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PsoriasisPhase 1NCT03768219

Study to Evaluate APVO210 in Healthy Subjects, Patients With Psoriasis, and Patients With Ulcerative Colitis

A Phase 1 study testing APVO210 in people with Psoriasis and Ulcerative Colitis, run by Aptevo Therapeutics at 1 site in Australia.

Terminated

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

Official record
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Trial summary

Phase 1 study in 2 stages with 2 expansion cohorts. The first stage is a single ascending dose (SAD) study of APVO210 in healthy volunteers. The second stage is a multiple ascending dose (MAD) study of APVO210 in healthy volunteers. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Psoriasis, Ulcerative Colitis
What is being tested?
APVO210
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
85 participants
Where
1 siteAustralia
Study dates
18 Mar 2019to 30 Jun 2020
Phase
Phase 1
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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Main Inclusion Criteria:
  • Age 18 to 65 years old.
  • Body mass index (BMI) > 18.5 kg/m2 and < 30.0 kg/m2; minimum body weight of 50 kg.
  • Good health and no clinically significant findings on:
  • Physical examination
  • 12-lead ECG
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  • Clinical laboratory tests (serum chemistry, haematology, coagulation, urine drug screen, and urinalysis (UA))
  • Seated systolic blood pressure (BP) 90 to 140 mm Hg.
  • Seated diastolic BP 60 to 90 mm Hg.
  • Psoriasis Patients (Expansion Cohort):
  • Main Inclusion Criteria:
  • Clinical diagnosis of chronic plaque psoriasis with a disease duration of at least 6 months; patients with concurrent psoriatic arthritis may be enrolled.
  • Psoriasis Area and Severity Index (PASI) score ≥ 12 at baseline.
  • Psoriasis plaque BSA (Body surface area) ≥ 10%
  • PGA (Physician Global Assessment) ≥ 3.
  • Age 18 to 65 years old.
  • Body mass index > 18.5 and < 35.0 kg/m2; minimum body weight of 50 kg.
  • Ulcerative Colitis Patients (Expansion Cohort):
  • Main Inclusion Criteria:
  • Moderately to severely active ulcerative colitis as defined by:
  • Baseline Mayo Score of 6 to 12; and
  • Endoscopic sub-score ≥2 as read by central reader
  • Is intolerant, refractory, or only partially responsive to corticosteroids (not including budesonide), immunomodulators (azathioprine [AZA] or 6-mercaptopurine [6-MP], and methotrexate), or biologics.
  • Age 18 to 65 years old.
  • Body mass index > 18.5 and < 35.0 kg/m2; minimum body weight of 50 kg.

Who cannot join

  • Main Exclusion Criteria
  • Clinically significant manifestation of metabolic; hepatic; renal; haematological; pulmonary; cardiovascular; gastrointestinal; musculoskeletal; dermatological; urogenital; eye, ear, nose, and throat; psychiatric; or neurological disorders.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 1.2 times the upper limit of normal (ULN) as defined by the laboratory.
  • Positive hepatitis panel (hepatitis B surface antigen [HBsAg] and anti-hepatitis C virus [HCV]) or positive human immunodeficiency virus (HIV) antibody.
  • Positive Quantiferon tuberculosis (TB) test at Screening Visit.
  • Receipt of live vaccine less than 1 month prior to Check in or plan to receive live vaccine during the study or up to 3 months following End of Treatment visit.
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  • Infection in the 4 weeks prior to Check-in that required hospitalization or parenteral antibiotics.
  • Psoriasis Patients (Expansion Cohort):
  • Main Exclusion Criteria:
  • History of malignancy, diagnosed or known to be active or actively treated within the past 5 years, other than resected lesions of low malignant potential, such as basal cell skin cancers or low risk squamous cell carcinomas of the skin.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 times the upper limit of normal (ULN) as defined by the laboratory.
  • Creatinine > 1.5 times ULN as defined by the laboratory.
  • Positive hepatitis panel (hepatitis B surface antigen [HBsAg] and anti-hepatitis C virus [HCV]) or positive human immunodeficiency virus (HIV) antibody.
  • Positive Quantiferon tuberculosis (TB) test at Screening Visit.
  • Receipt of live vaccine less than 1 month prior to Check in or plan to receive live vaccine during the study or up to 3 months following End of Treatment visit.
  • Infection in the 4 weeks prior to Check-in that required hospitalization or parenteral antibiotics.
  • Use of a prescription medication that could have an effect on psoriasis (eg, lithium, systemic steroids, immunosuppressants) during the 14 days before Check-in; use of prescription medications for psoriasis is not permitted until after the Follow-up Visit.
  • Non plaque forms of psoriasis (eg, erythrodermic, guttate, or pustular).
  • Use of biologic agents (eg, adalimumab, etanercept, infliximab, ustekinumab, ixekizumab, secukinumab, guselkumab, tildrakizumab, brodalumab) or psoralen and ultraviolet A (PUVA) within 12 weeks prior to Check-in, ultraviolet B (UVB) phototherapy, use of tanning beds, or use of systemic medications such as methotrexate, cyclosporine A, acitretin, tofacitinib or apremilast within 4 weeks prior to Check-in, or topical anti-psoriasis medications (except emollients) within 2 weeks prior to Check-in.
  • Ulcerative Colitis Patients (Expansion Cohort):
  • Main Exclusion Criteria:
  • Ulcerative colitis requiring immediate surgical, endoscopic, or radiological intervention including massive haemorrhage, perforation and sepsis, suppurative complications, or toxic colon.
  • Stool positive for Clostridium difficile toxin, enteric pathogens, or ova and parasites.
  • Positive hepatitis panel (hepatitis B surface antigen [HBsAg] and anti hepatitis C virus [HCV]) or positive human immunodeficiency virus (HIV) antibody.
  • Positive Quantiferon tuberculosis (TB) test at Screening Visit.
  • Receipt of live vaccine less than 1 month prior to Check in or plan to receive live vaccine during the study or up to 3 months following End of Treatment visit.
  • Infection in the 4 weeks prior to Check-in that required hospitalization or parenteral antibiotics.
  • Use of biologic agents (eg, adalimumab, etanercept, infliximab, ustekinumab, ixekizumab, secukinumab, guselkumab, tildrakizumab, brodalumab) or psoralen and ultraviolet A (PUVA) within 12 weeks prior to Check-in, ultraviolet B (UVB) phototherapy, use of tanning beds, or use of systemic medications such as methotrexate, cyclosporine A, acitretin, tofacitinib or apremilast within 4 weeks prior to Check-in, or topical anti-psoriasis medications (except emollients) within 2 weeks prior to Check-in.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Nucleus Network

