Plaque PsoriasisPhase 3IXORA-PNCT02513550
A Study Comparing Different Dosing Regimens of Ixekizumab (LY2439821) in Participants With Moderate to Severe Plaque Psoriasis
A Phase 3 study testing Ixekizumab in people with Plaque Psoriasis, run by Eli Lilly and Company at 125 sites in 14 countries.
Trial summary
The main purpose of this study is to evaluate the efficacy of ixekizumab dosing regimens in participants with 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?
- Ixekizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,257 participants
- Where
- 125 sitesin 14 countries
- Study dates
- Aug 2015to 3 Aug 2017
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Present with chronic plaque psoriasis for at least 6 months prior to enrollment
- At least 10% BSA of psoriasis at screening and at enrollment
- sPGA score of at least 3 and PASI score of at least 12 at screening and at enrollment
- Candidates for phototherapy and/or systemic therapy
- Participant must agree to use reliable method of birth control during the study; women must continue using birth control for at least 12 weeks after stopping treatment
Who cannot join
- Predominant pattern of pustular, erythrodermic, or guttate forms of psoriasis
- History of drug-induced psoriasis
- Cannot avoid excessive sun exposure or use of tanning booths for at least 4 weeks prior to enrollment and during the study
- Received systemic non-biologic psoriasis therapy or phototherapy within the previous 4 weeks; or had topical psoriasis treatment within the previous 2 weeks prior to enrollment
- Concurrent or recent use of any biologic agent
- Have participated in any study with ixekizumab
Show all 11Show fewer
- Received a live vaccination within 12 weeks prior to enrollment
- Serious disorder or illness other than psoriasis
- Ongoing or serious infection within the last 12 weeks or evidence of tuberculosis
- Major surgery within 8 weeks of baseline, or will require surgery during the study
- Breastfeeding or nursing (lactating) women
Trial locations and contacts
125 sites in 14 countries.
125 sites in 14 countries
United States59 sites
Academic Dermatology Associates
Albuquerque, New Mexico, 87106-5239
Anaheim Clinical Trials, LLC
Anaheim, California, 92801
Advanced Medical Research
Atlanta, Georgia, 30342
Austin Dermatology Associates
Austin, Texas, 78705
ActivMed Practices & Research, Inc
Beverly, Massachusetts, 01915
David Stoll, M.D.
Beverly Hills, California, 90212
Total Skin and Beauty Dermatology Center PC
Birmingham, Alabama, 35205
University of North Carolina Dermatology and Skin Cancer Center
Chapel Hill, North Carolina, 27516
University Hospitals of Cleveland
Cleveland, Ohio, 44106-5055
Florida Academic Dermatology Centers
Coral Gables, Florida, 33134
Menter Dermatology Research Institute
Dallas, Texas, 75246
University Dermatology
Darien, Illinois, 60561
Avail Clinical Research LLC
DeLand, Florida, 32720
Cherry Creek Research, Inc
Denver, Colorado, 80209
Psoriasis Treatment Center of Central New Jersey
East Windsor, New Jersey, 08520
Deaconess Clinic Inc
Evansville, Indiana, 47714
Dermatology and Skin Surgery Center
Exton, Pennsylvania, 19341
Center for Clinical Studies
Houston, Texas, 77004
Center for Clinical Studies
Houston, Texas, 77065
Dawes Fretzin Clinical Research
Indianapolis, Indiana, 46256
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
Clinical Partners LLC
Johnston, Rhode Island, 02919
The Skin Wellness Center PC
Knoxville, Tennessee, 37922
Dr. Shondra Smith MD
Lake Charles, Louisiana, 70605
Dermatology Research Associates
Los Angeles, California, 90045
Dermatology Specialist
Louisville, Kentucky, 40202
Coastal Carolina Research Center, Inc.
