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Plaque PsoriasisPhase 3AMAGINE-3NCT01708629

Efficacy and Safety of Brodalumab Compared With Placebo and Ustekinumab in Moderate to Severe Plaque Psoriasis Subjects

A Phase 3 study testing 210 mg brodalumab, 140 mg brodalumab and ustekinumab in people with Plaque Psoriasis, run by Bausch Health Americas, Inc. at 157 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to assess the safety and efficacy of brodalumab at two different doses compared with placebo in participants with moderate to severe plaque psoriasis. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Plaque Psoriasis
What is being tested?
210 mg brodalumab, 140 mg brodalumab and ustekinumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,881 participants
Where
157 sitesin 11 countries
Study dates
Sep 2012to Oct 2015
Phase
Phase 3
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has had stable moderate to severe plaque psoriasis for at least 6 months
  • Subject has involved body surface area (BSA) ≥ 10%, PASI ≥ 12, and sPGA ≥ 3 at screening and at baseline

Who cannot join

  • Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, or other skin conditions at (eg, eczema) that would interfere with study evaluations
  • Subject has known history of Crohn's disease
  • Subject has any other significant concurrent medical condition or laboratory abnormalities, as defined in the study protocol
  • Subject has not stopped using certain psoriasis therapies as defined in the study protocol
  • Subject has previously used ustekinumab or any anti-IL-17 biologic therapy
  • Subject is pregnant or breastfeeding, or planning to become pregnant while enrolled in the study
  • Female subject is unwilling to use highly effective methods of birth control unless 2 years post-menopausal or surgically sterile

Trial locations and contacts

157 sites in 11 countries.

157 sites in 11 countries

United States74 sites
  • Research Site

    Alpharetta, Georgia, 30022

  • Research Site

    Ann Arbor, Michigan, 48103

  • Research Site

    Arlington Heights, Illinois, 60005

  • Research Site

    Atlanta, Georgia, 30327

  • Research Site

    Bartlett, Tennessee, 38134

  • Research Site

    Bellaire, Texas, 77401

  • Research Site

    Beverly Hills, California, 90212

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Boca Raton, Florida, 33486

  • Research Site

    Boise, Idaho, 83704

  • Research Site

    Burbank, California, 91505

  • Research Site

    Champaign, Illinois, 61820

  • Research Site

    Cincinnati, Ohio, 45249

  • Research Site

    Clarksburg, West Virginia, 26301

  • Research Site

    Clarkston, Michigan, 48346

  • Research Site

    Cleveland, Ohio, 44106

  • Research Site

    Clinton Township, Michigan, 48038

  • Research Site

    Coral Gables, Florida, 33134

  • Research Site

    Dallas, Texas, 75230

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Denver, Colorado, 80220

  • Research Site

    East Windsor, New Jersey, 08520

  • Research Site

    Encino, California, 91436

  • Research Site

    Exton, Pennsylvania, 19341

  • Research Site

    Farmington, Connecticut, 06030

  • Research Site

    Fremont, California, 94538

  • Research Site

    Fullerton, California, 92835

  • Research Site

    Greer, South Carolina, 29650

  • Research Site

    Henderson, Nevada, 89074

  • Research Site

    High Point, North Carolina, 27262

  • Research Site

    Hoboken, New Jersey, 07030

  • Research Site

    Hollywood, Florida, 33021

  • Research Site

    Houston, Texas, 77004

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Houston, Texas, 77082

  • Research Site

    Indianapolis, Indiana, 46256

  • Research Site

    Irvine, California, 92614

  • Research Site

    Jacksonville, Florida, 32204

  • Research Site

    Johnston, Rhode Island, 02919

  • Research Site

    Lake Oswego, Oregon, 97035

  • Research Site

    Las Vegas, Nevada, 89144

  • Research Site

    Los Angeles, California, 90036

  • Research Site

    Louisville, Kentucky, 40217

  • Research Site

    Macon, Georgia, 31217

  • Research Site

    Maywood, Illinois, 60153

  • Research Site

    Miami, Florida, 33144

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    Nashville, Tennessee, 37205

