Moderate to Severe Plaque PsoriasisPhase 2NCT04999839
Study of NDI-034858 in Participants With Moderate to Severe Plaque Psoriasis
A Phase 2 study testing NDI-034858 study drug in people with Moderate to Severe Plaque Psoriasis, run by Takeda at 69 sites in 2 countries.
Trial summary
This is a Phase 2b, randomized, multicenter, double-blind, placebo-controlled, multiple-dose study designed to evaluate the efficacy, safety, and tolerability of NDI-034858 in participants 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
- Moderate to Severe Plaque Psoriasis
- What is being tested?
- NDI-034858 study drug
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 259 participants
- Where
- 69 sitesin 2 countries
- Study dates
- 11 Aug 2021to 12 Sep 2022
- 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
- In order to be eligible to participate in this study, a participant must meet all of the following criteria, either at the screening and Day 1 visits or only at one of the specified visits (screening or Day 1) as noted in the criterion:
- Male or female participant aged 18 to 70 years, inclusive, at the time of consent.
- Participant has a history of plaque psoriasis for at least 6 months prior to the screening visit.
- Participant had no significant flare in psoriasis for at least 3 months before screening (information obtained from medical chart or participant's physician, or directly from the participant).
- Participant has moderate to severe plaque psoriasis as defined by a PASI score ≥ 12 and a PGA score ≥ 3 at screening and Day 1.
- Participant has plaque psoriasis covering ≥ 10% of his or her total BSA at screening and Day 1.
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- Participant must be a candidate for phototherapy or systemic therapy.
- For female participants of childbearing potential involved in any sexual intercourse that could lead to pregnancy: the participant must agree to use a highly effective contraceptive method from at least 4 weeks prior to Day 1 until at least 4 weeks after the last study product administration. Highly effective contraceptive methods include hormonal contraceptives (eg, combined oral contraceptive, patch, vaginal ring, injectable, or implant), intrauterine devices or intrauterine systems, vasectomized partner(s) (provided vasectomy was performed ≥ 4 months prior to screening), bilateral tubal ligation or occlusion, or double barrier methods of contraception (eg, male condom with cervical cap, male condom with diaphragm, and male condom with contraceptive sponge) in conjunction with spermicide.
- Female participants of childbearing potential have had a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1.
- For male participants involved in any sexual intercourse that could lead to pregnancy, participant must agree to use one of the highly effective contraceptive methods listed in Inclusion Criterion 6, from Day 1 until at least 12 weeks after the last study product administration. If the female partner of a male participant uses any of the hormonal contraceptive methods listed above, this contraceptive method should be used by the female partner from at least 4 weeks before Day 1 until at least 12 weeks after the last study product administration.
- Participant has a BMI within the range of 18 to 42 kg/m2, inclusive (BMI = weight [kg]/[height (m)]2), and total body weight >50 kg (110 lb).
- Participant is willing to participate and is capable of giving informed consent. Note: Consent must be obtained prior to any study-related procedures.
- Participant must be willing to comply with all study procedures and must be available for the duration of the study.
Who cannot join
- A participant who meets any of the following criteria at the screening and/or Day 1 visits, as applicable, will be excluded from participation in this study:
- Participant is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
- Participant has evidence of erythrodermic, pustular, predominantly guttate psoriasis, or drug induced psoriasis.
- Participant has a history of skin disease or presence of skin condition that, in the opinion of the investigator, would interfere with the study assessments.
- Participant has immune-mediated conditions commonly associated with psoriasis, such as psoriatic arthritis, uveitis, inflammatory bowel disease, that require systemic treatment (including corticosteroids, immunosuppressants, or biologics). Note: Participants with immune-mediated conditions that do not require systemic treatment may be included in the study. Certain therapies such as NSAIDs may be permitted, but should be discussed with the Medical Monitor prior to determination of participant eligibility.
- Participant has any clinically significant medical condition, evidence of an unstable clinical condition (eg, cardiovascular, renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, immunologic, or local active infection/infectious illness), psychiatric condition, or vital signs/physical/laboratory/ECG abnormality that would, in the opinion of the investigator, put the participant at undue risk or interfere with interpretation of study results.
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- Participant had a major surgery within 8 weeks prior to Day 1 or has a major surgery planned during the study.
- Participant has a history of Class III or IV congestive heart failure as defined by New York Heart Association Criteria.
