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Psoriasis VulgarisPhase 4NCT03331835

A Trial Comparing the Efficacy of Subcutaneous Injections of Brodalumab to Oral Administrations of Fumaric Acid Esters in Adults With Moderate to Severe Plaque Psoriasis

A Phase 4 study testing Brodalumab and Fumaric acid esters in people with Psoriasis Vulgaris, run by LEO Pharma at 30 sites in Germany.

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 is to demonstrate added benefit of brodalumab versus a selected systemic comparator in treatment of moderate to severe plaque psoriasis in Germany in subjects who have not previously received systemic treatment for psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis Vulgaris
What is being tested?
Brodalumab and Fumaric acid esters
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
30 sitesGermany
Study dates
3 Nov 2017to 21 Mar 2019
Phase
Phase 4
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

Main Criteria for Inclusion:

  • Men or women ≥18 years of age at the time of screening.
  • Subjects with chronic plaque type psoriasis diagnosed at least 6 months before randomisation.
  • Subjects with moderate to severe plaque psoriasis in whom topical therapy is not adequate and who are candidates for systemic therapy, defined at randomisation by PASI 10, affected BSA >10%, and DLQI >10.
  • Subject has no known history of active tuberculosis.
  • Subject has a negative test for tuberculosis taken at screening (negative Quantiferon test).
  • Subject and/or subject's designee is/are capable of administering subcutaneous injections.

Main Criteria for Exclusion:

  • Previous or current systemic treatment of plaque psoriasis or known contraindication for systemic therapy.
  • Previous or current PUVA (psoralens and ultraviolet A) therapy.
  • Washouts and non-permitted drugs:
  1. Have received phototherapy (UVA light therapy without psoralens, UVB light therapy, excimer laser, tanning beds etc. within 4 weeks of baseline, or
  2. Have had topical psoriasis treatment within 2 weeks of baseline (exceptions: bland emollients without urea or beta or alpha hydroxy acids)
  3. Have received any biologic immune modulating treatments used for indication other than psoriasis within 4 weeks of baseline or within a period of 5 half-lives of the IMP, whichever is longer
  4. Have received any other systemic immune modulating treatment (including but not limited to oral retinoids, methotrexate, calcineurin inhibitors, oral or parenteral corticosteroids etc. used for indications other than psoriasis) within 4 weeks of baseline or within a period of 5 half-lives of the IMP, whichever is longer.
  • Subjects with any of the following laboratory abnormalities at screening:
  1. Leukocyte cell count below 3×10^9/L or lymphocyte count below 0.7×10^9/L
  2. Aspartate aminotransferase (AST) or alanine transferase (ALT) > 2× ULN (upper level of normal limit)
  3. Absolute neutrophil count < 2×10^9/L
  4. Serum creatinine > ULN.
  • History of depressive disorder within the last 2 years including current antidepressive treatment.
  • Subjects with a history of suicidal behaviour (suicide attempt).
  • Any suicidal ideation of severity 4 or 5 based on the eC-SSRS questionnaire at screening.
  • A PHQ-8 score of ≥10 corresponding to moderate to severe depression at screening.

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

Germany30 sites
  • Fachklinik Bad Bentheim Klinik für Dermatologie

    Bad Bentheim, 48455

  • Charité - Universitätsmedizin Berlin Klinik für Dermatologie, Venerologie und Allergologie Psoriasis Studien Zentrum

    Berlin, 10117

  • Rothhaar Studien GmbH Dermatologisches Studienzentrum

    Berlin, 10783

  • Hautarztpraxis Dr. Wildfeuer

    Berlin, 13055

  • Klinikum Bielefeld Klinik für Dermatologie und Allergologie

    Bielefeld, 33647

  • Hauttumorzentrum Ruhr- Universität im St. Josef Hospital

    Bochum, 44791

  • Hautarztpraxis Dr. Niesmann und Dr. Othlinghaus

    Bochum, 44793

  • Universitätsklinikum Bonn (AöR) Klinik und Poliklinik für Dermatologie und Allergologie

