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Chronic Plaque PsoriasisPhase 2NCT00245765

Efficacy Study of CDP870 in Subjects With Chronic Plaque Psoriasis Who Are Candidate for Systemic Therapy and/or Phototherapy/Photochemotherapy

A Phase 2 study testing Certolizumab Pegol in people with Chronic Plaque Psoriasis, run by UCB Pharma at 15 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A study to assess the safety and efficacy of 2 different doses of CDP870 versus placebo, administered during 12 weeks, to patients suffering from moderate to severe chronic plaque psoriasis, extended by a 12 to 24 week follow-up. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Plaque Psoriasis
What is being tested?
Certolizumab Pegol
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
176 participants
Where
15 sitesin 2 countries
Study dates
Oct 2005to Nov 2006
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult men and women > 18 years
  • Subjects with chronic plaque psoriasis stable for at least 3 months and moderate to severe for at least 6 months
  • Subjects with Psoriasis Area and Severity Index (PASI) ≥ 12 and Body Surface Area (BSA) ≥ 10 %
  • Subjects were candidates for systemic psoriasis therapy and/or phototherapy and/or photochemotherapy

Who cannot join

  • Subjects with an erythrodermic, guttate, palmar or plantar, generalized pustular form of psoriasis
  • A history of chronic infection, recent serious or life-threatening infection (within six months, including herpes zoster), or any current sign or symptom that may indicate an infection (e.g. fever, cough);
  • White blood cell counts less than 4000/mm^3 or more than 20000/mm^3
  • Suspected or diagnosed demyelinating disease of the central nervous system (e.g. multiple sclerosis or optic neuritis)
  • Systemic Lupus
  • Non respect of adequate wash out periods for treatments that might have an impact on the disease
  • Any associated disease that could be impacted by the study treatment intake
  • Any other condition, which in the Investigator's judgment would make the subject unsuitable for inclusion in the study

Trial locations and contacts

15 sites in 2 countries.

15 sites in 2 countries

Germany9 sites
  • Study site

    Berlin

  • Study site

    Bonn

  • Study site

    Essen

  • Study site

    Frankfurt

  • Study site

    Göttingen

  • Study site

    Hamburg

  • Study site

    Kiel

  • Study site

    Mainz

  • Study site

    Münster

Other trials in Germany

France6 sites
  • Study site

    Besançon

  • Study site

    Créteil

  • Study site

    Nice

  • Study site

    Paris

  • Study site

    Pierre-Bénite

  • Study site

    Saint-Etienne

Other trials in France

About this study

Official title: Multicenter, Dose Response, Randomized, Double Blind, Parallel, Placebo Controlled Clinical Trial to Evaluate the Efficacy and the Safety of Subcutaneous CDP870 in Subjects Suffering From Moderate-to-severe Chronic Plaque Psoriasis Who Are Candidates for Systemic Therapy and/or Phototherapy and/or Photochemotherapy

A study to assess the safety and efficacy of 2 different doses of CDP870 versus placebo, administered during 12 weeks, to patients suffering from moderate to severe chronic plaque psoriasis, extended by a 12 to 24 week follow-up.

Being tested
Certolizumab Pegol, Placebo
Keywords
chronic plaque psoriasis, anti TNFα, CDP870, Cimzia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Certolizumab PegolDrug

    Also called Cimzia

    • Pharmaceutical Form: solution for injection in pre-filled syringe
    • Route of Administration: subcutaneous use
  • PlaceboOther

    Matching Placebo to Certolizumab Pegol

Study groups in NCT00245765
Study groupRoleWhat they receive
PlaceboPlacebo comparatorSubcutaneous injections of Placebo every 2 weeks
Receives: Other: Placebo
Certolizumab Pegol 200 mgExperimentalSubcutaneous injections of 400 mg initial dose at week 0 with 200 mg every 2 weeks thereafter
Receives: Drug: Certolizumab Pegol
Certolizumab Pegol 400 mgExperimentalSubcutaneous injections of 400 mg every 2 weeks
Receives: Drug: Certolizumab Pegol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Achievement of Psoriasis Activity and Severity Index (PASI75) Response at Week 12

    Determining the PASI score involves the evaluation of erythema, infiltration, and desquamation and body surface area involvement over 4 body regions. These regions are the head, trunk, upper and lower extremities.

    PASI75 response at Week 12 is defined as a decrease in PASI score at Week 12 from Baseline of at least 75 %.