- Participant has been hospitalized in the past 3 months for asthma, has ever required intubation for treatment of asthma, currently require oral corticosteroids for the treatment of asthma, or has required more than one short-term (≤ 2 weeks) course of oral corticosteroids for asthma within 6 months prior to Day 1.
- Participant has a history of cancer or lymphoproliferative disease within 5 years prior to Day 1. Participant with successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma and/or localized carcinoma in situ of the cervix are not to be excluded.
- Participant has a history of fever, inflammation, or systemic signs of illness suggestive of systemic or invasive infection within 4 weeks prior to Day 1.
- Participant has an active bacterial, viral, fungal, mycobacterial infection, or other infection (including TB or atypical mycobacterial disease), or any major episode of infection that required hospitalization or treatment with intravenous antibiotics within 12 weeks prior to Day 1, or oral antibiotics within 4 weeks prior to Day 1.
- Participant has a history of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic chest infection, recurrent urinary tract infection, fungal infection (with the exception of superficial fungal infection of the nailbed), or infected skin wounds or ulcers.
- Participant has a history of an infected joint prosthesis or has received antibiotics for a suspected infection of a joint prosthesis, if that prosthesis has not been removed or replaced.
- Participant has active herpes infection, including herpes simplex 1 and 2 and herpes zoster (demonstrated on physical examination and/or medical history) within 8 weeks prior to Day 1.
- Participant has a history of known or suspected congenital or acquired immunodeficiency state or condition that would compromise the participant's immune status in the opinion of the investigator (eg, history of splenectomy, primary immunodeficiency).
- Participant has positive results for hepatitis B surface antigens (HBsAg), antibodies to hepatitis B core antigens (anti-HBc), hepatitis C virus (HCV), or human immunodeficiency virus (HIV).
- Participant has clinical or laboratory evidence of active or latent TB infection at screening.
- Participant with any of the following laboratory values at the screening visit:
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) values ≥ 3 times the upper limit of normal (ULN);
- Hemoglobin < 11.0 g/dL (< 110.0 g/L);
- White blood cell count < 3.5 x 109/L (< 3500/mm3);
- Absolute neutrophil count of < 1.8 x 109/L (< 1800/mm3);
- Absolute lymphocyte count of < 1.0 x 109/L (< 1000/mm3);
- Platelet count < 100 x 109/L (< 100,000/mm3);
- Total bilirubin ˃ 2 times the ULN.
- Participant who have given > 50 ml of blood or plasma within 30 days of screening or > 500 mL of blood or plasma within 56 days of screening (during a clinical study or at a blood bank donation).
- Participant has used any topical medication that could affect psoriasis (including corticosteroids, retinoids, vitamin D analogues [such as calcipotriol], JAK inhibitors, or tar) within 2 weeks prior to Day 1.
- Participant has used any systemic treatment that could affect psoriasis (including oral, intravenous, intraarticular, intrathecal, intramuscular, or intralesional corticosteroids, oral retinoids, immunosuppressive/immunomodulating medication, methotrexate, cyclosporine, oral JAK inhibitors, or apremilast) within 4 weeks prior to Day 1.
- Participant has received any UV-B phototherapy (including tanning beds) or excimer laser within 4 weeks prior to Day 1.
- Participant has had PUVA treatment within 4 weeks prior to Day 1.
- Participant has received any live-attenuated vaccine within 4 weeks prior to Day 1 or plans to receive a live-attenuated vaccine during the study and up to 4 weeks or 5 half lives of the study product, whichever is longer, after the last study product administration. Note: Nonlive-attenuated vaccines or boosters for Coronavirus Disease 2019 (COVID-19) (eg, RNA-based vaccines, inactivated adenovirus-based vaccines, protein-based vaccines) are allowed during the study. The study site should follow local guidelines related to COVID-19.
- Participant is currently receiving a nonbiological investigational product or device or has received one within 4 weeks prior to Day 1.
- Participant has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1 (except those listed in Exclusion Criterion 27 and 28 that are to be excluded for 6 months).
- Participant was previously enrolled in any study with NDI-034858.
- Participant has a history of lack of response to any therapeutic agent targeting IL-12, IL-17, and/or IL 23 (eg, ustekinumab, secukinumab, ixekizumab, brodalumab, guselkumab, tildrakizumab, risankizumab) at approved doses after at least 12 weeks of therapy, and/or received one of these therapies within 6 months prior to Day 1.
- Participant has received rituximab or other immune-cell depleting therapy within 6 months.
