Moderate plaque psoriasis. MedDRA version: 20.0 Level: PT Classification code 10037153 Term: Psoriasis System Organ Class: 10040785 - Skin and subcutaneous tissue disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Candidates for systemic therapy with moderate psoriasis (PsO) (with or without psoriatic arthritis) at Screening and Baseline for at least 6 months prior to Baseline defined as: - Body Surface Area (BSA) >= 10% and = 12%; and - Static Physician Global Assessment = 3 (moderate) based on a 5-point scale (0 to 4) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 285 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 45
Exclusion criteria
Exclusion criteria: 1. Participant has other form of PsO other than chronic plaque PsO (e.g., pustular PsO, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic, or guttate PsO). 2. History of current drug-induced PsO or a drug-induced exacerbation of pre-existing psoriasis. 3. History of active ongoing inflammatory skin diseases other than PsO and psoriatic arthritis that could interfere with the assessment of PsO (e.g., hyperkeratotic eczema). 4. Prior exposure to risankizumab or apremilast.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: • The primary efficacy objective in Period A is to demonstrate a higher rate of a) PASI 90 (defined as = 90% reduction from Baseline in PASI) and b) sPGA 0 or 1 with at least 2-grade improvement from Baseline after 16 weeks of treatment with risankizumab when compared to apremilast based on Intent to Treat (ITT) Population in Period A (ITT_A), which consists of all randomized subjects. • The primary efficacy objective in Period B is to demonstrate a higher rate of PASI 90 after switching the treatment at Week 16 from APR to RZB for 36 weeks (APR/RZB) when compared to continuing with APR (APR/APR) based on the Intent to Treat Population in Period B for Week 16 APR-PASI75NRs (ITT_B_NR), which consists of subjects who are randomized to APR at Baseline, fail to achieve PASI 75 at Week 16, and are re randomized. ;Secondary Objective: • The key secondary efficacy objective in Period A is to demonstrate higher efficacy of treatment with RZB when compared to APR with respect to the Achievement of PASI 75 at Week 16, among subjects in the ITT_A Population. • The key secondary efficacy objectives in Period B are to demonstrate higher efficacy of treatment with APR/RZB when compared to APR/APR among APR-PASI75NRs, with respect to a) the Achievement of PASI 75 at Week 52, among subjects in the ITT_B_NR Population and b) the Achievement of sPGA 0 or 1 with at least 2-grade improvement from Baseline at Week 52, among subjects in the ITT_B_NR Population. ;Primary end point(s): Co-Primary Endpoints in Period A (baseline to Week 16): • Achievement of = 90% reduction from Baseline in PASI (PASI 90) at Week 16, among subjects in the Intent to Treat Population in Period A (ITT_A; defined as all subjects who are randomized at Baseline). • Achievement of static Physicians Global Assessment (sPGA) 0 or 1 with at least 2-grade improvement from Baseline at Week 16, among subjects in the ITT_A Population. Primary Endpoint in Period B (Week 16 to Week 52): • Achievement of | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Ranked Secondary Endpoint in Period A: • Achievement of PASI 75 at Week 16, among subjects in the ITT_A Population Ranked Secondary Endpoints in Period B: • Achievement of PASI 75 at Week 52, among subjects in the ITT_B_NR Population • Achievement of sPGA 0 or 1 with at least 2-grade improvement from Baseline at Week 52, among subjects in the ITT_B_NR Population;Timepoint(s) of evaluation of this end point: Period A secondary endpoint will be evaluated at Week 16; Period B secondary endpoints will be evaluated at Week 52. | — |
Countries
Canada, Germany, Israel, Poland, United States
Contacts
AbbVie Ltd.