    Measured: Week 12

  2. Achievement of a Physician's Global Assessment (PGA) of Clear or Almost Clear at Week 12

    The overall severity of the disease was evaluated using the following 6-point scale:

    5 = Severe: Very marked plaque elevation, scaling, and/or erythema. 4 = Moderate to severe: Marked plaque elevation, scaling, and/or erythema. 3 = Moderate: Moderate plaque elevation, scaling, and/or erythema. 2 = Mild: Slight plaque elevation, scaling, and/or erythema

    1 = Almost clear: Intermediate between mild and clear 0 = Clear: No signs of psoriasis (post-inflammatory hyperpigmentation may be present)

    Measured: Week 12

Secondary outcomes (9)
  1. Time to Psoriasis Activity and Severity Index 50 (PASI50)

    Time to PASI50 is defined as the time elapsed between the start of the Treatment Period (Week 0) and the first occurrence of PASI50 during the Treatment Period.

    This variable is defined only for those patients who have achieved PASI75 at the end of the Treatment Period (Week 12).

    Measured: During the 12-weeks Treatment Period

  2. Time to Psoriasis Activity and Severity Index 75 (PASI75)

    Time to PASI75 is defined as the time elapsed between the start of the Treatment Period (Week 0) and the first occurrence of PASI75 during the Treatment Period.

    This variable is defined only for those patients who have achieved PASI75 at the end of the Treatment Period (Week 12).

    Measured: During the 12-weeks Treatment Period

  3. Time to Relapse

    Time to relapse is defined as the time elapsed between the last dose and when maximal improvement in PASI from Baseline was reduced by > 50 %. This variable is defined only for those patients who have achieved PASI75 at the end of the Treatment Period (Week 12).

    Measured: During the 12-weeks Treatment Period

  4. Achievement of a Psoriasis Activity and Severity Index (PASI50) Response at Week 12

    Determining the PASI score involves the evaluation of erythema, infiltration, and desquamation and body surface area involvement over 4 body regions. These regions are the head, trunk, upper and lower extremities.

    PASI50 response at Week 12 is defined as a decrease in PASI score at Week 12 from Baseline of at least 50 %.

    Measured: Week 12

  5. Achievement of a Psoriasis Activity and Severity Index (PASI90) Response at Week 12

    Determining the PASI score involves the evaluation of erythema, infiltration, and desquamation and body surface area involvement over 4 body regions. These regions are the head, trunk, upper and lower extremities.

    PASI90 response at Week 12 is defined as a decrease in PASI score at Week 12 from Baseline of at least 90 %.

    Measured: Week 12

  6. Experience of a Rebound Effect Within 2 Months After Stopping Therapy

    Rebound is defined as worsening of psoriasis over baseline value with more than 125 % or new pustular, erythrodermic or more inflammatory psoriasis within 2 months of stopping therapy.

    Measured: Within 2 months of stopping therapy

  7. Percent of Body Surface Area (BSA) Affected by Psoriasis at Week 12

    Two methods were used for the evaluation of BSA:

    1. The area of one side of a subject's flat closed hand was used to represent 1 % to the total body surface area (BSA) to estimate the extent of skin involvement in subjects with psoriasis
    2. The rule of nines method assumed that the total BSA comprises head (9 %), anterior trunk (upper, 9 %; lower, 9 %), posterior trunk (upper, 9 %; lower, 9 %), each leg (anterior, 9 %; posterior, 9 %), each arm (9 %) and genitalia (1 %)

    Measured: Week 12

  8. Absolute Change From Baseline in the Body Surface Area (BSA) Affected by Psoriasis at Week 12

    Two methods were used for the evaluation of BSA:

    1. The area of one side of a subject's flat closed hand was used to represent 1 % to the total body surface area (BSA) to estimate the extent of skin involvement in subjects with psoriasis
    2. The rule of nines method assumed that the total BSA comprises head (9 %), anterior trunk (upper, 9 %; lower, 9 %), posterior trunk (upper, 9 %; lower, 9 %), each leg (anterior, 9 %; posterior, 9 %), each arm (9 %) and genitalia (1 %) A positive value in Change from Baseline indicates an improvement from Baseline. The higher the positive value, the higher the change.