- Participant is currently being treated with strong or moderate cytochrome P450 3A (CYP3A4) inhibitors (such as itraconazole), or has received moderate or strong CYP3A4 inhibitors within 4 weeks prior to Day 1.
- Participant is currently being treated with terbinafine, or has received terbinafine within 4 weeks prior to Day 1.
- Participant has consumed grapefruit within 1 week prior to Day 1.
- Participant has used tanning booths within 4 weeks prior to Day 1, has had excessive sun exposure, or is not willing to minimize natural and artificial sunlight exposure during the study.
- Participant has a known or suspected allergy to NDI-034858 or any component of the investigational product, or any other significant drug allergy (such as anaphylaxis or hepatotoxicity).
- Participant has a known history of clinically significant drug or alcohol abuse in the last year prior to Day 1.
- For participant consenting to biopsy collection only:
- Participant has a history of an allergic reaction or significant sensitivity to lidocaine or other local anesthetics.
- Participant has a history of hypertrophic scarring or keloid formation in scars or suture sites.
- Participant has taken anticoagulant medication, such as heparin, low molecular weight (LMW)-heparin, warfarin, or antiplatelet agents (except low-dose aspirin ≤ 81 mg which will be allowed), within 2 weeks prior to Day 1, or has a contraindication to skin biopsies. Nonsteroidal anti-inflammatory drugs will not be considered antiplatelet agents and will be allowed.
Trial locations and contacts
69 sites in 2 countries.
69 sites in 2 countries
United States59 sites
Nimbus site 146
Ann Arbor, Michigan, 48103
Nimbus site 109
Arlington, Texas, 76011
Nimbus site 103
Bay City, Michigan, 48706
Nimbus site 113
Bellaire, Texas, 77401
Nimbus site 115
Beverly, Massachusetts, 01915
Nimbus site 127
Bexley, Ohio, 43209
Nimbus site 137
Birmingham, Alabama, 35205
Nimbus site 156
Birmingham, Alabama, 35244
Nimbus site 133
Bryant, Arkansas, 72022
Nimbus site 110
Charleston, South Carolina, 29407
Nimbus site 129
Charlotte, North Carolina, 28277
Nimbus site 159
Clarksville, Indiana, 47129
Nimbus site 147
Columbus, Georgia, 31904
Nimbus site 145
Columbus, Ohio, 43213
Nimbus site 155
Doral, Florida, 33122
Nimbus site 128
Fairborn, Ohio, 45324
Nimbus site 134
Fountain Valley, California, 92708
Nimbus site 149
Hialeah, Florida, 33012
Nimbus site 140
Indianapolis, Indiana, 46250
Nimbus site 117
Jackson, Tennessee, 38305
Nimbus site 131
Katy, Texas, 77494
Nimbus site 136
Lake Charles, Louisiana, 70605
Nimbus site 130
Largo, Florida, 33770
Nimbus site 108
Los Angeles, California, 90033
Nimbus site 161
Louisville, Kentucky, 40217
Nimbus site 105
Louisville, Kentucky, 40241
Nimbus site 150
Macon, Georgia, 31217
Nimbus site 160
Margate, Florida, 33063
Numbus site 114
Metairie, Louisiana, 70006
Nimbus site 107
Miami Lakes, Florida, 33014
Nimbus site 139
Miami Lakes, Florida, 33014
Nimbus site 121
Nashville, Tennessee, 37215
Nimbus site 158
New Brighton, Minnesota, 55112
Nimbus site 143
New York, New York, 10075
Nimbus site 141
Norman, Oklahoma, 73071
Nimbus site 118
Ocala, Florida, 34470
Nimbus site 154
Overland Park, Kansas, 66210
Nimbus site 125
Pittsburgh, Pennsylvania, 15123
Nimbus site 135
Quincy, Massachusetts, 02169
Nimbus site 122
Rockville, Maryland, 20850
Nimbus site 124
Sacramento, California, 95816
Nimbus site 104
San Antonio, Texas, 78213
Nimbus site 152
San Antonio, Texas, 78229
Nimbus site 153
San Diego, California, 92122
Nimbus site 111
San Diego, California, 92123
Nimbus site 119
Sandy Springs, Georgia, 30328
Nimbus site 148
Santa Rosa, California, 95405
Nimbus site 132
Scottsdale, Arizona, 85255
Nimbus site 120
Sherman Oaks, California, 91403
Nimbus site 123
Skokie, Illinois, 60077
Nimbus site 142
Spokane, Washington, 99026
Nimbus site 157
Sweetwater, Florida, 33172
Nimbus site 101
Tampa, Florida, 33607
Nimbus site 102
Tampa, Florida, 33613