Mt. Pleasant, South Carolina, 29464
Mount Sinai School of Medicine Dermatology Clinical Trials
New York, New York, 10029
ActivMed Practices & Research, Inc
Newington, New Hampshire, 03801
Virginia Clinical Research
Norfolk, Virginia, 23507
Renstar Medical Research
Ocala, Florida, 34471
Ameriderm Research
Ormond Beach, Florida, 32174
Kansas City Dermatology, PA
Overland Park, Kansas, 66215
Pflugerville Dermatology Clinical Research Center
Pflugerville, Texas, 78660
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Oregon Dermatology and Research Center
Portland, Oregon, 97210
Oregon Medical Research Center
Portland, Oregon, 97223
Skin Search of Rochester, Inc
Rochester, New York, 14623
DermAssociates, P.C.
Rockville, Maryland, 20850
Center for Dermatology and Laser Surgery
Sacramento, California, 95819
University of Utah Medical Center
Salt Lake City, Utah, 84132
Clinical Trials of Texas, Inc.
San Antonio, Texas, 78229
Medical Center for Clinical Research
San Diego, California, 92108
University Clinical Trials, Inc.
San Diego, California, 92123
Clinical Science Institute
Santa Monica, California, 90404
Dermatology Associates
Seattle, Washington, 98101
The South Bend Clinic
South Bend, Indiana, 46617
Central Dermatology PC
St Louis, Missouri, 63117
Multicare Health System
Tacoma, Washington, 98405
University of South Florida
Tampa, Florida, 33624
Healthcare Research Consultant
Tulsa, Oklahoma, 74135
Center for Clinical Studies
Webster, Texas, 77598
Wenatchee Valley Hospital & Clinics
Wenatchee, Washington, 98801
Heartland Research Associates
Wichita, Kansas, 67207
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28401
Wilmington Dermatology Center
Wilmington, North Carolina, 28405
Piedmont Medical Research
Winston-Salem, North Carolina, 27103
Pennsylvania Regional Center for Arthritis & Osteoarthritis
Wyomissing, Pennsylvania, 19610
Yardley Dermatology
Yardley, Pennsylvania, 19067
Canada15 sites
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Barrie, L4M 6L2
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Calgary, T2G 1B1
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Halifax, B3H1Z2
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Hamilton, L8N1V6
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London, N6A 3H7
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Markham, L3P1X2
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Montreal, H2K4L5
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Oakville, L6J7W5
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Peterborough, K9J 5K2
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Québec, G1V 4X7
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Richmond Hill, L4B 1A5
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Sherbrooke, J1J 2G2
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Surrey, V3V 0C6
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Waterloo, N2J 1C4
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Windsor, N8W 1E6
Poland8 sites
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Bialystok, 15-351
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Gdansk, 80-546
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Kielce, 25-316
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Krakow, 30-438
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Lodz, 90-265
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Świdnik, 21-040
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Szczecin, 70-332
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Wroclaw, 51-318
Australia6 sites
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Benowa, 4217
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Carlton, 3053
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Darlinghurst, 2010
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Fremantle, 6160
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Phillip, 02606
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Woolloongabba, 4102
Germany5 sites
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Berlin, 10789
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Darmstadt, 64283
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Kiel, 24148
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Mahlow, 15831
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Münster, 48159
Puerto Rico5 sites
Office of Dr. Samuel Sanchez PSC
Caguas, 00727
Office of Dr. Alma M. Cruz
Carolina, 00985
Ponce School of Medicine CAIMED Center
Ponce, 00716
GCM Medical Group PSC
San Juan, 00909
Mindful Medical Research
San Juan, 00918
Czechia4 sites
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Brno, 656 91
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Nový Jičín, 741 01
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Plzen-Bory, 305-99
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Prague, 100 34
Hungary4 sites
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Budapest, 1238
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Debrecen, 4032
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Orosháza, 5901
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Szolnok, 5000
Mexico4 sites
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Mexicali, 21100
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Mexico City, 3100
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Monterrey, 64060
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Morelia, CP 58249
Romania4 sites
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Bucharest, 011025
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Cluj-Napoca, 400006
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Constanța, 900125
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Craiova, 200642
South Korea4 sites
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Bucheon-si, 420-717
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Pusan, 602-739
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Seongnam, 463-707
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Seoul, 100799
Japan3 sites
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Osaka, 545-8586
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Takaoka, 9330871
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Tsu, 514-8507
Argentina2 sites
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Buenos Aires, C1425DKG
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Mendoza, 5500
Taiwan2 sites
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Tainan, 70166
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Taipei, 10048
About this study
Official title: A Multicenter, Randomized, Double-Blind Study Comparing the Efficacy and Safety of Ixekizumab Dosing Regimens in Patients With Moderate-to-Severe Plaque Psoriasis
The main purpose of this study is to evaluate the efficacy of ixekizumab dosing regimens in participants with plaque psoriasis.
