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Efficacy, Safety and Immunogenicity of BI 695501 Versus Humira® in Patients With Moderate to Severe Chronic Plaque Psoriasis

Phase 3
Completed
Conditions
Psoriasis
Interventions
Drug: Humira
Drug: BI 695501
Registration Number
NCT02850965
Lead Sponsor
Boehringer Ingelheim
Brief Summary

To evaluate the efficacy and to compare efficacy and safety of BI 695501 versus Humira in patients with moderate to severe chronic plaque psoriasis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
318
Inclusion Criteria

Not provided

Read More
Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HumiraHumira-
BI 695501BI 695501-
Primary Outcome Measures
NameTimeMethod
The Percentage of Patients With at Least 75% Reduction in Psoriasis Area and Severity Index (PASI 75) Response at Week 16Week 16

The PASI tool provides numeric scoring for a patient's overall psoriasis disease state, ranging from 0 to 72. Head (h), trunk (t), upper extremities (u) and lower extremities (l) areas were assessed; correspond to 10, 30, 20, and 40% of the total body area, respectively. The signs of severity, erythema (E), induration (I) and desquamation (D) of lesions were assessed using a numeric scale of 0 to 4 where 0 was a complete lack of cutaneous involvement and 4 was the severest possible involvement. The area of psoriatic involvement of these areas (Ah, At, Au, and Al) was given a numerical value: 0 = no involvement, 1 = \<10%, 2 = 10 to \<30%, 3 = 30 to \<50%, 4 = 50 to \<70%, 5 = 70 to \<90%, and 6 = 90 to 100% involvement.

PASI = 0.1(Eh+Ih+Dh)Ah + 0.3(Et+It+Dt)At + 0.2(Eu+Iu+Du)Au + 0.4(El+Il+Dl)Al.

Percentage = least squares means per treatment groups back transformed using inverse logit function.

Secondary Outcome Measures
NameTimeMethod
The Mean Percentage Improvement in PASI at Week 16Week 16

The PASI tool provides numeric scoring for a patient's overall psoriasis disease state, ranging from 0 to 72. Head (h), trunk (t), upper extremities (u) and lower extremities (l) areas were assessed; correspond to 10, 30, 20, and 40% of the total body area, respectively. The signs of severity, erythema (E), induration (I) and desquamation (D) of lesions were assessed using a numeric scale of 0 to 4 where 0 was a complete lack of cutaneous involvement and 4 was the severest possible involvement. The area of psoriatic involvement of these areas (Ah, At, Au, and Al) was given a numerical value: 0 = no involvement, 1 =\<10%, 2 =10 to \<30%, 3 =30 to \<50%, 4 =50 to \<70%, 5 =70 to \<90%, and 6 =90 to 100% involvement.

PASI = 0.1(Eh+Ih+Dh)Ah + 0.3(Et+It+Dt)At + 0.2(Eu+Iu+Du)Au + 0.4(El+Il+Dl)Al.

Results based on PASI mean percentage improvement from Baseline after 16 weeks of treatment = overall mean + treatment group + Baseline PASI + prior exposure to a biological agent + random error.

The Percentage of Patients With a PASI 75 Response at Week 24Week 24

The PASI tool provides numeric scoring for a patient's overall psoriasis disease state, ranging from 0 to 72. Head (h), trunk (t), upper extremities (u) and lower extremities (l) areas were assessed; correspond to 10, 30, 20, and 40% of the total body area, respectively. The signs of severity, erythema (E), induration (I) and desquamation (D) of lesions were assessed using a numeric scale of 0 to 4 where 0 was a complete lack of cutaneous involvement and 4 was the severest possible involvement. The area of psoriatic involvement of these areas (Ah, At, Au, and Al) was given a numerical value: 0 = no involvement, 1 = \<10%, 2 = 10 to \<30%, 3 = 30 to \<50%, 4 = 50 to \<70%, 5 = 70 to \<90%, and 6 = 90 to 100% involvement.

PASI = 0.1(Eh+Ih+Dh)Ah + 0.3(Et+It+Dt)At + 0.2(Eu+Iu+Du)Au + 0.4(El+Il+Dl)Al.

Percentage = least squares means per treatment groups back transformed using inverse logit function.

The Percentage of Patients With a Static Physician's Global Assessment (sPGA) ≤1 (Clear or Almost Clear) at Week 16Week 16

The Static Physician's Global Assessment (sPGA) is a 5-point score ranging from 0 to 4, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions.

The assessment was considered "static", which referred to the patient's disease state at the time of the assessment, without comparison to any of the patient's previous disease states (dynamic), whether at Baseline or at a previous visit. A lower score indicated less body coverage, with 0 being clear, 1 being almost clear, and 4 being.

Percentage = least squares means per treatment groups back transformed using inverse logit function.

The Percentage of Patients With Drug-related Adverse Events (AEs)From first drug administration until 10 weeks after last drug administration, up to 34 weeks.

The secondary safety endpoint was defined as the percentage of patients with drug-related adverse events (AEs).

The Percentage of Patients Achieving a Dermatology Life Quality Index (DLQI) of 0 or 1 at Week 16Week 16

The DLQI is a subject-administered, 10-question, that covers 6 domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. It has a 1-week recall period. Every item score ranges from 0 (not relevant/not at all) to 3 (very much). Question 7 is a "yes/no" question where "yes" is scored as 3.

The DLQI total score was calculated by summing the scores of each question resulting in a range of 0 to 30 where 0-1 = no effect on subject's life, 2-5 = small effect, 6-10 = moderate effect, 11-20 = very large effect, and 21-30 = extremely large effect on the subject's life.

