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    Clinical Trial Results:
    An open label phase 2a trial assessing the clinical effect and safety of RO5459072 in moderate to severe psoriasis.

    Summary
    EudraCT number
    2018-002446-36
    Trial protocol
    DE  
    Global end of trial date
    25 Jun 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Jul 2020
    First version publication date
    08 Jul 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    BP40635
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche, Ltd.
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    Roche Trial Information Hotline, F. Hoffmann-La Roche, Ltd., +41 616878333, global.trial_information@roche.com
    Scientific contact
    Roche Trial Information Hotline, F. Hoffmann-La Roche, Ltd., +41 616878333, genentech@druginfo.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    25 Jun 2019
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Jun 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the clinical effect of oral RO5459072 in adult subjects with moderate to severe psorisis.
    Protection of trial subjects
    All study subjects were required to read and sign an Informed Consent Form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    10 Dec 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 30
    Worldwide total number of subjects
    30
    EEA total number of subjects
    30
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    27
    From 65 to 84 years
    3
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 30 subjects were enrolled in the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    RO5459072 100 mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Petesicatib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Two 50 mg capsules of RO5459072 (total of 100 mg) BID (twice a day) for 12 weeks

    Number of subjects in period 1
    RO5459072 100 mg
    Started
    30
    Completed
    17
    Not completed
    13
         Study terminated by Sponsor
    10
         Adverse Event
    2
         Early termination by Sponsor
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    RO5459072 100 mg
    Reporting group description
    -

    Reporting group values
    RO5459072 100 mg Total
    Number of subjects
    30 30
    Age Categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    27 27
        From 65-84 years
    3 3
        85 years and over
    0 0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    48.7 ( 11.0 ) -
    Gender Categorical
    Units: Subjects
        Female
    3 3
        Male
    27 27

    End points

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    End points reporting groups
    Reporting group title
    RO5459072 100 mg
    Reporting group description
    -

    Primary: Percentage of subjects that achieved a psoriasis area and severity index (PASI)75 (PASI75) response after twelve weeks of treatment

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    End point title
    Percentage of subjects that achieved a psoriasis area and severity index (PASI)75 (PASI75) response after twelve weeks of treatment [1]
    End point description
    The PASI score was used as a measure of disease severity. The PASI was also used as a measure for the efficacy of study treatments, either as a continuous score, or as the percentage of subjects in the trial who achieve a defined level of improvement.
    End point type
    Primary
    End point timeframe
    Week 12
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical analyses were performed as the study was terminated for futility.
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    17 [2]
    Units: Percentage of subjects
        number (not applicable)
    0
    Notes
    [2] - No patients achieved a PASI75 response after twelve weeks of treatment.
    No statistical analyses for this end point

    Secondary: Number of subjects that achieve a PASI50, PASI75, and PASI90 response of RO5459072 after six weeks and twelve weeks of treatment, and four weeks after completion of treatment

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    End point title
    Number of subjects that achieve a PASI50, PASI75, and PASI90 response of RO5459072 after six weeks and twelve weeks of treatment, and four weeks after completion of treatment
    End point description
    The PASI score was used as a measure of disease severity. The PASI was also used as a measure for the efficacy of study treatments, either as a continuous score, or as the percentage of subjects in the trial who achieve a defined level of improvement.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1), Week 6, Week 12, Week 4 after completion of treatment
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    30
    Units: Number of subjects
    number (not applicable)
        PASI50 Week 6
    3
        PASI50 Week 12
    1
        PASI50 Follow up
    0
        PASI75 Week 6
    0
        PASI75 Week 12
    0
        PASI75 Follow up
    0
        PASI90 Week 6
    0
        PASI90 Week 12
    0
        PASI90 Follow up
    0
    No statistical analyses for this end point

    Secondary: Change of PASI from baseline after six weeks and twelve weeks of treatment, and four weeks after completion of treatment

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    End point title
    Change of PASI from baseline after six weeks and twelve weeks of treatment, and four weeks after completion of treatment
    End point description
    The PASI score was used as a measure of disease severity. The PASI was also used as a measure for the efficacy of study treatments, either as a continuous score, or as the proportion of patients in the trial who achieve a defined level of improvement.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1), Week 6, Week 12, Week 4 after completion of treatment
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    0 [3]
    Units: Units on a scale
        arithmetic mean (standard deviation)
    ( )
    Notes
    [3] - This endpoint was not analyzed due to early study termination based on lack of efficacy.
    No statistical analyses for this end point

    Secondary: Change of static Investigator’s global assessment (sIGA) after six weeks and twelve weeks of treatment, and four weeks after completion of treatment