Read the detailed description
The purpose of this study is to evaluate both the safety and efficacy of ixekizumab dosing regimens. There are 3 study periods: Screening Period, Blinded Treatment Dosing Period, and Post-Treatment Follow-Up.
- Conditions
- Plaque Psoriasis
- Being tested
- Ixekizumab, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IxekizumabDrug
Also called LY2439821
Administered SQ
PlaceboDrug
Administered SQ
| Study group | Role | What they receive |
|---|---|---|
| 80 mg Ixekizumab Q2W | Experimental | 160 milligrams (mg) ixekizumab given as 2 subcutaneous (SQ) injections at baseline and then 80 mg ixekizumab given as 1 SQ injection every 2 weeks (Q2W) to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
| 80 mg Ixekizumab Q4W | Experimental | 160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection every 4 weeks (Q4W) to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
| 80 mg Ixekizumab Q4W/Q2W | Experimental | 160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as one SQ injection Q4W with step-up dosing to Q2W as needed (Q4W/Q2W step-up) to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
| 80 mg Ixekizumab Q2W Maximum Extended Enrollment (ME2) Cohort | Experimental | 160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection Q2W to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
| 80 mg Ixekizumab Q4W Maximum Extended Enrollment Cohort | Experimental | 160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection Q4W to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
| 80 mg Ixekizumab Q4W/Q2W Maximum Extended Enrollment Cohort | Experimental | 160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as one SQ injection Q4W with step-up dosing to Q2W as needed (Q4W/Q2W step-up) to week 52. Placebo administered SQ, Q2W to maintain blind. Receives: Drug: Ixekizumab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Static Physician Global Assessment (sPGA) of (0,1)
The sPGA is the physician's determination of the participant's Psoriasis (Ps) lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participant's Ps was assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline. Participants who did not meet the clinical response criteria or had missing data at Week 52 were considered non-responders for Non-Responder Imputation (NRI) analysis.
Measured: Week 52
Percentage of Participants Achieving 75% Improvement in Psoriasis Area and Severity Index (PASI 75)
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease). Participants who did not meet the clinical response criteria or had missing data at Week52 were considered non-responders for NRI analysis.
Measured: Week 52
Secondary outcomes (17)
Percentage of Participants Achieving sPGA (0)
The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participant's Ps was assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline. Participants who did not meet the clinical response criteria or had missing data at Week 52 were considered non-responders for Non-Responder Imputation (NRI) analysis.
Measured: Week 52
Percentage of Participants Achieving PASI 90
PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
Measured: Week 52
Percentage of Participants Achieving PASI 100
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
Measured: Week 52
Change From Baseline in PASI
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease.
Least Squares mean (LSmean) was calculated using Mixed-Effects Model of Repeated Measures (MMRM) analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Percent Improvement in PASI
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease.
Least Squares mean (LSmean) was calculated using Mixed-Effects Model of Repeated Measures (MMRM) analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Mean Change From Baseline in Percent Body Surface Area (BSA) Involvement
The percentage involvement of psoriasis on each participant's body surface area (BSA) was assessed by the investigator on a continuous scale from 0% (no involvement) to 100% (full involvement), in which 1% corresponds to the size of the participant's hand including palm, fingers and thumb.