Nimbus site 112
Troy, Michigan, 48084
Nimbus site 138
Troy, Michigan, 48084
Nimbus site 162
Webster, Texas, 77598
Nimbus site 116
West Palm Beach, Florida, 33406
Nimbus site 106
Wilmington, North Carolina, 28405
Canada10 sites
Nimbus site 204
Calgary
Nimbus site 206
Calgary
Nimbus site 212
Edmonton
Nimbus site 209
Hamilton
Nimbus site 203
Markham
Nimbus site 201
Montreal
Nimbus site 205
Oshawa
Nimbus site 210
Peterborough
Nimbus site 208
Red Deer
Nimbus site 202
Waterloo
About this study
Official title: A Phase 2b, Randomized, Multicenter, Double-blind, Placebo-controlled, Multiple-dose Study to Evaluate the Efficacy, Safety, and Tolerability of NDI-034858 in Subjects With Moderate to Severe Plaque Psoriasis
This is a Phase 2b, randomized, multicenter, double-blind, placebo-controlled, multiple-dose study designed to evaluate the efficacy, safety, and tolerability of NDI-034858 in participants with moderate to severe plaque psoriasis. This study will also evaluate the plasma concentrations of NDI-034858 and explore the immune response to NDI-034858 in participants with moderate to severe plaque psoriasis.
Read the detailed description
Approximately 259 male and female participants, aged 18 to 70 years (inclusive) were enrolled in this study. Participants were randomized to receive either one of the four doses of NDI-034858, or placebo on Day 1. The goal was to have approximately 50 participants randomized per treatment group (1:1:1:1:1 ratio) on Day 1. During the treatment period, NDI-034858 or placebo was orally administered QD for 12 weeks. The 12 week treatment period was followed by a 4-week safety follow-up period.
- Conditions
- Moderate to Severe Plaque Psoriasis
- Being tested
- NDI-034858 study drug, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NDI-034858 study drugDrug
Also called NDI-034858, TAK-279
NDI-034858 2 mg oral capsules.
NDI-034858 study drugDrug
Also called NDI-034858, TAK-279
NDI-034858 5 mg oral capsules.
NDI-034858 study drugDrug
Also called NDI-034858, TAK-279
NDI-034858 15 mg oral capsules.
NDI-034858 study drugDrug
Also called NDI-034858, TAK-279
NDI-034858 30 mg (2*15 mg) oral capsules.
PlaceboOther
Also called Non Active Ingredient
Placebo matched to NDI-034858 oral capsules.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received placebo matched to NDI-034858 oral capsules, once daily (QD) for up to 12 weeks. Receives: Other: Placebo |
| NDI-034858 2 milligrams (mg) | Experimental | Participants received 2 mg of NDI-034858 oral capsules, QD for up to 12 weeks. Receives: Drug: NDI-034858 study drug |
| NDI-034858 5 mg | Experimental | Participants received 5 mg of NDI-034858 oral capsules, QD for up to 12 weeks. Receives: Drug: NDI-034858 study drug |
| NDI-034858 15 mg | Experimental | Participants received 15 mg of NDI-034858 oral capsules, QD for up to 12 weeks. Receives: Drug: NDI-034858 study drug |
| NDI-034858 30 mg | Experimental | Participants received 30 mg (2*15 mg) of NDI-034858 oral capsules, QD for up to 12 weeks. Receives: Drug: NDI-034858 study drug |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Achieved at Least 75 Percent (%) Improvement From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12
The PASI quantifies the severity of a participant's psoriasis based on both "lesion severity" and the "percent of body surface area (BSA)" affected. PASI is a composite scoring by the investigator of degree of erythema, induration, and scaling (each scored separately) for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin], and lower limbs [including buttocks]), with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The PASI composite score varies in increments of 0.1 and range from 0 (no disease) to 72 (maximal disease), with higher scores representing greater severity of psoriasis. PASI 75 response is a binary measure defined as at least a 75% improvement in PASI score at Week 12, relative to baseline PASI score.
