly targeting IL-17 or IL-17 Receptor ?Receipt of any investigational drugs within 4 weeks of study drug initiation or within a period of 5 half-lives of the investigational treatment, whichever is longer ?Active ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of secukinumab therapy ?History of hypersensitivity to constituents of the study treatment. Other protocol-defined inclusion/exclusion criteria may apply |
1. Formas de psoriasis distintas a la psoriasis en placas crónica (p. ej., psoriasis pustulosa, pustulosis palmoplantar, acrodermatitis de Hallopeau, psoriasis eritrodérmica y en gotas) 2. Psoriasis inducida por fármacos (p. ej., nuevo inicio o exacerbación actual debido a betabloqueantes, inhibidores de los canales del calcio o litio) 3. Uso actual de tratamientos prohibidos (p. ej., corticoesteroides (CS) tópicos o sistémicos, terapia UV). Han de respetarse los períodos de lavado 4. Exposición previa a secukinumab (AIN457) o a cualquier otro fármaco biológico que se dirija directamente a la IL-17 o al receptor de IL-17. 5. Recibir cualquier fármaco en investigación en las 4 semanas previas al inicio de la medicación del estudio o en un período de 5 semividas previas al inicio del tratamiento en investigación, lo que sea más largo 8. Enfermedades inflamatorias activas en curso distintas a psoriasis que puedan confundir la evaluación del beneficio de la terapia con secukinumab 9. Enfermedad actual severa, significativa o no controlada (incluida, pero sin limitarse a metabólica, hematológica, renal, hepática, pulmonar, neurológica, endocrina, cardíaca, infecciosa o gastrointestinal, hipertensión no controlada (sistólica ? 160 mmHg y/o diastólica ? 95 mmHg), insuficiencia cardíaca congestiva [estado de la Asociación Cardíaca de Nueva York de clase III o IV], infarto de miocardio en las 26 semanas previas a la aleatorización), que a juicio del investigador clínico hace que el paciente no sea idóneo para el ensayo, por lo que corre un mayor riesgo |
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E.5 End points |
E.5.1 | Primary end point(s) |
Efficacy:palmoplantar Investigator Global Assessmnet (ppIGA) response after 16 weeks of treatment. Each of the treatment group will be compared to placebo. |
Eficacia: Evaluación Global de la psoriasis palmoplantar efectuada por el Investigador (ppIGA) después de 16 Semanas de tratamiento. Cada grupo de tratatmiento se comparara con placebo. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Baseline, 16 weeks |
Basal, Semana 16 |
|
E.5.2 | Secondary end point(s) |
1. Efficacy: palmoplantar Investigator Global Assessment (ppIGA) response
2. Efficacy: palmoplantar Psoriasis Area and Severity Index (ppPASI) over time up to Week 16 compared to placebo, and over time up to Week 80
3. Overall safety and tolerability of secukinumab 150 mg and 300 mg
4. Investigate the development of immunogenicity against secukinumab |
1. Eficacia: respuesta a la Evaluación Global de la psoriasis palmoplantar efectuada por el Investigador (ppIGA) 2. Eficacia: ppPASI (Índice de severidad y área de la psoriasis palmoplantar) hasta la Semana 16 comparado con placebo, y hasta la Semana 80 3. seguridad global y tolerabilidad de secukinumab 150 mg y 300 mg 4. Investigar el desarrollo de inmunogenicidad frente a secukinumab |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Over time up to Week 16 compared to placebo, and over time up to Week 80
2. 16 weeks, 80 weeks
3. Baseline, up to 88 weeks
4. Baseline, 32 weeks, 80 weeks, 88 weeks |
1. Hasta la Semana 16 comparando con placebo, y hasta la Semana 80
2. 16 semanas, 80 semanas
3. Basal, hasta 88 semanas
4. Basal, 32 semanas, 80 semanas, 88 semanas |
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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 | Yes |
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 | No |
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 |
Immunogenicity |
Inmunogenicidad |
|
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 | 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) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
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 | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 32 |
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 |
Belgium |
Canada |
Finland |
Hungary |
Israel |
Netherlands |
Norway |
Portugal |
Russian Federation |
Slovakia |
Spain |
Turkey |
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
|
LVLS |
ultima visita del ultimo paciente |
|
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 | 4 |
E.8.9.1 | In the Member State concerned days | 15 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 5 |
E.8.9.2 | In all countries concerned by the trial days | 15 |