    Bonn, 53127

  • Elbe Klinikum Buxtehude Klinik für Dermatologie

    Buxtehude, 21614

  • Rosenpark Research

    Darmstadt, 64283

  • Universitätsklinikum Carl Gustav Carus Klinik und Poliklinik für Dermatologie

    Dresden, 01307

  • Universitätsklinikum Erlangen Hautklinik

    Erlangen, 91054

  • Universitätsklinikum Frankfurt Klinik für Dermatologie

    Frankfurt, 60590

  • Derma-Study-Center-Friedrichshafen

    Friedrichshafen, 88045

  • Gemeinschaftspraxis Rotterdam & Kollegen Facharzt für Haut & Geschlechtskrankheiten

    Gelsenkirchen, 45883

  • Universitätsklinikum Hamburg-Eppendorf, Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen

    Hamburg, 20246

  • SCIderm GmbH

    Hamburg, 20354

  • Medizinische Hochschule Hannover Klinik für Dermatologie Allergologie und Venerologie

    Hanover, 30625

  • Universitäts-Hautklinik Heidelberg

    Heidelberg, 69120

  • Klinik für Dermatologie, Venerologie und Allergologie Universitätsklinikum Schleswig-Holstein, Campus Kiel Psoriasis-Zentrum

    Kiel, 24105

  • Exellenzzentrum Entzündungsmedizin (CCIM) Universitätsklinikum Schleswig-Holstein, Campus Lübeck

    Lübeck, 23538

  • University Medical Center Mainz Department of Dermatology and Allergy, Clinical Research Center

    Mainz, 55131

  • Universitätsklinikum Mannheim der Universität Heidelberg Klinik für Dermatologie, Venerologie und Allergologie

    Mannheim, 68167

  • Technische Universität München Klinik und Poliklinik für Dermatologie und Allergologie

    München, 80802

  • Klinische Forschung Osnabrück - Klifos

    Osnabrück, 49074

  • KLINIKUM VEST GmbH Knappschaftskrankenhaus Recklinghausen Klinik für Dermatologie und Allergologie

    Recklinghausen, 45657

  • Gemeinschaftspraxis Weber & Crainic

    Schweinfurt, 97421

  • Hautarztpraxis Dres. Leitz

    Stuttgart, 70178

  • University Medical Center University of Tübingen

    Tübingen, 72076

  • Hautarztpraxis

    Witten, 58453

Other trials in Germany

About this study

Official title: A Phase 4 Trial Comparing the Efficacy of Subcutaneous Injections of Brodalumab to Oral Administrations of Fumaric Acid Esters in Adults With Moderate to Severe Plaque Psoriasis

The primary objective is to demonstrate added benefit of brodalumab versus a selected systemic comparator in treatment of moderate to severe plaque psoriasis in Germany in subjects who have not previously received systemic treatment for psoriasis.

Fumaric acid esters have been selected as the comparator because it is an established systemic treatment of psoriasis in Germany.

Read the detailed description

A 24-week, randomised, open-label, active-controlled, parallel group, multi-centre trial with investigator-blinded efficacy assessments

Being tested
Brodalumab, Fumaric acid esters

What participants receive

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

  • BrodalumabBiological

    Also called Kyntheum®

    Brodalumab is a recombinant fully human monoclonal immunoglobulin IgG2-antibody that binds with high affinity to human interleukin 17 receptor A (IL-17RA).

    Blocking IL-17RA inhibits IL-17 cytokine-induced responses and results in reduced or normalised inflammation of the skin in subjects with psoriasis.

  • Fumaric acid estersDrug

    Also called Fumaderm®

    Fumaric acid esters have been used to treat psoriasis since 1959. Systemic therapy with fumaric acid esters is based on an established dosing scheme with a gradual increase to improve tolerability, especially with regards to gastrointestinal side effects.

