A Phase 3, Multi-Site, Open-Label Study Of The Long Term Safety And Tolerability Of 2 Oral Doses Of CP-690,550 In Subjects With Moderate To Severe Chronic Plaque Psoriasis
试验速览
- 阶段
- 3 期
- 状态
- 终止
- 发起方
- Pfizer
- 入组人数
- 2,867
- 试验地点
- 314
- 主要终点
- Change From Baseline in Hemoglobin Level at Month 3
研究概览
简要总结
The main objective of this study is to evaluate the long-term safety of CP-690,550 in patients being treated for moderate to severe chronic plaque psoriasis. This is an open label extension study available to patients who participated in one of the qualifying studies with CP-690,550 providing entry criteria is met.
详细描述
The study terminated on 08MAR2016 as it met its objectives of characterizing long term safety and tolerability. The study did not terminate due to safety concerns.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have participated in qualifying study with CP-690,550 and are 18 years or older with diagnosis of plaque-type psoriasis (psoriasis vulgaris).
排除标准
- •Non-plaque or drug induced forms of psoriasis;
- •Cannot discontinue current oral, injectable or topical therapy for psoriasis or cannot discontinue phototherapy (PUVA or UVB).
- •Any uncontrolled significant medical condition.
研究组 & 干预措施
Active Treatment
The study is anticipated to continue for up to at least 2 years post First Market Approval (FMA) in a global, major market.
All subjects will receive 10 mg BID of CP-690,550 for first 3 months of trial. Study has the option for variable dosing with 5 mg or 10 mg BID after first 3-months of treatment based on PI discretion
干预措施: CP-690,550 (Drug)
结局指标
主要结局
Change From Baseline in Hemoglobin Level at Month 3
时间窗: Baseline, Month 3
Change From Baseline in Hemoglobin Level at Month 1
时间窗: Baseline, Month 1
Change From Baseline in Lymphocyte and Neutrophil Count at Month 12
时间窗: Baseline, Month 12
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 3
时间窗: Baseline, Month 3
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 12
时间窗: Baseline, Month 12
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 3
时间窗: Baseline, Month 3
Number of Adverse Events (AEs) by Severity
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. AEs were classified according to the severity in 3 categories: a) mild: AEs did not interfere with participant's usual function; b) moderate: AEs interfered to some extent with participant's usual function; c) severe: AEs interfered significantly with participant's usual function.
Change From Baseline in Lymphocyte and Neutrophil Count at Month 1
时间窗: Baseline, Month 1
Change From Baseline in Hemoglobin Level at Month 6
时间窗: Baseline, Month 6
Change From Baseline in Hemoglobin Level at Month 36
时间窗: Baseline, Month 36
Change From Baseline in Heart Rate at Month 24
时间窗: Baseline, Month 24
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 4 weeks after last dose (up to 67 months) that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious adverse events.
Change From Baseline in Lymphocyte and Neutrophil Count at Month 6
时间窗: Baseline, Month 6
Change From Baseline in Lymphocyte and Neutrophil Count at Month 36
时间窗: Baseline, Month 36
Change From Baseline in Lymphocyte and Neutrophil Count at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 6
时间窗: Baseline, Month 6
Number of Participants With Laboratory Abnormalities
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Abnormality criteria: hematology (hemoglobin, hematocrit, red blood cell \<0.8\*lower limit of normal \[LLN\]; reticulocyte\<0.5\*LLN,\>1.5\*ULN; platelets\<0.5\*LLN,\>1.75\* upper limit of normal \[ULN\]; WBC\<0.6\*LLN, \>1.5\*ULN; lymphocytes, neutrophils, basophils, eosinophils, monocytes\<0.8\*LLN; \>1.2\*ULN; coagulation (prothrombin \[PT\], PT ratio\>1.1\*ULN) liver function (bilirubin\>1.5\*ULN, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma GT\>0.3\*ULN, protein, albumin\<0.8\*LLN; \>1.2\*ULN, globulin\<0.5\*LLN; \>1.5\*ULN); renal function (blood urea nitrogen, creatinine\>1.3\*ULN); electrolytes(sodium\<0.95\* LLN; \>1.05\* ULN, potassium, chloride, calcium, bicarbonate\<0.9\*LLN; \>1.1\*ULN), chemistry (glucose\<0.6\*LLN; \>1.5\* ULN), urinalysis (pH \<4.5;\>8, glucose, ketones, protein, blood, urobilinogen, nitrite, bilirubin, leukocyte esterase\>=1; RBC, WBC\>=20); lipids (cholesterol \[C\], LDL-C \>1.3\*ULN, HDL-C\<0.8\*LLN, triglycerides\>1.3\* ULN), hormones(T4, T3, T4, TSH\<0.8\* LLN; \>1.2\* ULN).
