Psoriasis
Conditions
Brief summary
This was a Phase 2, international, multicenter, randomized, double-blind, placebo-controlled, dose-ranging, 12-week study. It was designed to assess the therapeutic dose, efficacy, and safety of treatment with SAR441566 in male and female adults with moderate to severe plaque psoriasis. Study details included a screening period (4 weeks and not less than 11 days before Day 1), a treatment period (12 weeks ± 3 days) and a post-treatment period (safety follow-up) (4 weeks ± 3 days). The total number of study visits was 7.
Detailed description
The overall study duration for each participant was up to 149 days.
Interventions
Tablet
Tablet
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants with moderate to severe plaque psoriasis for at least 6 months, meeting the following criteria at screening and D1 (prior to randomization): * PASI ≥ 12 points; * and sPGA score ≥ 3 points; * and BSA score ≥ 10% * Had to be a candidate for phototherapy or systemic therapy. * Total body weight ≥ 50 kg (110 lb) and body mass index (BMI) within the range \[18 - 35\] kg/m\^2 (inclusive)
Exclusion criteria
* Other forms of psoriasis than plaque psoriasis, such as guttate psoriasis, psoriatic arthritis, or pustular psoriasis. Nail psoriasis was accepted for inclusion. * Plaque psoriasis was restricted to scalp, palms, soles, or flexures only. * Any other skin diseases that could interfere with psoriasis evaluation or treatment response (eg, atopic dermatitis, fungal or bacterial superinfection) * Other immunologic (autoimmune or inflammatory) disorder, except medically controlled diabetes or thyroid disorder as per Investigator's judgement * History of recurrent or recent serious infection (eg, pneumonia, septicemia), or infection(s) requiring hospitalization or treatment with IV antiinfectives (antibiotics, antivirals, antifungals, antihelminthics) within 30 days prior to D1, or infections(s) requiring oral antiinfectives (antibiotics, antivirals, antifungals, antihelminthics) within 14 days prior to D1 * Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration * Participant with personal or family history of long QT syndrome * History of moderate to severe congestive heart failure (New York Heart Association Class III or IV), or recent cerebrovascular accident, or any other condition in the opinion of the Investigator that would have put the participant at risk by participation in the protocol * History of solid organ transplant * History of alcohol or drug abuse within the past 2 years * History of diagnosis of demyelinating disease such as but not limited to: * Multiple Sclerosis * Acute Disseminated Encephalomyelitis * Balo's Disease (Concentric Sclerosis) * Charcot-Marie-Tooth Disease * Guillain-Barre Syndrome * Human T-lymphotropic virus 1 Associated Myelopathy * Neuromyelitis Optica (Devic's Disease) * Planned surgery during the treatment period * Active malignancy, lymphoproliferative disease, or malignancy in remission for less than 5 years, except adequately treated (cured) localized carcinoma in situ of the cervix or ductal breast, or squamous cell carcinoma, or basal cell carcinoma of the skin * Any live (attenuated) vaccine within 6 weeks prior to randomization (eg, varicella zoster vaccine, oral polio, rabies) or planned to receive one during the trial The above information was not intended to contain all considerations relevant to a potential participation in a clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | Baseline (Day 1) and Week 12 | PASI is linear combination of percent of surface area of skin that is affected and severity of erythema(E),induration(i),desquamation(D) over 4 body regions: head(h),trunk(t),upper extremities(u),lower extremities(l). The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range:0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax:0=no involvement,1=\<10% to 6=90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: 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. PASI score range:0 (no disease) to 72 (maximal disease);higher scores: greater psoriasis severity. Percentage of participants with PASI75 at Week 12 is presented. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | Baseline (Day 1) to Week 12 | PASI is linear combination of percent of surface area of skin that is affected and severity of E, i, D over 4 body regions: h, t, u, l. The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range: 0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax: 0= no involvement,1= \<10% to 6 =90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: 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. The PASI score ranges from 0 (no disease) to 72 (maximal disease); higher scores indicate greater psoriasis severity. Baseline was defined as last available value before the first dose of study treatment. |
| Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | Baseline (Day 1) and Week 12 | sPGA is 5-point score based on average thickness,erythema,and scaling of all psoriatic lesions.Score ranges:E:0(normal) to 4(bright to deep red coloration of lesions); i (plaque elevation):0(none) to 4(severe thickening with hard edges; D:0(no scaling) to 3(moderate scaling).Overall scoring: average of E,i,D;range:0(clear)= 0 for all 3 symptoms; 1(almost clear)=mean \>0, \<1.5, normal to pink coloration, just detectable(possible slight elevation),no to minimal focal scaling; 2(mild)= mean \>= 1.5, \<2.5, pink to light red coloration, mild thickening, predominantly fine scaling; 3(moderate)= mean \>=2.5,\<3.5, dull to bright red coloration, clearly distinguishable to moderate thickening, moderate scaling; 4(severe)= mean \>=3.5,bright to deep dark red coloration,severe thickening with hard edges,severe coarse scaling covering almost all or all lesions.Lower score:less body coverage,with 0:complete clearance and 1:minimal disease. Total participants who received score of 0 and 1 are reported. |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | From first dose of study treatment (Day 1) up to 5 days post last dose of study treatment, up to 102 days | An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were AEs that developed, worsened or became serious during the TE period. An AESI was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required. |
| Pre-Dose Plasma Concentration of SAR441566 | 1 hour pre-dose on Weeks 2, 4, 8 and 12 | Blood samples were collected at indicated timepoints for the assessment of pre-dose plasma concentration of SAR441566. |
| Post-Dose Plasma Concentration of SAR441566 | 2.5 to 3.5 hours post-dose on Day 1, Weeks 2, 4, 8 and 12 | Blood samples were collected at indicated timepoints for the assessment of post-dose plasma concentration of SAR441566. |
Countries
Argentina, Bulgaria, Canada, Chile, China, Czechia, Georgia, Germany, Hungary, Japan, Mauritius, Poland, Portugal, Spain, Turkey (Türkiye), United Kingdom, United States
Participant flow
Recruitment details
The study was conducted at 51 centers in 17 countries. A total of 292 participants were screened from 26 October 2023 to 24 July 2024, of which 71 were screen failures. Screen failures were mainly due to not meeting the eligibility criteria.
Pre-assignment details
221 participants were randomized in 2 different strata: naïve targeted immunotherapy population (NTIP) and experienced targeted immunotherapy population (ETIP). 147 participants were randomized into NTIP in 1:1:1:1:1:1 ratio to receive either placebo or SAR441566 at 200 mg BID, 100 mg BID, 200 mg QD, 100 mg QD or 50 mg QD. 74 participants were randomized into ETIP in 2:2:2:1 ratio to receive either placebo or SAR441566 at 200 mg BID, 200 mg QD, 100 mg QD. ETIP was used for exploratory analysis.
Participants by arm
| Arm | Count |
|---|---|
| Placebo Participants received placebo matched to SAR441566 orally from Day 1 up to 12 weeks. | 35 |
| SAR441566 200 mg BID Participants received 200 mg BID of SAR441566 orally from Day 1 up to 12 weeks. | 47 |
| SAR441566 100 mg BID Participants received 100 mg BID of SAR441566 orally from Day 1 up to 12 weeks. | 24 |
| SAR441566 200 mg QD Participants received 200 mg QD of SAR441566 orally from Day 1 up to 12 weeks. | 46 |
| SAR441566 100 mg QD Participants received 100 mg QD of SAR441566 orally from Day 1 up to 12 weeks. | 45 |
| SAR441566 50 mg QD Participants received 50 mg QD of SAR441566 orally from Day 1 up to 12 weeks. | 24 |
| Total | 221 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 |
|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 1 | 3 | 0 | 0 | 1 | 0 |
| Overall Study | Non-compliance with study schedule | 1 | 0 | 0 | 0 | 1 | 0 |
| Overall Study | Other | 2 | 4 | 1 | 0 | 1 | 0 |
| Overall Study | Withdrawal by Subject | 4 | 4 | 3 | 5 | 3 | 1 |
Baseline characteristics
| Characteristic | Total | SAR441566 100 mg QD | SAR441566 200 mg QD | SAR441566 100 mg BID | SAR441566 200 mg BID | Placebo | SAR441566 50 mg QD |
|---|---|---|---|---|---|---|---|
| Age, Continuous | 44.3 years STANDARD_DEVIATION 13.2 | 46.8 years STANDARD_DEVIATION 12.9 | 45.4 years STANDARD_DEVIATION 13.9 | 45.5 years STANDARD_DEVIATION 11 | 43.5 years STANDARD_DEVIATION 13.7 | 44.0 years STANDARD_DEVIATION 13 | 38.4 years STANDARD_DEVIATION 13.2 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 32 Participants | 4 Participants | 8 Participants | 6 Participants | 7 Participants | 5 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants | 2 Participants | 0 Participants | 2 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 3 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 3 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) White | 176 Participants | 37 Participants | 37 Participants | 14 Participants | 38 Participants | 29 Participants | 21 Participants |
| Sex: Female, Male Female | 75 Participants | 13 Participants | 12 Participants | 10 Participants | 14 Participants | 13 Participants | 13 Participants |
| Sex: Female, Male Male | 146 Participants | 32 Participants | 34 Participants | 14 Participants | 33 Participants | 22 Participants | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 35 | 0 / 47 | 0 / 24 | 0 / 46 | 0 / 45 | 0 / 24 |
| other Total, other adverse events | 12 / 35 | 27 / 47 | 9 / 24 | 26 / 46 | 6 / 45 | 8 / 24 |
| serious Total, serious adverse events | 1 / 35 | 1 / 47 | 0 / 24 | 0 / 46 | 1 / 45 | 0 / 24 |
Outcome results
Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12
PASI is linear combination of percent of surface area of skin that is affected and severity of erythema(E),induration(i),desquamation(D) over 4 body regions: head(h),trunk(t),upper extremities(u),lower extremities(l). The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range:0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax:0=no involvement,1=\<10% to 6=90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: 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. PASI score range:0 (no disease) to 72 (maximal disease);higher scores: greater psoriasis severity. Percentage of participants with PASI75 at Week 12 is presented.
Time frame: Baseline (Day 1) and Week 12
Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 20.0 percentage of participants |
| SAR441566 200 mg BID | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 44.0 percentage of participants |
| SAR441566 100 mg BID | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 50.0 percentage of participants |
| SAR441566 200 mg QD | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 58.3 percentage of participants |
| SAR441566 100 mg QD | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 28.0 percentage of participants |
| SAR441566 50 mg QD | Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12 | 33.3 percentage of participants |
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were AEs that developed, worsened or became serious during the TE period. An AESI was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required.
Time frame: From first dose of study treatment (Day 1) up to 5 days post last dose of study treatment, up to 102 days
Population: The safety population included all randomized participants who took at least 1 dose of study treatment, regardless of the amount of treatment administered.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 1 Participants |
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 1 Participants |
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 12 Participants |
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 0 Participants |
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 1 Participants |
| SAR441566 200 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 1 Participants |
| SAR441566 200 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 5 Participants |
| SAR441566 200 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 27 Participants |
| SAR441566 200 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 1 Participants |
| SAR441566 200 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 4 Participants |
| SAR441566 100 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 0 Participants |
| SAR441566 100 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 0 Participants |
| SAR441566 100 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 0 Participants |
| SAR441566 100 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 0 Participants |
| SAR441566 100 mg BID | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 9 Participants |
| SAR441566 200 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 1 Participants |
| SAR441566 200 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 26 Participants |
| SAR441566 200 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 0 Participants |
| SAR441566 200 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 1 Participants |
| SAR441566 200 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 2 Participants |
| SAR441566 100 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 1 Participants |
| SAR441566 100 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 7 Participants |
| SAR441566 100 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 0 Participants |
| SAR441566 100 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 1 Participants |
| SAR441566 100 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 0 Participants |
| SAR441566 50 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE | 8 Participants |
| SAR441566 50 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment discontinuation | 0 Participants |
| SAR441566 50 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TESAE | 0 Participants |
| SAR441566 50 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAE leading to study treatment withdrawal | 0 Participants |
| SAR441566 50 mg QD | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs | Any TEAESI | 0 Participants |
Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12
sPGA is 5-point score based on average thickness,erythema,and scaling of all psoriatic lesions.Score ranges:E:0(normal) to 4(bright to deep red coloration of lesions); i (plaque elevation):0(none) to 4(severe thickening with hard edges; D:0(no scaling) to 3(moderate scaling).Overall scoring: average of E,i,D;range:0(clear)= 0 for all 3 symptoms; 1(almost clear)=mean \>0, \<1.5, normal to pink coloration, just detectable(possible slight elevation),no to minimal focal scaling; 2(mild)= mean \>= 1.5, \<2.5, pink to light red coloration, mild thickening, predominantly fine scaling; 3(moderate)= mean \>=2.5,\<3.5, dull to bright red coloration, clearly distinguishable to moderate thickening, moderate scaling; 4(severe)= mean \>=3.5,bright to deep dark red coloration,severe thickening with hard edges,severe coarse scaling covering almost all or all lesions.Lower score:less body coverage,with 0:complete clearance and 1:minimal disease. Total participants who received score of 0 and 1 are reported.
