Psoriatic ArthritisPhase 2NCT02475304
Proof-of-concept Study of Forward Pharma (FP)187 in Patients With Mild/Moderate Psoriatic Arthritis
A Phase 2 study testing FP187 in people with Psoriatic Arthritis, run by Skane University Hospital at 1 site in Sweden.
Trial summary
The purpose of this study is to investigate, whether FP187 is effective in the treatment of mild to moderate psoriatic arthritis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Psoriatic Arthritis
- What is being tested?
- FP187
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- 1 siteSweden
- Study dates
- May 2015to Jun 2017
- Phase
- Phase 2
- 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
- documented clinical diagnosis of mild to moderate psoriatic arthritis of at least 3 months
- active psoriatic arthritis with at least 2 tender and 2 swollen joints
- signed informed consent
- willingness and ability to comply with study procedures
- besides psoriatic arthritis, patient must be in good general health in the opinion of the investigator, as determined by medical history, physical examination, vital signs, electrocardiography and clinical laboratory parameters
- if patients are using methotrexate, they should be on a stable dosis of not more the 20mg per week for at least 90 days prior to study entrance and should present no serious toxic side effects attributable to methotrexate
- female of childbearing age must be either surgically sterile or use a highly effective medically accepted contraceptive method
Who cannot join
- female patients who are pregnant of breast-feeding or planning to become pregnant during the entire trial period
- male patients planning pregnancy with their partner during the entire trial period, or practicing unprotected sexual relationship during the entire trial period
- known allergy to any of the constituents of the products being tested
- known immunosuppressive diseases (e.g. HIV, AIDS)
- known history of latent or active granulomatous infection including tuberculosis, histoplasmosis or coccidioidomycosis
- presence of another inflammatory disease including but not limited to rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematous or Lyme disease
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- presence of chronic widespread pain syndrome
- patients with pustular forms of psoriasis, erythrodermic or guttate psoriasis
- patients with another non-psoriatic arthropathy (e.g. osteoarthritis)
- presence of another serious or progressive disease including skin malignancy
- presence or history of any malignancy (except for basal cell carcinoma, squamous cell carcinoma in situ of the skin treated with no evidence of recurrence within 5 years, or cervix cancer in situ treated with no evidence of recurrence.)
- use at any time of an biological Disease Modifying Antirheumatic Drug (bDMARD) such as etanercept, adalimumab, golimumab, certolizumab pegol or infliximab
- corticosteroid injections within 12 weeks
- use of any dimethyl fumarate (DMF) containing product within 12 weeks
- use of any retinoid treatments, other immunosuppressive treatments, cytostatics or drugs with known harmful effects on the kidneys within the last 3 months
- use of cyclosporine, corticosteroids or psoralen + UVA (PUVA) treatment within 4 weeks
- ongoing stomach or intestinal problems (e.g. gastritis or peptic ulcer)
- Aspartate transaminase (AST) or Alanine transaminase (ALT) > 2x upper normal normal limit (UNL) or Gamma Glutamyl Transferase (gamma-GT) results >2.5 UNL
- estimated creatinine clearance (Cockcroft-Gault) < 60ml/min
- leucopenia (leucocyte count < 3.5/nl), eosinophilia (>750 / micro l) or lymphocytopenia (<1.02 / nl)
- protein detected by urine stick test
- participation in another clinical trial during the last 2 months or participation in a trial with another psoriatic arthritis treatment within 6 months
Trial locations and contacts
1 site in 1 country.
Sweden1 site
Department of Rheumatology, Skåne University Hospital
Malmö, 20502
About this study
Official title: A Randomized, Double Blind, Placebo-controlled Proof-of-concept Study of FP187 in Patients With Mild to Moderate Psoriatic Arthritis
The purpose of this study is to investigate, whether FP187 is effective in the treatment of mild to moderate psoriatic arthritis.
Read the detailed description
The study is randomised, double blind, placebo-controlled proof-of-concept trial to investigate the efficacy and safety of FP187 compared to placebo over 24 weeks of treatment in patients with mild to moderate psoriatic arthritis (PsA). The daily dose levels in the FP187 arm will be 500 mg. After completion of the double blind treatment of 24 weeks, all patients irrespective of their treatment arm will be switched to an additional 24 week open-label treatment phase with 500 mg / day FP187. Patient who do not complete the 24 week double blind part of the study as scheduled will not be eligible for participation in the open-label part.
- Conditions
- Psoriatic Arthritis
- Being tested
- FP187, Placebo
- Medical subject headings
- Arthritis, Psoriatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FP187Drug
Also called Dimethyl Fumarate
FP 187 is given as oral tablets twice daily, 500 mg daily
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| Experimental FP187 | Experimental | Treatment with a daily dose of 500mg FP187 (twice daily). Other names: Dimethyl fumarate Receives: Drug: FP187 |
| Placebo Comparator | Placebo comparator | Patients will receive the same number of tablets as patients randomized to FP187 arm in order to maintain the blind. The colour and shape of the FP187 and placebo tablets will be the same so that no visible difference is detectable Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
American Congress of Rheumatology (ACR)20
Proportion of patients with a 20% improvement from baseline in tender/swollen joint counts according to the American College of Rheumatology criteria (ACR) based on a 66/68 joint count.
Measured: Week 24
Secondary outcomes (10)
ACR 20
Proportion of patients with a 20% improvement from baseline in tender/swollen joint counts according to the American College of Rheumatology criteria (ACR) based on a 66/68 joint count.