LS mean was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Mean Change From Baseline in Nail Psoriasis Severity Index (NAPSI) Score
The NAPSI is a numeric, reproducible, objective tool for evaluation of fingernail (fn) Ps. This scale is used to evaluate the severity of fn bed Ps and fn matrix Ps by area of involvement in the fn unit. The fn is divided with imaginary horizontal and longitudinal lines into quadrants. Each fn is given a score for fn bed Ps (0 to 4) and fn matrix Ps (0 to 4) depending on presence (score of 1) or absence (score of 0) of any of the features of fn bed and fn matrix Ps in each quadrant. The NAPSI score of a fn is sum of scores in fn bed and fn matrix from each quadrant (maximum of 8). Each fn is evaluated, then the sum of all fn equals the total NAPSI score with a range from 0 to 80 (0 indicates no Ps, 80 indicates worst Ps). LS mean was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Mean Change From Baseline in Psoriasis Scalp Severity Index (PSSI) Score
The PSSI is a physician assessment of erythema, induration and desquamation and percent of scalp that is covered with a scores range from 0 (none) to 4 (very severe). The composite score is derived from the sum of scores for erythema, induration, and desquamation multiplied by the score recorded for the extent of the scalp area involved, 1 (<10%) to 6 (90-100%) with a total score ranging from 0 (less severity) to 72 (more severity). LS mean change was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Mean Change From Baseline in Palmoplantar PASI (PPASI)
The Palmoplantar PASI is a composite score derived from the sum scores for erythema, induration, and desquamation multiplied by a score for the extent of palm and sole area involvement, ranging from 0 (no PPASI) to 72 (most severe PPASI). The PPASI was only assessed if participants have palmoplantar psoriasis at baseline. LS mean was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Percentage of Participants Achieving an Itch Numeric Rating Scale (Itch NRS) ≥4 Point Reduction From Baseline
The Itch NRS is a participant-administered single-item 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participant's itching from Ps is indicated by circling the number that best describes the worst level of itching in the past 24 hours. Participants who did not meet the clinical response criteria or had missing data at Week 52 were considered non-responders for Non-Responder Imputation (NRI) analysis.
Measured: Baseline, Week 52
Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) Total Score of 0 and 1 (DLQI [0,1])
The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and unanswered ("not relevant") responses scored as "0." Totals range from 0 to 30 (less to more impairment). Participants who did not meet the clinical response criteria or had missing data at Week 52 were considered non-responders for Non-Responder Imputation (NRI) analysis.
Measured: Week 52
Change From Baseline in DLQI Total Score
The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and unanswered ("not relevant") responses scored as "0." Totals range from 0 to 30 (less to more impairment). LS mean change was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Change From Baseline in Itch NRS Score
The Itch NRS is a participant-administered single-item 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participant's itching from Ps is indicated by circling the number that best describes the worst level of itching in the past 24 hours. LS mean change from baseline in PSSI was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Change From Baseline in Skin Pain Visual Analog Scale (VAS)
The pain VAS is a participant-administered single-item scale designed to measure Skin pain from Psoriasis using a 0-100 millimeter (mm) horizontal VAS. Overall severity of participant's skin pain from Psoriasis is indicated by placing a single mark on the horizontal 100 mm scale from 0 mm (no skin pain) to 100 mm (severe skin pain). LS mean was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Change From Baseline in European Quality of Life - 5 Dimensions 5 Level (EQ-5D-5L) VAS
EQ-5D-5L is a standardized measure of health status used to provide a simple, generic measure of health for clinical and economic appraisal. The EQ-5D-5L consists of 2 components: a descriptive system of the respondent's health and a rating of his/her current health state using a 0 (no pain) to 100mm VAS (severe pain). LS mean was calculated using MMRM analysis including dosing regimen, country, baseline weight category, baseline value, visit, dosing regimen-by-visit, and baseline value-by-visit interactions as fixed factors, with variance-covariance structure set to unstructured.
Measured: Baseline, Week 52
Pharmacokinetics (PK): Trough Concentration at Steady State (Ctrough,ss) of Ixekizumab
Trough concentrations at steady state of Ixekizumab were evaluated.
