MedPath

Ixekizumab Concomitantly Administered With Tirzepatide in Adults With Psoriatic Arthritis and Obesity or Overweight

Phase 3
Active, not recruiting
Conditions
Psoriatic Arthritis
Obesity
Interventions
Registration Number
NCT06588296
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to demonstrate that when participants with psoriatic arthritis 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 psoriatic arthritis 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
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Have signs and/or symptoms or documented diagnosis of Psoriatic Arthritis (PsA) for at least 6 months and currently fulfilling the classification of Psoriatic Arthritis (CASPAR) criteria.
  • Have active PsA, defined as the presence of at least 3 of 68 tender joints and at least 3 of 66 swollen joints.
  • 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 a serious disorder or illness other than PsA.

  • Have a history of chronic or acute pancreatitis.

  • Have any prior use of ixekizumab or tirzepatide.

  • Diagnosis of other inflammatory arthritis, such as Rheumatoid Arthritis (RA), ankylosing spondylitis, reactive arthritis, gout, or enteropathic arthritis.

  • 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 TirzepatideIxekizumabIxekizumab concomitantly administered with tirzepatide SC.
IxekizumabIxekizumabIxekizumab administered subcutaneous (SC).
Ixekizumab and TirzepatideTirzepatideIxekizumab concomitantly administered with tirzepatide SC.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Who Simultaneously Achieved American College of Rheumatology (ACR) ACR50 and at Least a 10% Weight ReductionBaseline up to Week 36

ACR50 is defined as at least 50% improvement in the ACR core set values. The percentage improvement in the ACR scores is determined by an improvement of at least 50% in the number of Tender Joint Count (TJC) (0-68) and Swollen Joint Count (SJC) (0-66) and an improvement of at least 50% in at least 3 of these 5 assessments:

1. Patient's Assessment of Arthritis Pain Visual Analog Scale (VAS)

2. Patient's Global Assessment of Disease Activity Numeric Rating Scale (PaGADA _NRS)

3. Physician's Global Assessment of Disease Activity Numeric Rating Scale (PhGADA NRS)

4. Patient's Assessment of Physical Function as measured by the Health Assessment Questionnaire-Disability Index (HAQ-DI) or

5. Acute phase reactant as measured by High-Sensitivity C-Reactive Protein (hsCRP)

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Simultaneously Achieving American College of Rheumatology (ACR) ACR20 and at Least a 5% Weight ReductionBaseline up to Week 36

ACR20 is defined as at least 20% improvement in the ACR core set values. The percentage improvement in the ACR scores is determined by an improvement of at least 20% in the number of TJC (0-68) and SJC (0-66) and an improvement of at least 20% in at least 3 of these 5 assessments:

1. Patient's Assessment of Arthritis Pain Visual Analog Scale (VAS)

2. Patient's Global Assessment of Disease Activity Numeric Rating Scale (PaGADA _NRS)

3. Physician's Global Assessment of Disease Activity Numeric Rating Scale (PhGADA NRS)

4. Patient's Assessment of Physical Function as measured by the Health Assessment Questionnaire-Disability Index (HAQ-DI) or

5. Acute phase reactant as measured by High-Sensitivity C-Reactive Protein (hsCRP)

Percentage of Participants Achieving ACR50Baseline up to Week 36

ACR50 is defined as at least 50% improvement in the ACR core set values. The percentage improvement in the ACR scores is determined by an improvement of at least 50% in the number of TJC (0-68) and SJC (0-66) and an improvement of at least 50% in at least 3 of these 5 assessments:

1. Patient's Assessment of Arthritis Pain Visual Analog Scale (VAS)

2. Patient's Global Assessment of Disease Activity Numeric Rating Scale (PaGADA _NRS)

3. Physician's Global Assessment of Disease Activity Numeric Rating Scale (PhGADA NRS)

4. Patient's Assessment of Physical Function as measured by the Health Assessment Questionnaire-Disability Index (HAQ-DI) or

5. Acute phase reactant as measured by High-Sensitivity C-Reactive Protein (hsCRP)

Percentage of Participants Achieving at Least a 10% Weight ReductionBaseline up to Week 36

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

Trial Locations

Locations (87)

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Avondale

🇺🇸

Avondale, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Chandler

🇺🇸

Chandler, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Flagstaff

🇺🇸

Flagstaff, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Gilbert

🇺🇸

Gilbert, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Glendale

🇺🇸

Glendale, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Mesa

🇺🇸

Mesa, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix PV

🇺🇸

Phoenix, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Sun City

🇺🇸

Sun City, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson

🇺🇸

Tucson, Arizona, United States

AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Tucson Southeast

🇺🇸

Tucson, Arizona, United States

Medvin Clinical Research - Apple Valley

🇺🇸

Apple Valley, California, United States

Medvin Clinical Research - Covina

🇺🇸

Covina, California, United States

Newport Huntington Medical Group

🇺🇸

Huntington Beach, California, United States

Purushotham & Akther Kotha MD, Inc

🇺🇸

La Mesa, California, United States

Medvin Clinical Research - Riverside

🇺🇸

Riverside, California, United States

Rheumatology Center of San Diego

🇺🇸

San Diego, California, United States

Medvin Clinical Research - Temecula

🇺🇸

Temecula, California, United States

Cohen Medical Centers

🇺🇸

Thousand Oaks, California, United States

Medvin Clinical Research - Tujunga

🇺🇸

Tujunga, California, United States

Medvin Clinical Research - Whittier

🇺🇸

Whittier, California, United States

Denver Arthritis Clinic

🇺🇸

Denver, Colorado, United States

Clinical Research of West Florida, Inc. (Clearwater)

🇺🇸

Clearwater, Florida, United States

NeoClinical Research

🇺🇸

Hialeah, Florida, United States

South Florida Rheumatology

🇺🇸

Hollywood, Florida, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

Vida Clinical Research

🇺🇸

Kissimmee, Florida, United States

Life Clinical Trials

🇺🇸

Margate, Florida, United States

Suncoast Clinical Research, Inc.