Measured: Baseline, Week 12
Secondary outcomes (6)
Percentage of Participants Who Achieved Physician's Global Assessment (PGA) Score of Clear (0) or Almost Clear (1) at Week 12
The PGA is a global assessment of the current state of the disease. It is a 5-point morphological assessment of overall disease severity with scores ranging from 0 to 4, where Score 0: Clear (No signs of psoriasis; post-inflammatory hyperpigmentation may be present); Score 1: Almost clear (No thickening; normal to pink coloration; no to minimal focal scaling); Score 2: Mild (Just detectable to mild thickening; pink to light red coloration; predominantly fine scaling); Score 3: Moderate (Clearly distinguishable to moderate thickening; dull to bright red; clearly distinguishable to moderate erythema; moderate scaling); Score 4: Severe (Severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions). The percentage of participants who achieved a PGA score of clear (0) or almost clear (1) at Week 12 were reported.
Measured: At Week 12
Percentage of Participants Who Achieved at Least 90% Improvement From Baseline in Psoriasis Area and Severity Index (PASI-90) at Week 12
The PASI quantifies the severity of a participant's psoriasis based on both "lesion severity" and the "percent of BSA" affected. PASI is a composite scoring by the investigator of degree of erythema, induration, and scaling (each scored separately) for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin], and lower limbs [including buttocks]), with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The PASI composite score varies in increments of 0.1 and range from 0 (no disease) to 72 (maximal disease), with higher scores representing greater severity of psoriasis. PASI 90 response is a binary measure defined as at least a 90% improvement in PASI score at Week 12, relative to baseline PASI score.
Measured: Baseline, Week 12
Percentage of Participants Who Achieved at Least 100% Improvement From Baseline in Psoriasis Area and Severity Index (PASI-100) at Week 12
The PASI quantifies the severity of a participant's psoriasis based on both "lesion severity" and the "percent of BSA" affected. PASI is a composite scoring by the investigator of degree of erythema, induration, and scaling (each scored separately) for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin], and lower limbs [including buttocks]), with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The PASI composite score varies in increments of 0.1 and range from 0 (no disease) to 72 (maximal disease), with higher scores representing greater severity of psoriasis. PASI 100 response is a binary measure defined as at least a 100% improvement in PASI score at Week 12, relative to baseline PASI score.
Measured: Baseline, Week 12
Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 12
The DLQI is a simple 10 question validated questionnaire that has been used in more than 40 different skin conditions. The DLQI is the most frequently used quality of life instrument in studies of randomized controlled trials in dermatology. Each question is scored on a four-point Likert scale: very much (3); a lot (2); a little (1); not at all (0). DLQI total score is defined as the sum of the 10 questions, ranging from 0 (not at all) to 30 (very much). Higher scores indicate more impact on quality of life of participants; and lower scores indicate less impact on the quality of life of participants.
Measured: Baseline, Week 12
Number of Participants With Treatment-emergent Adverse Event (TEAEs) and Serious TEAEs
An adverse event (AE) means any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to the medicinal product. TEAEs were defined as any AEs with onset date on or after the first study treatment dosing. An SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital abnormality or birth defect, an important medical event. TEAEs included both serious and non-serious AEs.
Measured: From start of study drug administration up to Week 16
Plasma Concentrations of NDI-034858 in Participants Receiving Active Treatment
The analysis of NDI-034858 levels in plasma was performed using a validated reversed-phase Ultra High-Performance Liquid Chromatography coupled with tandem mass-spectrometry (UHPLC-MS/MS) method. Here, plasma concentrations of NDI-034858 determined at given timepoints were reported.
Measured: Week 1: Day 1, Pre-dose and 1-hour post-dose; Week 4: Pre-dose, 1-hour and 4 hours post-dose; Week 8: Pre-dose; Week 12: Post-dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Aug 2021
- Study start11 Aug 2021
- Primary completion19 Aug 2022
- Study completion12 Sep 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Moderate to Severe Plaque PsoriasisStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 259 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Innovaderm Research Inc., Nimbus Lakshmi, Inc.
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04999839
- Sponsor's protocol ID
- 4858-201
- Status last verified
- Sep 2023
- First submitted
- 19 Jul 2021
- Last updated
- 28 Sep 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
Elbuluk N, Armstrong AW, Vender R, Bhutani T, Green L, Ferris LK, Laquer V, Moore A, Weisman J, Zhang W, Winkelman W, Gooderham MJ. Zasocitinib (TAK-279), a Highly Selective Oral TYK2 Inhibitor, Demonstrates Skin Clearance in Patients with Moderate-to-Severe Plaque Psoriasis: Post Hoc Analyses of a Randomized Phase IIb Trial. Dermatol Ther (Heidelb). 2026 Jun;16(6):3215-3234. doi: 10.1007/s13555-026-01738-6. Epub 2026 May 16.