  • Research Site

    New Albany, Indiana, 47150

  • Research Site

    New York, New York, 10016

  • Research Site

    Norfolk, Virginia, 23507

  • Research Site

    Normal, Illinois, 61761

  • Research Site

    Ocala, Florida, 34471

  • Research Site

    Overland Park, Kansas, 66202

  • Research Site

    Overland Park, Kansas, 66215

  • Research Site

    Owensboro, Kentucky, 42303

  • Research Site

    Phoenix, Arizona, 85023

  • Research Site

    Portland, Oregon, 97210

  • Research Site

    Richmond, Virginia, 23294

  • Research Site

    Riverside, California, 92505

  • Research Site

    Rochester, New York, 14623

  • Research Site

    Sacramento, California, 95819

  • Research Site

    Salt Lake City, Utah, 84132

  • Research Site

    San Diego, California, 92103

  • Research Site

    San Diego, California, 92123

  • Research Site

    San Francisco, California, 94118

  • Research Site

    Spokane, Washington, 99204

  • Research Site

    Tamarac, Florida, 33321

  • Research Site

    The Bronx, New York, 10467

  • Research Site

    Trumbull, Connecticut, 06611

  • Research Site

    Verona, New Jersey, 07044

  • Research Site

    Webster, Texas, 77598

  • Research Site

    Wheaton, Illinois, 60189

  • Research Site

    Worcester, Massachusetts, 01605

Other trials in United States

Canada17 sites
  • Research Site

    Barrie, Ontario, L4M 6L2

  • Research Site

    Calgary, Alberta, T2G 1B1

  • Research Site

    Drummondville, Quebec, J2B 5L4

  • Research Site

    Halifax, Nova Scotia, B3H 0A2

  • Research Site

    Hamilton, Ontario, L8N 1V6

  • Research Site

    Markham, Ontario, L3P 1A8

  • Research Site

    Montreal, Quebec, H3Z 2S6

  • Research Site

    Richmond Hill, Ontario, L4B 1A5

  • Research Site

    Saint-Hyacinthe, Quebec, J2S 6L6

  • Research Site

    St. John's, Newfoundland and Labrador, A1A 4Y3

  • Research Site

    St. John's, Newfoundland and Labrador, A1A 5E8

  • Research Site

    Toronto, Ontario, M3H 5Y8

  • Research Site

    Toronto, Ontario, M5S 3B4

  • Research Site

    Toronto, Ontario, M8X 1Y9

  • Research Site

    Vancouver, British Columbia, V5Z 4E8

  • Research Site

    Winnipeg, Manitoba, R3C 0N2

  • Research Site

    Winnipeg, Manitoba, R3C 1R4

Other trials in Canada

Poland14 sites
  • Research Site

    Bialystok, 15-879

  • Research Site

    Dąbrówka, 62-069

  • Research Site

    Gdansk, 80-952

  • Research Site

    Iwonicz-Zdrój, 38-440

  • Research Site

    Katowice, 40-954

  • Research Site

    Krakow, 30-510

  • Research Site

    Krakow, 31-501

  • Research Site

    Lodz, 90-242

  • Research Site

    Lublin, 20-406

  • Research Site

    Poznan, 60-539

  • Research Site

    Stalowa Wola, 37-450

  • Research Site

    Świdnik, 21-040

  • Research Site

    Warsaw, 01-192

  • Research Site

    Warsaw, 02-201

Other trials in Poland

Australia8 sites
  • Research Site

    Camperdown, New South Wales, 2050

  • Research Site

    Darlinghurst, New South Wales, 2010

  • Research Site

    Fremantle, Western Australia, 6160

  • Research Site

    Hectorville, South Australia, 5073

  • Research Site

    Kogarah, New South Wales, 2217

  • Research Site

    St Leonards, New South Wales, 2065

  • Research Site

    Sydney, New South Wales, 2000

  • Research Site

    Westmead, New South Wales, 2145

Other trials in Australia

Belgium7 sites
  • Research Site

    Bruges, 8000

  • Research Site

    Brussels, 1200

  • Research Site

    Edegem, 2650

  • Research Site

    Ghent, 9000

  • Research Site

    Leuven, 3000

  • Research Site

    Liège, 4000

  • Research Site

    Montigny-le-Tilleul, 6110

Other trials in Belgium

France7 sites
  • Research Site

    Créteil, 94010

  • Research Site

    Limoges, 87000

  • Research Site

    Nice, 06200

  • Research Site

    Poitiers, 86000

  • Research Site

    Saint-Priest-en-Jarez, 42270

  • Research Site

    Toulouse, 31059

  • Research Site

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Greece7 sites
  • Research Site