🇺🇸

New Port Richey, Florida, United States

Vitalia Medical Research

🇺🇸

Palm Beach Gardens, Florida, United States

Sarasota Arthritis Center

🇺🇸

Sarasota, Florida, United States

Clinical Research of West Florida

🇺🇸

Tampa, Florida, United States

International Center for Research

🇺🇸

Tampa, Florida, United States

Conquest Research

🇺🇸

Winter Park, Florida, United States

Southeastern Rheumatology Alliance dba Arthritis Center of North Georgia

🇺🇸

Gainesville, Georgia, United States

Atlanta Research Center for Rheumatology

🇺🇸

Marietta, Georgia, United States

Bingham Memorial Hospital

🇺🇸

Blackfoot, Idaho, United States

St. Luke's Clinic

🇺🇸

Boise, Idaho, United States

Great Lakes Clinical Trials - Ravenswood

🇺🇸

Chicago, Illinois, United States

Greater Chicago Specialty Physicians

🇺🇸

Schaumburg, Illinois, United States

Arnold Arthritis & Rheumatology

🇺🇸

Skokie, Illinois, United States

Willow Rheumatology and Wellness PLLC

🇺🇸

Willowbrook, Illinois, United States

Qualmedica Research, LLC

🇺🇸

Evansville, Indiana, United States

Alliance for Multispecialty Research, LLC

🇺🇸

Wichita, Kansas, United States

Accurate Clinical Research, Inc

🇺🇸

Houston, Texas, United States

Klein & Associates, M.D., P.A.

🇺🇸

Hagerstown, Maryland, United States

NECCR PrimaCare Research

🇺🇸

Fall River, Massachusetts, United States

Advanced Rheumatology, PC

🇺🇸

Okemos, Michigan, United States

Saint Paul Rheumatology

🇺🇸

Eagan, Minnesota, United States

AARA Clinical Research - Kansas City Physician Partners - North

🇺🇸

Kansas City, Missouri, United States

Arthritis Consultants, Inc.

🇺🇸

Saint Louis, Missouri, United States

Clinvest Headlands Llc

🇺🇸

Springfield, Missouri, United States

Logan Health Research

🇺🇸

Kalispell, Montana, United States

Physician Research Collaboration, LLC

🇺🇸

Lincoln, Nebraska, United States

Albuquerque Center for Rheumatology

🇺🇸

Albuquerque, New Mexico, United States

Inspire Santa Fe Medical Group

🇺🇸

Santa Fe, New Mexico, United States

St. Lawrence Health System

🇺🇸

Canton, New York, United States

Buffalo Rheumatology and Medicine

🇺🇸

Orchard Park, New York, United States

Onsite Clinical Solutions, LLC - Brenner Ave

🇺🇸

Salisbury, North Carolina, United States

Paramount Medical Research & Consulting, LLC

🇺🇸

Middleburg Heights, Ohio, United States

RAO Research LLC

🇺🇸

Oklahoma City, Oklahoma, United States

Essential Medical Research

🇺🇸

Tulsa, Oklahoma, United States

Summit Headlands

🇺🇸

Portland, Oregon, United States

Altoona Center For Clinical Research

🇺🇸

Duncansville, Pennsylvania, United States

West Tennessee Research Institute

🇺🇸

Jackson, Tennessee, United States

AARA Clinical Research - Murfreesboro Medical Clinic

🇺🇸

Murfreesboro, Tennessee, United States

Tekton Research, LLC.

🇺🇸

Austin, Texas, United States

Accurate Clinical Management, LLC

🇺🇸

Baytown, Texas, United States

Precision Comprehensive Clinical Research Solutions - Colleyville

🇺🇸

Colleyville, Texas, United States

Arthritis Care of Texas

🇺🇸

Corpus Christi, Texas, United States

AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Fort Worth

🇺🇸

Fort Worth, Texas, United States

Research Physicians Network, LLC

🇺🇸

Houston, Texas, United States

AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Irving

🇺🇸

Irving, Texas, United States

Biopharma Informatic, LLC

🇺🇸

Katy, Texas, United States

West Texas Clinical Research

🇺🇸

Lubbock, Texas, United States

Valley Arthritis Center

🇺🇸

McAllen, Texas, United States

SouthWest Rheumatology Research, LLC

🇺🇸

Mesquite, Texas, United States

Trinity Universal Research Associates

🇺🇸

Plano, Texas, United States

Advanced Rheumatology of Houston - Woodlands

🇺🇸

The Woodlands, Texas, United States

DM Clinical Research - TRA

🇺🇸

Tomball, Texas, United States

Overlake Arthritis and Osteoporosis Center

🇺🇸

Bellevue, Washington, United States

Arthritis Northwest, PLLC

🇺🇸

Spokane, Washington, United States

Rheumatology & Pulmonary Clinic

🇺🇸

Beckley, West Virginia, United States

Centro Reumatologico Caguas

🇵🇷

Caguas, Puerto Rico

Reuviva Research Center

🇵🇷

Guaynabo, Puerto Rico

GCM Medical Group, PSC - Hato Rey Site

🇵🇷

San Juan, Puerto Rico

Caribbean Medical Research Center

🇵🇷

San Juan, Puerto Rico

Mindful Medical Research

🇵🇷

San Juan, Puerto Rico

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