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Psoriasis VulgarisPhase 4ADJUSTNCT04306315

Adjusted Brodalumab Dose Compared With Standard Brodalumab Dose in Subjects With Moderate-to-severe Plaque Psoriasis and ≥120 kg Body Weight

A Phase 4 study testing Brodalumab in people with Psoriasis Vulgaris, run by LEO Pharma at 81 sites in 11 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 study investigates if an adjusted brodalumab dosage regimen will give improved efficacy in psoriasis in patients with a body weight of over 120 kg. The increased dosage regimen will be compared to the standard brodalumab treatment plus placebo. Read more about this study

Who is it for?
Ages 18 to 74 years
Conditions the study is for
Psoriasis Vulgaris
What is being tested?
Brodalumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
385 participants
Where
81 sitesin 11 countries
Study dates
21 Jul 2022to 5 Jan 2026
Phase
Phase 4
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 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed and dated informed consent has been obtained prior to any protocol-related procedures.
  • Age ≥18 to <75 years at the time of screening.
  • Diagnosed with chronic plaque psoriasis at least 6 months before randomisation.
  • Body weight ≥120 kg at the time of screening.
  • Moderate-to-severe plaque psoriasis as defined by: BSA ≥10% and PASI ≥12 at screening and baseline.
  • No evidence of active or latent tuberculosis according to local standard of care.

Who cannot join

  • Diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, or other skin conditions (e.g., eczema) that would interfere with evaluations of the effect of the investigational medicinal product (IMP) on participants with plaque psoriasis.
  • Clinically important active infections or infestations, chronic, recurrent or latent infections or infestations, or is immunocompromised (e.g., human immunodeficiency virus, hepatitis B, and hepatitis C).
  • Any systemic disease considered by the investigator to be uncontrolled and either immunocompromising the participants and/or placing the participant at undue risk of intercurrent diseases (including, but not limited to, renal failure, heart failure, liver disease, diabetes, and anaemia).
  • History of Crohn's disease.
  • Myocardial infarction or stroke, or unstable angina pectoris within the past 12 months.
  • Any active malignancy.
Show all 10Show fewer
  • History of malignancy within 5 years, except for treated and considered cured cutaneous squamous or basal cell carcinoma, in situ cervical cancer, or in situ breast ductal carcinoma.
  • History of suicidal behaviour (i.e., 'actual suicide attempt', 'interrupted attempt', 'aborted attempt', or 'preparatory acts or behaviour') based on the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire at screening or at baseline.
  • Any suicidal ideation of category 4 or 5 ('active suicidal ideation with some intent to act, without specific plan' or ' active suicidal ideation with specific plan and intent') based on the C-SSRS questionnaire at screening or at baseline.
  • A Patient Health Questionnaire (PHQ)-8 score of ≥10 corresponding to moderate-to-severe depression at screening or at baseline.

Trial locations and contacts

81 sites in 11 countries.

