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A Study to Assess the Efficacy and Safety of Apremilast in Japanese Pediatric Participants With Moderate to Severe Plaque Psoriasis

Phase 3
Recruiting
Conditions
Plaque Psoriasis
Interventions
Registration Number
NCT05565560
Lead Sponsor
Amgen
Brief Summary

The primary objective of this study is to evaluate the efficacy of apremilast in children and adolescents (ages 6 through 17 years) with moderate to severe plaque psoriasis.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
33
Inclusion Criteria
  • Japanese participants aged 6 to 17 years at screening
  • Participants must have a weight of ≥ 15 kg
  • Diagnosis of chronic plaque psoriasis for at least 3 months prior to screening
  • Has moderate to severe plaque psoriasis at screening and baseline as defined by:
  • PASI score ≥ 12; and
  • BSA ≥ 10; and
  • sPGA ≥ 3 (moderate to severe)
  • Disease inadequately controlled by or contraindicated for ≥ 1 topical therapy for psoriasis
  • Candidate for systemic therapy or phototherapy
Exclusion Criteria
  • Psoriasis flare or rebound within 4 weeks prior to screening
  • Evidence of skin conditions, other than psoriasis, that would interfere with clinical assessments
  • Other than psoriasis, history of any clinically significant (as determined by the investigator) cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic disease, or other major uncontrolled disease
  • Prior history of suicide attempt at any time in the participant's lifetime prior to screening or baseline in the study, or major psychiatric illness requiring hospitalization within 3 years prior to signing the assent and informed consent
  • Guttate, erythrodermic, or pustular psoriasis at screening and baseline

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ApremilastApremilastParticipants with a weight between ≥ 15 kg to \< 50 kg will receive apremilast 20 mg twice daily (BID) tablet. Participants weighing ≥ 50 kg will receive apremilast 30 mg BID tablet.
Primary Outcome Measures
NameTimeMethod
Achievement of a static Physician Global Assessment (sPGA) score of clear (0) or almost clear (1) with at least 2 points reduction from baseline at Week 16Week 16
Secondary Outcome Measures
NameTimeMethod
Achievement of at least 75% reduction in Psoriasis Area and Severity Index (PASI) score (PASI-75) from baseline at Week 16Baseline, Week 16
Achievement of at least a 50% reduction in PASI score (PASI-50) from baseline at Week 16Baseline, Week 16
Percent change from baseline in total PASI score at Week 16Baseline, Week 16
Percent change from baseline in affected body surface area (BSA) at Week 16Baseline, Week 16
Achievement of Children Dermatology Life Quality Index (CDLQI) (0/1) at Week 16Week 16
Change from baseline in CDLQI score at Week 16Baseline, Week 16
Number of participants with treatment-emergent adverse eventsApproximately 52 weeks
Number of participants with clinically significant changes in vital signsApproximately 62 weeks
Number of participants with clinically significant changes in laboratory abnormalitiesApproximately 62 weeks

Trial Locations

Locations (29)

Nagoya City University Hospital

🇯🇵

Nagoya-shi, Aichi, Japan

Fukuoka University Hospital

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Fukuoka-shi, Fukuoka, Japan

Hospital of the University of Occupational and Environmental Health Japan

🇯🇵

Kitakyushu-shi, Fukuoka, Japan

Mita Dermatology Clinic

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Minato-ku, Tokyo, Japan

Kurume University Hospital

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Kurume-shi, Fukuoka, Japan

Fukushima Medical University Hospital

🇯🇵

Fukushima-shi, Fukushima, Japan

Gifu University Hospital

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Gifu-shi, Gifu, Japan

Gunma University Hospital

🇯🇵

Maebashi-shi, Gunma, Japan

Takagi Dermatological Clinic

🇯🇵

Obihiro-shi, Hokkaido, Japan

Hokkaido University Hospital

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Sapporo-shi, Hokkaido, Japan

Kanazawa Medical University Hospital

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Kahoku-gun, Ishikawa, Japan

Takeoka Dermatology Clinic

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Marugame-shi, Kagawa, Japan

Takamatsu Red Cross Hospital

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Takamatsu-shi, Kagawa, Japan

Saruwatari Dermatology Clinic

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Kagoshima-shi, Kagoshima, Japan

Tokai University Hospital

🇯🇵

Isehara-shi, Kanagawa, Japan

St Marianna University Hospital

🇯🇵

Kawasaki-shi, Kanagawa, Japan

University Hospital Kyoto Prefectural University of Medicine

🇯🇵

Kyoto-shi, Kyoto, Japan

Shinshu University Hospital

🇯🇵

Matsumoto-shi, Nagano, Japan

Nagasaki University Hospital

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Nagasaki-shi, Nagasaki, Japan

University of the Ryukyus Hospital

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Ginowan-shi, Okinawa, Japan

Kansai Medical University Hospital

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Hirakata-shi, Osaka, Japan

Nippon Life Hospital

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Osaka-shi, Osaka, Japan

Kindai University Hospital

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Osakasayama-shi, Osaka, Japan

Dokkyo Medical University Hospital

🇯🇵

Shimotsuga-gun, Tochigi, Japan

Sugai Dermatology Park Side Clinic

🇯🇵

Utsunomiya-shi, Tochigi, Japan

St Lukes International Hospital

🇯🇵

Chuo-ku, Tokyo, Japan

Teikyo University Hospital

🇯🇵

Itabashi-ku, Tokyo, Japan

Seibo International Catholic Hospital

🇯🇵

Shinjuku-ku, Tokyo, Japan

Tokyo Medical University Hospital

🇯🇵

Shinjyuku-ku, Japan

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