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A Study of Ixekizumab (LY2439821) in Children With Juvenile Idiopathic Arthritis Categories of Enthesitis-related Arthritis (Including Juvenile Onset Ankylosing Spondylitis) and Juvenile Psoriatic Arthritis

Phase 3
Active, not recruiting
Conditions
Juvenile Psoriatic Arthritis
Enthesitis Related Arthritis
Interventions
Registration Number
NCT04527380
Lead Sponsor
Eli Lilly and Company
Brief Summary

The reason for this study is to see if the study drug ixekizumab is safe and effective in children with juvenile idiopathic arthritis (JIA) categories of enthesitis-related arthritis (ERA) (including juvenile onset ankylosing spondylitis \[JoAS\]) and juvenile psoriatic arthritis (JPsA).

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Participants must have active juvenile idiopathic arthritis (categories of enthesitis related arthritis or juvenile psoriatic arthritis)
  • Participants must have weight of at least 10 kilograms (Kg), age starting at 2 years for participants with juvenile psoriatic arthritis and starting at 6 years for participants with enthesitis related arthritis
  • Participants must have all immunizations up-to-date in agreement with current immunization guidelines, in the opinion of the investigator
Exclusion Criteria
  • Participants must not have active or history of inflammatory bowel disease
  • Participants must not have active uveitis
  • Participants must not have active or latent tuberculosis
  • Participants must not have an active infection
  • Participants must not have concurrent use of biologic agents for the treatment of the juvenile idiopathic arthritis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
IxekizumabIxekizumabIxekizumab given subcutaneously (SC).
AdalimumabAdalimumabAdalimumab given SC. Participants may have the option to switch to ixekizumab given SC during the open label extension period.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30Week 16

Percentage of Participants Achieving JIA ACR 30

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving JIA ACR 30/50/70/90/100Week 0 up to Week 264

Percentage of Participants Achieving JIA ACR 30/50/70/90/100

Change from Baseline in Psoriasis Area and Severity Index (PASI) for JPsA Participants with at Least 3% Body Surface Area (BSA) at BaselineBaseline, up to Week 264

Change from Baseline in PASI for JPsA Participants with at Least 3% BSA at Baseline

Change from Baseline in Leeds Enthesitis Index (LEI) for Participants with Enthesitis at BaselineBaseline, up to Week 264

Change from Baseline in LEI for Participants with Enthesitis at Baseline

Percentage of Participants with Disease Flare (Flare Defined as Worsening of ≥30% from Baseline in at Least 3 of the 6 JIA ACR Core Set Criteria and an Improvement of ≥30% in No More than 1 of the Criteria)Week 0 up to Week 264

Percentage of Participants with Disease Flare (Flare Defined as Worsening of ≥30% from Baseline in at Least 3 of the 6 JIA ACR Core Set Criteria and an Improvement of ≥30% in No More than 1 of the Criteria)

Pharmacokinetics (PK): Trough Concentrations (Ctrough) of IxekizumabWeek 16

Pharmacokinetics (PK): Ctrough of Ixekizumab

Number of Participants with Anti-Ixekizumab AntibodiesWeek 0 up to Week 264

Number of Participants with Anti-Ixekizumab Antibodies

Trial Locations

Locations (33)

Sheffield Children's Hospital

🇬🇧

Sheffield, United Kingdom

Alder Hey Children's Hospital

🇬🇧

Liverpool, England, United Kingdom

Oxford University Hospitals - Nuffield Orthopaedic Centre

🇬🇧

Oxford, Oxfordshire, United Kingdom

Universitäts-Kinderspital beider Basel

🇨🇭

Basel, Basel-Stadt, Switzerland

Hospital Universitari i Politecnic La Fe

🇪🇸

València, Spain

Klinikum Bremen-Mitte

🇩🇪

Bremen, Germany

Cliniques universitaires Saint-Luc

🇧🇪

Brussels, Bruxelles-Capitale, Région De, Belgium

UZ Gent

🇧🇪

Gent, Oost-Vlaanderen, Belgium

Aarhus Universitetshospital, Skejby

🇩🇰

Aarhus, Midtjylland, Denmark

Helios Klinikum Berlin-Buch

🇩🇪

Berlin, Germany

UZ Leuven

🇧🇪

Leuven, Vlaams-Brabant, Belgium

Asklepios Klinik Sankt Augustin

🇩🇪

Sankt Augustin, Nordrhein-Westfalen, Germany

Universitaetsklinikum Freiburg

🇩🇪

Freiburg, Baden-Württemberg, Germany

St. Josef-Stift Sendenhorst

🇩🇪

Sendenhorst, Nordrhein-Westfalen, Germany

Charité Campus Virchow-Klinikum

🇩🇪

Berlin, Germany

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

🇮🇹

Milano, Lombardia, Italy

University of Naples Federico II

🇮🇹

Napoli, Campania, Italy

Centro Specialistico Ortopedico Traumatologico Gaetano Pini - CTO

🇮🇹

Milano, Lombardia, Italy

Praxis Kinder- und Jugendrheumatologie Dr. Ivan Foeldvari

🇩🇪

Hamburg, Germany

IRCCS Istituto Giannina Gaslini

🇮🇹

Genova, Liguria, Italy

A.O.Universitaria Meyer

🇮🇹

Firenze, Toscana, Italy

Azienda Ospedaliera Spedali Civili di Brescia

🇮🇹

Brescia, Italy

UMC Utrecht - Wilhelmina Kinderziekenhuis

🇳🇱

Utrecht, Netherlands

CITER Centro de Investigación y Tratamiento de las Enfermedades Reumáticas

🇲🇽

Mexico City, Distrito Federal, Mexico

Hospital Sant Joan de Déu

🇪🇸

Esplugues de Llobregat, Barcelona [Barcelona], Spain

Hospital Infantil Universitario Niño Jesús

🇪🇸

Madrid, Madrid, Comunidad De, Spain

H.R.U Málaga - Hospital Materno-infantil

🇪🇸

Malaga, Spain

Hospital Universitario Virgen Del Rocio

🇪🇸

Sevilla, Spain

Ostschweizer Kinderspital

🇨🇭

Sankt Gallen, Switzerland

Bristol Royal Hospital for Children

🇬🇧

Bristol, Bristol, City Of, United Kingdom

Royal Stoke University Hospital

🇬🇧

Stoke-on-Trent, Staffordshire, United Kingdom

Haywood Community Hospital

🇬🇧

Stoke-on-Trent, Staffordshire, United Kingdom

Queen's Medical Centre, Nottingham University Hospitals

🇬🇧

Nottingham, Nottinghamshire, United Kingdom

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