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Study to Evaluate Effectiveness and Safety in Subjects With Moderate to Severe Psoriasis

Phase 2
Completed
Conditions
Psoriasis
Interventions
Drug: BMS-986165
Drug: Placebo for BMS-986165
Registration Number
NCT02931838
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

A Study to evaluate efficacy and safety in subjects with moderate to severe Psoriasis treated with BMS-986165

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
268
Inclusion Criteria
  • Male and female, ages 18 to 70 years
  • Diagnosis of plaque psoriasis for 6 months
  • Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test, must not be pregnant, lactating, breastfeeding or planning pregnancy
  • Males who are sexually active with WOCBP must agree to follow instructions for method(s) of contraception for the duration of treatment plus 5 half-lives of the study drug plus 90 days.
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Exclusion Criteria
  • Any significant acute or chronic medical illness
  • Blood transfusion within 4 weeks of study drug administration
  • Inability to tolerate oral medication
  • Positive hepatitis-B (HBV) surface antigen
  • Positive hepatitis-C (HCV) antibody
  • Any history or risk for tuberculosis (TB)
  • Any major illness/condition or evidence of an unstable clinical condition
  • Chest X-ray findings suspicious of infection at screening
  • has received ustekinumab, secukinumab or ixekizumab within 6 months of first administration of study medication
  • Has received anti-Tumor Necrosis Factor (TNF) inhibitor(s) within 2 months of first administration of study medication
  • Has received Rituximab within 6 months of first administration of study medication
  • Topical medications/treatments for psoriasis within 2 weeks of the first administration of any study medication
  • Any systemic medications/treatments for psoriasis within 4 weeks of the first administration of any study medication

Other protocol defined inclusion/exclusion criteria could apply

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BMS-986165 Dose 1BMS-986165Specified dose of BMS-986165 on specified days.
BMS-986165 Dose 2BMS-986165Specified dose of BMS-986165 on specified days.
BMS-986165 Dose 4BMS-986165Specified dose of BMS-986165 on specified days.
BMS-986165 Dose 5BMS-986165Specified dose of BMS-986165 on specified days.
PlaceboPlacebo for BMS-986165Specified dose of Placebo for BMS-986165 on specified days.
BMS-986165 Dose 3BMS-986165Specified dose of BMS-986165 on specified days.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Adverse EventsDay 1 to day 115

The safety and tolerability of BMS-986195 as assessed by the number of subjects with adverse events (AEs); number of subjects with serious adverse events (SAEs); number of subjects with adverse events leading to discontinuation

The Percentage of Participants With Moderate to Severe Psoriasis Experiencing a 75% Improvement (Reduction From Baseline) in PASI Score (PASI-75 Response Rate) on Day 85 (Week 12)Day 1 to Day 85

Psoriasis Area and Severity Index (PASI) 75 response: patients who achieved ≥ 75% improvement (reduction) in PASI score compared to baseline were defined as PASI 75 responders. PASI scores can range from 0, corresponding to no signs of psoriasis up to theoretical maximum of 72.0, which means a higher PASI score reflects a higher psoriasis activity.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants on Day 85 With PASI-50, PASI-90, PASI-100.Day 1 to Day 85

Percentage of patients achieving Psoriasis Area and Severity Index (PASI) 50, PASI 90 and PASI 100 responses on Day 85. PASI 50 response: patients who achieved ≥ 50% improvement (reduction) in PASI score compared to baseline were defined as PASI 50 responders. PASI 90 response: patients who achieved ≥ 90% improvement (reduction) in PASI score compared to baseline were defined as PASI 90 responders. PASI 100 response: patients who achieved ≥ 100% improvement (reduction) in PASI score compared to baseline were defined as PASI 100 responders. PASI scores can range from 0, corresponding to no signs of psoriasis up to theoretical maximum of 72.0, which means a higher PASI score reflects a higher psoriasis activity.

Percentage of Participants on Day 85 With sPGA Score of 0 or 1 (sPGA0/1 Response Rate).Day 1 to Day 85

Percentage of participants achieving a clear (0) or almost clear (1) status on the Static Physician Global Assessment (sPGA) on Day 85. This index evaluates the physician's global assessment of the participant's psoriasis based on severity of induration, scaling, and erythema. The assessment was scored on a scale of 0 to 5, where 0 = clear, with no evidence of plaque elevation, erythema, or scale, and 5 = severe induration, erythema, and scaling.

Change From Baseline in DLQI Scores on Day 85Day 1 to Day 85

The DLQI is a participant reported quality of life index which consists of 10 questions concerning symptoms and feelings, daily activities, leisure, work, school, personal relationships, and treatment during the last week. Each question is scored on a scale of 0 to 3 by a tick box: "not at all", "a little", "a lot", or "very much". The scores are summed, giving a range from 0 (no impairment of life quality) to 30 (maximum impairment)

Change From Baseline in BSA on Day 85Day 1 to Day 85

Measurement of psoriasis body surface area (BSA) involvement is estimated using the handprint method with the size of a patient's handprint representing \~1% of body surface area involved.The total BSA = 100% with breakdown by body region as follows: head and neck = 10% (10 handprints), upper extremities = 20% (20 handprints), trunk including axillae and groin = 30% (30 handprints), lower extremities including buttocks = 40% (40 handprints). A decrease from Baseline indicates improvement. Change from Baseline was calculated as Baseline score - Day 85 score; a positive change from Baseline therefore indicates improvement.

Trough Observed Plasma Concentration of BMS-986165 (Ctrough)Days 8, 15, 29, 57, 85

Pharmacokinetics of BMS-986165 were derived from plasma concentration versus time data. Ctrough= Trough observed plasma concentration

Trial Locations

Locations (16)

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

NorthShore University Health System

🇺🇸

Skokie, Illinois, United States

Dawes Fretzin Clinical Research Group, LLC

🇺🇸

Indianapolis, Indiana, United States

Rivergate Dermatology Clinical Research Center, Pllc

🇺🇸

Goodlettsville, Tennessee, United States

University of California San Diego

🇺🇸

San Diego, California, United States

Local Institution

🇵🇱

Wroclaw, Poland

University of California Irvine

🇺🇸

Irvine, California, United States

PMG Research of Christie Clinic, LLC

🇺🇸

Champaign, Illinois, United States

Dartmouth-Hitchcock Medical Center-Norris Cotton Cancer Center

🇺🇸

Lebanon, New Hampshire, United States

PMG Research of Wilmington, PLC

🇺🇸

Wilmington, North Carolina, United States

Central Sooner Research

🇺🇸

Norman, Oklahoma, United States

Health Concepts

🇺🇸

Rapid City, South Dakota, United States

Dermatologic Surgery Specialists, PC

🇺🇸

Macon, Georgia, United States

Piedmont Plastic Surgery & Dermatology - Charlotte/Blakeney Location

🇺🇸

Charlotte, North Carolina, United States

PMG Research of Rocky Mount, LLC

🇺🇸

Rocky Mount, North Carolina, United States

Austin Dermatology Associates

🇺🇸

Austin, Texas, United States

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