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First Human Dose Study of Anti-IL-20 in Psoriasis: A Study of Safety, Tolerability and Early Signals of Biologic and Clinical Effects

Phase 1
Terminated
Conditions
Inflammation
Psoriasis
Interventions
Drug: placebo
Registration Number
NCT01261767
Lead Sponsor
Novo Nordisk A/S
Brief Summary

This trial is conducted in the United States of America (USA). The aim of this clinical trial is evaluate the safety and tolerability of anti-IL-20 in patients with psoriasis and to determine the preliminary efficacy in an expansion phase of this trial.

This trial consists of 3 parts: A single dose (SD) dose-escalation phase for 16 weeks, a multiple dose (MD) dose-escalation phase for 22 weeks, and a MD expansion phase for 22 weeks.

Initiation of the MD expansion phase will depend on results from the SD and MD dose-escalation phases and only if an acceptable safety profile is present. Subjects participating in the expansion phase are not allowed to have participated in the previous phases (SD and MD dose-escalation phases) of the trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • Subjects with moderate to severe stable chronic plaque psoriasis for at least 6 months, with or without psoriatic arthritis
  • Affected body surface area (BSA) greater than or equal to 15%
  • Physician's Global Assessment (PGA) score of 3 or more
  • Female subjects of non-childbearing potential or postmenopausal for at least 1 year. Male subjects must agree to use effective method of birth control
  • Body Mass Index (BMI) less than or equal to 38.0 kg/m2
Exclusion Criteria
  • Concomitant anti-psoriatic treatment
  • Infectious disease requiring systemic anti-infectious treatment within the 2 weeks prior to administration of trial drug
  • Known history of Human Immunodeficiency Virus (HIV)
  • Hepatitis B and/or C (determined by test)
  • Live virus or bacteria vaccines within the last month before drug administration
  • Known active herpes/herpes zoster/cold sores
  • Kidney insufficiency
  • Liver insufficiency
  • Lymphoproliferative disease
  • History or signs of malignancy within the last 5 years

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placeboplacebo-
Anti-IL-20anti-IL-20-
Primary Outcome Measures
NameTimeMethod
Observed toxicity using the US National Cancer Institute's common terminology criteria for adverse events (CTCAE) - SD phasefrom week 0 until end of trial observation period at week 16
Improvement psoriasis area and severity index score by 75% (PASI75) - MD expansion phaseat weeks 1-7, 9-15, 22
Observed toxicity using the US National Cancer Institute's common terminology criteria for adverse events (CTCAE) - MD and MD expansion phasesfrom week 0 until end of trial observation period at week 22
Secondary Outcome Measures
NameTimeMethod
Pharmacokinetics (the rate at which the body eliminates the trial drug) - MD expansion phaseprior to dosing (week 1) and at each dosing visit (week 2-7)
Pharmacodynamics (the effect of the investigated drug on the body) - SD and MD phasesSD: Prior to dosing (week 1) and through 24 hours and at each visit (week 1-3, 5, 9, 13 and 16). MD: Prior to dosing and at each dosing visit (week 1, 3, 5, 7)
Observed toxicity using the US National Cancer Institute's common terminology criteria for adverse events (CTCAE) - MD expansion phasefrom week 0 until end of trial observation period at week 22
Improvement psoriasis area and severity index score by 75% (PASI75) - SD and MD phasesSD: at weeks 1, 3, 9, 13 and 16. MD: at weeks 1, 3, 5, 7, 9, 15, 22
Pharmacokinetics (the rate at which the body eliminates the trial drug) - SD and MD phasesSD: Prior to dosing (week 1) and through 24 hours and at each visit (week 1-3, 5, 9, 13 and 16). MD: Prior to dosing and at each dosing visit (week 1, 3, 5, 7)
Pharmacodynamics (the effect of the investigated drug on the body) - MD expansion phaseprior to dosing (week 1) and at each dosing visit (week 2-7)

Trial Locations

Locations (1)

Novo Nordisk Investigational Site

🇺🇸

Norfolk, Virginia, United States

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