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Plaque PsoriasisPhase 2CLEAR-PSNCT03358290

Study to Evaluate the Safety and Efficacy of JTE-051 in Subjects With Moderate to Severe Plaque Psoriasis

A Phase 2 study testing JTE-051 in people with Plaque Psoriasis and Skin Diseases, run by Shionogi Inc. at 16 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Study to evaluate the efficacy, safety, tolerability and pharmacokinetics of JTE-051 administered for 12 weeks in subjects with moderate to severe plaque psoriasis. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Plaque Psoriasis, Skin Diseases
What is being tested?
JTE-051
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
13 participants
Where
16 sitesin 2 countries
Study dates
10 Nov 2017to 29 Oct 2018
Phase
Phase 2
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with moderate to severe plaque psoriasis at least 6 months prior to Visit 1
  • Plaque-type psoriasis covering ≥10% of body surface area (BSA) at Visit 1 and Visit 2;
  • Psoriasis Area and Severity Index (PASI) score ≥12 at Visit 1 and Visit 2;
  • Static Physician's Global Assessment (sPGA) score ≥3 at Visit 1 and Visit 2;
  • Body Mass Index (BMI) ≤40 at Visit 1.

Who cannot join

  • Medical history of treatment failure to any systemic agents for plaque psoriasis;
  • Presence of erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis or other skin conditions at (e.g., clinically-significant eczema or severe acne) that could interfere with study evaluations at Visit 1;
  • Presence or history of any itch due to underlying conditions other than plaque psoriasis which cause or influence pruritus of the skin (e.g., drug induced pruritus, significant other systemic diseases with itch) within 12 months prior to Visit 1;
  • History of a clinically-significant infection (e.g., that required oral antimicrobial therapy) within 8 weeks prior to Visit 2;
  • History of infections requiring hospitalization or parenteral antibiotic, antiviral, antifungal or antiparasitic therapy within 6 months prior to Visit 2 and no history of recurrent infections or conditions predisposing to chronic infections (e.g., bronchiectasis, chronic osteomyelitis);

Trial locations and contacts

16 sites in 2 countries.

16 sites in 2 countries

United States12 sites
  • Atlanta Dermatology Vein and Research Center LLC

    Alpharetta, Georgia, 30022

  • Radiant Research, Inc.

    Anderson, South Carolina, 29621

  • Clinical Research Center of the Carolinas

    Charleston, South Carolina, 29407

  • Dermatology Treatment and Research Center

    Dallas, Texas, 75230

  • Clinical Research Advantage, Inc.

    Evansville, Indiana, 47714

  • Forest Hills Dermatology Group

    Forest Hills, New York, 11375

  • First OC Dermatology

    Fountain Valley, California, 92708

  • Center For Dermatology Clinical Research, Inc.

    Fremont, California, 94538

  • Advanced Clinical Research - Dermatology Center of Canyon County

    Nampa, Idaho, 83651

  • Kansas City Dermatology P.A.

    Overland Park, Kansas, 66215-2309

  • Advanced Medical Research, PC

    Sandy Springs, Georgia, 30328

  • University of South Florida - Hospital

    Tampa, Florida, 33612

Other trials in United States

Canada4 sites
  • Mediprobe Research Inc.

    London, Ontario, N5X 2P1

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1X2

  • David Gratton's Private Practice

    Montreal, Quebec, H3H 1V4

  • Karma Clinical Trials

    St. John's, Newfoundland and Labrador, A1A 4Y3

Other trials in Canada

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Safety and Efficacy of JTE-051 Administered for 12 Weeks in Subjects With Moderate to Severe Plaque Psoriasis (CLEAR-PS)

Study to evaluate the efficacy, safety, tolerability and pharmacokinetics of JTE-051 administered for 12 weeks in subjects with moderate to severe plaque psoriasis.

