E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Plaque Psoriasis |
Psoriasis en placas |
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E.1.1.1 | Medical condition in easily understood language |
Psoriasis looks like red, raised, scaly areas of the skin |
La psoriasis son como areas rojas, engrosadas y con escamas 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 | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10050576 |
E.1.2 | Term | Psoriasis vulgaris |
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 superior efficacy of secukinumab versus placebo at Week 12, based on both PASI 75 and IGA mod 2011 0 or 1 response rates in children and adolescents aged 6 to less than 18 years with severe chronic plaque psoriasis who failed to respond to, or who have a contraindication to, or are intolerant to non-biologic systemic therapies. |
El propósito de este estudio es demostrar la eficacia superior de secukinumab frente a placebo en la semana 12 basándose en las tasas de respuesta de PASI 75 e IGA mod. 2011 0 o 1 en niños y adolescentes de 6 a < 18 años de edad con psoriasis en placas crónica grave que no hayan respondido a tratamientos sistémicos no biológicos, que sean intolerantes a ellos o que estén contraindicados |
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E.2.2 | Secondary objectives of the trial |
To assess the long term safety and tolerability of secukinumab in this pediatric age group and will describe the efficacy and safety of secukinumab compared to etanercept. To provide efficacy and safety data to support the extension of label of secukinumab to include children and adolescents (6 years to <18 years) with severe chronic plaque psoriasis
Other protocol-defined secondary objectives may apply. |
Evaluar la seguridad y tolerabilidad a largo plazo de secukinumab en este grupo de edad pediátrica y describirá la eficacia y la seguridad de secukinumab en comparación con etanercept. Proporcionar datos de eficacia y seguridad para respaldar la extensión de la ficha técnica de secukinumab para incluir niños y adolescentes (de 6 a < 18 años de edad) con psoriasis en placas crónica grave. Referirse al protocolo para ver más objetivos secundarios |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Must be 6 to less than 18 years of age at the time of randomization 2) Severe plaque-type psoriasis meeting all of the following three criteria: PASI score of 20 or greater, Investigator's Global Assessment (IGA) score of 4 or greater Total body surface area (BSA) affected of 10% or greater. 3) Subjects who failed to respond to, or have a contraindication or are intolerant to non-biologic systemic therapies
Other protocol-defined inclusion criteria may apply |
1. Deben tener de 6 a < 18 años de edad en el momento de la aleatorización. 2. Psoriasis en placas grave, definida como una puntuación PASI ? 20 e IGA mod. 2011 ? 4, y afectación de la ASC ?10%. 3. Antecedentes de psoriasis en placas durante al menos 3 meses. 4. Pacientes que no hayan respondido a tratamientos sistémicos no biológicos, que sean intolerantes a ellos o que estén contraindicados. |
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E.4 | Principal exclusion criteria |
1) Current forms of psoriasis other than chronic plaque-type psoriasis (for example, pustular, erythrodermic, guttate). 2) Current drug-induced psoriasis. 3) Previous use of secukinumab or any drug that targets IL-17 or IL-17 receptor. 4) Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal) which in the opinion of the investigator significantly immunocompromises the subject and/or places the subject at unacceptable risk for receiving an immunomodulatory therapy of an ongoing, chronic or recurrent infectious disease, or evidence of untreated tuberculosis. 5) History of lymphoproliferative disease or history of malignancy of any organ system within the past 5 years. 6) Pregnant or nursing (lactating) women.