Time frame: Baseline (Day 1) and Week 12
Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 24.0 percentage of participants |
| SAR441566 200 mg BID | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 36.0 percentage of participants |
| SAR441566 100 mg BID | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 54.2 percentage of participants |
| SAR441566 200 mg QD | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 58.3 percentage of participants |
| SAR441566 100 mg QD | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 36.0 percentage of participants |
| SAR441566 50 mg QD | Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12 | 50.0 percentage of participants |
Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12
PASI is linear combination of percent of surface area of skin that is affected and severity of E, i, D over 4 body regions: h, t, u, l. The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range: 0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax: 0= no involvement,1= \<10% to 6 =90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: 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. The PASI score ranges from 0 (no disease) to 72 (maximal disease); higher scores indicate greater psoriasis severity. Baseline was defined as last available value before the first dose of study treatment.
Time frame: Baseline (Day 1) to Week 12
Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Placebo | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -40.65 percent change |
| SAR441566 200 mg BID | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -63.42 percent change |
| SAR441566 100 mg BID | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -60.56 percent change |
| SAR441566 200 mg QD | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -65.18 percent change |
| SAR441566 100 mg QD | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -60.84 percent change |
| SAR441566 50 mg QD | Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12 | -65.85 percent change |
Post-Dose Plasma Concentration of SAR441566
Blood samples were collected at indicated timepoints for the assessment of post-dose plasma concentration of SAR441566.
Time frame: 2.5 to 3.5 hours post-dose on Day 1, Weeks 2, 4, 8 and 12
Population: The PK population included all participants from the safety population with at least 1 post-baseline PK result with adequate documentation of dosing and sampling dates and times. Only those participants with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Post-Dose Plasma Concentration of SAR441566 | Week 12 | 401.897 ng/mL | Standard Deviation 191.133 |
| Placebo | Post-Dose Plasma Concentration of SAR441566 | Day 1 | 135.396 ng/mL | Standard Deviation 77.175 |
| Placebo | Post-Dose Plasma Concentration of SAR441566 | Week 2 | 438.750 ng/mL | Standard Deviation 243.198 |
| Placebo | Post-Dose Plasma Concentration of SAR441566 | Week 4 | 432.998 ng/mL | Standard Deviation 224.552 |
| Placebo | Post-Dose Plasma Concentration of SAR441566 | Week 8 | 428.111 ng/mL | Standard Deviation 291.601 |
| SAR441566 200 mg BID | Post-Dose Plasma Concentration of SAR441566 | Day 1 | 58.449 ng/mL | Standard Deviation 25.096 |
| SAR441566 200 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 4 | 176.800 ng/mL | Standard Deviation 87.429 |
| SAR441566 200 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 8 | 183.570 ng/mL | Standard Deviation 101.811 |
| SAR441566 200 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 2 | 151.108 ng/mL | Standard Deviation 72.612 |
| SAR441566 200 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 12 | 150.990 ng/mL | Standard Deviation 80.672 |
| SAR441566 100 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 4 | 184.854 ng/mL | Standard Deviation 91.237 |
| SAR441566 100 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 8 | 222.750 ng/mL | Standard Deviation 168.237 |
| SAR441566 100 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 2 | 158.463 ng/mL | Standard Deviation 88.156 |
| SAR441566 100 mg BID | Post-Dose Plasma Concentration of SAR441566 | Day 1 | 132.462 ng/mL | Standard Deviation 71.387 |
| SAR441566 100 mg BID | Post-Dose Plasma Concentration of SAR441566 | Week 12 | 153.229 ng/mL | Standard Deviation 86.896 |
| SAR441566 200 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 12 | 86.200 ng/mL | Standard Deviation 41.862 |
| SAR441566 200 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 2 | 115.275 ng/mL | Standard Deviation 49.937 |
| SAR441566 200 mg QD | Post-Dose Plasma Concentration of SAR441566 | Day 1 | 59.010 ng/mL | Standard Deviation 34.099 |
| SAR441566 200 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 4 | 89.428 ng/mL | Standard Deviation 45.908 |
| SAR441566 200 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 8 | 100.190 ng/mL | Standard Deviation 59.421 |
| SAR441566 100 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 12 | 42.877 ng/mL | Standard Deviation 24.508 |
| SAR441566 100 mg QD | Post-Dose Plasma Concentration of SAR441566 | Day 1 | 33.008 ng/mL | Standard Deviation 16.583 |
| SAR441566 100 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 4 | 45.145 ng/mL | Standard Deviation 28.222 |
| SAR441566 100 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 8 | 51.175 ng/mL | Standard Deviation 35.799 |
| SAR441566 100 mg QD | Post-Dose Plasma Concentration of SAR441566 | Week 2 | 56.667 ng/mL | Standard Deviation 16.388 |
Pre-Dose Plasma Concentration of SAR441566
Blood samples were collected at indicated timepoints for the assessment of pre-dose plasma concentration of SAR441566.
