Plaque Psoriasis
Conditions
Keywords
Plaque Psoriasis, Apremilast, AMG 407, Moderate to Severe Plaque Psoriasis, Pediatric Plaque Psoriasis
Brief summary
The primary objective of this study is to evaluate the efficacy of apremilast in children and adolescents (ages 6 through 17 years) with moderate to severe plaque psoriasis.
Interventions
Oral tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Japanese participants aged 6 to 17 years at screening * Participants must have a weight of ≥ 15 kg * Diagnosis of chronic plaque psoriasis for at least 3 months prior to screening * Has moderate to severe plaque psoriasis at screening and baseline as defined by: * PASI score ≥ 12; and * BSA ≥ 10; and * sPGA ≥ 3 (moderate to severe) * Disease inadequately controlled by or contraindicated for ≥ 1 topical therapy for psoriasis * Candidate for systemic therapy or phototherapy
Exclusion criteria
* Psoriasis flare or rebound within 4 weeks prior to screening * Evidence of skin conditions, other than psoriasis, that would interfere with clinical assessments * Other than psoriasis, history of any clinically significant (as determined by the investigator) cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic disease, or other major uncontrolled disease * Prior history of suicide attempt at any time in the participant's lifetime prior to screening or baseline in the study, or major psychiatric illness requiring hospitalization within 3 years prior to signing the assent and informed consent * Guttate, erythrodermic, or pustular psoriasis at screening and baseline
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Achievement of a static Physician Global Assessment (sPGA) score of clear (0) or almost clear (1) with at least 2 points reduction from baseline at Week 16 | Week 16 |
Secondary
| Measure | Time frame |
|---|---|
| Achievement of at least 75% reduction in Psoriasis Area and Severity Index (PASI) score (PASI-75) from baseline at Week 16 | Baseline, Week 16 |
| Achievement of at least a 50% reduction in PASI score (PASI-50) from baseline at Week 16 | Baseline, Week 16 |
| Percent change from baseline in total PASI score at Week 16 | Baseline, Week 16 |
| Percent change from baseline in affected body surface area (BSA) at Week 16 | Baseline, Week 16 |
| Achievement of Children Dermatology Life Quality Index (CDLQI) (0/1) at Week 16 | Week 16 |
| Change from baseline in CDLQI score at Week 16 | Baseline, Week 16 |
| Number of participants with treatment-emergent adverse events | Approximately 52 weeks |
| Number of participants with clinically significant changes in vital signs | Approximately 62 weeks |
| Number of participants with clinically significant changes in laboratory abnormalities | Approximately 62 weeks |
Countries
Japan
Contacts
Amgen