    Athens, 16121

  • Research Site

    Chaïdári, Athens, 12462

  • Research Site

    Ioannina, 45500

  • Research Site

    Larissa, 41110

  • Research Site

    Marousi, 15123

  • Research Site

    Thessaloniki, 54643

  • Research Site

    Thessaloniki, 56429

Other trials in Greece

Russia7 sites
  • Research Site

    Moscow, 107076

  • Research Site

    Moscow, 119991

  • Research Site

    Moscow, 121614

  • Research Site

    Saint Petersburg, 191015

  • Research Site

    Saint Petersburg, 194044

  • Research Site

    Saratov, 410026

  • Research Site

    Yekaterinburg, 620076

Other trials in Russia

Hungary6 sites
  • Research Site

    Békéscsaba, 5600

  • Research Site

    Budapest, 1085

  • Research Site

    Gyula, 5700

  • Research Site

    Szeged, 6720

  • Research Site

    Szolnok, 5000

  • Research Site

    Szombathely, 9700

Other trials in Hungary

Italy6 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Genova, 16132

  • Research Site

    Milan, 20122

  • Research Site

    Milan, 48018

  • Research Site

    Roma, 00133

  • Research Site

    Roma, 00168

Other trials in Italy

Latvia4 sites
  • Research Site

    Riga, 1001

  • Research Site

    Riga, 1003

  • Research Site

    Riga, LV-1013

  • Research Site

    Ventspils, 3601

Other trials in Latvia

About this study

Official title: A Phase 3 Study to Evaluate the Efficacy and Safety of Induction and Maintenance Regimens of Brodalumab Compared With Placebo and Ustekinumab in Subjects With Moderate to Severe Plaque Psoriasis: AMAGINE-3

The purpose of this study is to assess the safety and efficacy of brodalumab at two different doses compared with placebo in participants with moderate to severe plaque psoriasis.

A second purpose of this study is to assess the safety and efficacy brodalumab at two different doses compared with ustekinumab in participants with moderate to severe plaque psoriasis.

A third purpose of this study is to assess the safety and efficacy of 4 maintenance regimens of brodalumab.

Read the detailed description

This study assess the safety and efficacy of brodalumab at two different doses compared with placebo in participants with moderate to severe plaque psoriasis.

A second purpose of this study is to assess the safety and efficacy brodalumab at two different doses compared with ustekinumab in participants with moderate to severe plaque psoriasis.

A third purpose of this study is to assess the safety and efficacy of 4 maintenance regimens of brodalumab.

Being tested
210 mg brodalumab, 140 mg brodalumab, ustekinumab, placebo
Keywords
psoriasis, brodalumab, AMG 827
Medical subject headings
Psoriasis

What participants receive

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

  • 210 mg brodalumabDrug

    Also called Siliq

    210 mg brodalumab administered SC

  • 140 mg brodalumabDrug

    Also called Siliq

    140 mg brodalumab administered SC

  • ustekinumabDrug

    Also called Stelara

    45 mg or 90 mg ustekinumab administered SC per the labeled dosing regimen.

  • placeboDrug

    placebo administered SC

Study groups in NCT01708629
Study groupRoleWhat they receive
210 mg brodalumabExperimentalAdministered by subcutaneous (SC) injection until week 12. At week 12, participants are rerandomized to schedule 1, 2, 3, or 4.
Receives: Drug: 210 mg brodalumab
140 mg brodalumabExperimentalAdministered by subcutaneous (SC) injection until week 12. At week 12, participants are rerandomized to schedule 1, 2, 3, or 4.
Receives: Drug: 140 mg brodalumab
ustekinumabActive comparatorAdministered by subcutaneous (SC) injection per the labeled dosing regimen.
Receives: Drug: ustekinumab
PlaceboPlacebo comparatorAdministered by SC injection until week 12. At week 12 participants are assigned to 210 mg brodalumab.
Receives: Drug: 210 mg brodalumab; Drug: placebo

What is being measured

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

  1. Percentage of Participants With Psoriasis Area Severity Index (PASI) 75 at Week 12

    The Psoriasis Area and Severity Index Score is used as a scale to show change from Baseline of study to a certain point. PASI Score ranges from (0) no disease to (72) maximal disease. The proportion of subjects achieving 75% improvement in Psoriasis Area and Severity Index, PASI75, was assessed.