    Melbourne, Victoria, 3004

Other trials in Australia

About this study

Official title: Phase 1 Randomized, Double-Blind, Placebo-Controlled, Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of APVO210 in Healthy Subjects, Patients With Psoriasis, and Patients With Ulcerative Colitis

Phase 1 study in 2 stages with 2 expansion cohorts. The first stage is a single ascending dose (SAD) study of APVO210 in healthy volunteers. The second stage is a multiple ascending dose (MAD) study of APVO210 in healthy volunteers. Two expansion cohorts evaluate multiple doses of APVO210 in psoriasis patients and ulcerative colitis patients.

Being tested
APVO210, Placebo
Medical subject headings
Psoriasis, Colitis, Ulcerative

What participants receive

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

  • APVO210Biological

    APVO210

  • PlaceboBiological

    Placebo is saline based IV infusion, and is identical in appearance to active study drug.

Study groups in NCT03768219
Study groupRoleWhat they receive
Stage 1 (SAD) Cohort 1Experimental6 subjects will receive 2 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 2Experimental6 subjects will receive 5 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 3Experimental6 subjects will receive 10 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 4Experimental6 subjects will receive 20 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 5Experimental6 subjects will receive 40 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 6Experimental6 subjects will receive 80 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 7Experimental6 subjects will receive 160 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 1 (SAD) Cohort 8Experimental6 subjects will receive 320 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 2 (MAD) Cohort 9Experimental8 subjects will receive 40 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 2 (MAD) Cohort 10Experimental8 subjects will receive 80 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 2 (MAD) Cohort 11Experimental8 subjects will receive 160 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Stage 2 (MAD) Cohort 12Experimental8 subjects will receive 360 mcg/kg of APVO210 2 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Expansion Cohort (Psoriasis)Experimental12 subjects will receive the starting dose for the Psoriasis Patients Expansion Cohort portion of the study will be the recommended dose from Stage 2 of the study of APVO210. It will be a dose that has been demonstrated to be safe and well tolerated by the Safety Monitoring Committee. 8 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo
Expansion Cohort (Ulcerative Colitis)Experimental12 Subjects will receive the starting dose for the Ulcerative Colitis Patients Expansion Cohort portion of the study will be the recommended dose from Stage 2 of the study of APVO210. It will be a dose that has been demonstrated to be safe and well tolerated by the Safety Monitoring Committee. 8 subjects will receive placebo
Receives: Biological: APVO210; Biological: Placebo

What is being measured

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

  1. Number of subjects with adverse events

    Measured: up to Day 29

  2. Number of subjects with clinically relevant findings in vital signs

    Measured: up to Day 29

  3. Number of subjects with significant changes from baseline laboratory measurements

    Measured: up to Day 29

  4. Number of subjects with clinically significant abnormalities in electrocardiogram (ECG) results

    Measured: up to Day 29

  5. Number of subjects with clinical significant abnormalities found on physical examination

    Measured: up to Day 29

  6. Number of subjects with adverse events

    Measured: up to Day 57

  7. Number of subjects with clinically relevant findings in vital signs

    Measured: up to Day 57

  8. Number of subjects with significant changes from baseline laboratory measurements

    Measured: up to Day 57

  9. Number of subjects with clinically significant abnormalities in electrocardiogram (ECG) results

    Measured: up to Day 57

  10. Number of subjects with clinical significant abnormalities found on physical examination

    Measured: up to Day 57

  11. Number of psoriasis patients with adverse events

    Measured: up to day 141

  12. Number of psoriasis patients with clinically relevant findings in vital signs

    Measured: up to day 141

  13. Number of psoriasis patients with significant changes from baseline laboratory measurements

    Measured: up to day 141

  14. Number of psoriasis patients with clinically significant abnormalities in electrocardiogram (ECG) results

    Measured: up to day 141

  15. Number of psoriasis patients with clinical significant abnormalities found on physical examination

    Measured: up to day 141

  16. Number of ulcerative colitis patients with adverse events

    Measured: up to day 141

  17. Number of ulcerative colitis patients with clinically relevant findings in vital signs

    Measured: up to day 141

  18. Number of ulcerative colitis patients with significant changes from baseline laboratory measurements

    Measured: up to day 141

  19. Number of ulcerative colitis patients with clinically significant abnormalities in electrocardiogram (ECG) results

    Measured: up to day 141

  20. Number of ulcerative colitis patients with clinical significant abnormalities found on physical examination

    Measured: up to day 141

Secondary outcomes (16)
  1. The number of subjects who develop anti-drug antibodies to APVO210

    Measured: Up to day 29

  2. The number of subjects who develop anti-drug antibodies to APVO210

    Measured: Up to day 57

  3. The number of psoriasis patients who develop anti-drug antibodies to APVO210

    Measured: Up to day 141

  4. The number of ulcerative colitis patients who develop anti-drug antibodies to APVO210

    Measured: Up to day 141

  5. Serum level of Peak Plasma Concentration (Cmax)

    Measured: Up to day 29

  6. Serum level of Peak Plasma Concentration (Cmax)

    Measured: Up to day 57

  7. Serum level of Peak Plasma Concentration (Cmax) in psoriasis patients

    Measured: Up to day 141

  8. Serum level of Peak Plasma Concentration (Cmax) in ulcerative colitis patients

    Measured: Up to day 141

  9. Area under the plasma concentration versus time curve (AUC)

    Measured: Up to day 29

  10. Area under the plasma concentration versus time curve (AUC)

    Measured: Up to day 57

  11. Area under the plasma concentration versus time curve (AUC) for psoriasis patients

    Measured: Up to day 141

  12. Area under the plasma concentration versus time curve (AUC) for ulcerative colitis patients

    Measured: Up to day 141

  13. Change in number of leukocytes by flow cytometry in psoriasis patients

    Measured: Up to day 141

  14. Change in number of leukocytes by flow cytometry in ulcerative colitis patients

    Measured: Up to day 141

  15. Change in cytokine levels by ex-vivo LPS stimulation assay in psoriasis patients.

    Measured: Up to day 141

  16. Change in cytokine levels by ex-vivo LPS stimulation assay in ulcerative colitis patients.

    Measured: Up to day 141

Timeline

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

  1. First posted7 Dec 2018
  2. Study start18 Mar 2019
  3. Primary completion30 Jun 2020
  4. Study completion30 Jun 2020

Why it stopped: Business decision

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
SAD: Randomized, double-blind, placebo-controlled, sequential cohort-group study with a sentinel subject design MAD: Randomized, double-blind, placebo-controlled, sequential cohort-group study Psoriasis Expansion Cohort: Randomized, double-blind, placebo-controlled study Ulcerative Colitis Expansion Cohort: Randomized, double-blind, placebo-controlled study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
85 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03768219
Sponsor's protocol ID
8001
Status last verified
May 2021
First submitted
30 Nov 2018
Last updated
19 May 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing APVO210 in people with Psoriasis and Ulcerative Colitis, run by Aptevo Therapeutics at 1 site in Australia.

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 25 inclusion and 28 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 19 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 was stopped early (reason given: Business decision). Results are not available in the source record.

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?

Number of subjects with adverse events (time frame: up to Day 29). The study lists 20 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 19 May 2021.

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