Plaque PsoriasisPhase 3NCT01726933
LAS41008 in Moderate to Severe Chronic Plaque Psoriasis
A Phase 3 study testing LAS41008 and LASW1835 in people with Plaque Psoriasis, run by Almirall, S.A. at 4 sites in 4 countries.
Trial summary
The aim of the study is to evaluate the efficacy and safety of LAS41008 in comparison to active control and placebo in patients with moderate to severe chronic plaque psoriasis Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Plaque Psoriasis
- What is being tested?
- LAS41008 and LASW1835
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 839 participants
- Where
- 4 sitesin 4 countries
- Study dates
- Nov 2012to Nov 2015
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Signed and personally dated written informed consent
- Male / female
- Aged 18 years or older
- With a diagnosis of chronic plaque psoriasis for at least 12 months before enrollment in the study
- With the severity of psoriasis defined as moderate to severe, as reflected in meeting all the following criteria:
- PASI > 10
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- BSA (body surface area) > 10 %
- PGA moderate to severe
- With general good health, or a stable medical condition not considered likely to interfere with the conduct of the clinical study, as determined by the investigator based upon results of medical history, laboratory results and physical examination
- Prior therapy with systemic drugs for psoriasis or naïve to systemic treatment but identified as a candidate for systemic treatment.
- With a complete record of at least 12 months of other previous topical and systemic treatments, if any
- Adhering to the following wash-out periods Topical treatment Wash-out Period Corticosteroids Vitamin A analogues Vitamin D analogues Anthracene derivatives Tar Salicylic acid preparations 2 weeks Systemic treatment Biologics with antipsoriatic activity 3 months Conventional systemic antipsoriatic drugs and phototherapy 1 month Immunosuppressive medication (if not covered by any of the above treatments) Cytostatics 6 months Medications with known harmful influences on the kidneys 5 x halftime
- For females of child-bearing potential: a negative serum pregnancy test at screening and willing to use highly effective methods of birth control during the study period and for 60 days after the last dose of investigational product. Additionally they must agree to have pregnancy tests while on study medication. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomized partner. Female patients will be considered to be of childbearing potential unless surgically sterilized by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years.
- Males (including those who have had vasectomy) must agree to use barrier contraception while on study medication
- Willing to keep sun exposure reasonably constant and not to use tanning booths or other UV light sources for the duration of the trial
Who cannot join
- For females: pregnant or lactating
- With a diagnosis of guttate, erythrodermic or pustular psoriasis
- With a hematological abnormality as follows: platelet count < 100,000/mm3, WBC count < 3,000 cells/ mm3, lymphocyte count < 1.000/µl, hemoglobin, hematocrit, or red blood cell count outside 30 % of the upper or lower limits of normal for the lab
- With a history of malignancies except for non melanoma skin cancer
- Suffering from significant gastrointestinal problems (ulcers, diarrhea, etc.)
- Known to have significant renal impairment
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- Are detected to have abnormal liver enzymes >2x the upper limit of the normal range
- With active infectious disease
- On systemic therapy with drugs that may interfere with the investigational products taken within the defined wash-out period
- With a history of alcohol or drug abuse
- Known HIV-positive status or suffering from any other immunosuppressive disease
- Known to be hypersensitive to ingredients of the investigational products
- Previous enrolled in this study or participating in any other drug investigational trial within the 30 days (or five half-lives whichever is longer) prior to enrolment.
- Not willing to give consent for transmission of personal "pseudonymised" data
- Unable to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study
Trial locations and contacts
4 sites in 4 countries.
4 sites in 4 countries
Austria1 site
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
Various
Germany1 site
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
Various
Netherlands1 site
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows: Almirall Investigative Site
Various
Poland1 site
Investigatives site names will not be disclosed to avoid competitive information. Specify at least one site as follows:Almirall Investigative Site #
Various
About this study
Official title: A Multi-center, Randomized, Double-blind, Three-arm, 16 Week, Adaptive Phase III Clinical Study to Investigate the Efficacy and Safety of LAS41008 vs LASW1835 and vs Placebo in Patients With Moderate to Severe Chronic Plaque Psoriasis
The aim of the study is to evaluate the efficacy and safety of LAS41008 in comparison to active control and placebo in patients with moderate to severe chronic plaque psoriasis
- Conditions
- Plaque Psoriasis
- Being tested
- LAS41008, LASW1835, Placebo
- Keywords
- psoriasis, systemic treatment
- Medical subject headings
- Psoriasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LAS41008Drug
Also called Verum
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
LASW1835Drug
Also called Fumaderm initial/ Fumaderm
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
PlaceboDrug
gastric resistant tablet, weekly up-titration up to maximal tolerated dosage
| Study group | Role | What they receive |
|---|---|---|
| LAS41008 | Experimental | up to 6 tablets/ day for 16 weeks double blind treatment period, randomized gastric resistant tablet Receives: Drug: LAS41008 |
| Placebo | Placebo comparator | up to 6 tablets/ day for 16 weeks randomized, double blind gastric resistant tablet Receives: Drug: Placebo |
| LASW1835 | Active comparator | double blind, randomized gastric resistant tablet up to 6 tablets/ day for 16 weeks Receives: Drug: LASW1835 |
What is being measured
The primary outcome is the main question the study is designed to answer.