    Measured: 12 weeks

  2. Percentage of Participants With Static Physician Global Assessment (sPGA) Success Score (Score of 0 or 1) at Week 12 - Comparison to Placebo

    Static Physician Global Assessment (sPGA) measures the physician's impression of the disease. Possible scores are (0 [clear] to 5 [severe]). Success was defined by a score of 0 or 1 (clear to almost clear).

    Measured: 12 weeks

Timeline

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

  1. First posted17 Oct 2012 (estimated)
  2. Study startSep 2012
  3. Primary completionAug 2014
  4. Study completionOct 2015

Why it stopped: Sponsor decision

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,881 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01708629
Sponsor's protocol ID
20120104
Acronym
AMAGINE-3
Status last verified
Dec 2019
First submitted
21 Sep 2012
Last updated
3 Jan 2020
Data monitoring committee
Yes
Individual data sharing
Yes

Publications

  • Lebwohl MG, Armstrong AW, Alexis AF, Lain EL, Jacobson AA. Efficacy of Brodalumab in Patients with Psoriasis and Risk Factors for Treatment Failure: A Review of Post Hoc Analyses. Dermatol Ther (Heidelb). 2024 Oct;14(10):2709-2726. doi: 10.1007/s13555-024-01264-3. Epub 2024 Sep 12.

    PubMed 39264399
  • Kokolakis G, Vadstrup K, Hansen JB, Carrascosa JM. Increased Skin Clearance and Quality of Life Improvement with Brodalumab Compared with Ustekinumab in Psoriasis Patients with Aggravating Lifestyle Factors. Dermatol Ther (Heidelb). 2021 Dec;11(6):2027-2042. doi: 10.1007/s13555-021-00618-5. Epub 2021 Oct 2.

    PubMed 34606048
  • Gottlieb A, Lebwohl M, Liu C, Israel RJ, Jacobson A. Malignancy Rates in Brodalumab Clinical Studies for Psoriasis. Am J Clin Dermatol. 2020 Jun;21(3):421-430. doi: 10.1007/s40257-020-00512-4.

    PubMed 32207067
  • McMichael A, Desai SR, Qureshi A, Rastogi S, Alexis AF. Efficacy and Safety of Brodalumab in Patients with Moderate-to-Severe Plaque Psoriasis and Skin of Color: Results from the Pooled AMAGINE-2/-3 Randomized Trials. Am J Clin Dermatol. 2019 Apr;20(2):267-276. doi: 10.1007/s40257-018-0408-z.

    PubMed 30471012
  • Langley RG, Armstrong AW, Lebwohl MG, Blauvelt A, Hsu S, Tyring S, Rastogi S, Pillai R, Israel R. Efficacy and safety of brodalumab in patients with psoriasis who had inadequate responses to ustekinumab: subgroup analysis of two randomized phase III trials. Br J Dermatol. 2019 Feb;180(2):306-314. doi: 10.1111/bjd.17318. Epub 2018 Dec 27.

    PubMed 30328108
  • Lebwohl M, Strober B, Menter A, Gordon K, Weglowska J, Puig L, Papp K, Spelman L, Toth D, Kerdel F, Armstrong AW, Stingl G, Kimball AB, Bachelez H, Wu JJ, Crowley J, Langley RG, Blicharski T, Paul C, Lacour JP, Tyring S, Kircik L, Chimenti S, Callis Duffin K, Bagel J, Koo J, Aras G, Li J, Song W, Milmont CE, Shi Y, Erondu N, Klekotka P, Kotzin B, Nirula A. Phase 3 Studies Comparing Brodalumab with Ustekinumab in Psoriasis. N Engl J Med. 2015 Oct;373(14):1318-28. doi: 10.1056/NEJMoa1503824.

    PubMed 26422722

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 210 mg brodalumab, 140 mg brodalumab and ustekinumab in people with Plaque Psoriasis, run by Bausch Health Americas, Inc. at 157 sites in 11 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 2 inclusion and 7 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: stopped early, as of the sponsor's last update on 3 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 157 sites in United States, Canada, Poland, Australia, Belgium and 6 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 Jan 2020). 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?

Percentage of Participants With Psoriasis Area Severity Index (PASI) 75 at Week 12 (time frame: 12 weeks). 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 NCT01708629, which also lists 6 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 Jan 2020.

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