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Plaque PsoriasisPhase 1NCT05332704

Safety, Tolerability, PK, PD and Preliminary Efficacy of ONO-4685

A Phase 1 study testing ONO-4685 in people with Plaque Psoriasis, run by Ono Pharmaceutical Co., Ltd. at 4 sites in 3 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 is an early phase study to assess the safety and tolerability of ONO-4685 in patients with psoriasis. In addition, the study will assess how the drug is distributed and eliminated by the body (pharmacokinetics) and how the drug affects the body (pharmacodynamics). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Plaque Psoriasis
What is being tested?
ONO-4685
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
4 sitesin 3 countries
Study dates
25 Mar 2022to 18 Jul 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must be willing and able to participate in the study
  • A diagnosis of plaque-type psoriasis for ≥6 months.
  • Plaque-type psoriasis involving ≥3% of body surface area (BSA) (Parts B and C).
  • Willing to provide skin biopsies (Parts B and C).
  • Subjects in good health, as judged by medical history, medical examination, vital signs, ECG and clinical laboratory tests.
  • Subjects willing to comply with the contraception and sperm and ova donation requirements of the protocol.

Who cannot join

  • Subjects with any clinically significant abnormality in screening tests.
  • Guttate, erythrodermic or pustular psoriasis as sole or predominant form of the psoriasis, or other skin condition (eg eczema).
  • Presence or history of alcohol or drugs abuse.
  • Heavy smokers (more than 20 cigarettes or use more than ½ ounce (12.5 grams) of tobacco each day).
  • Subjects have had any 'live' vaccines (excluding COVID-19 vaccine) during the 3 months before the first dose of study medicine.
  • Subjects have had a first COVID-19 vaccine within 6 weeks or second and booster COVID-19 vaccinations within 2 weeks before the first dose of study medicine.
Show all 11Show fewer
  • Subjects have had any clinically significant disease or infection, including tuberculosis.
  • Presence or history of malignancy (cancer) including lymphoproliferative disorders.
  • Subject is pregnant, lactating, or breastfeeding.
  • Subjects have received treatment with biologics in the last 3 months, immunosuppressant medicine or prescription medicine for psoriasis within 4 weeks before admission to the ward; have used phototherapy from 2 weeks before admission to the ward; have used highly potent or potent topical steroids within 2 weeks before admission to the ward.
  • Subjects have used topical corticosteroids or Vitamin D analogues within 7 days before admission to the ward (Parts B and C).

Trial locations and contacts

4 sites in 3 countries.

4 sites in 3 countries

United Kingdom2 sites
  • Hammersmith Medicines Research

    London, NW10 7EW

  • Medicines Evaluation Unit

    Manchester, M23 9QZ

Other trials in United Kingdom

Moldova1 site
  • Arensia Exploratory Medicine Phase 1 Unit

    Chisinau, MD-2025

Other trials in Moldova

Romania1 site
  • Arensia Exploratory Medicine

    Bucharest, 011658

Other trials in Romania

About this study

Official title: A Randomised, Multi-centre, Double-blind, Placebo-controlled, Single Ascending Dose, Multiple Dose Study to Assess Safety, Tolerability, PK, PD & Preliminary Efficacy of IV Doses of ONO-4685 in Patients With Plaque Psoriasis

This is an early phase study to assess the safety and tolerability of ONO-4685 in patients with psoriasis. In addition, the study will assess how the drug is distributed and eliminated by the body (pharmacokinetics) and how the drug affects the body (pharmacodynamics). This will be done by measuring the amount of drug in the blood and measuring other markers in the body that might have been affected by ONO-4685. The study will also look at preliminary information on whether ONO-4685 might be effective in treating psoriasis.

The study will be split into three parts. Part A will assess a single dose of ONO-4685 in small groups of patients, each group planned to receive a higher dose than the last group. In Part B and C, patients will receive multiple doses of ONO-4685 over a period of 4 weeks.