Time frame: 1 hour pre-dose on Weeks 2, 4, 8 and 12
Population: The pharmacokinetic (PK) population included all participants from the safety population with at least 1 post-baseline PK result with adequate documentation of dosing and sampling dates and times. Only those participants with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Pre-Dose Plasma Concentration of SAR441566 | Week 8 | 285.981 nanogram per milliliter (ng/mL) | Standard Deviation 200.6 |
| Placebo | Pre-Dose Plasma Concentration of SAR441566 | Week 2 | 289.714 nanogram per milliliter (ng/mL) | Standard Deviation 178.652 |
| Placebo | Pre-Dose Plasma Concentration of SAR441566 | Week 4 | 294.928 nanogram per milliliter (ng/mL) | Standard Deviation 193.309 |
| Placebo | Pre-Dose Plasma Concentration of SAR441566 | Week 12 | 242.188 nanogram per milliliter (ng/mL) | Standard Deviation 151.416 |
| SAR441566 200 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 4 | 110.083 nanogram per milliliter (ng/mL) | Standard Deviation 72.664 |
| SAR441566 200 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 2 | 115.745 nanogram per milliliter (ng/mL) | Standard Deviation 79.341 |
| SAR441566 200 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 12 | 86.317 nanogram per milliliter (ng/mL) | Standard Deviation 53.575 |
| SAR441566 200 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 8 | 101.216 nanogram per milliliter (ng/mL) | Standard Deviation 63.1 |
| SAR441566 100 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 2 | 71.126 nanogram per milliliter (ng/mL) | Standard Deviation 33.287 |
| SAR441566 100 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 12 | 56.216 nanogram per milliliter (ng/mL) | Standard Deviation 34.269 |
| SAR441566 100 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 4 | 74.071 nanogram per milliliter (ng/mL) | Standard Deviation 41.391 |
| SAR441566 100 mg BID | Pre-Dose Plasma Concentration of SAR441566 | Week 8 | 66.287 nanogram per milliliter (ng/mL) | Standard Deviation 50.241 |
| SAR441566 200 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 2 | 32.581 nanogram per milliliter (ng/mL) | Standard Deviation 18.09 |
| SAR441566 200 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 12 | 30.711 nanogram per milliliter (ng/mL) | Standard Deviation 22.277 |
| SAR441566 200 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 8 | 34.729 nanogram per milliliter (ng/mL) | Standard Deviation 21.556 |
| SAR441566 200 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 4 | 31.011 nanogram per milliliter (ng/mL) | Standard Deviation 18.041 |
| SAR441566 100 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 12 | 14.650 nanogram per milliliter (ng/mL) | Standard Deviation 10.029 |
| SAR441566 100 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 2 | 16.685 nanogram per milliliter (ng/mL) | Standard Deviation 9.88 |
| SAR441566 100 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 4 | 17.089 nanogram per milliliter (ng/mL) | Standard Deviation 10.061 |
| SAR441566 100 mg QD | Pre-Dose Plasma Concentration of SAR441566 | Week 8 | 14.566 nanogram per milliliter (ng/mL) | Standard Deviation 14.117 |