Change From Baseline in Hemoglobin Level at Month 12
时间窗: Baseline, Month 12
Change From Baseline in Hemoglobin Level at Month 24
时间窗: Baseline, Month 24
Change From Baseline in Hemoglobin Level at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 1
时间窗: Baseline, Month 1
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 3
时间窗: Baseline, Month 3
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 6
时间窗: Baseline, Month 6
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 36
时间窗: Baseline, Month 36
Number of Participants With Clinically Significant Change From Baseline in Physical Examination
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Physical examinations included: general appearance; skin, head, eyes, ears, nose and throat; heart; lungs; abdomen; lower extremities (for the presence of peripheral edema) and lymph nodes. Clinical significance of change from baseline values in physical examination was based on investigator's discretion.
Change From Baseline in Lymphocyte and Neutrophil Count at Month 3
时间窗: Baseline, Month 3
Change From Baseline in Lymphocyte and Neutrophil Count at Month 24
时间窗: Baseline, Month 24
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 24
时间窗: Baseline, Month 24
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 36
时间窗: Baseline, Month 36
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 1
时间窗: Baseline, Month 1
Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels at Month 24
时间窗: Baseline, Month 24
Change From Baseline in Heart Rate at Month 6
时间窗: Baseline, Month 6
Change From Baseline in Heart Rate at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 6
时间窗: Baseline, Month 6
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 12
时间窗: Baseline, Month 12
Change From Baseline in Creatinine, Low Density Lipoprotein Cholesterol (LDL-C), High Density Lipoprotein Cholesterol (HDL-C) and Total Cholesterol (TC) Levels at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 1
时间窗: Baseline, Month 1
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 24
时间窗: Baseline, Month 24
Change From Baseline in Heart Rate at Month 1
时间窗: Baseline, Month 1
Change From Baseline in QRS Complex, PR, QT, QTcB, QTcF and RR Interval at Month 12
时间窗: Baseline, Month 12
Number of Participants With Adjudicated Cardiovascular Events
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Adjudicated cardiovascular events were assessed by adjudication committee as independent reviewers based on event documentation including: hospital discharge summaries, operative reports, clinic notes, ECGs, diagnostic enzymes, results of other diagnostic tests, autopsy reports and death certificate information; as applicable.
Number of Participants With Vital Sign Abnormalities
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Criteria for abnormalities in vital signs included: Systolic blood pressure (SBP): less than (\<) 90 millimeter of mercury (mmHg) and maximum increase from baseline (IFB) of greater than or equal to (\>=) 30 mmHg; diastolic blood pressure (DBP): \<50 and greater than (\>) 120 mmHg and maximum IFB of \>=20 mmHg; heart rate: \<40 and \>120 beats per minute.
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 36
时间窗: Baseline, Month 36
Change From Baseline in Heart Rate at Month 36
时间窗: Baseline, Month 36
Change From Baseline in QRS Complex, PR, QT, QTcB, QTcF and RR Interval at Month 24
时间窗: Baseline, Month 24
Change From Baseline in QRS Complex, PR, QT, QTcB, QTcF and RR Interval at Month 36
时间窗: Baseline, Month 36
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 12
时间窗: Baseline, Month 12
Change From Baseline in Heart Rate at Month 12
时间窗: Baseline, Month 12
Number of Participants With Electrocardiogram (ECG) Abnormalities
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Criteria for ECG abnormality: PR interval \>=300 milliseconds (msec); QT interval \>=500 msec; QTcB (Bazett's Correction) and QTcF (Fridericia's Correction) 450 to \<480 msec, 480 to \<500 msec and \>=500 msec.