Being tested
JTE-051, Placebo
Keywords
JTE-051, Psoriasis
Medical subject headings
Skin Diseases, Psoriasis

What participants receive

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

  • JTE-051Drug

    Active drug tablets containing JTE-051

  • PlaceboDrug

    Placebo tablets identical in appearance to the active drug tablets

Study groups in NCT03358290
Study groupRoleWhat they receive
JTE-051 Dose 1ExperimentalOne dose of study drug by mouth daily for 12 weeks
Receives: Drug: JTE-051
JTE-051 Dose 2ExperimentalOne dose of study drug by mouth daily for 12 weeks
Receives: Drug: JTE-051
JTE-051 Dose 3ExperimentalOne dose of study drug by mouth daily for 12 weeks
Receives: Drug: JTE-051
JTE-051 Dose 4ExperimentalOne dose of study drug by mouth daily for 12 weeks
Receives: Drug: JTE-051
PlaceboExperimentalOne dose of study drug by mouth daily for 12 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Proportion of Subjects Achieving a Minimum 75% Improvement From Baseline in the Psoriasis Area and Severity Index (PASI-75) by End-of-treatment (EOT).

    The psoriasis area and severity index (PASI) combines the assessment of the severity of lesions (scaling, redness and plaque thickness) and the area affected into a single score in the range of 0.0 (no disease) to 72.0 (maximal disease). The body is divided into four sections: (1) Head and neck; (2) Upper limbs; (3) Trunk (including axillae and groin); and (4) Lower limbs (including buttocks).

    The PASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis.

    The PASI-75 response rate is defined as at least 75 percent (%) reduction in PASI score relative to Baseline.

    Measured: Up to 12 Weeks

Secondary outcomes (13)
  1. Percent Change From Baseline in PASI Score

    The psoriasis area and severity index (PASI) combines the assessment of the severity of lesions (scaling, redness and plaque thickness) and the area affected into a single score in the range of 0.0 (no disease) to 72.0 (maximal disease). The body is divided into four sections: (1) Head and neck; (2) Upper limbs; (3) Trunk (including axillae and groin); and (4) Lower limbs (including buttocks).

    The PASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis.

    Percent change was calculated by taking the Week 12 PASI score and subtracting the baseline PASI, and dividing by the baseline PASI, then multiplying by 100 to get the percent change from baseline.

    Measured: Week 12

  2. Proportion of Subjects Achieving PASI-50 (50% Improvement From Baseline in PASI)

    The psoriasis area and severity index (PASI) combines the assessment of the severity of lesions (scaling, redness and plaque thickness) and the area affected into a single score in the range of 0.0 (no disease) to 72.0 (maximal disease). The body is divided into four sections: (1) Head and neck; (2) Upper limbs; (3) Trunk (including axillae and groin); and (4) Lower limbs (including buttocks).

    The PASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis.

    The PASI-50 response rate is defined as at least 50 percent (%) reduction in PASI score relative to Baseline.

    Measured: Week 12

  3. Proportion of Subjects Achieving PASI-90 (90% Improvement From Baseline in PASI)

    The psoriasis area and severity index (PASI) combines the assessment of the severity of lesions (scaling, redness and plaque thickness) and the area affected into a single score in the range of 0.0 (no disease) to 72.0 (maximal disease). The body is divided into four sections: (1) Head and neck; (2) Upper limbs; (3) Trunk (including axillae and groin); and (4) Lower limbs (including buttocks).

    The PASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis.

    The PASI-90 response rate is defined as at least 90 percent (%) reduction in PASI score relative to Baseline.

    Measured: Week 12

  4. Proportion of Subjects Achieving PASI-100 (100% Improvement From Baseline in PASI)

    The psoriasis area and severity index (PASI) combines the assessment of the severity of lesions (scaling, redness and plaque thickness) and the area affected into a single score in the range of 0.0 (no disease) to 72.0 (maximal disease). The body is divided into four sections: (1) Head and neck; (2) Upper limbs; (3) Trunk (including axillae and groin); and (4) Lower limbs (including buttocks).

    The PASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis.

    The PASI-100 response rate is defined as 100 percent (%) reduction in PASI score relative to Baseline.