Study groups in NCT03331835
Study groupRoleWhat they receive
BrodalumabExperimentalKyntheum® (brodalumab) pre-filled syringe 210 mg/1.5 mL solution for subcutaneous injections. First 3 injections are administered weekly, and hereafter every two weeks (Q2W).
Receives: Biological: Brodalumab
Fumaric acid estersActive comparatorFumaderm® initial dose tablets (30 mg dimethyl fumarate, 67 mg ethyl hydrogen fumarate calcium salt, 5 mg ethyl hydrogen fumarate magnesium salt, 3 mg ethyl hydrogen fumarate zinc salt) Fumaderm® tablets (120 mg dimethyl fumarate, 87 mg ethyl hydrogen fumarate calcium salt, 5 mg ethyl hydrogen fumarate magnesium salt, 3 mg ethyl hydrogen fumarate zinc salt) Fumaderm® tablets are administered orally up to 3 times daily in accordance with the dosing scheme in the label.
Receives: Drug: Fumaric acid esters

What is being measured

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

  1. Having Least 75% Lower Psoriasis Area and Severity Index (PASI) Score Relative to Baseline (PASI 75 Response) From Baseline at Week 24

    The PASI score grades the extent and severity of psoriatic involvement for each of four body regions (head and neck, upper extremities, trunk, and lower extremities) using a 7-point scale for extent of involvement in each body region and 5-point scales for severity of each of the clinical signs redness, thickness, and scalliness in each body region.

    Psoriasis Area and Severity Index is a scale ranging from 0 (no disease) to 72 (maximal disease).

    Measured: Baseline to Week 24

  2. Static Physician's Global Assessment (sPGA) Scale Score of 0 or 1 at Week 24

    sPGA is a 6-point scale that represents the average lesion severity on the trunk and limbs. The assessment is based on the condition of the disease at the time of evaluation.

    Static Physician's Global Assessment is a scale ranging rom 0 (clear skin) to 5 (severe disease).

    Measured: Baseline to Week 24

Secondary outcomes (11)
  1. Having Least 90% Lower Psoriasis Area and Severity Index (PASI) Score Relative to Baseline (PASI 90 Response) From Baseline at Week 24

    The PASI score grades the extent and severity of psoriatic involvement for each of four body regions (head and neck, upper extremities, trunk, and lower extremities) using a 7-point scale for extent of involvement in each body region and 5-point scales for severity of each of the clinical signs redness, thickness, and scalliness in each body region.

    Psoriasis Area and Severity Index is a scale ranging from 0 (no disease) to 72 (maximal disease).

    Measured: Baseline to Week 24

  2. Having 100% Lower Psoriasis Area and Severity Index (PASI) Score Relative to Baseline (PASI 100 Response) From Baseline at Week 24

    The PASI score grades the extent and severity of psoriatic involvement for each of four body regions (head and neck, upper extremities, trunk, and lower extremities) using a 7-point scale for extent of involvement in each body region and 5-point scales for severity of each of the clinical signs redness, thickness, and scalliness in each body region.

    Psoriasis Area and Severity Index is a scale ranging from 0 (no disease) to 72 (maximal disease).

    Measured: Baseline to Week 24

  3. Change From Baseline at Week 24 in PASI Score

    The PASI score grades the extent and severity of psoriatic involvement for each of four body regions (head and neck, upper extremities, trunk, and lower extremities) using a 7-point scale for extent of involvement in each body region and 5-point scales for severity of each of the clinical signs redness, thickness, and scalliness in each body region. Psoriasis Area and Severity Index is a scale ranging from 0 (no disease) to 72 (maximal disease).

    A negative change in PASI score means that the PASI score was lower at the time of data collection.

    Measured: Baseline to Week 24

  4. Percent Change From Baseline in PASI Score at Week 24

    The PASI score grades the extent and severity of psoriatic involvement for each of four body regions (head and neck, upper extremities, trunk, and lower extremities) using a 7-point scale for extent of involvement in each body region and 5-point scales for severity of each of the clinical signs redness, thickness, and scalliness in each body region. Psoriasis Area and Severity Index is a scale ranging from 0 (no disease) to 72 (maximal disease).

    A negative value in the percent change from baseline that the PASI score was lower at the time of data collection.

    Measured: Baseline to Week 24

  5. Change From Baseline at Week 24 in Affected Body Surface Area (BSA)

    The surface area of the participant's hand (palm and fingers) is used as a reference measurement to calculate the percentage of each body region that is affected by psoriasis. One hand is approximately equal to 1% total BSA.