Change From Baseline in QRS Complex, PR, QT, QTcB, QTcF and RR Interval at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Month 48
时间窗: Baseline, Month 48
Change From Baseline in Heart Rate at Month 3
时间窗: Baseline, Month 3
Change From Baseline in QRS Complex, PR, QT, QTcB, QTcF and RR Interval at Month 6
时间窗: Baseline, Month 6
Number of Participants With Malignancy Events
时间窗: Baseline up to 4 weeks after last dose of study drug (up to a maximum of 67 months)
Malignancy events included lymphoma, and demyelinating neurologic events. Biopsies collected for malignancy events were submitted to the central laboratory for pathologist over-read.
次要结局
- Psoriasis Area and Severity Index (PASI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Psoriasis Area and Severity Index (PASI) Scores at Month 1, 3, 6, 12, 24, 36 and 48(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Psoriasis Area and Severity Index (PASI) Component Scores: Erythema(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Itch Severity Item (ISI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Psoriasis Area and Severity Index (PASI) Component Scores: Induration at Month 1, 3, 6, 12, 24, 36 and 48(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Psoriasis Area and Severity Index (PASI) Component Scores: Scaling at Month 1, 3, 6, 12, 24, 36 and 48(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Percentage of Participants Achieving Greater Than or Equal to (>=) 90 Percent Reduction From Baseline in Psoriasis Area and Severity Index (PASI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Itch Severity Item (ISI) Scores at Month 1, 3, 6, 12, 24, 36 and 48(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Dermatology Life Quality Index (DLQI) Scores at Month 1, 6, 12, 24, 36 and 48(Baseline, Month 1, 6, 12, 24, 36, 48)
- Percentage of Participants Achieving Physician Global Assessment (PGA) Response of 'Clear' or 'Almost Clear'(Month 1, 3, 6, 12, 24, 36, 48)
- Psoriasis Area and Severity Index (PASI) Component Scores: Scaling(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Dermatology Life Quality Index (DLQI) Scores(Baseline, Month 1, 6, 12, 24, 36, 48)
- Percentage of Participants Achieving Greater Than or Equal to (>=) 75 Percent Reduction From Baseline in Psoriasis Area and Severity Index (PASI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Percentage of Participants Achieving Greater Than or Equal to (>=) 125 Percent Increase From Baseline in Psoriasis Area and Severity Index (PASI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Number of Participants Who Answered Psoriasis Healthcare Resource Utilization Questionnaire (Ps-HCRU)(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Psoriasis Area and Severity Index (PASI) Component Scores: Induration(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Change From Baseline in Psoriasis Area and Severity Index (PASI) Component Scores: Erythema at Month 1, 3, 6, 12, 24, 36 and 48(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Percentage of Participants Achieving Greater Than or Equal to (>=) 50 Percent Reduction From Baseline in Psoriasis Area and Severity Index (PASI) Scores(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- 36-Item Short-Form (SF-36) Health Survey Version 2, Acute: Physical Component Summary Scores(Baseline, Month 6, 12, 24, 36, 48)
- 36-Item Short-Form (SF-36) Health Survey Version 2, Acute: Mental Component Summary Scores(Baseline, Month 6, 12, 24, 36, 48)
- Number of Participants With Patient Global Assessment (PtGA) Response of "Clear" or "Almost Clear"(Baseline, Month 1, 3, 6, 12, 24, 36, 48)
- Euro Quality of Life- 5-Dimensions (EQ-5D)-Utility Scores(Baseline, Month 6, 12, 24, 36, 48)
- Euro Quality of Life-5-Dimensions (EQ-5D)-Visual Analogue Scale Scores (VAS)(Baseline, Month 6, 12, 24, 36, 48)