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    End point title
    Change of static Investigator’s global assessment (sIGA) after six weeks and twelve weeks of treatment, and four weeks after completion of treatment
    End point description
    The Investigator’s Global Assessment (IGA, also known as Physician’s Global Assessment, PGA) is a tool that provided a subjective evaluation of the overall severity of psoriasis using a 6-point ordinal scale ranging from “clear” to “very severe." The static IGA (sIGA) was used in this study and measured the Investigator’s impression of disease severity at a single time-point.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1), Week 6, Week 12, Week 4 after completion of treatment
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    30
    Units: Number of subjects
    number (not applicable)
        Baseline Mild
    2
        Baseline Moderate
    15
        Baseline Severe
    14
        Baseline Very Severe
    0
        Week 6 Mild
    0
        Week 6 Moderate
    17
        Week 6 Severe
    5
        Week 6 Very Severe
    1
        Week 12 Mild
    2
        Week 12 Moderate
    4
        Week 12 Severe
    3
        Week 12 Very Severe
    0
        Follow up Mild
    3
        Follow up Moderate
    20
        Follow up Severe
    6
        Follow up Very Severe
    0
    No statistical analyses for this end point

    Secondary: Change in Dermatology Life Quality Index (DLQI) after six weeks and twelve weeks of treatment, and four weeks after completion of treatment.

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    End point title
    Change in Dermatology Life Quality Index (DLQI) after six weeks and twelve weeks of treatment, and four weeks after completion of treatment.
    End point description
    Subjects were to answer 10 questions considering their Quality of Life (QoL) during the previous week on a 4-point scale. The total DLQI score represent the sum of the scores for each question, and ranges from 0 to 30, with higher scores reflecting worse QoL.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1), Week 6, Week 12, Week 4 after completion of treatment
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    0 [4]
    Units: Units on a scale
        arithmetic mean (standard deviation)
    ( )
    Notes
    [4] - This endpoint was not analyzed due to early study termination based on lack of efficacy.
    No statistical analyses for this end point

    Secondary: Percentage of subjects with adverse events (AEs)

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    End point title
    Percentage of subjects with adverse events (AEs)
    End point description
    AEs were defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Grading was completed according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE).
    End point type
    Secondary
    End point timeframe
    Up to Week 20
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    30
    Units: Percentage of subjects
        number (not applicable)
    83.3
    No statistical analyses for this end point

    Secondary: Plasma Concentrations of RO5459072

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    End point title
    Plasma Concentrations of RO5459072
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1), Week 6 and Week 12
    End point values
    RO5459072 100 mg
    Number of subjects analysed
    30
    Units: nanograms per millilitre (ng/mL)
    arithmetic mean (standard deviation)
        Baseline PT3H (n=28)
    423.60 ( 331.95 )
        Week 6 -PT2H (n=25)
    1196.30 ( 549.22 )
        Week 6 PT2H (n=22)
    1245.95 ( 578.33 )
        Week 6 PT4H (n=22)
    1492.27 ( 570.51 )
        Week 6 PTH6 (n=22)
    1539.73 ( 460.58 )
        Week 12 -PT2H (n=9)
    1289.33 ( 613.75 )
        Week 12 PT3H (n=9)
    1508.22 ( 745.10 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to Week 20
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    RO5459072 100 mg
    Reporting group description
    Subjects received two 50 mg capsules of RO5459072 (total of 100 mg) BID (total daily dose of 200 mg) for 12 weeks with or after food intake.

    Serious adverse events
    RO5459072 100 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 30 (3.33%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Infections and infestations
    Skin infection
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    RO5459072 100 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    19 / 30 (63.33%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    4 / 30 (13.33%)
         occurrences all number
    4
    General disorders and administration site conditions
    Chills
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Oedema peripheral
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Gastrointestinal disorders
    Dry mouth
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Skin and subcutaneous tissue disorders
    Pruritus generalised
         subjects affected / exposed
    3 / 30 (10.00%)
         occurrences all number
    3
    Pruritus
         subjects affected / exposed
    7 / 30 (23.33%)
         occurrences all number
    8
    Rash
         subjects affected / exposed
    3 / 30 (10.00%)
         occurrences all number
    3
    Psoriasis
         subjects affected / exposed
    3 / 30 (10.00%)
         occurrences all number
    3
    Skin exfoliation
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    3
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    3 / 30 (10.00%)
         occurrences all number
    3
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    7 / 30 (23.33%)
         occurrences all number
    9

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The study was terminated early because no efficacy was observed.
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