Other protocol-defined inclusion/exclusion criteria may apply. |
1. Formas de psoriasis salvo psoriasis en placas crónica (p. ej., psoriasis pustulosa, eritrodérmica y gutata). 2. Psoriasis inducida por fármacos (es decir, nueva aparición o exacerbación actual por betabloqueantes, bloqueadores de los canales de calcio o litio). 3. Exposición previa a secukinumab o a cualquier otro fármaco biológico directamente dirigido contra IL-17 o el receptor de IL-17, o a etanercept 4. Enfermedades subyacentes (incluyendo entre otras enfermedades metabólicas, hematológicas, renales, hepáticas, pulmonares, neurológicas, endocrinas, cardíacas, infecciosas o gastrointestinales) que, según el criterio del investigador, inmunocomprometan de forma significativa al paciente y/o le coloca en una situación de riesgo inaceptable para recibir tratamiento inmunomodulador 5. Se deberá seguir el criterio del investigador en el caso de pacientes con trastornos desmielinizantes del sistema nervioso central o periférico preexistentes o de aparición reciente. 6. Mujeres embarazadas o en periodo de lactancia,
Referirse al protocolo para ver más criterios de exclusión |
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E.5 End points |
E.5.1 | Primary end point(s) |
The percentage of Participants achieving a 75% Improvement from Baseline in PASI Score. The percentage of Participants who showed Investgator's Global Assessment (IGA) mod 2011 response of 0 or 1 |
? Porcentaje de pacientes que alcancen una mejoría (reducción) ?75% en la puntuación PASI en comparación con la basal. Porcentaje de pacientes que muestren una respuesta IGA 0 o 1 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
1. Percentage of Participants achieving a 90% Improvement from baseline in PASI score 2. Percentage of Participants achieving a 50%, 100% Improvement from baseline in PASI score 3. Percentage of Participants achieving a 50%, 75%, 90% or 100% Improvement from baseline in (PASI ) Score and an IGA mod 2011 score of 0 or 1 4. Percent of Participants Achieving Psoriasis Area & Severity Index (PASI) score and IGA mod 2011 0 or 1 score 5. Change from Baseline in Children's Dermatology Life Quality Index (cDLQI) score. 6. Percentage of participants achieving a Childrens' DLQI score of 0 or 1 7. Patients' safety. Clinical safety and tolerability as assessed by growth, weight gain, tolerability of s.c. injections, vital signs, clinical laboratory variables, ECGs, and adverse events monitoring |
1. Porcentaje de pacientes que alcancen un PASI90 con respecto a la visita basal 2. Porcentaje de pacientes que alcancen un PASI50, PASI100 con respecto a la visita basal 3. Porcentaje de pacientes que alcancen un PASI50,75,90 o 100 PASI100 con respecto a la visita basal y un IGA mod 2011 de 0 o 1 4. Porcentaje de pacientes que alcancen un PASI y un IGA mod 2011 de 0 o 1 5. Cambio con respecto a visita basal del Children's Dermatology Life Quality Index (cDLQI) 6. Porcentaje de pacientes que alcancen DLQI de 0 o 1 7. Investigar la seguridad y tolerabilidad clínicas de secukinumab con respecto al crecimiento, el aumento de peso, la tolerabilidad a inyecciones s.c., las constantes vitales, las variables clínicas de laboratorio, los ECG y la monitorización de acontecimientos adversos en comparación con placebo. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. 12 weeks 2. 12 weeks 3. Weeks 1, 2, 3, 4, 6, 8, 12, 13, 14, 15, 16, 20, 24, 28, 32,36, 40, 44, 48 and 52 4. Baseline, week 1, 2, 3 ,4, 6, 8, 12, 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, and Week 52 5. Weeks 2, 4. 8, 12, 24, 36, 52 6. Weeks 2, 4. 8, 12, 24, 36, 52 7. from screening to Week 252 |
1-12 semanas 2-12 semanas 3-semanas1, 2, 3, 4, 6, 8, 12, 13, 14, 15, 16, 20, 24, 28, 32,36, 40, 44, 48 y 52 4. Basal, semana 1, 2, 3 ,4, 6, 8, 12, 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, y 52 5. semanas 2, 4. 8, 12, 24, 36, 52 6. semanas 2, 4. 8, 12, 24, 36, 52 7. desde la selección hasta semana 52 |
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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 | Yes |
E.6.11 | Pharmacogenomic | Yes |
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 | 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 | 5 |
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 | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 47 |
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 |
Argentina |
Belgium |
Brazil |
Colombia |
Egypt |
Estonia |
France |
Germany |
Guatemala |
Hungary |
Israel |
Italy |
Japan |
Latvia |
Poland |
Romania |
Spain |
United Kingdom |
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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 |
última visita del último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 7 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 7 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |