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Plaque PsoriasisPhase 3NCT03168256

CF101 Therapy in Patients With Moderate-to-severe Plaque Psoriasis

A Phase 3 study testing CF101 2mg, CF101 3mg and Apremilast 30mg in people with Plaque Psoriasis, run by Can-Fite BioPharma at 30 sites in 9 countries.

Completed

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

Official record
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Trial summary

This trial will test the hypothesis that the administration of CF101, a novel anti-inflammatory agent, to patients with moderate to severe plaque psoriasis will relieve signs and symptoms of the disease. CF101 effect will be in comparison to apremilast in this study population Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Plaque Psoriasis
What is being tested?
CF101 2mg, CF101 3mg and Apremilast 30mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
528 participants
Where
30 sitesin 9 countries
Study dates
15 Sep 2018to 27 Apr 2022
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, 18 to 80 years of age, inclusive;
  • Diagnosis of moderate-to-severe chronic plaque-type psoriasis with BSA involvement ≥10%, as judged by the Investigator;
  • PASI score ≥12 (Appendix 3)
  • Static PGA ≥3 (Appendix 2)
  • Candidate for systemic treatment or phototherapy for psoriasis;
  • Duration of psoriasis of at least 6 months;
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  • Elevated whole blood A3AR expression level, defined as ≥ 1.5-fold over a predetermined normal population standard at Screening;
  • Females of child-bearing potential must have a negative serum pregnancy test at screening;
  • Females of child-bearing potential must be willing to use 2 methods of contraception deemed adequate by the Investigator (for example, oral contraceptive pills plus a barrier method) to be eligible for, and continue participation in, the study;
  • Ability to complete the study in compliance with the protocol; and
  • Ability to understand and provide written informed consent.

Who cannot join

  • Psoriasis limited to erythrodermic, guttate, palmar, plantar, or generalized pustular psoriasis in the absence of plaque psoriasis;
  • Prior treatment with apremilast within 4 weeks prior to the Baseline visit, or contraindication to apremilast;
  • Treatment with systemic retinoids, corticosteroids, tofacitinib, or immunosuppressive agents (e.g., methotrexate, cyclosporine) within 4 weeks of the Baseline visit;
  • Treatment with a biological agent (etanercept, adalimumab, efalizumab, infliximab, ustekinumab, alefacept, secukinumab, or others, including investigational agents) within a period of time equal to 5 times its circulating half-life, or 30 days, whichever is longer, prior to the Baseline visit;
  • Treatment with high potency topical dermatological corticosteroids (Class I-III in US, Class III-IV in Europe), Vitamin D analogs, keratolytics, or coal tar (other than on the scalp, palms, groin, and/or soles) within 2 weeks of the Baseline visit;
  • Ultraviolet or Dead Sea therapy within 4 weeks of the Baseline visit, or anticipated need for either of these therapies during the study period;
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  • Treatment with lithium, hydroxychloroquine or chloroquine within 2 weeks of the Baseline visit, or anticipated need for such drugs during the study period, unless dose has been stable for 3 months prior to the Screening visit and will remain stable throughout the trial;
  • Serum creatinine level greater than 1.5 times the laboratory's upper limit of normal at Screening;
  • Liver aminotransferase levels greater than 1.5 times the laboratory's upper limit of normal at Screening;
  • Electrocardiogram (ECG) at Screening shows abnormalities which, in the judgment of the Investigator, are clinically significant and could, in the judgment of the Principal Investigator, compromise subject safety;
  • Active gastrointestinal disease which could interfere with the absorption of oral medication;
  • Pregnancy, planned pregnancy, lactation, or inadequate contraception as judged by the Investigator;
  • Active drug or alcohol dependence;
  • History of depression or suicidal ideation within the past year;
  • Concomitant use of strong cytochrome P450 inducers, eg, rifampin, phenobarbital, phenytoin, carbamazepine;
  • Previous participation in a CF101 clinical trial;
  • Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise subject safety, limit the subject's ability to complete the study, and/or compromise the objectives of the study;
  • Participation in another investigational drug or vaccine trial concurrently or within 30 days prior to the Screening visit.

Trial locations and contacts

30 sites in 9 countries.

30 sites in 9 countries

Bulgaria6 sites
  • "Multiprofile Hospital for Active Treatment - Pazardzhik"

    Pazardzhik

  • "MHAT"Rahila Angelova"AD, Department of Skin and Venereal Diseases

    Pernik

  • "University Multiprofile Hospital for Active Treatment - D-r Georgi Stranski" - EAD, Pleven, Clinic of Skin and Venereal Diseases

    Pleven

  • "Diagnostic-Consultative Aleksandrovska" EOOD

    Sofia

  • "Diagnostic-Consultative Centre XX - Sofia" EOOD

    Sofia

  • Ambulatory for Specialized Medical Help - Group Practice Dermatology - Clinic EuroDerma" OOD

    Sofia

Other trials in Bulgaria

Poland6 sites
  • Centrum Usług Medycznych MaxMed

    Bochnia

  • Gdańskim Centrum Zdrowia

    Gdansk

  • All-MED Centrum Medyczne

    Lodz

  • Miejski Szpital Zespolony Klinika Dermatologii Chorób Przenoszonych Drogą Płciową i Immunologii klinicznej

    Olsztyn

  • Lubelskie Centrum Diagnostyczne

    Świdnik

  • ETG Zamość, ul. Szczebrzeska 11i

    Zamość

Other trials in Poland

Serbia5 sites
  • Clinical Centre of Serbia

    Belgrade

  • Clinical Centre Nis

    Niš

  • Military Hospital Nis

    Niš

  • General Hospital Sremska Mitrovica

    Sremska Mitrovica

  • General Hospital Zajecar

    Zaječar

Other trials in Serbia

Bosnia and Herzegovina3 sites
  • Clinical Centre of Republika Srpska

    Banja Luka

  • University Clinical Centre Mostar

    Mostar

  • Clinical Centre of Sarajevo University

    Sarajevo

Other trials in Bosnia and Herzegovina

Moldova3 sites
  • Institutul de Cardiologie

    Chisinau

  • Spitalul Clinic Municipal Nr. 3 "Sfanta Treime"

    Chisinau

  • Spitalul Clinic Republican

    Chisinau

Other trials in Moldova

Romania3 sites
  • Centrul Medical de Diagnostic si Tratament Ambulator Neomed SRL

    Brasov

  • SC PELICAN Impex SRL

    Oradea

  • Spitalul Clinic Județean de Urgență Sibiu

    Sibiu

Other trials in Romania

Croatia2 sites
  • Clinical Hospital Center Rijeka

    Rijeka

  • Sestre milosrdnice University Hospital Center

    Zagreb

Other trials in Croatia

Canada1 site
  • K. Papp Clinical Research

    Waterloo

Other trials in Canada

Israel1 site
  • Rambam Medical Center

    Haifa

Other trials in Israel

About this study

Official title: A Phase 3 Randomized, Double-Blind, Placebo- and Active-Controlled Study of the Efficacy and Safety of Daily CF101 Administered Orally in Patients With Moderate-to-Severe Plaque Psoriasis

This trial will test the hypothesis that the administration of CF101, a novel anti-inflammatory agent, to patients with moderate to severe plaque psoriasis will relieve signs and symptoms of the disease. CF101 effect will be in comparison to apremilast in this study population

Read the detailed description

This is a multicenter, randomized, double-blind, placebo- and active-controlled, study in adult males and females, aged 18 to 80 years, inclusive, with a diagnosis of moderate-to-severe chronic plaque psoriasis.

Eligible subjects will be randomly assigned to CF101 2 mg, 3 mg, matching apremilast 30 mg BID, or matching placebo, in a 3:3:3:2 ratio. Blinding will be maintained using a double-dummy technique.

Medication will be taken orally BID for 32 weeks in a double-blinded fashion, with the option to continue treatment through an Extension Period to 48 weeks. Subjects initially assigned to the placebo group will be re-randomized at Week 16 to either CF101 2 mg, CF101 3 mg, or apremilast (with appropriate dose titration) in a 1:1:1 ratio and treated through Week 32, while subjects originally assigned to 1 of the active treatment groups will remain on that treatment through Week 32. The primary efficacy endpoint will be assessed at Weeks 16 and 32; at Week 32, all subjects will be offered the opportunity to remain on their assigned blinded drug through Week 48 (ie, the Extension Period of Weeks 33-48).

Disease will be assessed using PASI , static PGA , the percentage of BSA involved, and PDI. Subjects will return for assessments and a new supply of study medication at Weeks 4, 8, 12, 16, 20, 24, and 28, and for final study assessments at Week 32. For those subjects continuing into the Extension Period, efficacy and safety assessments will also occur at Weeks 36, 40, 44, and 48. PK will be assessed in a subgroup of approximately 120 subjects at Weeks 0, 8, 16, 24 and 32. PK will be assessed through sparse sampling. Assessment of whole blood A3AR expression levels will occur at Screening, Week 16, and Week 32.

Being tested
CF101 2mg, CF101 3mg, Apremilast 30mg, Placebo Oral Tablet

What participants receive

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

  • CF101 2mgDrug

    Also called IB-MECA

    CF101 tablets, 2mg BID for 16 weeks

  • CF101 3mgDrug

    Also called IB-MECA

    CF101 tablets, 3mg BID for 16 weeks

  • Apremilast 30mgDrug

    Also called Otezla

    Apremilast tablets, 30mg BID for 16 weeks

  • Placebo Oral TabletDrug

    Also called Placebo

    Placebo tablets, BID for 16 weeks

Study groups in NCT03168256
Study groupRoleWhat they receive
CF101 2mgExperimentalCF101 2mg, orally q12 hours
Receives: Drug: CF101 2mg
CF101 3mgExperimentalCF101 3mg, orally q12 hours
Receives: Drug: CF101 3mg
Apremilast 30mgActive comparatorApremilast 30mg, orally q12 hours
Receives: Drug: Apremilast 30mg
PlaceboPlacebo comparatorPlacebo control , orally q12 hours
Receives: Drug: Placebo Oral Tablet

What is being measured

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

  1. Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16

    Evaluate the efficacy of oral CF101 2 mg or 3 mg twice daily (BID) in patients with moderate-to-severe plaque psoriasis, compared with placebo, as determined by the proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16 (superiority)

    Measured: 16 weeks

  2. Adverse event profile in this patient popluation

    Nature, incidence and severity of treatment-emergent adverse events

    Measured: 16 weeks

Secondary outcomes (15)
  1. Psoriasis Area and Severity Index (PASI) score response of ≥50% (PASI 50) at Week 16

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with placebo, as determined by the proportion of subjects who achieve PASI 50 at Week 16 (superiority);

    Measured: 16 weeks

  2. Physician Global Assessment (PGA)

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with placebo, as determined by the proportion of subjects who achieve PGA score of 0 or 1 at Week 16;

    Measured: 16 weeks

  3. Psoriasis Disability Index (PDI)

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with placebo, as determined by the proportion of subjects who achieve improvement on the PDI at Week 16;

    Measured: 16 weeks

  4. CF101 PASI 75 compare to apremilast

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with apremilast, as determined by the proportion of subjects who achieve PASI 75 at Weeks 16 and 32;

    Measured: weeks 16-32

  5. CF101 PGA score compare to apremilast

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with apremilast, as determined by the proportion of subjects who achieve PGA score of 0 or 1, at Weeks 16 and 32;

