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PsoriasisPhase 3NCT03210259

The VOLTAIRE-X Trial Looks at the Effect of Switching Between Humira® and BI 695501 in Patients With Plaque Psoriasis

A Phase 3 study testing Humira® and BI 695501 in people with Psoriasis, run by Boehringer Ingelheim at 49 sites in 7 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

The primary objective of the trial is to assess the PK similarity between patients receiving Humira® continuously vs those who alternate between BI 695501 and Humira®, in patients with moderate-to-severe chronic plaque psoriasis. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Psoriasis
What is being tested?
Humira® and BI 695501
Could I receive a placebo?
No, everyone receives an active treatment
How many people
259 participants
Where
49 sitesin 7 countries
Study dates
10 Jul 2017to 16 Apr 2019
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females aged ≥ 18 to < 80 years at screening who have a diagnosis of moderate-to-severe chronic plaque psoriasis (with or without psoriatic arthritis) for at least 6 months before the first administration of trial drug (a self-reported diagnosis confirmed by the Investigator is acceptable), and which has been stable per Investigator opinion for the last 2 months with no changes in morphology or significant flares at both screening and baseline:
  • involved body surface area (BSA) ≥ 10% and
  • PASI score ≥ 12 and
  • sPGA score of ≥ 3.
  • Participants of reproductive potential (childbearing potential1) must be willing and able to use highly effective methods of birth control per International Council for Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly during the trial and for 6 months following completion or discontinuation from the trial medication. A list of contraception methods meeting these criteria is provided in patient information.
  • Signed and dated written informed consent in accordance with Good Clinical Practice (GCP) and local legislation prior to admission to the trial.
  • Patients who are candidates for systemic therapy or phototherapy according to Investigator judgement.

Who cannot join

  • Active ongoing inflammatory diseases other than psoriasis that might confound trial evaluations according to Investigator's judgment.
  • Prior exposure to any biologic therapies for any auto-immune diseases (eg: RA, Psoriasis, Crohns Disease, etc).
  • Patients with a significant disease other than psoriasis and/or a significant uncontrolled disease (such as, but not limited to, nervous system, renal, hepatic, endocrine, hematological, autoimmune or gastrointestinal disorders). A significant disease is defined as a disease which, in the opinion of the Investigator, may (i) put the patient at risk because of participation in the trial, or (ii) influence the results of the trial, or (iii) cause concern regarding the patient's ability to participate in the trial.
  • Major surgery (major according to the Investigator's assessment) performed within 12 weeks before enrollment or planned within 6 months after screening, e.g., total hip replacement.
  • Any documented active or suspected malignancy or history of malignancy within 5 years prior to screening, except appropriately treated (in the opinion of the Investigator) basal cell carcinoma of the skin or in situ carcinoma of uterine cervix.
  • Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial.
Show all 23Show fewer
  • Currently enrolled in another investigational device or drug trial, or less than 30 days (or less than 5 half-lives, whichever is longer) since ending another investigational device or drug trial(s), or receiving other investigational treatment(s).
  • Chronic alcohol or drug abuse or any condition that, in the Investigator's opinion, makes the patient an unreliable trial subject or unlikely to complete the trial.
  • Women who are pregnant, nursing, or who plan to become pregnant during the course of this trial or within the period at least 6 months following completion or discontinuation from the trial medication.
  • Forms of psoriasis (e.g., pustular, erythrodermic and guttate) other than chronic plaque psoriasis. Drug-induced psoriasis (i.e., new onset or current exacerbation from e.g., beta blockers or lithium).
  • Primary or secondary immunodeficiency (history of, or currently active), including known history of HIV infection or a positive HIV test at screening (per the Investigator discretion and where mandated by local authorities).
  • Known chronic or relevant acute TB; IGRA TB test or PPD skin test will be performed according to the labelling for Humira®. If the result is positive, patients may participate in the trial if further work up (according to local practice/guidelines) establishes conclusively that the patient has no evidence of active TB. If latent TB is confirmed, then treatment must have been initiated before treatment in the study and continued according to local country guidelines.
  • Known clinically significant (per Investigator opinion) coronary artery disease, significant cardiac arrhythmias, moderate to severe congestive heart failure (New York Heart Association Classes III or IV) or interstitial lung disease observed on chest X-ray.
  • Patients with a history of any clinically significant adverse reaction (including serious allergic reactions, or anaphylactic reaction, or hypersensitivity) to murine or chimeric proteins, previously used biological drug or its excipients, or natural rubber and latex.
  • Positive serology for HBV or HCV.
  • Receipt of a live/attenuated vaccine within 12 weeks prior to the Screening Visit; patients who are expecting to receive any live/attenuated virus or bacterial vaccinations during the trial or up to 3 months after the last dose of trial drug.
  • Any treatment (including biologic therapies) that, in the opinion of the Investigator, may place the patient at unacceptable risk during the trial.
  • Known active infection of any kind (excluding fungal infections of nail beds), any major episode of infection requiring hospitalisation or treatment with intravenous (i.v.) antiinfectives within 4 weeks of the Screening Visit or completion of oral anti-infectives within 2 weeks of the Screening Visit.
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.5 times upper limit of normal (ULN) at screening.
  • Hemoglobin < 8.0 g/dL at screening.
  • Platelets < 100,000/μL at screening.
  • Leukocyte count < 4000/μL at screening.
  • Calculated creatinine clearance < 60 mL/min at screening.