PubMed 42143206Armstrong AW, Gooderham M, Lynde C, Maari C, Forman S, Green L, Laquer V, Zhang X, Franchimont N, Gangolli EA, Blau J, Zhao Y, Zhang W, Srivastava B, Heap G, Papp K. Tyrosine Kinase 2 Inhibition With Zasocitinib (TAK-279) in Psoriasis: A Randomized Clinical Trial. JAMA Dermatol. 2024 Oct 1;160(10):1066-1074. doi: 10.1001/jamadermatol.2024.2701.
PubMed 39167366
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Randomized, Multicenter, Double-blind, Placebo-controlled, Multiple-dose Study to Evaluate the Efficacy, Safety, and Tolerability of NDI-034858 in Subjects With Moderate to Severe Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT04999839
- Acronym / sponsor ID
- 4858-201
- Conditions
- Moderate to Severe Plaque Psoriasis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 259 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Collaborators
- Innovaderm Research Inc., Nimbus Lakshmi, Inc.
- Study start
- 11 Aug 2021 (actual)
- Primary completion
- 19 Aug 2022 (actual)
- Study completion
- 12 Sep 2022 (actual)
- First posted
- 11 Aug 2021 (actual)
- Results
- Posted 28 Sep 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 2b, randomized, multicenter, double-blind, placebo-controlled, multiple-dose study designed to evaluate the efficacy, safety, and tolerability of NDI-034858 in participants with moderate to severe plaque psoriasis. This study will also evaluate the plasma concentrations of NDI-034858 and explore the immune response to NDI-034858 in participants with moderate to severe plaque psoriasis.
Detailed description
Approximately 259 male and female participants, aged 18 to 70 years (inclusive) were enrolled in this study. Participants were randomized to receive either one of the four doses of NDI-034858, or placebo on Day 1. The goal was to have approximately 50 participants randomized per treatment group (1:1:1:1:1 ratio) on Day 1. During the treatment period, NDI-034858 or placebo was orally administered QD for 12 weeks. The 12 week treatment period was followed by a 4-week safety follow-up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Other: PlaceboParticipants received placebo matched to NDI-034858 oral capsules, once daily (QD) for up to 12 weeks. |
| NDI-034858 2 milligrams (mg) | Experimental | Drug: NDI-034858 study drugParticipants received 2 mg of NDI-034858 oral capsules, QD for up to 12 weeks. |
| NDI-034858 5 mg | Experimental | Drug: NDI-034858 study drugParticipants received 5 mg of NDI-034858 oral capsules, QD for up to 12 weeks. |
| NDI-034858 15 mg | Experimental | Drug: NDI-034858 study drugParticipants received 15 mg of NDI-034858 oral capsules, QD for up to 12 weeks. |
| NDI-034858 30 mg | Experimental | Drug: NDI-034858 study drugParticipants received 30 mg (2*15 mg) of NDI-034858 oral capsules, QD for up to 12 weeks. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- In order to be eligible to participate in this study, a participant must meet all of the following criteria, either at the screening and Day 1 visits or only at one of the specified visits (screening or Day 1) as noted in the criterion:
- Male or female participant aged 18 to 70 years, inclusive, at the time of consent.
- Participant has a history of plaque psoriasis for at least 6 months prior to the screening visit.
- Participant had no significant flare in psoriasis for at least 3 months before screening (information obtained from medical chart or participant's physician, or directly from the participant).
- Participant has moderate to severe plaque psoriasis as defined by a PASI score ≥ 12 and a PGA score ≥ 3 at screening and Day 1.
Key exclusion criteria (47 listed)
- A participant who meets any of the following criteria at the screening and/or Day 1 visits, as applicable, will be excluded from participation in this study:
- Participant is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
- Participant has evidence of erythrodermic, pustular, predominantly guttate psoriasis, or drug induced psoriasis.
- Participant has a history of skin disease or presence of skin condition that, in the opinion of the investigator, would interfere with the study assessments.