The higher the score, the more the quality of life is impaired. If the answer to 1 question in a domain was missing, that domain was treated as missing. If 2 or more questions were left unanswered (missing), DLQI total score was treated as missing. Percentage = least squares means per treatment groups back transformed using inverse logit function.

Trial Locations

Locations (54)

Pinnacle Research Group, LLC

🇺🇸

Anniston, Alabama, United States

Alliance Dermatology and MOHS Center PC

🇺🇸

Phoenix, Arizona, United States

Avail Clinical Research, LLC

🇺🇸

DeLand, Florida, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

New Horizon Research Center

🇺🇸

Miami, Florida, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Clinical Research Atlanta

🇺🇸

Stockbridge, Georgia, United States

Lynn Health Science Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Altoona Center for Clinical Research, P.C.

🇺🇸

Duncansville, Pennsylvania, United States

Medical Research South

🇺🇸

Charleston, South Carolina, United States

Dorothea

🇨🇿

Chomutov, Czechia

University Hospital Ostrava

🇨🇿

Ostrava, Czechia

MU Dr. Helena Korandova s.r.o., Olomouc-Povel

🇨🇿

Olomouc-Povel, Czechia

HOMEA spol. s.r.o., Pardubice

🇨🇿

Pardubice, Czechia

Univ. Hospital Kralovske Vinohrady

🇨🇿

Praha, Czechia

Universitätsklinikum Carl Gustav Carus Dresden

🇩🇪

Dresden, Germany

MU Dr. Jaroslav Dragon, Ústí nad Labem

🇨🇿

Ústí nad Labem, Czechia

Rothhaar Studien GmbH

🇩🇪

Berlin, Germany

Gemeinschaftspraxis Dr. Bräu Dr. Gross, Gießen

🇩🇪

Gießen, Germany

Rosenparkklinik GmbH, Darmstadt

🇩🇪

Darmstadt, Germany

NZOZ Specderm, Bialystok

🇵🇱

Bialystok, Poland

TFS Trial Form Support GmbH

🇩🇪

Hamburg, Germany

NSZOZ Unica CR, Dabrowka

🇵🇱

Dabrowka, Poland

Synexus Polska SCM Sp. z o.o. Gdansku, Gdansk

🇵🇱

Gdansk, Poland

University Clinical Center, Gdansk

🇵🇱

Gdansk, Poland

Synexus Polska Sp. z o.o. Oddzial w Gdyni, Gdynia

🇵🇱

Gdynia, Poland

Synexus Polska Sp. z o.o. Oddzial w Katowicach, Katowice

🇵🇱

Katowice, Poland

SOLUMED Centrum Medyczne, Poznan

🇵🇱

Poznan, Poland

State Medical University, Kazan

🇷🇺

Kazan, Russian Federation

Laser Clin. S.C. Dr T. Kochanowski Dr A. Krolicki, Szczecin

🇵🇱

Szczecin, Poland

Synexus Polska Sp. z o.o. Oddzial w Warszawie, Warszawa

🇵🇱

Warszawa, Poland

Dermatovenereological Dispensary #10, St. Petersburg

🇷🇺

Saint-Petersburg, Russian Federation

ArsVitae NorthWest LLC

🇷🇺

Saint-Petersburg, Russian Federation

1stPavlov St.Med.Univ.St.-Petersburg Res.Inst.

🇷🇺

Saint-Petersburg, Russian Federation

Smolensk State Medical University, Smolensk

🇷🇺

Smolensk, Russian Federation

EKO-Bezopasnost, St. Petersburg

🇷🇺

St. Petersburg, Russian Federation

LLC Skin Disease Clinic of Pier Volkenstein, St. Petersburg

🇷🇺

St. Petersburg, Russian Federation

Institution of Healthcare "Nikolaevskaya Hospital"

🇷🇺

St. Petersburg, Russian Federation

Faculty hospital with clinics F.D. Roosevelta

🇸🇰

Banska Bystrica, Slovakia

CH of State Border Service of Ukraine, Lviv

🇺🇦

Lviv, Ukraine

CI Odesa Regional Dermatovenerologic Dispensary, Odesa

🇺🇦

Odesa, Ukraine

CI RC Dermatovenerologic Dispensary, Ivano-Frankivsk

🇺🇦

Saint Ivano-Frankivsk, Ukraine

SI Ternopil Regional Dermatovenerologic Dispensary, Ternopil

🇺🇦

Ternopil, Ukraine

MCIC MC LLC Health Clinic, Vinnytsia

🇺🇦

Vinnytsia, Ukraine

Menter Dermatology Research Institute

🇺🇸

Dallas, Texas, United States

Southern California Dermatology Inc.

🇺🇸

Santa Ana, California, United States

Advanced Clinical Research

🇺🇸

Boise, Idaho, United States

Heartland Research Associates, LLC

🇺🇸

Wichita, Kansas, United States

Dermatovenerologicke oddelenie sanatorneho typu, Svidnik

🇸🇰

Svidnik, Slovakia

Territorial Medical Association Dermatovenerology, Kyiv

🇺🇦

Kyiv, Ukraine

Center for Clinical and Basic Research, Tallinn

🇪🇪

Tallinn, Estonia

ClinicMed Badurski i wspolnicy Spolka Jawna, Bialystok

🇵🇱

Bialystok, Poland

Synexus Polska Sp. z o.o. Oddzial we Wroclawiu, Wroclaw

🇵🇱

Wroclaw, Poland

Hospital of South-Estonia Ltd, Võru Maakond

🇪🇪

Võru Maakond, Estonia

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