Being tested
ONO-4685, Placebo
Keywords
Psoriasis, ONO-4685, PD-1, Bi-specific antibody, PD-1 Receptor, PD-1 Agonist
Medical subject headings
Psoriasis

What participants receive

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

  • ONO-4685Drug

    -Part A: Single ascending doses of ONO-4685 as a single IV dose (Cohort A1-A5).

  • PlaceboDrug

    -Part A: Single ascending doses of placebo as a single IV dose (Cohort A1-A5).

  • ONO-4685Drug

    -Part B: Multiple doses of ONO-4685 as IV doses over a 4-week treatment period (Cohort B1 and B2)

  • PlaceboDrug

    -Part B: Multiple doses of placebo as IV doses over a 4-week treatment period (Cohort B1 and B2).

  • ONO-4685Drug

    -Part C: Multiple doses of ONO-4685 as IV doses over a 4-week treatment period (Cohort C1 and C2).

  • PlaceboDrug

    -Part C: Multiple doses of placebo as IV doses over a 4-week treatment period (Cohort C1 and C2).

Study groups in NCT05332704
Study groupRoleWhat they receive
Part A, ActiveExperimentalNot described
Receives: Drug: ONO-4685
Part A, PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Part B, ActiveExperimentalNot described
Receives: Drug: ONO-4685
Part B, PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Part C, ActiveExperimentalNot described
Receives: Drug: ONO-4685
Part C, PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Treatment emergent adverse events (TEAEs) by severity

    Number of participants with TEAEs. An adverse event is any untoward medical occurrence in a participant who receives study drug without regard to possible causal relationship.

    Measured: End of Study (3 years)

  2. Clinical laboratory tests

    Number of participants with clinical laboratory abnormalities (including haematology, clinical chemistry and urinalysis).

    Measured: End of Study (3 years)

  3. Cytokines

    Number of participants with elevated cytokines.

    Measured: Up to day 8 post dosing day

  4. Lymphocytes

    Number of participants with depleted lymphocytes.

    Measured: End of Study (3 years)

  5. Vital signs (blood pressure)

    Number of participants with clinically significant changes in vital signs (blood pressure)

    Measured: End of Study (3 years)

  6. Vital signs (respiration rate)

    Number of participants with clinically significant changes in vital signs (respiration rate)

    Measured: End of Study (3 years)

  7. Vital signs (temperature)

    Number of participants with clinically significant changes in vital signs (temperature)

    Measured: End of Study (3 years)

  8. Vital signs (pulse rate)

    Number of participants with clinically significant changes in vital signs (pulse rate)

    Measured: End of Study (3 years)

  9. ECG parameters

    Number of participants with ECG abnormalities.

    Measured: End of Study (3 years)

Secondary outcomes (24)
  1. Pharmacokinetics (Ceoi)

    Assessment of the observed plasma concentration of ONO-4685 at the end of infusion (eoi).

    Measured: Part A, Day 1 (day of dosing). Part B and C, Day 1 (day of first dose) and Day 15 or 22 (day of last dose) depending on weekly or bi-weekly dosing.

  2. Pharmacokinetics, Cmax

    Assessment of the maximum observed plasma concentration of ONO-4685.

    Measured: Part A up to day 85, Part B and Part C up to day 113

  3. Pharmacokinetics, Tmax

    Assessment of the time of maximum plasma concentration of ONO-4685.

    Measured: Part A up to day 85, Part B and Part C up to day 113

  4. Pharmacokinetics, AUC last

    Assessment of the area under the plasma ONO-4685 concentration-time curve from time 0 to time of the last quantifiable concentration.

    Measured: Part A up to day 85

  5. Pharmacokinetics, AUCinf

    Assessment of the area under the plasma ONO-4685 concentration-time curve from time 0 to infinity.

    Measured: Part A up to day 85

  6. Pharmacokinetics, CL (Clearance)

    Assessment of the plasma clearance of ONO-4685.

    Measured: Part A up to day 85

  7. Pharmacokinetics, Vss

    Assessment of the volume of distribution at steady state of ONO-4685

    Measured: Part A up to day 85

  8. Pharmacokinetics, T1/2

    Assessment of the terminal elimination half-life of ONO-4685 in plasma.

