E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate to Severe Plaque Psoriasis |
|
E.1.1.1 | Medical condition in easily understood language |
|
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 | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10071117 |
E.1.2 | Term | Plaque psoriasis |
E.1.2 | System Organ Class | 100000004858 |
|
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 test the hypothesis that treatment with LY3074828 is superior to placebo in inducing PASI 90 response at Week 16 in subjects with moderate to severe plaque psoriasis |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the safety and tolerability of treatment with LY3074828
To evaluate the efficacy of treatment with LY3074828 compared to placebo in inducing PASI 100 and PASI 75 at week 16
To evaluate the efficacy of treatment with LY3074828 compared to placebo in inducing sPGA 0 (clear) and sPGA 0/1 at week 16
To evaluate the effect of LY3074828 on patient reported outcome measures: Psoriasis Symptom Scale, Patient Global Assessment, DLQI, and SF-36 at Week 16
To characterize the long term efficacy of LY3074828 on the PASI 100, PASI 90 and PASI 75 responses at Week 52, 104 and 120
To characterize the long term efficacy of LY3074828 on patient reported outcome measures Psoriasis Symptom Scale, Patient Global Assessment, DLQI, and SF-36 at Weeks 52, 104, and 120
To characterize the PK of LY3074828 |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Present with chronic plaque psoriasis,
1) plaque psoriasis involving ≥10% body surface area and absolute PASI score ≥12 in affected skin
2) sPGA score of ≥3
3) are willing and able to undergo punch biopsies
• are ≥18 and ≤ 75 years of age
• have an adequate organ function
are ≥18 and ≤ 75 years of age
|
|
E.4 | Principal exclusion criteria |
• have an abnormality in the 12-lead electrocardiogram (ECG) that, in the
opinion of the investigator, increases the risks associated with participating in
the study
• Have presence or history within 12 months prior to screening of significant
uncontrolled cerebrocardiovascular, presence of respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, neurologic or neuropsychiatric disorders, or abnormal laboratory values at screening that, in the opinion of the investigator, pose an unacceptable risk to the subject if participating in the study or of interfering with the interpretation of data
• use of known drugs of abuse or known alcohol abuse
• has Columbia Suicide Severity Rating Scale (C-SSRS) ideation within 1 month prior to screening or any suicidal behavior within 3 months prior to screening and either ideation or suicidal behavior during screening
• evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies
• have hepatitis C or test positive hepatitis C virus at screening
• have hepatitis B or test positive for hepatitis B virus (HBV) at screening
• are women who are breastfeeding or plan to during study
• have donated blood of >500 mL within 14 days prior to baseline
• have had serious, opportunistic, or chronic/recurring infection within
6 months prior to screening
• have received a systemic (including oral) anti-infective agent for an infection
within 28 days of screening
• have evidence of active or latent tuberculosis (TB)
• have received live vaccine(s) within 1 month of screening or intend to during the study
• have significant allergies to humanized monoclonal antibodies or any components of the LY3074828 product formulation
• have had lymphoma, leukemia, or any malignancy within the past 5 years,
except for basal cell or squamous epithelial carcinomas of the skin that have
been resected with no evidence of metastatic disease for 3 years and cervical
carcinoma in situ, with no evidence of recurrence within the 5 years prior to
randomization (Visit 2)
• have any other skin conditions (excluding psoriasis) that would affect interpretation of the results
• have received systemic nonbiologic psoriasis therapy or phototherapy within 28 days prior to randomization (Visit 2)
• have received topical psoriasis treatment anthralin, calcipotriene, topical
vitamin D derivatives, retinoids, tazarotene, pimecrolimus, tacrolimus,
emollients and other nonprescription topical products containing urea, >3%
salicylic acid, alpha- or beta-hydroxyl acids, or medicated shampoos within 14 days prior to randomization (Visit 2)
• have received anti-tumor necrosis factor (TNF) biologics or anti-IL-17
targeting biologics within 8 weeks prior to randomization (Visit 2)
• have previous exposure to any biologic therapy targeting IL-23 either licensed or investigational
• are unable or unwilling to avoid excessive sun exposure or use of tanning
booths for at least 4 weeks prior to randomization (Visit 2) and during the study
• are currently enrolled in any other clinical trial involving an investigational
product or any other type of medical research judged not to be scientifically or
medically compatible with this study
•
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
The proportion of subjects achieving PASI 90 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
The proportion of subjects achieving PASI 100 and PASI 75
The proportion of subjects achieving sPGA 0 and sPGA 0/1
The mean change from baseline for PSS, PatGA, DLQI, and SF-36
The proportion of subjects achieving PASI 100, PASI 90, and PASI 75
The mean change from baseline for PSS, PatGA, DLQI, and SF-36
Clearance and volume of distribution
Adverse event and discontinuation rates |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
The first 3 are at 16 weeks
The next 2 are for Weeks 52, 104, and 120 |
|
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 | No |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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) | No |
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 | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 11 |
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 |
Canada |
Japan |
United States |
Germany |
Poland |
|
E.8.7 | Trial has a data monitoring committee | No |
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
|
|
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 | 0 |
E.8.9.1 | In the Member State concerned days | |
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 | 8 |