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Plaque PsoriasisPhase 2NCT05268016

Efficacy and Safety of ME3183 in Subjects With Moderate to Severe Plaque Psoriasis

A Phase 2 study testing ME3183 in people with Plaque Psoriasis, run by Meiji Pharma USA Inc. at 27 sites in 2 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

The purpose of this study is to assess the efficacy and safety of ME3183 administered orally for moderate to severe plaque psoriasis in adults. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Plaque Psoriasis
What is being tested?
ME3183
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
132 participants
Where
27 sitesin 2 countries
Study dates
24 Mar 2022to 31 May 2023
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female, ages 18 to 75 years
  • Participant with stable moderate to severe chronic plaque psoriasis of at least 24 weeks duration.

Who cannot join

  • Other than psoriasis, history of any clinically significant (as determined by the Investigator) or other major uncontrolled disease.
  • Active or chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection at Screening.
  • Hepatitis B surface antigen positive at Screening.
  • History of HIV or Positive for the HIV antibodies at Screening.
  • History of allergy to any component of the study treatment.
  • Active tuberculosis (TB) or a history of incompletely treated TB.
Show all 14Show fewer
  • Active infection (bacteria, viral, fungal, etc.) requiring treatment with systemic antibiotics within 4 weeks of Screening.
  • Malignancy or history of malignancy except for treated [ie, cured] basal cell or squamous cell in situ skin carcinomas and treated [ie, cured] cervical intraepithelial neoplasia or carcinoma in situ of the cervix with no evidence of recurrence.
  • Pregnant or breast feeding
  • Received ustekinumab, secukinumab, brodalumab, ixekizumab, guselkumab, risankizumab, tildrakizumab, or briakinumab within 24 weeks of first administration of study treatment.
  • Received TNF-α inhibitor(s)/blocker(s) within 8 weeks of first administration of study treatment.
  • Received rituximab within 24 weeks of first administration of study treatment.
  • Received phototherapy or any systemic medications/treatments within 4 weeks of the first administration of study treatment.
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

27 sites in 2 countries.

27 sites in 2 countries

United States14 sites
  • Studies in Dermatology, LLC

    Cypress, Texas, 77433

  • Dermatology Treatment and Research Center

    Dallas, Texas, 75230

  • Colorado Medical Research Center, Inc.

    Denver, Colorado, 80210

  • Qualmedica Research, LLC

    Evansville, Indiana, 47715

  • Center for Clinical Studies LTD, LLP

    Houston, Texas, 77004

  • Shondra L. Smith, MD Dermatology & Advanced Aesthetics

    Lake Charles, Louisiana, 70605

  • University of Southern California

    Los Angeles, California, 90033

  • International Dermatology Research, INC

    Miami, Florida, 33144

  • Tennessee Clinical Research Center

    Nashville, Tennessee, 37215

  • Owensboro Dermatology Associates

    Owensboro, Kentucky, 42303

  • Skin Search of Rochester, Inc.

    Rochester, New York, 14623

  • Northwest Arkansas Clinical Trials Center

    Rogers, Arkansas, 72758

  • Dermatology Clinical Research Center of San Antonio

    San Antonio, Texas, 78229

  • Premier Clinical Research

    Spokane, Washington, 99202

Other trials in United States

Canada13 sites
  • SKiN Health

    Cobourg, Ontario, K9A 0Z4

  • Laser Rejuvenation Clinics Edmonton D.T. Inc

    Edmonton, Alberta, T5J 3S9

  • Sudbury Skin Clinique

    Greater Sudbury, Ontario, P3A 1W8

  • Dermatrials Research Inc.

    Hamilton, Ontario, L8N 1Y2

  • DermEffects

    London, Ontario, N6H 5L5

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1X3

  • DermEdge Research

    Mississauga, Ontario, L4Y 4C5

  • Dr. David Gratton Dermatologue Inc.

    Montreal, Quebec, H3H 1V4

  • Dermatology Ottawa Research Centre

    Ottawa, Ontario, K2C 3N2

  • The Centre for Dermatology

    Richmond Hill, Ontario, L4B 1A5

  • Skinsense Medical Research

    Saskatoon, Saskatchewan, S7K 2C1

  • Toronto Research Centre

    Toronto, Ontario, M3H 5Y8

  • K. Papp Clinical Research

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

About this study

Official title: A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2a Study to Assess the Efficacy and Safety of ME3183 Administered Orally in Subjects With Moderate to Severe Plaque Psoriasis

The purpose of this study is to assess the efficacy and safety of ME3183 administered orally for moderate to severe plaque psoriasis in adults.