    Measured: Week 12

  5. Proportion of Subjects Who Achieved Static Physician's Global Assessment (sPGA) Score of 0 or 1

    The sPGA of psoriasis is scored on a 5-point scale, reflecting a global consideration of the redness, thickness and scaling across all psoriatic lesions. Average redness, thickness and scaling are scored separately over the whole body according to a 5-point severity scale (0 [no symptom] to 4 [severe symptom]). The total score is calculated as average of the 3 severity (redness, thickness and scaling) scores and rounded to the nearest whole number score to determine the sPGA score (0=cleared; 1=minimal; 2=mild; 3=moderate; and 4=severe).

    For this outcome measure, a score of 0 means no symptoms of psoriasis and a score of 1 means minimal symptoms of psoriasis.

    Measured: Week 12

  6. Change From Baseline in Static Physician's Global Assessment (sPGA) Score

    The sPGA of psoriasis is scored on a 5-point scale, reflecting a global consideration of the redness, thickness and scaling across all psoriatic lesions. Average redness, thickness and scaling are scored separately over the whole body according to a 5-point severity scale (0 [no symptom] to 4 [severe symptom]). The total score is calculated as average of the 3 severity (redness, thickness and scaling) scores and rounded to the nearest whole number score to determine the sPGA score (0=cleared; 1=minimal; 2=mild; 3=moderate; and 4=severe).

    Change from baseline to Week 12 in sPGA was calculated by taking the Week 12 sPGA and subtracting the baseline sPGA.

    Measured: Week 12

  7. Percent Change From Baseline in Psoriasis Body Surface Area (BSA)

    The total body surface area (BSA) affected by plaque-type psoriasis was obtained from the percentages of areas affected, including head, trunk, upper limbs and lower limbs. Each reported percentage was multiplied by its respective body region corresponding factor (head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4) and the resulting 4 values were added up to obtain the total psoriasis BSA (Range: 0 to 100).

    BSA (%)=0.1Sh + 0.2Sh+0.3St+0.4Sl, where S=body region surface area with psoriasis: h=head; u=upper limbs; t=trunk; l=lower limbs.

    Percent change from baseline to Week 12 in BSA was calculated by taking the Week 12 BSA and subtracting the baseline BSA, then dividing by the baseline BSA and multiplying by 100.

    A negative change from baseline at Week 12 indicates a reduction in the Psoriasis BSA compared to the baseline.

    Measured: Week 12

  8. Change From Baseline in the Skindex-16 Overall Score

    Skindex-16 questionnaire contains 16 questions related to quality of life in subjects with skin disease. It consists of a short 16-item assessment completed by the subject, with each item rated on a 7-point Likert scale (0=never bothered to 6=always bothered). Each raw score is multiplied by 16.667 to transform all responses to a linear scale from 0 (no effect) to 100 (effect experienced all the time). Responses to the Skindex-16 are categorized into 3 subscales: symptom, emotional \& functional; their respective scores are expressed in a linear scale from 0 to 100. Overall scale score is an average of 16 items expressed in a linear scale from 0 to 100.

    Change from baseline to Week 12 in the Skindex-16 Overall Score was calculated by taking the Week 12 Skindex-16 Overall Score and subtracting the baseline Skindex-16 Overall Score.

    A negative change from baseline at Week 12 indicates an improvement in the subject's condition compared to the baseline.

    Measured: Week 12

  9. Change From Baseline in the Skindex-16 Symptoms Scale Score

    Skindex-16 questionnaire contains 16 questions related to quality of life in subjects with skin disease. It consists of a short 16-item assessment completed by the subject, with each item rated on a 7-point Likert scale (0=never bothered to 6=always bothered). Each raw score is multiplied by 16.667 to transform all responses to a linear scale from 0 (no effect) to 100 (effect experienced all the time). Responses to the Skindex-16 are categorized into 3 subscales: symptom, emotional \& functional; their respective scores are expressed in a linear scale from 0 to 100. Symptoms scale score is an average of items 1 to 4 expressed in a linear scale from 0 to 100.

    Change from baseline to Week 12 in the Skindex-16 Symptoms Scale Score was calculated by taking the Week 12 Skindex-16 Symptoms Scale Score and subtracting the baseline Skindex-16 Symptoms Scale Score.

    A negative change from baseline at Week 12 indicates an improvement in the subject's condition compared to the baseline.

    Measured: Week 12

  10. Change From Baseline in the Skindex-16 Emotions Scale Score

    Skindex-16 questionnaire contains 16 questions related to quality of life in subjects with skin disease. It consists of a short 16-item assessment completed by the subject, with each item rated on a 7-point Likert scale (0=never bothered to 6=always bothered). Each raw score is multiplied by 16.667 to transform all responses to a linear scale from 0 (no effect) to 100 (effect experienced all the time). Responses to the Skindex-16 are categorized into 3 subscales: symptom, emotional \& functional; their respective scores are expressed in a linear scale from 0 to 100. Emotions scale score is an average of items 5 to 11 expressed in a linear scale from 0 to 100.

    Change from baseline to Week 12 in the Skindex-16 Emotions Scale Score was calculated by taking the Week 12 Skindex-16 Emotions Scale Score and subtracting the baseline Skindex-16 Emotions Scale Score.

    A negative change from baseline at Week 12 indicates an improvement in the subject's condition compared to the baseline.

    Measured: Week 12

  11. Change From Baseline in the Skindex-16 Functioning Scale Score

    Skindex-16 questionnaire contains 16 questions related to quality of life in subjects with skin disease. It consists of a short 16-item assessment completed by the subject, with each item rated on a 7-point Likert scale (0=never bothered to 6=always bothered). Each raw score is multiplied by 16.667 to transform responses to a linear scale from 0 (no effect) to 100 (effect experienced all the time). Responses to the Skindex-16 are categorized into 3 subscales: symptom, emotional \& functional; their respective scores are expressed in a linear scale from 0 to 100. Functioning scale score is an average of items 12 to 16 expressed in a linear scale from 0 to 100.

    Change from baseline to Week 12 in the Skindex-16 Functioning Scale Score was calculated by taking the Week 12 Skindex-16 Functioning Scale Score and subtracting the baseline Skindex-16 Functioning Scale Score. A negative change from baseline at Week 12 indicates an improvement in the subject's condition compared to the baseline.

    Measured: Week 12

  12. Number of Subjects With Treatment-emergent Adverse Events

    Subjects in the Safety Population (13, subjects who were randomly assigned to treatment and who received at least one dose of study drug). The study was terminated early as per the Sponsor decision. All randomized subjects were included in the Safety Population.

    Measured: Up to 16 Weeks

  13. JTE-051 Trough Plasma Concentrations

    Trough plasma concentration is the measured concentration at the end of a dosing interval at steady state (taken directly before next administration). Blood samples were collected at specific timepoints to measure trough plasma concentrations of JTE-051 in the subjects randomized to JTE-051 treatment groups.

    Measured: Week 12

Timeline

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

  1. First posted30 Nov 2017
  2. Study start10 Nov 2017
  3. Primary completion29 Oct 2018
  4. Study completion29 Oct 2018

Why it stopped: Difficulty faced with enrollment in the study

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03358290
Sponsor's protocol ID
AE051-G-16-007
Acronym
CLEAR-PS
Status last verified
Jul 2021
First submitted
17 Nov 2017
Last updated
6 Aug 2021
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 2 study testing JTE-051 in people with Plaque Psoriasis and Skin Diseases, run by Shionogi Inc. at 16 sites in 2 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 5 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: stopped early, as of the sponsor's last update on 6 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Aug 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?

Proportion of Subjects Achieving a Minimum 75% Improvement From Baseline in the Psoriasis Area and Severity Index (PASI-75) by End-of-treatment (EOT). (time frame: Up to 12 Weeks). 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 6 Aug 2021.

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