    Furthermore, the complete body surface area (BSA=100%) can be divided into regions that approximates percentages of BSA as follows: head and neck (10%), upper extremities (20%), the trunk including the axillae and groin (30%), and finally the lower extremities, including the buttocks (40%).

    A negative value in the percent change from baseline that the affected BSA was lower at the time of data collection.

    Measured: Baseline to Week 24

  6. Psoriasis Symptom Inventory (PSI) Responder at Week 24 (Total Score ≤ 8, With no Item Scores > 1)

    The PSI consists of eight psoriasis-specific questions. Trial participants rated the severity of their symptoms in the last 24 hours from 'not at all' to 'very severe,' ranging from 0 to 4. Total scores range from 0 to 32 with higher scores indicating worse symptoms. PSI response is defined as total score ≤8 and no item score >1. Symptom-free day is defined as having daily total PSI of 0 on that day.

    Measured: Week 24

  7. PSI Total Score of 0 at Week 24

    The PSI consists of eight psoriasis-specific questions. Trial participants rated the severity of their symptoms in the last 24 hours from 'not at all' to 'very severe,' ranging from 0 to 4. Total scores range from 0 to 32 with higher scores indicating worse symptoms. PSI response is defined as total score ≤8 and no item score >1. Symptom-free day is defined as having daily total PSI of 0 on that day.

    Measured: Week 24

  8. Number of Symptom-free Days From Randomisation to Week 24

    The PSI consists of eight psoriasis-specific questions. Trial participants rated the severity of their symptoms in the last 24 hours from 'not at all' to 'very severe,' ranging from 0 to 4. Total scores range from 0 to 32 with higher scores indicating worse symptoms. PSI response is defined as total score ≤8 and no item score >1. Symptom-free day is defined as having daily total PSI of 0 on that day.

    Measured: Baseline to Week 24

  9. Burden of Symptoms

    Burden of symptoms was assessed as the normalised area under the curve (AUC) of PSI from baseline to the last available assessment. The AUC for the PSI total score was calculated for each participant using the standard trapezoidal rule. The AUC was normalised by dividing it with the time from baseline to the last available assessment of the PSI total score.

    The PSI consists of eight psoriasis-specific questions. Trial participants rated the severity of their symptoms in the last 24 hours from 'not at all' to 'very severe,' ranging from 0 to 4. Total scores range from 0 to 32 with higher scores indicating worse symptoms.

    Measured: Baseline to Week 24

  10. Change From Baseline at Week 24 in Dermatology Life Quality Index (DLQI) Total Score

    DLQI consists of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the treatment. Each item is scored on a 4 point Likert scale (0 = not at all ⁄not relevant; 1 = a little; 2 = a lot; 3 = very much). The total score is the sum of the 10 items (0 to 30); a high score is indicative of a poor QoL.

    Measured: Baseline to Week 24

  11. DLQI Total Score of 0 or 1 at Week 24

    DLQI consists of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their QoL over the last week such as dermatology-related symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the treatment. Each item is scored on a 4 point Likert scale (0 = not at all ⁄not relevant; 1 = a little; 2 = a lot; 3 = very much). The total score is the sum of the 10 items (0 to 30); a high score is indicative of a poor QoL.

    Measured: Week 24

Timeline

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

  1. First posted6 Nov 2017
  2. Study start3 Nov 2017
  3. Primary completion24 Jan 2019
  4. Study completion21 Mar 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03331835
Sponsor's protocol ID
LP0160-1327
Other IDs
2016-003867-21, 2016
Status last verified
Feb 2020
First submitted
1 Nov 2017
Last updated
13 Mar 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Brodalumab and Fumaric acid esters in people with Psoriasis Vulgaris, run by LEO Pharma at 30 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 13 Mar 2025. 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 Germany. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 10 Feb 2020). 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?

Having Least 75% Lower Psoriasis Area and Severity Index (PASI) Score Relative to Baseline (PASI 75 Response) From Baseline at Week 24 (time frame: Baseline to Week 24). 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 13 Mar 2025.

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