Trial locations and contacts

49 sites in 7 countries.

49 sites in 7 countries

United States21 sites
  • Arlington Research Center

    Arlington, Texas, 76011

  • Great Lakes Research Group, Inc.

    Bay City, Michigan, 48706

  • Total Skin and Beauty Dermatology Center, PC

    Birmingham, Alabama, 35205

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

  • California Dermatology & Clinical Research Institute

    Encinitas, California, 92024

  • Palmetto Clinical Trial Services, LLC

    Fountain Inn, South Carolina, 29681

  • Universal Clinical Research

    Hialeah, Florida, 33012

  • Dermatology Consulting Services

    High Point, North Carolina, 27262

  • Center for Clinical Studies

    Houston, Texas, 77004

  • Clinical Partners, LLC

    Johnston, Rhode Island, 02919

  • Dermatology Research Associates

    Los Angeles, California, 90045

  • New Horizon Research Center

    Miami, Florida, 33175

  • Renstar Medical Research

    Ocala, Florida, 34471

  • Kansas City Dermatology, PA

    Overland Park, Kansas, 66215

  • Progressive Medical Research

    Port Orange, Florida, 32127

  • MediSearch Clinical Trials

    Saint Joseph, Missouri, 64506

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • Shahram Jacobs MD, Inc./Unison Clinical Trials

    Sherman Oaks, California, 91403

  • MultiCare Institute for Research and Innovation

    Tacoma, Washington, 98405

  • University of South Florida

    Tampa, Florida, 33612

  • Palm Beach Research Center

    West Palm Beach, Florida, 33409

Other trials in United States

Poland10 sites
  • Poradnia Kardiologiczna Jaroslaw Jurowiecki

    Gdansk, 80-286

  • Synexus Polska SCM Sp. z o.o. Gdansku, Gdansk

    Gdansk, 80-382

  • Synexus Polska Sp. z o.o. Oddzial w Gdyni, Gdynia

    Gdynia, 81-384

  • Malopolskie medical center S.C, Krakow

    Krakow, 31-510

  • SANTA FAMILIA Centrum Badan, Profilaktyki i Leczenia

    Lodz, 90-302

  • Dermoklinika medical center, Lodz

    Lodz, 90-436

  • Medicome Sp. z o.o.

    Oświęcim, 32-600

  • Clinmedica Research Omc sp. z o.o. sp.k., Skierniewice

    Skierniewice, 96-100

  • Laser Clin. S.C. Dr T. Kochanowski Dr A. Krolicki, Szczecin

    Szczecin, 70-332

  • Synexus Polska Sp. z o.o. Oddzial w Warszawie, Warszawa

    Warsaw, 01-192

Other trials in Poland

Latvia6 sites
  • Riga 1st Hosp, Out-patient Department

    Riga, 1001

  • Derma Clinic Riga Ltd

    Riga, LV-1003

  • Health Center 4, Affiliate Diagnostic Center

    Riga, LV-1003

  • J. Kisis Ltd

    Riga, LV-1003

  • Smite Aija practice in dermatology and venerology

    Talsi, LV-3201

  • Outpatient Clinic of Ventspils

    Ventspils, LV-3601

Other trials in Latvia

Ukraine4 sites
  • SI Road Clinical Hospital of DS of SE PZ Dept of Dermatovenerology SI DMA of MOHU

    Dnipro, 49008

  • Kherson clin.hosp.Afanasiia&Olhy Tropinykh

    Kherson, 73000

  • Treatment - Diagnostic Center PE Asclepius

    Uzhhorod, 88000

  • CI Zaporizhzhia Regional Dermatovenerologic Clinical Dispensary of Zaporizhzhia RC

    Zaporizhzhya, 69063

Other trials in Ukraine

Hungary3 sites
  • UNO Medical Trials Kft.