Being tested
ME3183, Placebo

What participants receive

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

  • ME3183Drug

    ME3183 capsule

  • PlaceboDrug

    Placebo capsule

Study groups in NCT05268016
Study groupRoleWhat they receive
ME3183 Dose 1, BIDExperimentalSpecified dose of ME3183 capsule for 16 weeks
Receives: Drug: ME3183
ME3183 Dose 2, QDExperimentalSpecified dose of ME3183 capsule for 16 weeks
Receives: Drug: ME3183
ME3183 Dose 3, BIDExperimentalSpecified dose of ME3183 capsule for 16 weeks
Receives: Drug: ME3183
ME3183 Dose 4, QDExperimentalSpecified dose of ME3183 capsule for 16 weeks
Receives: Drug: ME3183
PlaceboPlacebo comparatorPlacebo capsule of ME3183 for 16 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants Achieving Greater Than or Equal to (>=) 75% Reduction From Baseline in Psoriasis Area Severity Index (PASI) Score (PASI-75) at Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of the body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of the 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). The total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by the degree of involvement for each anatomic region and then multiplied by a constant. The scores for each anatomic region are combined to yield the final PASI score.

    The final PASI score ranges from 0 to 72, with higher scores reflecting greater disease severity. Missing PASI at Week 16 are imputed as non-responders via NRI.

    Measured: Week 16

Secondary outcomes (19)
  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Over the 16-week Treatment Period and the 4-week Follow-up Period

    An AE is any symptom, physical sign, syndrome, or disease that either emerges during the study or, if present at Screening, worsens during the study, regardless of the suspected cause of the event. A Treatment-Emergent Adverse Event (TEAE) is an AE that occurred during the study after the first dose of study drug or that was present prior to dosing and exacerbates after the first dose of study drug.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  2. Number of Participants With Serious TEAEs Over the 16-week Treatment Period and the 4-week Follow-up Period

    An SAE is any untoward medical occurrence, in the view of either the investigator or Sponsor, that:

    • results in death,
    • is life-threatening,
    • results in inpatient hospitalization or prolongation of existing hospitalization,
    • results in persistent or significant disability/incapacity, and/or
    • is a congenital anomaly/birth defect. Other important medical events that may not be immediately life-threatening or result in death or hospitalization, based upon appropriate medical judgement, are considered SAEs if they are thought to jeopardize the subject and/or require medical or surgical intervention to prevent one of the outcomes defining an SAE.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  3. Number of Participants With TEAEs by Severity Over the 16-week Treatment Period and the 4-week Follow-up Period

    An AE is any symptom, physical sign, syndrome, or disease that either emerges during the study or, if present at Screening, worsens during the study, regardless of the suspected cause of the event. AEs were classified by severity as follows:

    MILD: An event that is easily tolerated by the subject, causing minimal discomfort and not interfering with everyday activities.

    MODERATE: An event that is sufficiently discomforting to interfere with normal everyday activities.

    SEVERE: An event that prevents normal everyday activities.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  4. Number of Participants With Clinically Significant Abnormalities in Physical Examination

    Physical Examination included height and body mass index. Any change in Physical examination abnormalities that were deemed clinically significant by the investigator were recorded as TEAEs.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  5. Number of Participants With Clinically Significant Abnormalities in Vital Signs

    Vital signs parameters included blood pressure, heart rate, respiratory rate, body temperature, and body weight. Any change in vital sign abnormalities that were deemed clinically significant by the investigator were recorded as TEAEs.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  6. Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Tests

    Clinical laboratory testing included electrocardiogram (ECG), hematology, coagulation, blood chemistry, and urinalysis. Any change in clinical laboratory abnormalities that were deemed clinically significant by the investigator were recorded as TEAEs.

    Measured: Over the 16-week Treatment Period and the 4-week Follow-up Period (up to Week 20)

  7. Percent Change From Baseline in PASI Score at All Visits From Week 1 to Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). Total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by degree of involvement for each anatomic region and then multiplied by constant. Scores for each anatomic region are combined to yield final PASI score (0 to 72). Higher scores= greater disease severity. Negative change from baseline indicates an improvement of disease symptoms. Percent reduction= (PASI score at Baseline - score at a follow-up visit) / PASI score at Baseline * 100.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  8. Percentage of Participants Achieving >=50% Reduction From Baseline in the PASI Score (PASI-50) at All Visits From Week 1 to Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). The total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by degree of involvement for each anatomic region and then multiplied by a constant. The scores for each anatomic region are combined to yield the final PASI score.

    The final PASI score ranges from 0 to 72, with higher scores reflecting greater disease severity. Missing PASI at Week 16 are imputed as non-responders via NRI.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  9. Percentage of Participants Achieving >=75% Reduction From Baseline in the PASI Score (PASI-75) at All Visits From Week 1 to Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of the 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). The total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by degree of involvement for each anatomic region and then multiplied by a constant. The scores for each anatomic region are combined to yield the final PASI score.

    The final PASI score ranges from 0 to 72, with higher scores reflecting greater disease severity. Missing PASI at Week 16 are imputed as non-responders via NRI.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  10. Percentage of Participants Achieving >=90% Reduction From Baseline in the PASI Score (PASI-90) at All Visits From Week 1 to Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of the 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). The total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by degree of involvement for each anatomic region and then multiplied by a constant. The scores for each anatomic region are combined to yield the final PASI score.