Measured: Weeks 8, 12, 28, 36, 40, 52
BSA
Body Surface Area (BSA) affected by psoriasis
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
LEI
Change from baseline in the Leeds Enthesitis Index (LEI)
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
ACR 50
Proportion of patients with a 50% improvement from baseline in tender/swollen joint counts according to the American College of Rheumatology criteria (ACR) based on a 66/68 joint count.
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
ACR 70
Proportion of patients with a 70% improvement from baseline in tender/swollen joint counts according to the American College of Rheumatology criteria (ACR) based on a 66/68 joint count.
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
Pain
Change from baseline in Pain Visual Analogue Scale (VAS) score
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
EQ-5D
Change from baseline in European Quality of Life - 5 Dimensions (EQ-5D) score
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
BASDAI
Change from baseline in Bath Ankylosing Spondylitis Disease Activity (BASDAI) score
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
BASFI
Change from baseline in Bath Ankylosing Spondylitis Functional Index (BASFI) score
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
HAQ
Change from baseline in Health Assessment Questionnaire (HAQ) score
Measured: Weeks 8, 12, 24, 28, 36, 40, 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2015 (estimated)
- Study startMay 2015
- Primary completionOct 2016
- Study completionJun 2017 (estimated)
Why it stopped: Difficulties to enrol patients
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Psoriatic ArthritisStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Skane University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Elke Theander, Skane University Hospital
- Investigators
- Elke Theander, MD. PhD, Principal investigator, Skåne University Hospital, Lund University, 20502 Malmö, Sweden
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02475304
- Sponsor's protocol ID
- PSA-201-DMF
- Status last verified
- Oct 2017
- First submitted
- 31 May 2015
- Last updated
- 5 Oct 2017
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double Blind, Placebo-controlled Proof-of-concept Study of FP187 in Patients With Mild to Moderate Psoriatic Arthritis
- ClinicalTrials.gov ID
- NCT02475304
- Acronym / sponsor ID
- PSA-201-DMF
- Conditions
- Psoriatic Arthritis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Difficulties to enrol patients
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Skane University HospitalUniversity, hospital or other
- Study start
- May 2015
- Primary completion
- Oct 2016 (actual)
- Study completion
- Jun 2017 (estimated)
- First posted
- 18 Jun 2015 (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 purpose of this study is to investigate, whether FP187 is effective in the treatment of mild to moderate psoriatic arthritis.
Detailed description
The study is randomised, double blind, placebo-controlled proof-of-concept trial to investigate the efficacy and safety of FP187 compared to placebo over 24 weeks of treatment in patients with mild to moderate psoriatic arthritis (PsA). The daily dose levels in the FP187 arm will be 500 mg. After completion of the double blind treatment of 24 weeks, all patients irrespective of their treatment arm will be switched to an additional 24 week open-label treatment phase with 500 mg / day FP187. Patient who do not complete the 24 week double blind part of the study as scheduled will not be eligible for participation in the open-label part.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental FP187 | Experimental | Drug: FP187Treatment with a daily dose of 500mg FP187 (twice daily). Other names: Dimethyl fumarate |
| Placebo Comparator | Placebo comparator | Drug: PlaceboPatients will receive the same number of tablets as patients randomized to FP187 arm in order to maintain the blind. The colour and shape of the FP187 and placebo tablets will be the same so that no visible difference is detectable |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- documented clinical diagnosis of mild to moderate psoriatic arthritis of at least 3 months
- active psoriatic arthritis with at least 2 tender and 2 swollen joints
- signed informed consent
- willingness and ability to comply with study procedures
- besides psoriatic arthritis, patient must be in good general health in the opinion of the investigator, as determined by medical history, physical examination, vital signs, electrocardiography and clinical laboratory parameters
Key exclusion criteria (22 listed)
- female patients who are pregnant of breast-feeding or planning to become pregnant during the entire trial period
- male patients planning pregnancy with their partner during the entire trial period, or practicing unprotected sexual relationship during the entire trial period
- known allergy to any of the constituents of the products being tested
- known immunosuppressive diseases (e.g. HIV, AIDS)
- known history of latent or active granulomatous infection including tuberculosis, histoplasmosis or coccidioidomycosis
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 |
|---|---|---|
| FP187Also: Dimethyl FumarateFP 187 is given as oral tablets twice daily, 500 mg daily | Drug | Experimental FP187 |
| Placebo | Drug | Placebo Comparator |
Primary outcome
American Congress of Rheumatology (ACR)20
Time frame: Week 24
Proportion of patients with a 20% improvement from baseline in tender/swollen joint counts according to the American College of Rheumatology criteria (ACR) based on a 66/68 joint count.
10 secondary outcomes
ACR 20
Time frame: Weeks 8, 12, 28, 36, 40, 52
BSA
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
LEI
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
ACR 50
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
ACR 70
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
Pain
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
EQ-5D
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
BASDAI
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
BASFI
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
HAQ
Time frame: Weeks 8, 12, 24, 28, 36, 40, 52
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Oct 2017.
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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.
Elke Theander, MD. PhD principal investigator
Skåne University Hospital, Lund University, 20502 Malmö, Sweden
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing FP187 in people with Psoriatic Arthritis, run by Skane University Hospital at 1 site in Sweden.
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 7 inclusion and 22 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: withdrawn, as of the sponsor's last update on 5 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. 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?
The study was withdrawn before enrolling participants, so there are no results.
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?
American Congress of Rheumatology (ACR)20 (time frame: Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 Oct 2017.