    Measured: Part A up to day 85, and after the last dose administration (Day 15 or 22) in Part B and Part C up to day 113.

  9. Pharmacokinetics, AUCtau

    Assessment of the area under the plasma ONO-4685 concentration-time curve during the dosing interval.

    Measured: Part B and C, after first (Day 1) and last (Day 15 or 22) dose

  10. Pharmacokinetics, Ctrough

    Assessment of the trough concentration of ONO-4685 in plasma.

    Measured: Part B and C, prior to administration of each dose

  11. Pharmacodynamics, lymphocytes

    Assessment of total lymphocytes, including subsets CD4+ T cell, CD8+ T cell, B cell and NK cell.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  12. Pharmacodynamics, immunoglobulin

    Assessment of total immunoglobulin, IgA, IgG and IgM.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  13. Pharmacodynamics, cytokines

    Assessment of cytokines, including IL-2, IL-6, IL-10, TNF-α and INF-γ.

    Measured: Part A up to day 8, Part B and Part C up to day 8 post last dose

  14. Immunogenicity, Anti-ONO-4685-antibodies (ADA)

    Assessment of antibodies generated to ONO-4685 to measure potential immunogenicity.

    Measured: Part A up to day 85, Part B and Part C up to day 113

  15. Efficacy, Psoriasis Area and Severity Index (PASI)

    Assessment of change in PASI from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  16. Efficacy, Psoriasis Area and Severity Index (PASI) 50

    Assessment of number of subjects that achieve PASI 50, a 50% reduction in PASI from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  17. Efficacy, Psoriasis Area and Severity Index (PASI) 75

    Assessment of number of subjects that achieve PASI 75, a 75% reduction in PASI from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  18. Efficacy, Psoriasis Area and Severity Index (PASI) 90

    Assessment of number of subjects that achieve PASI 90, a 90% reduction in PASI from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  19. Efficacy, Target Plaque Severity Score (TPSS)

    Assessment of change in TPSS from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  20. Efficacy, Physician's Global Assessment (PGA)

    Assessment of change in PGA from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  21. Efficacy, Physician's Global Assessment (PGA) 0/1

    Assessment of the number of subjects that achieve PGA 0/1.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  22. Efficacy, Physician's Global Assessment (PGA) 0/1 and a 2-point improvement

    Assessment of the number of subjects that achieve PGA 0/1 and a 2-point improvement from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  23. Efficacy, Body Surface Area (BSA)

    Assessment of the change in plaque BSA from baseline

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

  24. Patient Reported Outcome, Dermatology Life Quality Index (DLQI)

    Assessment of the change in DLQI from baseline.

    Measured: Part A up to day 85, Part B up to day 113, Part C up to day 169

Timeline

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

  1. First posted18 Apr 2022
  2. Study start25 Mar 2022
  3. Primary completion18 Jul 2024
  4. Study completion18 Jul 2024

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
This is a phase I, multi-centre study to assess the safety, tolerability, PK \& PD of ONO-4685. This study consists of: Part A single ascending dose, Part B an assessment of multiple doses \& Part C to undertake initial assessment of efficacy with multiple doses. The study will recruit patients, male \& female, with mild or moderate psoriasis diagnosed for at least 6 months. Following screening activities, patients are admitted to a clinical unit 1 day ahead of dosing and will stay at the unit for 4 nights. For patients receiving multiple doses, they will attend the clinic on the day of dosing and will stay for 3 nights. All patients will be followed up, for up to 24 weeks from 1st dose. The study will recruit 6 patients per cohort for part A \& B and 18 patients per cohort for part C. The overall active to placebo ratio will be 2:1.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05332704
Sponsor's protocol ID
ONO-4685-02
Other IDs
2021-002151-10
Status last verified
Aug 2024
First submitted
18 Mar 2022
Last updated
21 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ONO-4685 in people with Plaque Psoriasis, run by Ono Pharmaceutical Co., Ltd. at 4 sites in 3 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 11 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 21 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United Kingdom, Moldova, Romania. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study 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?

Treatment emergent adverse events (TEAEs) by severity (time frame: End of Study (3 years)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2024.

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