- Participant has immune-mediated conditions commonly associated with psoriasis, such as psoriatic arthritis, uveitis, inflammatory bowel disease, that require systemic treatment (including corticosteroids, immunosuppressants, or biologics). Note: Participants with immune-mediated conditions that do not require systemic treatment may be included in the study. Certain therapies such as NSAIDs may be permitted, but should be discussed with the Medical Monitor prior to determination of participant eligibility.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NDI-034858 study drugAlso: NDI-034858, TAK-279NDI-034858 2 mg oral capsules. | Drug | NDI-034858 2 milligrams (mg) |
| NDI-034858 study drugAlso: NDI-034858, TAK-279NDI-034858 5 mg oral capsules. | Drug | NDI-034858 5 mg |
| NDI-034858 study drugAlso: NDI-034858, TAK-279NDI-034858 15 mg oral capsules. | Drug | NDI-034858 15 mg |
| NDI-034858 study drugAlso: NDI-034858, TAK-279NDI-034858 30 mg (2*15 mg) oral capsules. | Drug | NDI-034858 30 mg |
| PlaceboAlso: Non Active IngredientPlacebo matched to NDI-034858 oral capsules. | Other | Placebo |
Primary outcome
Percentage of Participants Who Achieved at Least 75 Percent (%) Improvement From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12
Time frame: Baseline, Week 12
The PASI quantifies the severity of a participant's psoriasis based on both "lesion severity" and the "percent of body surface area (BSA)" affected. PASI is a composite scoring by the investigator of degree of erythema, induration, and scaling (each scored separately) for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin], and lower limbs [including buttocks]), with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The PASI composite score varies in increments of 0.1 and range from 0 (no disease) to 72 (maximal disease), with higher scores representing greater severity of psoriasis. PASI 75 response is a binary measure defined as at least a 75% improvement in PASI score at Week 12, relative to baseline PASI score.
6 secondary outcomes
Percentage of Participants Who Achieved Physician's Global Assessment (PGA) Score of Clear (0) or Almost Clear (1) at Week 12
Time frame: At Week 12
Percentage of Participants Who Achieved at Least 90% Improvement From Baseline in Psoriasis Area and Severity Index (PASI-90) at Week 12
Time frame: Baseline, Week 12
Percentage of Participants Who Achieved at Least 100% Improvement From Baseline in Psoriasis Area and Severity Index (PASI-100) at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 12
Time frame: Baseline, Week 12
Number of Participants With Treatment-emergent Adverse Event (TEAEs) and Serious TEAEs
Time frame: From start of study drug administration up to Week 16
Plasma Concentrations of NDI-034858 in Participants Receiving Active Treatment
Time frame: Week 1: Day 1, Pre-dose and 1-hour post-dose; Week 4: Pre-dose, 1-hour and 4 hours post-dose; Week 8: Pre-dose; Week 12: Post-dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42143206Elbuluk N, Armstrong AW, Vender R, Bhutani T, Green L, Ferris LK, Laquer V, Moore A, Weisman J, Zhang W, Winkelman W, Gooderham MJ. Zasocitinib (TAK-279), a Highly Selective Oral TYK2 Inhibitor, Demonstrates Skin Clearance in Patients with Moderate-to-Severe Plaque Psoriasis: Post Hoc Analyses of a Randomized Phase IIb Trial. Dermatol Ther (Heidelb). 2026 Jun;16(6):3215-3234. doi: 10.1007/s13555-026-01738-6. Epub 2026 May 16.
- Derived from this study: PubMed 39167366Armstrong AW, Gooderham M, Lynde C, Maari C, Forman S, Green L, Laquer V, Zhang X, Franchimont N, Gangolli EA, Blau J, Zhao Y, Zhang W, Srivastava B, Heap G, Papp K. Tyrosine Kinase 2 Inhibition With Zasocitinib (TAK-279) in Psoriasis: A Randomized Clinical Trial. JAMA Dermatol. 2024 Oct 1;160(10):1066-1074. doi: 10.1001/jamadermatol.2024.2701.
- To obtain more information on the study, click here/on this linkLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Takeda
69 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing NDI-034858 study drug in people with Moderate to Severe Plaque Psoriasis, run by Takeda at 69 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 13 inclusion and 47 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 28 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 69 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. 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?
Yes. Results are posted in the registry (first posted 28 Sep 2023). 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?
Percentage of Participants Who Achieved at Least 75 Percent (%) Improvement From Baseline in Psoriasis Area and Severity Index (PASI-75) at Week 12 (time frame: Baseline, Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04999839, which also lists 2 linked publications.
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 28 Sep 2023.