    Budapest, 1135

  • Szabolcs-Szatmar-Bereg Univ.teach.Hosp

    Nyíregyháza, 4400

  • ALLERGO-DERM BAKOS Kft.

    Szolnok, 5000

Other trials in Hungary

Russia3 sites
  • LLC "Alliance Biomedical - Russian Group"

    Saint Petersburg, 194356

  • EKO-Bezopasnost, St. Petersburg

    Saint Petersburg, 196143

  • Institution of Healthcare "Nikolaevskaya Hospital"

    Saint Petersburg, 198510

Other trials in Russia

Germany2 sites
  • Rothhaar Studien GmbH

    Berlin, 10783

  • Klinische Forschung Dresden, GmbH

    Dresden, 01069

Other trials in Germany

About this study

Official title: VOLTAIRE-X: Pharmacokinetics, Safety, Immunogenicity and Efficacy of BI 695501 Versus Humira® in Patients With Moderate to Severe Chronic Plaque Psoriasis: a Randomized, Double-blind, Parallel-arm, Multiple-dose, Active Comparator Trial

The primary objective of the trial is to assess the PK similarity between patients receiving Humira® continuously vs those who alternate between BI 695501 and Humira®, in patients with moderate-to-severe chronic plaque psoriasis.

The secondary objectives of this trial are to descriptively compare the safety, immunogenicity and efficacy profiles between patients receiving Humira® continuously vs those who alternate between BI 695501 and Humira®.

Conditions
Psoriasis
Being tested
Humira®, BI 695501
Medical subject headings
Psoriasis

What participants receive

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

  • Humira®Drug

    Duration - 58 weeks

  • BI 695501Drug

    Also called CYLTEZO

    Duration - 58 weeks

Study groups in NCT03210259
Study groupRoleWhat they receive
BI 695501ExperimentalNot described
Receives: Drug: BI 695501
Humira®Active comparatorNot described
Receives: Drug: Humira®

What is being measured

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

  1. Area Under the Plasma Concentration Time Curve Over the Dosing Interval of Week 30 to 32 (AUCτ, 30-32) for Adalimumab in Plasma

    Area Under the Plasma Concentration Time Curve Over the 2 weeks dosing Interval between Week 30 to 32 (AUCτ, 30-32) for Adalimumab in plasma was reported.

    Measured: Pre-dose at Week 30, at 72, 120, 168 and 240 hours after the Week 30 dosing, and pre-dose at Week 32.

  2. Maximum Observed Concentration During the Dosing Interval Week 30-32 (Cmax, 30-32) for Adalimumab in Plasma

    Maximum observed concentration during the 2 weeks dosing interval between Week 30 to 32 (Cmax, 30-32) for Adalimumab in plasma was reported.

    Measured: Pre-dose at Week 30, at 72, 120, 168 and 240 hours after the Week 30 dosing, and pre-dose at Week 32.

Secondary outcomes (9)
  1. Minimum Observed Concentration During the Dosing Interval of Week 30 to 32 (Cmin, 30-32) for Adalimumab in Plasma

    Minimum Observed Concentration During the 2 weeks Dosing Interval between Week 30 to 32 (Cmin, 30-32) for Adalimumab in plasma was reported.

    Measured: Pre-dose at Week 30, at 72, 120, 168 and 240 hours after the Week 30 dosing, and pre-dose at Week 32.

  2. Time to Maximum Observed Concentration During the Dosing Interval of Week 30 to 32 (Tmax, 30-32) for Adalimumab in Plasma

    Time to Maximum Observed Concentration During the 2 weeks Dosing Interval between Week 30 to 32 (tmax, 30-32) for Adalimumab in plasma was reported.

    Measured: Pre-dose at Week 30, at 72, 120, 168 and 240 hours after the Week 30 dosing, and pre-dose at Week 32.

  3. Percentage of Patients With a 75% Reduction in Psoriasis Area and Severity Index (PASI75) Response at Week 32

    The PASI is an established measure of clinical efficacy for psoriasis medications. The PASI is a tool which provides a numeric scoring for patients' overall psoriasis disease state, with scores ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, induration, and desquamation over four body regions (head, trunk, upper extremities and lower extremities). Higher PASI scores indicate more severe psoriasis. PASI is generally summarized as a dichotomous outcome based on achieving over an X percent(%) reduction from baseline (or PASIX), where X is 50, 75, 90, and 100. Results are reported for percentage of patients with a PASI75 response at Week 32. Analysis was done on per-protocol analysis set (PPS).

