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Ixekizumab Concomitantly Administered With Tirzepatide in Adults With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight

Phase 3
Recruiting
Conditions
Psoriasis
Obesity
Interventions
Registration Number
NCT06588283
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to demonstrate that when participants with moderate to severe plaque psoriasis and obesity or overweight in the presence of at least 1 weight-related comorbid condition receive ixekizumab and tirzepatide concomitantly administered, participants see improvement in their psoriasis and achieve weight reduction compared to when receiving ixekizumab.

Participation in this study includes up to 12 visits and could last up to 61 weeks including screening, open label treatment period, and post-treatment follow-up period.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Have a diagnosis of moderate-to-severe plaque psoriasis (PsO) for at least 6 months.
  • Have both a Static Physician's Global Assessment (sPGA) score of ≥3 and a Psoriasis Area and Severity Index (PASI) ≥12.
  • Have ≥10% body surface area (BSA) involvement.
  • Have obesity, body mass index of ≥30 kilograms per meter squared (BMI ≥30 kg/m²) or overweight (BMI ≥27 to <30 kg/m²) in the presence of at least 1 of these weight-related comorbid conditions (hypertension, dyslipidemia, obstructive sleep apnea, cardiovascular disease, or T2DM).
Exclusion Criteria

Medical Conditions

  • Have Type 1 Diabetes Mellitus (T1DM).

  • Have insulin-treated Type 2 Diabetes Mellitus (T2DM).

  • Have a prior or planned surgical treatment for obesity.

  • Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) syndrome type 2.

  • Have active, or a history of inflammatory bowel disease (Crohn's or ulcerative colitis).

  • Have a diagnosis or history of malignant disease within the 5 years prior to randomization, with the following exceptions:

    • basal cell or squamous epithelial carcinomas of the skin that have been resected, with no evidence of metastatic disease for 3 years.
    • cervical carcinoma in situ, with no evidence of recurrence within the 5 years prior to randomization.
  • Have serious disorder or illness other than PsO.

  • Have a history of chronic or acute pancreatitis.

  • Have any prior use of ixekizumab or tirzepatide.

  • Have a previous failure or intolerance to an interleukin 17 inhibitor (IL-17i) or glucagon-like peptide 1 (GLP-1) receptor agonists.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ixekizumab and TirzepatideTirzepatideIxekizumab concomitantly administered with tirzepatide SC.
IxekizumabIxekizumabIxekizumab administered subcutaneous (SC).
Ixekizumab and TirzepatideIxekizumabIxekizumab concomitantly administered with tirzepatide SC.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Who Simultaneously Achieved Psoriasis Area and Severity Index (PASI) 100 and At Least 10% Weight ReductionBaseline to Week 36

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor (head \[0.1\], upper limbs \[0.2\], trunk \[0.3\], lower limbs \[0.4\]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease).Participants achieving PASI 100 were defined as having an improvement of at least 100% in the PASI score compared to baseline.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Who Simultaneously Achieved PASI 75 and At Least 5% Weight ReductionBaseline to Week 36

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately, and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor (head \[0.1\], upper limbs \[0.2\], trunk \[0.3\], lower limbs \[0.4\]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease). Participants achieving PASI 75 were defined as having an improvement of ≥75% in the PASI score compared to baseline.

Percentage of Participants Achieving PASI 100Baseline to Week 36

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately, and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor (head \[0.1\], upper limbs \[0.2\], trunk \[0.3\], lower limbs \[0.4\]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease). Participants achieving PASI 100 were defined as having an improvement of at least 100% in the PASI scores compared to baseline.

Percentage of Participants Achieving At Least 10% Weight ReductionBaseline to Week 36

Percentage of Participants Who Achieved at Least a 10% Weight Reduction

Trial Locations

Locations (72)

Total Skin & Beauty Dermatology Center, PC DBA Total Dermatology

🇺🇸

Birmingham, Alabama, United States

Medical Dermatology Specialists

🇺🇸

Phoenix, Arizona, United States

Scottsdale Clinical Trials

🇺🇸

Scottsdale, Arizona, United States

Yuma Clinical Trials

🇺🇸

Yuma, Arizona, United States

Johnson Dermatology

🇺🇸

Fort Smith, Arkansas, United States

California Dermatology & Clinical Research Institute

🇺🇸

Encinitas, California, United States

First OC Dermatology Research Inc

🇺🇸

Fountain Valley, California, United States

Avance Clinical Trials

🇺🇸

Laguna Niguel, California, United States

Metropolis Dermatology

🇺🇸

Los Angeles, California, United States

Dermatology Research Associates

🇺🇸

Los Angeles, California, United States

Northridge Clinical Trials

🇺🇸

Northridge, California, United States

Cura Clinical Research - Oxnard

🇺🇸

Oxnard, California, United States

Integrative Skin Science and Research - Location 2

🇺🇸

Sacramento, California, United States

Therapeutics Clinical Research

🇺🇸

San Diego, California, United States

Life Clinical Trials

🇺🇸

Coral Springs, Florida, United States

Alliance for Multispecialty Research, LLC

🇺🇸

Fort Myers, Florida, United States

NeoClinical Research

🇺🇸

Hialeah, Florida, United States

Skin Care Research

🇺🇸

Hollywood, Florida, United States

Encore Medical Research

🇺🇸

Hollywood, Florida, United States

Solutions Through Advanced Research

🇺🇸

Jacksonville, Florida, United States

Deluxe Health Center

🇺🇸

Miami Lakes, Florida, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Leading Edge Dermatology