Measured: Predose, Week 4, 12, 24, 36 and 52 Post dose
Number of Participants With Anti-Ixekizumab Antibodies
Number of participants with treatment-emergent positive anti-ixekizumab antibodies was summarized by treatment group.
Measured: Baseline through Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jul 2015 (estimated)
- Study startAug 2015
- Primary completionNov 2016
- Study completion3 Aug 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Plaque PsoriasisStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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
- 1,257 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02513550
- Sponsor's protocol ID
- 15988
- Other IDs
- I1F-MC-RHBP, 2015-000190-12, 2015
- Acronym
- IXORA-P
- Status last verified
- Jun 2020
- First submitted
- 30 Jul 2015
- Last updated
- 17 Jun 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 17 Jun 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind Study Comparing the Efficacy and Safety of Ixekizumab Dosing Regimens in Patients With Moderate-to-Severe Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT02513550
- Acronym / sponsor ID
- IXORA-P / 15988
- Conditions
- Plaque Psoriasis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,257 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Aug 2015
- Primary completion
- Nov 2016 (actual)
- Study completion
- 3 Aug 2017 (actual)
- First posted
- 31 Jul 2015 (estimated)
- Results
- Posted 18 Apr 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to evaluate the efficacy of ixekizumab dosing regimens in participants with plaque psoriasis.
Detailed description
The purpose of this study is to evaluate both the safety and efficacy of ixekizumab dosing regimens. There are 3 study periods: Screening Period, Blinded Treatment Dosing Period, and Post-Treatment Follow-Up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| 80 mg Ixekizumab Q2W | Experimental | Drug: Ixekizumab, Drug: Placebo160 milligrams (mg) ixekizumab given as 2 subcutaneous (SQ) injections at baseline and then 80 mg ixekizumab given as 1 SQ injection every 2 weeks (Q2W) to week 52. Placebo administered SQ, Q2W to maintain blind. |
| 80 mg Ixekizumab Q4W | Experimental | Drug: Ixekizumab, Drug: Placebo160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection every 4 weeks (Q4W) to week 52. Placebo administered SQ, Q2W to maintain blind. |
| 80 mg Ixekizumab Q4W/Q2W | Experimental | Drug: Ixekizumab, Drug: Placebo160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as one SQ injection Q4W with step-up dosing to Q2W as needed (Q4W/Q2W step-up) to week 52. Placebo administered SQ, Q2W to maintain blind. |
| 80 mg Ixekizumab Q2W Maximum Extended Enrollment (ME2) Cohort | Experimental | Drug: Ixekizumab, Drug: Placebo160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection Q2W to week 52. Placebo administered SQ, Q2W to maintain blind. |
| 80 mg Ixekizumab Q4W Maximum Extended Enrollment Cohort | Experimental | Drug: Ixekizumab, Drug: Placebo160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as 1 SQ injection Q4W to week 52. Placebo administered SQ, Q2W to maintain blind. |
| 80 mg Ixekizumab Q4W/Q2W Maximum Extended Enrollment Cohort | Experimental | Drug: Ixekizumab, Drug: Placebo160 mg ixekizumab given as 2 SQ injections at baseline and then 80 mg ixekizumab given as one SQ injection Q4W with step-up dosing to Q2W as needed (Q4W/Q2W step-up) to week 52. Placebo administered SQ, Q2W to maintain blind. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Present with chronic plaque psoriasis for at least 6 months prior to enrollment
- At least 10% BSA of psoriasis at screening and at enrollment
- sPGA score of at least 3 and PASI score of at least 12 at screening and at enrollment
- Candidates for phototherapy and/or systemic therapy
- Participant must agree to use reliable method of birth control during the study; women must continue using birth control for at least 12 weeks after stopping treatment
Key exclusion criteria (11 listed)
- Predominant pattern of pustular, erythrodermic, or guttate forms of psoriasis
- History of drug-induced psoriasis
- Cannot avoid excessive sun exposure or use of tanning booths for at least 4 weeks prior to enrollment and during the study