    Measured: weeks 16-32

  6. CF101 PASI 50 compare to apremilast

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with apremilast, as determined by the proportion of subjects who achieve PASI 50 at Weeks 16 and 32;

    Measured: weeks 16-32

  7. CF101 PDI improvement compare to apremilast

    Evaluate the efficacy of oral piclidenoson 2 mg or 3 mg BID, compared with apremilast, as determined by the proportion of subjects who achieve an improvement in PDI at Weeks 16 and 32;

    Measured: weeks 16-32

  8. Apremilast PASI 75 compare to placebo

    Establish assay sensitivity within this trial by comparing the efficacy of apremilast 30 mg BID with that of placebo tablets BID, as determined by the proportion of subjects who achieve PASI 75, PGA score of 0 or 1, PASI 50, and improvement in PDI at Week 16 (superiority);

    Measured: weeks 16-32

  9. Apremilast PGA compare to placebo

    Establish assay sensitivity within this trial by comparing the efficacy of apremilast 30 mg BID with that of placebo tablets BID, as determined by the proportion of subjects who achieve PGA score of 0 or 1 at Week 16;

    Measured: weeks 16-32

  10. Apremilast PASI 50 compare to placebo

    Establish assay sensitivity within this trial by comparing the efficacy of apremilast 30 mg BID with that of placebo tablets BID, as determined by the proportion of subjects who achieve PASI 50 at Week 16;

    Measured: weeks 16-32

  11. Apremilast PDI compare to placebo

    Establish assay sensitivity within this trial by comparing the efficacy of apremilast 30 mg BID with that of placebo tablets BID, as determined by the proportion of subjects who achieve improvement in PDI at Week 16;

    Measured: 16 weeks

  12. Adverse event profile of piclidenoson through the Extension Period of up to 48 weeks of treatment

    Nature, incidence, and severity of treatment-emergent adverse events

    Measured: 48 weeks

  13. Efficacy of piclidenoson, as determined by changes in PASI score, through the Extension Period of up to 48 weeks of treatment

    The proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 48

    Measured: 48 weeks

  14. Determine pharmacokinetics (PK) of piclidenoson under the circumstances of this trial using sparse sampling

    Serum concentration of piclidenoson

    Measured: 48 weeks

  15. Evaluate the relationship between pre-treatment whole blood A3 adenosine receptor (A3AR) expression levels and response to piclidenoson treatment.

    Explore the relationship between white blood cell (WBC) adenosine A3 receptor (A3AR) expression and treatment response, by taking WBC sample at baseline

    Measured: 16 weeks

Timeline

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

  1. First posted30 May 2017
  2. Study start15 Sep 2018
  3. Primary completion6 Jan 2022
  4. Study completion27 Apr 2022

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
528 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03168256
Sponsor's protocol ID
CF101-301PS
Status last verified
Jun 2022
First submitted
24 May 2017
Last updated
28 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Papp KA, Beyska-Rizova S, Gantcheva ML, Slavcheva Simeonova E, Brezoev P, Celic M, Groppa L, Blicharski T, Selmanagic A, Kalicka-Dudzik M, Calin CA, Trailovic N, Ramon M, Bareket-Samish A, Harpaz Z, Farbstein M, Silverman MH, Fishman P; COMFORT-1 Study Investigators. Efficacy and safety of piclidenoson in plaque psoriasis: Results from a randomized phase 3 clinical trial (COMFORT-1). J Eur Acad Dermatol Venereol. 2024 Jun;38(6):1112-1120. doi: 10.1111/jdv.19811. Epub 2024 Jan 26.

    PubMed 38279575

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CF101 2mg, CF101 3mg and Apremilast 30mg in people with Plaque Psoriasis, run by Can-Fite BioPharma at 30 sites in 9 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 11 inclusion and 18 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 28 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Bulgaria, Poland, Serbia, Bosnia and Herzegovina, Moldova and 4 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?

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?

Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16 (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 NCT03168256, 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 28 Jun 2022.

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