    Measured: Baseline up to Week 12

  9. Time to Discontinuation From the Treatment Period Due to Lack of Efficacy or Worsening of Psoriasis

    Measured: During the 12-week Treatment Period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Oct 2005 (estimated)
  2. Study startOct 2005
  3. Primary completionNov 2006
  4. Study completionNov 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
176 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00245765
Sponsor's protocol ID
C87040
Other IDs
2005-002141-39, 2005
Status last verified
Jan 2019
First submitted
26 Oct 2005
Last updated
3 May 2019

Publications

  • Ortonne JP, Tasset C, Reich K. Efficacy of certolizumab pegol, a PEGylated Fab' fragment of an anti-alpha monoclonal antibody, in patients previously exposed to biologicals: preliminary results of a randomised, placebo-controlled, phase II clinical trial in psoriasis. J.Eur.Acad.Dermatol.Venereol. 22[Suppl 1], 2007. Vienna, 16th Congress of the European Academy of Dermatology and Venereology (EADV), May 16-20, 2007.

  • Ortonne JP, Sterry W, Tasset C, Reich K. Safety and efficacy of subcutaneous certolizumab pegol, a new anti-TNF-alpha monoclonal antibody, in patients with moderate-to-severe chronic plaque psoriasis: preliminary results from a double-blind, placebo-controlled trial. J.Am.Acad.Dermatol. 56[Suppl 2], AB6. 2007. Washington, DC, 65th Annual Meeting of the American Academy of Dermatology (AAAD), February 2-7, 2007.

  • Reich K, Tasset C, Ortonne J. Efficacy and safety of certolizumab pegol, in patients with chronic plaque psoriasis: preliminary results of a randomized, double-blind, placebo-controlled trial. Ann.Rheum.Dis. 66[Suppl 2], 251. 2007. Barcelona, Annual European Congress of Rheumatology EULAR 2007, June 13-16, 2007.

  • Ortonne JP, Sterry W, Tasset C, Reich K. Certolizumab pegol, the first pegylated anti-TNF alpha, is effective and well tolerated in patients with moderate-to-severe chronic plaque psoriasis: preliminary data from a phase II study. J.Eur.Acad.Dermatol.Venereol. 21[Suppl 1], 26. 2007. Rhodes, Greece, 15th Congress of the European Academy of Dermatology and Venereology (EADV), October 4-8, 2006.

  • Ortonne JP, Sterry W, Coteur G, Keininger DL, Reich K. Improved health-related quality of life in psoriasis patients following 10 weeks' treatment with certolizumab pegol: data from a Phase II study. 2007. Buenos Aires, Argentina, 21st World Congress of Dermatology, October 1-5, 2007.

  • Reich K, Sterry W, Tasset C, Terpstra I, Ortonne JP. Efficacy and time to relapse with certolizumab pegol, the first pegylated anti-TNF alpha agent, in patients with moderate-to-severe chronic plaque psoriasis: Phase II study results. 2007. Buenos Aires, Argentina, 21st World Congress of Dermatology, October 1-5, 2007.

  • Ortonne JP, Reich K, Sterry W, Terpstra I. Safety and efficacy (PASI 90 and global evaluation) of subcutaneous certolizumab pegol in patients with moderate to severe chronic plaque psoriasis: Results from a double-blind, placebo-controlled trial. J.Am.Acad.Dermatol. 58[Suppl 2], AB4. 2008. San Antonio, 66th Annual Meeting of the American Academy of Dermatology (AAD), February 1-5, 2008.

  • Ortonne JP, Reich K, Keininger DL. Certolizumab pegol improved health-related quality of life in patients with psoriasis: Data from a phase II study. J.Am.Acad.Dermatol. 58[Suppl 2], AB121. 2008. San Antonio, 66th Annual Meeting of the American Academy of Dermatology (AAD), February 1-5, 2008.

  • Reich K, Ortonne JP, Gottlieb AB, Terpstra IJ, Coteur G, Tasset C, Mease P. Successful treatment of moderate to severe plaque psoriasis with the PEGylated Fab' certolizumab pegol: results of a phase II randomized, placebo-controlled trial with a re-treatment extension. Br J Dermatol. 2012 Jul;167(1):180-90. doi: 10.1111/j.1365-2133.2012.10941.x. Epub 2012 Jun 11.

    PubMed 22413944

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Certolizumab Pegol in people with Chronic Plaque Psoriasis, run by UCB Pharma at 15 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Germany, France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 May 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Achievement of Psoriasis Activity and Severity Index (PASI75) Response at Week 12 (time frame: Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00245765, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2019.

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