- Received systemic non-biologic psoriasis therapy or phototherapy within the previous 4 weeks; or had topical psoriasis treatment within the previous 2 weeks prior to enrollment
- Concurrent or recent use of any biologic agent
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 |
|---|---|---|
| IxekizumabAlso: LY2439821Administered SQ | Drug | 80 mg Ixekizumab Q2W, 80 mg Ixekizumab Q2W Maximum Extended Enrollment (ME2) Cohort, 80 mg Ixekizumab Q4W, 80 mg Ixekizumab Q4W Maximum Extended Enrollment Cohort, 80 mg Ixekizumab Q4W/Q2W, 80 mg Ixekizumab Q4W/Q2W Maximum Extended Enrollment Cohort |
| PlaceboAdministered SQ | Drug | 80 mg Ixekizumab Q2W, 80 mg Ixekizumab Q2W Maximum Extended Enrollment (ME2) Cohort, 80 mg Ixekizumab Q4W, 80 mg Ixekizumab Q4W Maximum Extended Enrollment Cohort, 80 mg Ixekizumab Q4W/Q2W, 80 mg Ixekizumab Q4W/Q2W Maximum Extended Enrollment Cohort |
Primary outcome
Percentage of Participants Achieving Static Physician Global Assessment (sPGA) of (0,1)
Time frame: Week 52
The sPGA is the physician's determination of the participant's Psoriasis (Ps) lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participant's Ps was assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline. Participants who did not meet the clinical response criteria or had missing data at Week 52 were considered non-responders for Non-Responder Imputation (NRI) analysis.
Percentage of Participants Achieving 75% Improvement in Psoriasis Area and Severity Index (PASI 75)
Time frame: Week 52
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no Ps to 72 for the most severe disease. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease). Participants who did not meet the clinical response criteria or had missing data at Week52 were considered non-responders for NRI analysis.
17 secondary outcomes
Percentage of Participants Achieving sPGA (0)
Time frame: Week 52
Percentage of Participants Achieving PASI 90
Time frame: Week 52
Percentage of Participants Achieving PASI 100
Time frame: Week 52
Change From Baseline in PASI
Time frame: Baseline, Week 52
Percent Improvement in PASI
Time frame: Baseline, Week 52
Mean Change From Baseline in Percent Body Surface Area (BSA) Involvement
Time frame: Baseline, Week 52
Mean Change From Baseline in Nail Psoriasis Severity Index (NAPSI) Score
Time frame: Baseline, Week 52
Mean Change From Baseline in Psoriasis Scalp Severity Index (PSSI) Score
Time frame: Baseline, Week 52
Mean Change From Baseline in Palmoplantar PASI (PPASI)
Time frame: Baseline, Week 52
Percentage of Participants Achieving an Itch Numeric Rating Scale (Itch NRS) ≥4 Point Reduction From Baseline
Time frame: Baseline, Week 52
Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) Total Score of 0 and 1 (DLQI [0,1])
Time frame: Week 52
Change From Baseline in DLQI Total Score
Time frame: Baseline, Week 52
Change From Baseline in Itch NRS Score
Time frame: Baseline, Week 52
Change From Baseline in Skin Pain Visual Analog Scale (VAS)
Time frame: Baseline, Week 52
Change From Baseline in European Quality of Life - 5 Dimensions 5 Level (EQ-5D-5L) VAS
Time frame: Baseline, Week 52
Pharmacokinetics (PK): Trough Concentration at Steady State (Ctrough,ss) of Ixekizumab
Time frame: Predose, Week 4, 12, 24, 36 and 52 Post dose
Number of Participants With Anti-Ixekizumab Antibodies
Time frame: Baseline through Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jun 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
125 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ixekizumab in people with Plaque Psoriasis, run by Eli Lilly and Company at 125 sites in 14 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 5 inclusion and 11 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 17 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 125 sites in United States, Canada, Poland, Australia, Germany and 9 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. 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 18 Apr 2018). 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 Achieving Static Physician Global Assessment (sPGA) of (0,1) (time frame: Week 52). 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?
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 17 Jun 2020; AzTrials last refreshed its copy on 7 Nov 2026.