    The final PASI score ranges from 0 to 72, with higher scores reflecting greater disease severity. Missing PASI at Week 16 are imputed as non-responders via NRI.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  11. Percentage of Participants Achieving 100% Reduction From Baseline in the PASI Score (PASI-100) at All Visits From Week 1 to Week 16

    The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, induration, and desquamation) and percentage of affected skin surface area on defined anatomical regions. Erythema, induration/thickness, and scaling are scored on a scale of 0 (none) to 4 (very severe) on 4 anatomic regions of body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of the 4 anatomic regions is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement). The total qualitative score (sum of erythema, thickness, and scaling scores) is multiplied by degree of involvement for each anatomic region and then multiplied by a constant. The scores for each anatomic region are combined to yield the final PASI score.

    The final PASI score ranges from 0 to 72, with higher scores reflecting greater disease severity. Missing PASI at Week 16 are imputed as non-responders via NRI.

    Measured: Baseline, 1, 2, 4, 8, 12 and 16

  12. Time to PASI-50

    Time to the first response of PASI-50 was defined as the number of days from the first dose of the study drug to the first response.

    Measured: Baseline to Week 16

  13. Time to PASI-75

    Time to the first response of PASI-75 was defined as the number of days from the first dose of the study drug to the first response.

    Measured: Baseline to Week 16

  14. Percentage of Participants Achieving a Static Physicians Global Assessment (sPGA) Score of "0" ("Clear") or "1" ("Almost Clear") Combined With 2-point Reduction on the 5-point sPGA Scale at All Visits From Week 1 to Week 16

    The Percentage of participants who achieved the static Physician's Global Assessment (sPGA) score of 'clear' or 'almost clear' (sPGA score 0 or 1) combined with 2-point reduction on the 5-point sPGA scale were reported. The investigator rated the severity of participant's psoriasis on the 5-point scale ranging from 0 (clear) to 4 (severe).

    0 = Clear: No signs of psoriasis. Post-inflammatory hyperpigmentation may be present.

    1. = Almost clear: Normal to pink coloration of lesions; no thickening; no to minimal focal scaling.
    2. = Mild: Pink to light red coloration; just detectable to mild thickening; predominantly fine scaling.

    3= Moderate: Dull bright red, clearly distinguishable erythema; clearly distinguishable to moderate thickening; moderate scaling.

    4 = Severe: Bright to deep dark red coloration; severe thickening with hard edges; severe/coarse scaling covering almost all or all lesions.

    Missing values are imputed as non-responders via NRI.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  15. Change From Baseline in Affected Body Surface Area (BSA) at All Visits From Week 1 to Week 16

    BSA is a measurement of the affected skin area. The overall BSA affected by psoriasis plaques is estimated based on the palm area of the participant hand (entire palmar surface or "handprint" including the fingers), which equates to approximately 1% of total BSA. Negative change from baseline indicates improvement.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  16. Change From Baseline in the Itch Numerical Rating Scale (NRS) at All Visits From Week 1 to Week 16

    The Itch NRS is a participant-administered, 11-point horizontal scale, with 0 representing "no itch" and 10 representing "worst itch imaginable." The overall severity of a participant's itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. Negative change from baseline indicates improvement.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  17. Change From Baseline in the Dermatology Life Quality Index (DLQI) Score at All Visits From Week 1 to Week 16

    DLQI is a 10-item questionnaire that measures the impact of skin disease on a participant's quality of life over the last week. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions added up to give DLQI a total score range from 0 (not at all) to 30 (very much). Higher scores indicated more impact on the quality of life of participants. Negative change from baseline indicates improvement.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  18. Percentage of Participants With at Least a 5-point Reduction From Baseline in the DLQI Score at All Visits From Week 1 to Week 16

    DLQI is a 10-item questionnaire that measures the impact of skin disease on a participant's quality of life over the last week. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions added up to give DLQI a total score range from 0 (not at all) to 30 (very much). Higher scores indicated more impact on the quality of life of participants.

    Measured: Baseline, Week 1, 2, 4, 8, 12 and 16

  19. Trough Serum Concentration (Ctrough) of ME3183

    Ctrough of study drug was determined from the plasma samples using a validated analytical method.

    Measured: Pre-dose at Week 1, 4, 8 and 16

Timeline

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

  1. First posted7 Mar 2022
  2. Study start24 Mar 2022
  3. Primary completion31 May 2023
  4. Study completion31 May 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
132 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05268016
Sponsor's protocol ID
ME3183-3
Status last verified
Mar 2024
First submitted
24 Feb 2022
Last updated
27 Jun 2024
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ME3183 in people with Plaque Psoriasis, run by Meiji Pharma USA Inc. at 27 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 2 inclusion and 14 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 27 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 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 27 Jun 2024). 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 Achieving Greater Than or Equal to (>=) 75% Reduction From Baseline in Psoriasis Area Severity Index (PASI) Score (PASI-75) at Week 16 (time frame: Week 16). 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 27 Jun 2024.

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