    Measured: At week 32

  4. Percentage of Patients With a Static Physician's Global Assessment (sPGA) Score ≤ 1 (Clear or Almost Clear) at Week 32

    The sPGA is a 5-point score ranging from 0 to 4, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions. The assessment is considered "static", which refers to the patient's disease state at the time of the assessments, without comparison to any of the patient's previous disease states (dynamic), whether at baseline or at a previous visit. A lower score indicates less body coverage and a higher score indicates more severe disease (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe). Results are reported for percentage of patients with a sPGA score of ≤ 1 (clear or almost clear) at Week 32. Analysis was done on per-protocol analysis set (PPS).

    Measured: At week 32

  5. Number of Patients With Anti-drug Antibody (ADA) to Adalimumab at Week 32

    Number of patients with a confirmed positive anti-drug antibody (ADA) response to Adalimumab (BI 695501 or Humira) at Week 32. A participant was considered "ADA positive" if the blank normalized signal in the ADA screening assay was equal to or above the study specific ADA screening cut point factor of 1.06 and the signal inhibition by drug in the ADA confirmatory assay was equal to or above the study specific ADA confirmatory cut points (11.4% for signal inhibition with Humira and 12.0% for signal inhibition with BI 695501).

    Measured: Immunogenicity samples were collected pre-dose at Week 32.

  6. Number of Patients With Neutralizing Antibody (nAb) to Adalimumab at Week 32

    Number of patients with a positive neutralizing anti-drug antibody (nAb) response to Adalimumab (BI 695501 or Humira) at Week 32. A participant was considered "nAb positive" if the blank normalized signal in the nAb screening assay was equal to or below the study specific nAb screening cut point factor of 0.836.

    Measured: Immunogenicity samples were collected pre-dose at Week 32.

  7. Anti-drug Antibody (ADA) Titer of Patients With ADA at Week 32

    Anti-drug antibody (ADA) titer of patients with a confirmed positive ADA response to Adalimumab (BI 695501 or Humira) at Week 32.

    Measured: Immunogenicity samples were collected pre-dose at Week 32.

  8. Neutralizing Anti-drug Antibody (nAb) Titer of Patients With nAb at Week 32

    Neutralizing anti-drug antibody (nAb) titer of patients with a positive nAb response to Adalimumab (BI 695501 or Humira) at Week 32.

    Measured: Immunogenicity samples were collected pre-dose at Week 32.

  9. Percentage of Patients With Drug-related Adverse Events (AEs) During the Post-Randomization Period

    Analysis of AEs focused on treatment-emergent adverse events (TEAEs) and is presented here for the post-randomization period (Week 14 to 58). For the post-randomization period analysis, TEAEs were defined as AEs that started or worsened on or after the first dose of trial post-randomization medication and prior to the last dose of trial post-randomization medication + 10 weeks.

    Measured: From first dose of trial post-randomization medication until 10 weeks after last dose of trial post-randomization medication, up to 44 weeks

Timeline

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

  1. First posted6 Jul 2017
  2. Study start10 Jul 2017
  3. Primary completion16 Apr 2019
  4. Study completion16 Apr 2019

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
Double blind
Who is masked
Participant, Investigator
Enrolment
259 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03210259
Sponsor's protocol ID
1297-0009
Other IDs
2016-002254-20, 2016
Status last verified
Jul 2021
First submitted
5 Jul 2017
Last updated
14 Jul 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Menter A, Cohen S, Kay J, Strand V, Gottlieb A, Hanauer S, Eduru SK, Buschke S, Lang B, Liesenfeld KH, Schaible J, McCabe D. Switching Between Adalimumab Reference Product and BI 695501 in Patients with Chronic Plaque Psoriasis (VOLTAIRE-X): A Randomized Controlled Trial. Am J Clin Dermatol. 2022 Sep;23(5):719-728. doi: 10.1007/s40257-022-00708-w. Epub 2022 Aug 7.

    PubMed 35934770

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Humira® and BI 695501 in people with Psoriasis, run by Boehringer Ingelheim at 49 sites in 7 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 7 inclusion and 23 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 14 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, Poland, Latvia, Ukraine, Hungary and 2 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 2 Jul 2021). 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?

Area Under the Plasma Concentration Time Curve Over the Dosing Interval of Week 30 to 32 (AUCτ, 30-32) for Adalimumab in Plasma (time frame: Pre-dose at Week 30, at 72, 120, 168 and 240 hours after the Week 30 dosing, and pre-dose at Week 32.). 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 NCT03210259, 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 14 Jul 2021.

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