81 sites in 11 countries

Germany14 sites
  • LEO Pharma Investigational Site

    Bad Bentheim, 48455

  • LEO Pharma Investigational Site

    Berlin, State of Berlin, 10117

  • LEO Pharma Investigational Site

    Bielefeld, 33647

  • LEO Pharma Investigational Site

    Hamburg, 20246

  • LEO Pharma Investigational Site

    Kiel, Schleswig-Holstein, 24105

  • LEO Pharma Investigational Site

    Langenau, Baden-Wurttemberg, 89129

  • LEO Pharma Investigational Site

    Limburg an der Lahn, Hesse, 56242

  • LEO Pharma Investigational Site

    Lohne, Lower Saxony, 49393

  • LEO Pharma Investigational Site

    Mainz, Rhineland-Palatinate, 55128

  • LEO Pharma Investigational Site

    Memmingen, 87700

  • LEO Pharma Investigational Site

    Münster, 48149

  • LEO Pharma Investigational Site

    Oldenburg, 26133

  • LEO Pharma Investigational Site

    Osnabrück, 49074

  • LEO Pharma Investigational Site

    Wiesbaden, Hesse, 65189

Other trials in Germany

Poland13 sites
  • LEO Pharma Investigational Site

    Iwonicz-Zdrój, 38-440

  • LEO Pharma Investigational Site

    Lodz, 90-242

  • LEO Pharma Investigational Site

    Lodz, 90-436

  • LEO Pharma Investigational Site

    Lublin, 20-362

  • LEO Pharma Investigational Site

    Lublin, 20-412

  • LEO Pharma Investigational Site

    Poznan, 60-529

  • LEO Pharma Investigational Site

    Skierniewice, 96-100

  • LEO Pharma Investigational Site

    Warsaw, 02-482

  • LEO Pharma Investigational Site

    Warsaw, 02-758

  • LEO Pharma Investigational Site

    Warsaw, 02-801

  • LEO Pharma Investigational Site

    Wroclaw, 50-566

  • LEO Pharma Investigational Site

    Wroclaw, 51-318

  • LEO Pharma Investigational Site

    Wroclaw, 52-416

Other trials in Poland

Italy11 sites
  • LEO Pharma Investigational Site

    Ancona, 60020

  • LEO Pharma Investigational Site

    Bologna, 40138

  • LEO Pharma Investigational Site

    Brescia, 25123

  • LEO Pharma Investigational Site

    Coppito, 67100

  • LEO Pharma Investigational Site

    Modena, 41124

  • LEO Pharma Investigational Site

    Naples, 80131

  • LEO Pharma Investigational Site

    Parma, 43126

  • LEO Pharma Investigational Site

    Pavia, 27100

  • LEO Pharma Investigational Site

    Roma, 00133

  • LEO Pharma Investigational Site

    Roma, 00168

  • LEO Pharma Investigational Site

    Rozzano, 20089

Other trials in Italy

Spain11 sites
  • LEO Pharma Investigational Site

    Alicante, 03010

  • LEO Pharma Investigational Site

    Badalona, 08916

  • LEO Pharma Investigational Site

    Barcelona, 08025

  • LEO Pharma Investigational Site

    Barcelona, 08035

  • LEO Pharma Investigational Site

    Granada, 18014

  • LEO Pharma Investigational Site

    Manises, 46940

  • LEO Pharma Investigational Site

    Pontevedra, 36001

  • LEO Pharma Investigational Site

    Pozuelo de Alarcón, 28223

  • LEO Pharma Investigational Site

    Santiago de Compostela, 15706

  • LEO Pharma Investigational Site

    Valencia, 46014

  • LEO Pharma Investigational Site

    Villajoyosa, 03570

Other trials in Spain

United Kingdom9 sites
  • LEO Pharma Investigational Site

    Chorley, PR7 7NA

  • LEO Pharma Investigational Site

    Corby, NN17 2UR

  • LEO Pharma Investigational Site

    Corby, NN18 9EZ

  • LEO Pharma Investigational Site

    Coventry, CV3 4FJ

  • LEO Pharma Investigational Site

    Liverpool, L22 0LG

  • LEO Pharma Investigational Site

    London, BR5 3QG

  • LEO Pharma Investigational Site

    London, E1 2ES

  • LEO Pharma Investigational Site

    Northwood, HA6 2RN

  • LEO Pharma Investigational Site

    Shipley, BD18 35A

Other trials in United Kingdom

Greece7 sites
  • LEO Pharma Investigational Site

    Athens, 115 25

  • LEO Pharma Investigational Site

    Athens, 16121

  • LEO Pharma Investigational Site

    Heraklion, Crete, 711 10

  • LEO Pharma Investigational Site

    Piraeus, 185 36

  • LEO Pharma Investigational Site

    Thessaloniki, 546 43

  • LEO Pharma Investigational Site

    Thessaloniki, 54643

  • LEO Pharma Investigational Site

    Thessaloniki, 56403

Other trials in Greece

Belgium4 sites
  • LEO Pharma Investigational Site

    Brussels, 1200

  • LEO Pharma Investigational Site

    Ham-sur-Heure-Nalinnes, 6120

  • LEO Pharma Investigational Site

    Leuven, 3000

  • LEO Pharma Investigational Site

    Liège, B-4000

Other trials in Belgium

France4 sites
  • LEO Pharma Investigational Site

    Amiens, Somme, 80054

  • LEO Pharma Investigational Site

    Saint-Priest-en-Jarez, 42270

  • LEO Pharma Investigational Site

    Toulouse, 31059

  • LEO Pharma Investigational Site

    Valence, 13616

Other trials in France

Hungary4 sites
  • LEO Pharma Investigational Site

    Debrecen, 4032

  • LEO Pharma Investigational Site

    Orosháza, 5900

  • LEO Pharma Investigational Site

    Szolnok, 5000

  • LEO Pharma Investigational Site

    Veszprém, 8200

Other trials in Hungary

Czechia3 sites
  • LEO Pharma Investigational Site

    Kutná Hora, 284 01

  • LEO Pharma Investigational Site

    Nový Jičín, 741 01

  • LEO Pharma Investigational Site

    Plzen-Bory, 305 99

Other trials in Czechia

Netherlands1 site
  • LEO Pharma Investigational Site

    Beek, 6191 JW

Other trials in Netherlands

About this study

Official title: Adjustable Brodalumab Dosage Regimen Compared With Standard Brodalumab Treatment for 52 Weeks in Subjects With Moderate-to-severe Plaque Psoriasis and ≥120 kg Body Weight

This study investigates if an adjusted brodalumab dosage regimen will give improved efficacy in psoriasis in patients with a body weight of over 120 kg. The increased dosage regimen will be compared to the standard brodalumab treatment plus placebo.

Read the detailed description

Brodalumab is an anti-IL-17 receptor antibody and blocks the inflammatory effects of IL-17 in the skin. Some psoriasis patients with a higher body weight experienced a lower treatment effect of brodalumab in clinical studies. Therefore, the purpose of this study is to investigate if increasing the dose of brodalumab will increase the effect of treatment for patients with a higher body weight. The study will run over 60-62 weeks, including screening, treatment period and safety follow-up, with the primary endpoint measurement at Week 40. Patients will receive subcutaneous injections of brodalumab at Week 0, 1, and 2, followed by injections every 2 weeks. Participants not fulfilling a predefined response at any time after Week 16 will receive a dose adjustment to 280 mg brodalumab or 210 mg brodalumab plus placebo every 2 weeks.

Being tested
Brodalumab

What participants receive

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

  • BrodalumabBiological

    Brodalumab is an anti-IL-17 receptor antibody, which blocks the inflammatory effects of IL-17 in the skin.

Study groups in NCT04306315
Study groupRoleWhat they receive
Brodalumab 210 mg + brodalumab 70 mg add-on* (adjusted brodalumab dosing regimen)ExperimentalParticipants will receive 210 mg brodalumab subcutaneously at Week 0, Week 1, and Week 2, and then once every 2 weeks. *Participants not fulfilling a predefined response at any visit with efficacy assessments after Week 16 will receive a dose adjustment to 280 mg brodalumab every 2 weeks.
Receives: Biological: Brodalumab
Brodalumab 210 mg + placebo add-on* (standard brodalumab treatment)Placebo comparatorParticipants will receive 210 mg brodalumab subcutaneously at Week 0, Week 1, and Week 2, and then once every 2 weeks. *Participants not fulfilling a predefined response at any time visit with efficacy assessments Week 16 will receive a dose adjustment to 210 mg brodalumab + placebo every 2 weeks.
Receives: Biological: Brodalumab

What is being measured

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

  1. Having at least 90% lower Psoriasis Area and Severity Index (PASI) score relative to baseline (PASI 90 response) at Week 40.

    The PASI score is the most widely used tool in clinical practice and clinical trials to assess the severity and extent of psoriasis. The assessment is done based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. The investigator will assess the severity of 3 psoriasis disease characteristics (redness, thickness, and scaliness) on each of the 4 body regions, head/neck, trunk, upper extremities, and lower extremities, according to a severity scale. The investigator will also assess the extent of psoriasis within each of the 4 body regions. This gives a composite score ranging from 0-72, with higher values indicating a more severe and/or more extensive condition.

    Measured: Week 40

Secondary outcomes (14)
  1. Having static Physician's Global Assessment (sPGA) score of 0 or 1 at Week 40

    The sPGA is an instrument used in clinical trials to rate the severity of the participant's global psoriasis and is based on a 6-point scale ranging from 0 (clear) to 5 (very severe).

    Measured: Week 40

  2. Having PASI 90 response at Week 52

    The PASI score is the most widely used tool in clinical practice and clinical trials to assess the severity and extent of psoriasis. The assessment is done based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. The investigator will assess the severity of 3 psoriasis disease characteristics (redness, thickness, and scaliness) on each of the 4 body regions, head/neck, trunk, upper extremities, and lower extremities, according to a severity scale. The investigator will also assess the extent of psoriasis within each of the 4 body regions. This gives a composite score ranging from 0-72, with higher values indicating a more severe and/or more extensive condition. PASI 90 is defined as at least 90% improvement in PASI relative to baseline.

    Measured: Week 52

  3. Having sPGA score of 0 or 1 at Week 52

    The sPGA is an instrument used in clinical trials to rate the severity of the participant's global psoriasis and is based on a 6-point scale ranging from 0 (clear) to 5 (very severe).

    Measured: Week 52

  4. Having sPGA of genitalia (sPGA-G) score of 0 or 1 at both Week 40 and Week 52

    The sPGA-G score is based on a combination of erythema and the secondary features (plaque elevation and/or scale) and it is used to rate the severity of the participant's psoriasis of the genitalia on a 6-point scale ranging from 0 (clear) to 5 (very severe).

    Measured: Week 40 and 52

  5. Having sPGA of genitalia (sPGA-G) score of 0 or 1 at Week 40

    The sPGA-G score is based on a combination of erythema and the secondary features (plaque elevation and/or scale) and it is used to rate the severity of the participant's psoriasis of the genitalia on a 6-point scale ranging from 0 (clear) to 5 (very severe).

    Measured: Week 40

  6. Having sPGA-G score of 0 or 1 at Week 52

    The sPGA-G score is based on a combination of erythema and the secondary features (plaque elevation and/or scale) and it is used to rate the severity of the participant's psoriasis of the genitalia on a 6-point scale ranging from 0 (clear) to 5 (very severe).

    Measured: Week 52

  7. Having PASI 100 response at Week 40

    The PASI score is the most widely used tool in clinical practice and clinical trials to assess the severity and extent of psoriasis. The assessment is done based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. The investigator will assess the severity of 3 psoriasis disease characteristics (redness, thickness, and scaliness) on each of the 4 body regions, head/neck, trunk, upper extremities, and lower extremities, according to a severity scale. The investigator will also assess the extent of psoriasis within each of the 4 body regions. This gives a composite score ranging from 0-72, with higher values indicating a more severe and/or more extensive condition. PASI 100 is defined as 100% improvement in PASI relative to baseline.

    Measured: Week 40

  8. Having PASI 100 response at Week 52

    The PASI score is the most widely used tool in clinical practice and clinical trials to assess the severity and extent of psoriasis. The assessment is done based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. The investigator will assess the severity of 3 psoriasis disease characteristics (redness, thickness, and scaliness) on each of the 4 body regions, head/neck, trunk, upper extremities, and lower extremities, according to a severity scale. The investigator will also assess the extent of psoriasis within each of the 4 body regions. This gives a composite score ranging from 0-72, with higher values indicating a more severe and/or more extensive condition. PASI 100 is defined as 100% improvement in PASI relative to baseline.

    Measured: Week 52

  9. Change from baseline at Weeks 40 and 52 in PASI score

    The PASI score is the most widely used tool in clinical practice and clinical trials to assess the severity and extent of psoriasis. The assessment is done based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. The investigator will assess the severity of 3 psoriasis disease characteristics (redness, thickness, and scaliness) on each of the 4 body regions, head/neck, trunk, upper extremities, and lower extremities, according to a severity scale. The investigator will also assess the extent of psoriasis within each of the 4 body regions. This gives a composite score ranging from 0-72, with higher values indicating a more severe and/or more extensive condition.

    Measured: Week 40 and 52

  10. Change from baseline at Weeks 40 and 52 in affected body surface area (BSA)

    To assess the full BSA with psoriatic involvement, the investigator will use the surface area of the participant's hand (palm and fingers) as a reference measurement to determine the percentage of the body surface area that is affected by psoriasis. One hand is approximately equal to 1% total BSA.

    Measured: Week 40 and 52

  11. Having Dermatology Life Quality Index (DLQI) total score of 0 or 1 at Week 40

    The Dermatology Life Quality Index (DLQI) is a validated questionnaire with content specific to those with dermatology conditions. The DLQI consists of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their HQoL 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 HQoL.

    Measured: Week 40

  12. Having DLQI total score of 0 or 1 at Week 52

    The Dermatology Life Quality Index (DLQI) is a validated questionnaire with content specific to those with dermatology conditions. The DLQI consists of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their HQoL 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 HQoL.

    Measured: Week 52

  13. Change from baseline at Weeks 40 and 52 in DLQI total score

    The Dermatology Life Quality Index (DLQI) is a validated questionnaire with content specific to those with dermatology conditions. The DLQI consists of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their health-related quality of life (HrQoL) over the last week such as dermatology-related symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the treatment (10). 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 HrQoL.

    Measured: Week 40 and 52

  14. Number of Participants Experiencing Adverse Events (AEs) up to Week 58.

    Measured: Week 58

Timeline

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

  1. First posted12 Mar 2020
  2. Study start21 Jul 2022
  3. Primary completion25 Aug 2025
  4. Study completion5 Jan 2026

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
385 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04306315
Sponsor's protocol ID
LP0160-1329
Other IDs
2017-004998-13, U1111-1282-4507, 2023-509668-11-00, 2023, 2017
Acronym
ADJUST
Status last verified
Jan 2026
First submitted
11 Mar 2020
Last updated
24 Apr 2026
Results posted
No
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 in people with Psoriasis Vulgaris, run by LEO Pharma at 81 sites in 11 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 6 inclusion and 10 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 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in Germany, Poland, Italy, Spain, United Kingdom and 6 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 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?

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?

Having at least 90% lower Psoriasis Area and Severity Index (PASI) score relative to baseline (PASI 90 response) at Week 40. (time frame: Week 40). 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 24 Apr 2026.

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