PASI 75
Reduction of PASI by 75% from baseline to week 16
Measured: 16 weeks
Physician Global Assessment, PGA
Change in PGA from baseline to week 16
Measured: 16 weeks
Secondary outcomes (5)
Body Surface Area, BSA
Change in BSA from baseline to week 3, 8, 16 and follow up
Measured: 16 weeks
Dermatological Life Quality Index, DLQI
Change in DLQI from baseline to week 3, 8, 16 and follow up
Measured: 16 weeks
PASI 75
Change in PASI 75 from baseline to week 3 and 8 and follow up
Measured: week 3 and 8
PGA
Change in PGA from baseline to week 3 and 8 and follow up
Measured: week 3 and 8
Adverse events
Ongoing safety profile over the course of the study (treatment phase and follow up)
Measured: ongoing
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Nov 2012 (estimated)
- Study startNov 2012
- Primary completionOct 2014
- Study completionNov 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Plaque PsoriasisStudies of the same condition, open and under way.
- More trials run by Almirall, S.A.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 839 participants (actual)
Sponsor and investigators
- Lead sponsor
- Almirall, S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Almirall Hermal GmbH, Harrison Clinical Research
- Responsible party
- Sponsor
- Investigators
- Ulrich Mrowietz, MD, Prof, Principal investigator, University Medical Center, Schleswig-Holstein, Department of Dermatology, Schittenhelmstr. 7, 24105 Kiel, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01726933
- Sponsor's protocol ID
- M41008-1102
- Other IDs
- 2012-000055-13
- Status last verified
- Dec 2015
- First submitted
- 12 Nov 2012
- Last updated
- 2 Dec 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Warren RB, Barker JNW, Van de Kerkhof P, Reich K, Mrowietz U. Switching from a fumaric acid ester mixture to dimethylfumarate monotherapy in psoriasis. J Eur Acad Dermatol Venereol. 2019 Oct;33(10):e352-e353. doi: 10.1111/jdv.15644. Epub 2019 May 10. No abstract available.
PubMed 31033034
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-center, Randomized, Double-blind, Three-arm, 16 Week, Adaptive Phase III Clinical Study to Investigate the Efficacy and Safety of LAS41008 vs LASW1835 and vs Placebo in Patients With Moderate to Severe Chronic Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT01726933
- Acronym / sponsor ID
- M41008-1102
- Conditions
- Plaque Psoriasis
- Keywords
- psoriasis, systemic treatment
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 839 participants (actual)
- Lead sponsor
- Almirall, S.A.Industry (pharma, biotech, devices)
- Collaborators
- Almirall Hermal GmbH, Harrison Clinical Research
- Study start
- Nov 2012
- Primary completion
- Oct 2014 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 15 Nov 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the study is to evaluate the efficacy and safety of LAS41008 in comparison to active control and placebo in patients with moderate to severe chronic plaque psoriasis
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| LAS41008 | Experimental | Drug: LAS41008up to 6 tablets/ day for 16 weeks double blind treatment period, randomized gastric resistant tablet |
| Placebo | Placebo comparator | Drug: Placeboup to 6 tablets/ day for 16 weeks randomized, double blind gastric resistant tablet |
| LASW1835 | Active comparator | Drug: LASW1835double blind, randomized gastric resistant tablet up to 6 tablets/ day for 16 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Signed and personally dated written informed consent
- Male / female
- Aged 18 years or older
- With a diagnosis of chronic plaque psoriasis for at least 12 months before enrollment in the study
- With the severity of psoriasis defined as moderate to severe, as reflected in meeting all the following criteria:
Key exclusion criteria (15 listed)
- For females: pregnant or lactating
- With a diagnosis of guttate, erythrodermic or pustular psoriasis
- With a hematological abnormality as follows: platelet count < 100,000/mm3, WBC count < 3,000 cells/ mm3, lymphocyte count < 1.000/µl, hemoglobin, hematocrit, or red blood cell count outside 30 % of the upper or lower limits of normal for the lab
- With a history of malignancies except for non melanoma skin cancer
- Suffering from significant gastrointestinal problems (ulcers, diarrhea, etc.)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LAS41008Also: Verumgastric resistant tablet, weekly up-titration up to maximal tolerated dosage | Drug | LAS41008 |
| LASW1835Also: Fumaderm initial/ Fumadermgastric resistant tablet, weekly up-titration up to maximal tolerated dosage | Drug | LASW1835 |
| Placebogastric resistant tablet, weekly up-titration up to maximal tolerated dosage | Drug | Placebo |
Primary outcome
PASI 75
Time frame: 16 weeks
Reduction of PASI by 75% from baseline to week 16
Physician Global Assessment, PGA
Time frame: 16 weeks
Change in PGA from baseline to week 16
5 secondary outcomes
Body Surface Area, BSA
Time frame: 16 weeks
Dermatological Life Quality Index, DLQI
Time frame: 16 weeks
PASI 75
Time frame: week 3 and 8
PGA
Time frame: week 3 and 8
Adverse events
Time frame: ongoing
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2015.
- Derived from this study: PubMed 31033034Warren RB, Barker JNW, Van de Kerkhof P, Reich K, Mrowietz U. Switching from a fumaric acid ester mixture to dimethylfumarate monotherapy in psoriasis. J Eur Acad Dermatol Venereol. 2019 Oct;33(10):e352-e353. doi: 10.1111/jdv.15644. Epub 2019 May 10. No abstract available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ulrich Mrowietz, MD, Prof principal investigator
University Medical Center, Schleswig-Holstein, Department of Dermatology, Schittenhelmstr. 7, 24105 Kiel, Germany
4 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing LAS41008 and LASW1835 in people with Plaque Psoriasis, run by Almirall, S.A. at 4 sites in 4 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 15 inclusion and 15 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 2 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Austria, Germany, Netherlands, Poland. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
PASI 75 (time frame: 16 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 NCT01726933, which also lists 1 linked publication.
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 2 Dec 2015.