🇺🇸

Plantation, Florida, United States

International Clinical Research - Sanford

🇺🇸

Sanford, Florida, United States

Nodal Medical Center

🇺🇸

Tampa, Florida, United States

Palm Harbor Dermatology PA d/b/a TrueBlue Clinical Research

🇺🇸

Tampa, Florida, United States

DeNova Research

🇺🇸

Chicago, Illinois, United States

Oak Dermatology

🇺🇸

Naperville, Illinois, United States

Dawes Fretzin Clinical Research Group, LLC

🇺🇸

Indianapolis, Indiana, United States

The Indiana Clinical Trials Center, PC

🇺🇸

Plainfield, Indiana, United States

Equity Medical - Bowling Green

🇺🇸

Bowling Green, Kentucky, United States

DelRicht Research

🇺🇸

Baton Rouge, Louisiana, United States

Care Access - Lake Charles (Bayou Pines)

🇺🇸

Lake Charles, Louisiana, United States

Dermatology and Skin Cancer Specialists, LLC

🇺🇸

Rockville, Maryland, United States

Lawrence J. Green, MD, LLC

🇺🇸

Rockville, Maryland, United States

Great Lakes Research Group, Inc.

🇺🇸

Bay City, Michigan, United States

The Derm Institute of West Michigan

🇺🇸

Caledonia, Michigan, United States

MI Skin Innovations

🇺🇸

Northville, Michigan, United States

Las Vegas Dermatology

🇺🇸

Las Vegas, Nevada, United States

Skin Cancer and Dermatology Institute - Reno

🇺🇸

Reno, Nevada, United States

ActivMed Practices & Research, LLC.

🇺🇸

Portsmouth, New Hampshire, United States

Psoriasis Treatment Center of Central New Jersey

🇺🇸

East Windsor, New Jersey, United States

Care Access - Hoboken

🇺🇸

Hoboken, New Jersey, United States

Equity Medical

🇺🇸

New York, New York, United States

Mount Sinai Doctors - East 85th Street

🇺🇸

New York, New York, United States

Onsite Clinical Solutions - Huntersville

🇺🇸

Huntersville, North Carolina, United States

Red River Research Partners

🇺🇸

Fargo, North Dakota, United States

Optima Research - Boardman

🇺🇸

Boardman, Ohio, United States

Dermatologists of Southwest Ohio

🇺🇸

Mason, Ohio, United States

Oregon Medical Research Center

🇺🇸

Portland, Oregon, United States

Oregon Dermatology and Research Center

🇺🇸

Portland, Oregon, United States

Dermatology Associates of Plymouth Meeting

🇺🇸

Plymouth Meeting, Pennsylvania, United States

Columbia Dermatology & Aesthetics

🇺🇸

Columbia, South Carolina, United States

International Clinical Research - Tennessee LLC

🇺🇸

Murfreesboro, Tennessee, United States

DelRicht Research - Thompson's Station

🇺🇸

Smyrna, Tennessee, United States

Tekton Research - Westlake Drive

🇺🇸

Austin, Texas, United States

Bellaire Dermatology Associates

🇺🇸

Bellaire, Texas, United States

Modern Research Associates, PLLC

🇺🇸

Dallas, Texas, United States

Austin Institute for Clinical Research

🇺🇸

Pflugerville, Texas, United States

Progressive Clinical Research

🇺🇸

San Antonio, Texas, United States

Texas Dermatology and Laser Specialists

🇺🇸

San Antonio, Texas, United States

Dermatology Clinical Research Center of San Antonio

🇺🇸

San Antonio, Texas, United States

Tanner Clinic

🇺🇸

Layton, Utah, United States

Care Access - Arlington

🇺🇸

Arlington, Virginia, United States

Care Access - Danville

🇺🇸

Danville, Virginia, United States

Virginia Clinical Research, Inc.

🇺🇸

Norfolk, Virginia, United States

Bellevue Dermatology Clinic

🇺🇸

Bellevue, Washington, United States

Dermatology of Seattle

🇺🇸

Burien, Washington, United States

SCB Research Center

🇵🇷

Bayamon, Puerto Rico

Office of Dr. Alma M. Cruz

🇵🇷

Carolina, Puerto Rico

GCM Medical Group, PSC - Hato Rey Site

🇵🇷

San Juan, Puerto Rico

Mindful Medical Research

🇵🇷

San Juan, Puerto Rico

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