E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 20.0 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10040785 |
E.1.2 | Term | Skin and subcutaneous tissue disorders |
E.1.2 | System Organ Class | 10040785 - Skin and subcutaneous tissue disorders |
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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 | 10050576 |
E.1.2 | Term | Psoriasis vulgaris |
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 |
To generate adherence and treatment data with LEO 90100 once daily using a tracker. |
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E.2.2 | Secondary objectives of the trial |
To evaluate efficacy of LEO 90100 once daily.
To evaluate safety and tolerability of LEO 90100 once daily |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
For an eligible subject, all inclusion criteria must be answered “yes”. 1. Signed and dated informed consent has been obtained before any trial related activities. Trial related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial. 2. Age 18 years or above at screening 3. A clinical diagnosis of psoriasis vulgaris for at least 6 months involving the trunk and/or limbs at screening 4. Psoriasis vulgaris on the trunk and/or limbs (excluding psoriasis on the genitals and skin folds) involving 2-15 % of the body surface area (BSA) at screening and enrolment (Day 1) 5. An Investigator's Global Assessment of disease severity (IGA) of at least ‘mild’ on trunk and limbs at screening and enrolment (Day 1) 6. A m-PASI score of at least 2 at screening and enrolment (Day 1) 7. A least one target lesion/target location of at least 3 cm at its longest axis located on the trunk or limbs (i.e., not on the scalp, face or intertriginous areas), scoring at least 1 (‘mild’) for each of redness, thickness and scaliness, and at least 4 in total by the target lesion TSS
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E.4 | Principal exclusion criteria |
For an eligible subject, all exclusion criteria must be answered “no”. 1. Systemic treatment with biological therapies, whether marketed or not, with a possible effect on psoriasis vulgaris within the following time periods prior to screening: • etanercept – within 4 weeks prior to screening • adalimumab, infliximab – within 8 weeks prior to screening • ustekinumab – within 16 weeks prior to screening • secukinumab – within 12 weeks prior to screening • other products – within 4 weeks/5 half-lives prior to screening (whichever is longer) 2. Systemic treatment with all other therapies with a possible effect on psoriasis vulgaris (e.g. corticosteroids, retinoids, methotrexate, cyclosporine and other immunosuppressant drugs) within 4 weeks prior to screening 3. Systemic treatment with apremilast within 4 weeks prior to screening 4. Subjects who have received treatment with any non-marketed drug substance (i.e. a drug which has not yet been made available for clinical use following registration) within 4 weeks/5 half-lives (whichever is longer) prior to screening 5. Psoralen combined with Ultraviolet A (PUVA) therapy within 4 weeks prior to screening 6. Ultraviolet B (UVB) therapy within 2 weeks prior to screening 7. Topical anti-psoriatic treatment on the trunk and/or limbs (except for emollients) within 2 weeks prior to screening 8. Topical treatment on the face, scalp and skin folds with corticosteroids (except for emollients, non-steroid medicated shampoos and low potency corticosteroids on sensitive areas), or vitamin D supplements > 400 IU/day within 2 weeks prior to Screening a. Stable dose of Vitamin D supplements ≤ 400 IU/Day is permitted 9. Severe and/or extensive scalp psoriasis which, in the opinion of the investigator, requires treatment with potent or super-potent corticosteroids which will be prohibited during the trial 10. Pre-existing overt atrophy or telangiectasia in treatment areas 11. Planned initiation of, or changes to, concomitant medication that could affect psoriasis vulgaris (e.g. beta blockers, antimalarial drugs, lithium, ACE inhibitors) during the trial 12. Diagnosis of guttate, erythrodermic, exfoliative or pustular psoriasis at screening 13. Subjects with any of the following conditions present on the treatment area at screening: viral (e.g. herpes or varicella) lesions of the skin, fungal and bacterial skin infections, parasitic infections, skin manifestations in relation to tuberculosis, perioral dermatitis, acne vulgaris, atrophic skin, atrophic striae, fragility of skin veins, ichthyosis, acne rosacea, rosacea, ulcers and wounds 14. Other skin disorders (e.g. seborrheic dermatitis or contact dermatitis) on the treatment area that may confound the evaluation of psoriasis 15. Planned excessive exposure to either natural or artificial sunlight (including tanning booths, sun lamps etc.) of area(s) to be treated with trial medication during the trial 16. Known or suspected disorders of calcium metabolism associated with hypercalcemia 17. Known or suspected hypersensitivity to component(s) of medicinal products 18. Current participation in any other interventional clinical trial 19. Active substance abuse or a history of substance abuse within 6 months of screening 20. Language barrier, mental incapacity, unwillingness or inability to adequately understand or comply with trial procedures. (e.g. due to alcoholism, drug addiction or psychotic state). 21. Subjects who are institutionalized by court order or by local authority. 22. Subjects in close affiliation with the trial personnel (e.g. immediate family member or subordinate), subjects being a member of the clinical trial personnel, or being an employee of the sponsor or a CRO involved in the trial. 23. Female subjects who are pregnant, breast feeding or intends to become pregnant or is of childbearing potential* and not using highly effective contraceptive methods** at trial entry and until end of treatment. *Female subjects are considered of child-bearing potential unless they have undergone hysterectomy, bilateral salpingectomy or bilateral oophorectomy or have been post-menopausal for at least one year prior to screening. ** Highly effective contraception is defined as follows: • Sexual abstinence (when this is in line with the preferred and usual life style of the subject) • Vasectomized partner (given that the subject is monogamous) • Bilateral tubal occlusion • An intrauterine device (IUD) • Intrauterine hormone-releasing system (IUS) • Combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal) • Progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable) • Surgical sterilised (vasectomy/bilateral tubectomy, hysterectomy and bilateral ovariectomy) • Postmenopausal defined as 12 months or more with no menses or alternative medical cause prior to screening.
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E.5 End points |
E.5.1 | Primary end point(s) |
Patient adherence based on tracker measurements |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Change from baseline to Day 29 in overall TSS score. Subjects achieving ‘treatment success’ (‘clear’ or ‘almost clear’ with at least a 2-grade improvement) according to the IGA at Day 29. Treatment emergent AEs (including AEs relating to local tolerability). |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | No |
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 |
Capture medication usage with a digital tracker |
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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) | 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 | No |
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) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
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 | 2 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
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
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |