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Plaque PsoriasisPhase 2INDUS-3NCT04855721

A Dose-Ranging Phase II Study of AUR101 in Psoriasis (INDUS-3)

A Phase 2 study testing AUR101 in people with Plaque Psoriasis, run by Aurigene Discovery Technologies Limited at 25 sites in United States.

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

A Phase II, Multicenter, Double-blind, Double-dummy, Placebo controlled, Randomized Study to Evaluate the Efficacy and Safety of AUR101 in patients with Moderate-to-Severe Psoriasis (INDUS-3) Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Plaque Psoriasis
What is being tested?
AUR101
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
141 participants
Where
25 sitesUnited States
Study dates
4 May 2021to 10 Dec 2022
Phase
Phase 2
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of chronic plaque-type psoriasis, diagnosed at least 6 months before screening
  • Psoriasis of at least moderate severity, defined as PASI≥12 and involved BSA≥10 % at screening and Day 1
  • Static 5-point IGA modified [mod] 2011 scale of 3 or higher at screening and Day 1
  • Adult males or females, ≥ 18 to ≤ 70 years of age
  • Ability to communicate well with the investigator and to comply with the requirements of the entire study
  • Willingness to give written informed consent (prior to any study related procedures being performed) and ability to adhere to the study restrictions and assessments schedule

Who cannot join

  • History of erythrodermic, guttate or pustular psoriasis within last 12 months
  • BMI < 18 or > 40
  • History of lack of response to ustekinumab, secukinumab or ixekizumab (or any therapeutic agent targeted to IL12, IL-17 or IL-23) at approved doses after at least 3 months of therapy
  • Current treatment or history of treatment for psoriasis with any investigational or approved IL-17, IL-12 or IL-23 antagonist biological agents (e.g. secukinumab, briakinumab, tildrakizumab, ustekinumab etc.) within 6 months prior to the first administration of study drug.
  • Current treatment or history of treatment for psoriasis with other investigational or approved biological agents (e.g. anti-TNFα inhibitors - adalimumab, etanercept, infliximab, alefacept etc.) within 3 months prior to the first administration of study drug
  • Current treatment or history of treatment for psoriasis with non-biological systemic medications or immunomodulators (including systemic steroids, apremilast, methotrexate, cyclosporine, acitretin, etc.) or phototherapy within 4 weeks prior to the first administration of study drug.
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  • Treatment with medicated topical agents (having active pharmaceutical ingredient that can impact or interfere with the effect of the study drug) within 2 weeks prior to the first administration of study drug.
  • Evidence of organ dysfunction (e.g. liver dysfunction ≥ 1.5 X of ULN for ALT, AST or ALP or Total Bilirubin, or renal dysfunction of ≥ 1.5X of ULN of serum creatinine)
  • Any surgery requiring general anesthesia within 3 months prior to screening
  • History of malignancy within last 5 years except patients with non-melanoma skin cancer or carcinoma in situ of cervix who can participate in the study. Adequately treated cutaneous basal or squamous cell carcinoma are allowed.
  • Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV Ab) at screening
  • Patient with known history of systemic tuberculosis or currently suspected or known to have active tuberculosis
  • Patient expected to be started on anti-tubercular therapy either for treatment or prophylaxis of tuberculosis
  • Suspected tuberculosis infection as evident from a positive QuantiFERON TB-Gold test (QFT) or Mantoux test (MT) at screening. Patients with a positive QFT or MT may participate in the study if further work up as per the opinion of the investigator (like Chest X-ray or CT scan of Chest or other locally acceptable method for diagnosing active tuberculosis) establishes that patient does not have active tuberculosis. Patients with latent tuberculosis should not be enrolled except when they are not planned to start prophylaxis for tuberculosis during the study period.
  • History of hypersensitivity or idiosyncratic reaction to any investigational ROR-gamma inhibitors or any of the excipients of study drug
  • History of alcohol or substance abuse that will affect compliance to study procedures/schedule as per Investigator opinion
  • Any previous gastrointestinal surgery or recent (within 3 months) / current history of gastrointestinal disease, that in the opinion of investigator, could impact the absorption of the study drug
  • Positive pregnancy test for women of child-bearing potential (WOCBP) at the screening or randomization visit
  • Male patients who are sexually active with WOCBP, not willing to use reliable contraception methods as mentioned in section 8.14
  • Lactating women or WOCBP who are neither surgically sterilized nor willing to use reliable contraceptive methods (hormonal contraceptive, IUD or any double combination of male or female condom, spermicidal gel, diaphragm, sponge, cervical cap). Please see section 8.14 for acceptable contraceptive practices
  • Has received any investigational biologic agents within 3 months or 5 half-lives (whichever is longer) prior to the first administration of study drug
  • Has received another new chemical entity/non-biologic investigational drug within 28 days or 5 half-lives of investigational drug (whichever is longer) prior to study day 1
  • History of other auto-immune disorders (except psoriasis and psoriatic arthritis) where treatment with systemic immunosuppressants is required
  • History of active infection and/or febrile illness within 7 days prior to Day 1. The infection adequately treated by antibiotics during the screening period as per investigator opinion will be allowed to undergo randomization, provided patient is stable for at least 7 days before randomization
  • Current swab-positive or suspected (under investigation) Covid-19 infection or fever and other signs or symptoms suggestive of Covid-19 infection with recent contact of person(s) with confirmed Covid-19 infection, at screening or Day 1
  • History or presence of any major medical illness (e.g. renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, immunologic, or local active infection/infectious illness) or psychiatric disease, or clinically significant laboratory / ECG abnormalities at screening, any or a combination of illnesses, which, in the opinion of the PI, may either put the patient at risk because of participation in the study, or influence the results or the patient's ability to participate in the study
  • History of any unstable cardiac (including Class III or IV congestive heart failure by New York Heart Association Criteria), respiratory, hepatic, renal or other systemic conditions within 3 months prior to first study drug administration
  • Use of herbal remedies, mega dose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of study drug
  • Patients who have received live attenuated vaccine in the 4 weeks prior to the first administration of study drug -

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

United States25 sites
  • Great Lakes Research Group, Inc

    Bay City, Michigan, 48706

  • Moore Clinical Research, Inc.

    Brandon, Florida, 33511

  • Skin Research Institute

    Coral Gables, Florida, 33146

  • Dermatology Treatment & Research Center

    Dallas, Texas, 75230

  • Accel Research Sites - Deland CRU

    DeLand, Florida, 32720

  • FXM Clinical Research Fort Lauderdale

    Fort Lauderdale, Florida, 33308

  • Johnson Dermatology

    Fort Smith, Arkansas, 72916

  • First OC Dermatology

    Fountain Valley, California, 92708

  • Direct Helpers Research Center

    Hialeah, Florida, 33012

  • Abys New Generation Research Inc.

    Hialeah, Florida, 33016

  • Dawes Fretzin Clinical Research Group, LLC

    Indianapolis, Indiana, 46250

  • Dermatology Research Associates

    Los Angeles, California, 90045

  • FXM Clinical Research Miami LLC

    Miami, Florida, 33175

  • Floridian Reserach

    Miami, Florida, 33179

  • FXM Clinical Research Miramar LLC

    Miramar, Florida, 33027

  • The Dermatology Specialists

    New York, New York, 10012

  • Sadick Research Group

    New York, New York, 10075

  • Paddington Testing Co, Inc

    Philadelphia, Pennsylvania, 19103

  • Northwest AR Clinical Trials Center

    Rogers, Arkansas, 72758

  • Medisearch Clinical Trials

    Saint Joseph, Missouri, 64506

  • University Clinical Trials, Inc.

    San Diego, California, 92123

  • Clinical Science Institute

    Santa Monica, California, 90404

  • Unison Clinical Trials

    Sherman Oaks, California, 91403

  • Lenus Research & Medical Group, LLC

    Sweetwater, Florida, 33172

  • Center for Clinical Studies Ltd., LLP.

    Webster, Texas, 77598

Other trials in United States

About this study

Official title: A Phase II, Multicenter, Double-blind, Double-dummy, Placebo Controlled, Randomized Study to Evaluate the Efficacy and Safety of AUR101 in Patients With Moderate-to-Severe Psoriasis (INDUS-3)

A Phase II, Multicenter, Double-blind, Double-dummy, Placebo controlled, Randomized Study to Evaluate the Efficacy and Safety of AUR101 in patients with Moderate-to-Severe Psoriasis (INDUS-3)

Read the detailed description

This will be a multicenter, double-blind, double-dummy, placebo controlled, randomized study to evaluate the efficacy and safety of AUR101 in patients with moderate-to-severe psoriasis.

Approximately 128 patients with chronic moderate-to-severe plaque psoriasis (defined as Psoriasis Area and Severity Index (PASI) ≥12 and Body Surface Area (BSA) involved ≥10%) will be randomized to four groups (three dose groups of AUR101 and one placebo group) in the ratio of 1:1:1:1.

The patients in each arm will receive AUR101 of 200 mg twice daily, 400 mg twice daily, 400 mg once daily or matching placebo for 16 weeks in a double blind, double dummy fashion. All patients will be followed up for 14 ± 2 days of their last dose for safety assessment.

Being tested
AUR101, Placebo
Keywords
psoriasis, AUR101, ROR, RORgamma, RORgamma inverse agonist, RORgamma inhibitor
Medical subject headings
Psoriasis

What participants receive

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

  • AUR101Drug

    Oral ROR-gamma inverse agonist

  • PlaceboDrug

    Placebo

Study groups in NCT04855721
Study groupRoleWhat they receive
AUR101 400 mg PO BIDExperimentalPatients will receive AUR101 / placebo in double blind, double dummy manner
Receives: Drug: AUR101
AUR101 200 mg PO BIDExperimentalPatients will receive AUR101 / placebo in double blind, double dummy manner
Receives: Drug: AUR101
AUR101 400 mg PO QDExperimentalPatients will receive AUR101 / placebo in double blind, double dummy manner
Receives: Drug: AUR101
PlaceboPlacebo comparatorPatients will receive AUR101 / placebo in double blind, double dummy manner
Receives: Drug: Placebo

What is being measured

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

  1. Proportion of patients achieving PASI 75 response (i.e. 75 percent reduction from baseline PASI [Psoriasis Area and Severity Index] score) at the end of week 12.

    PASI-75; A higher proportion of patients reaching PASI-75 means betterment in higher proportion of patients

    Measured: Week 12

Secondary outcomes (19)
  1. Proportion of patients achieving PASI 75 response (i.e. 75 percent reduction from baseline PASI [Psoriasis Area and Severity Index] score) at the end of week 4 and 8

    PASI-75; A higher proportion of patients reaching PASI-75 means betterment in higher proportion of patients

    Measured: Week 4 and Week 8

  2. Proportion of patients achieving PASI 50, PASI 90 and PASI 100 response at week 12.

    PASI-50, PASI-90, PASI-100; A higher proportion of patients reaching PASI-50, PASI-90 or PASI-100 means betterment in higher proportion of patients

    Measured: Week 12

  3. Proportion of patients achieving IGA 0 or 1 at week 12

    IGA (Investigator's Global Assessment); Lower scores are better

    Measured: Week 12

  4. Percent change from baseline in PASI score at week 12

    Percent Change in PASI from baseline

    Measured: Week 12

  5. Percent change from baseline to week 12 in percent BSA involved

    Percent Change in BSA (body surface area) from baseline

    Measured: Week 12

  6. Proportion of patients achieving DLQI score of 0 or 1 at week 12

    DLQI (Dermatology Life Quality Index) Score; Lower scores are better; Maximum score of 30 and minimum of 0

    Measured: Week 12

  7. Plasma Pharmacokinetic parameters at week 4

    Cmax (maximum Plasma concentration)

    Measured: Week 4

  8. Plasma Pharmacokinetic parameters at week 4

    AUC0-8 (Area Under The Curve for 8 hours) after morning drug administration

    Measured: Week 4

  9. Nature and incidence of Treatment Emergent Adverse Events (TEAEs)

    All Adverse Events which occur from the administration of study drug

    Measured: From Day 1 through Follow Up Visit at Week 14

  10. Changes in Blood Pressure

    Both systolic and diastolic Blood Pressure changes during trial will be measured

    Measured: From Day 1 through Follow Up Visit at Week 14

  11. Changes in Pulse Rate

    Pulse Rate changes during trial

    Measured: From Day 1 through Follow Up Visit at Week 14

  12. Changes in Temperature

    Body temperature changes during trial

    Measured: From Day 1 through Follow Up Visit at Week 14

  13. Changes in Respiratory Rate

    Respiratory Rate changes during trial

    Measured: From Day 1 through Follow Up Visit at Week 14

  14. Changes in PR interval in ECG (Electro Cardio Gram)

    Changes in PR Interval

    Measured: Week 14 (Follow Up Visit)

  15. Changes in QRS interval in ECG (Electro Cardio Gram)

    Changes in QRS Interval

    Measured: Week 14 (Follow Up Visit)

  16. Changes in QTc interval in ECG (Electro Cardio Gram)

    Changes in QTc Interval

    Measured: Week 14 (Follow Up Visit)

  17. Changes in CBC (Complete Blood Count)

    Complete Blood Count (CBC)

    Measured: From Day 1 through Follow Up Visit at Week 14

  18. Changes in Liver Function Tests

    Liver Function Tests (AST, ALT, Total Bilirubin)

    Measured: From Day 1 through Follow Up Visit at Week 14

  19. Changes in weight

    Weight (in pounds) will be measured at all visits and change in weight (in pounds) will be presented

    Measured: From Day 1 through Follow Up Visit at Week 14

Timeline

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

  1. First posted22 Apr 2021
  2. Study start4 May 2021
  3. Primary completion30 Nov 2022
  4. Study completion10 Dec 2022

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
Model description
There are 4 groups in the study; 1 with placebo and 3 with different AUR101 dosing regimens
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
141 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04855721
Sponsor's protocol ID
AUR101-202
Acronym
INDUS-3
Status last verified
Dec 2022
First submitted
15 Apr 2021
Last updated
13 Dec 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Only IPD (such as SUSAR) required by FDA and IRBs will be shared with other researchers. Aggregate data will be shared with all researchers.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AUR101 in people with Plaque Psoriasis, run by Aurigene Discovery Technologies Limited at 25 sites in United States.

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 29 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 13 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States. 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 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?

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?

Proportion of patients achieving PASI 75 response (i.e. 75 percent reduction from baseline PASI [Psoriasis Area and Severity Index] score) at the end of week 12. (time frame: Week 12). 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 Dec 2022.

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