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Moderate to Severe Chronic Plaque PsoriasisPhase 3NCT05495568

To Compare Pharmacokinetics, Efficacy, and Safety of CT-P17 With Humira in Patients With Moderate to Severe Chronic Plaque Psoriasis

A Phase 3 study testing CT-P17 and EU-approved Humira in people with Moderate to Severe Chronic Plaque Psoriasis, run by Celltrion at 1 site in Estonia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase 3 Study to Compare Pharmacokinetics, Efficacy and Safety of CT-P17 with Humira in Patients with Moderate to Severe Chronic Plaque Psoriasis Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
CT-P17 and EU-approved Humira
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
367 participants
Where
1 siteEstonia
Study dates
7 Nov 2022to 5 Feb 2024
Phase
Phase 3
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is male or female aged 18 to 75 years old, both inclusive.
  • Patient has had a diagnosis of chronic plaque psoriasis for at least 24 weeks prior to the first administration of the study drug (Day 1).
  • Patient has stable moderate to severe plaque psoriasis with or without psoriatic arthritis at both Screening and at the time of the first administration of the study drug (Day 1) as defined by:
  • Psoriasis Area and Severity Index (PASI) score of 12 or greater and
  • Static Physician's Global Assessment (sPGA) score of 3 or greater and
  • Body Surface Area (BSA) affected by plaque psoriasis of 10% or greater.
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  • Patient who is a candidate for systemic therapy or phototherapy.
  • Patient (or legal guardian, if applicable) is informed of the full nature and purpose of the study, including possible risks and side effects, is able to cooperate with the investigator and is given ample time and opportunity to read and understand verbal and/or written instructions, and signs the written informed consent form with date prior to participation in the study.
  • Female patient who is considered of childbearing potential (i.e., fertile, following menarche and until becoming post-menopausal unless permanently sterile) must agree to use highly effective methods of contraception consistent with local regulations during the course of the study and at least 20 weeks following discontinuation of study drug (excluding women who are not of childbearing potential). Examples include the following:
  • Combined (estrogen and progestogen containing) or progestogen-only hormonal contraceptives associated with inhibition of ovulation
  • Intrauterine device or intrauterine hormone-releasing system
  • True abstinence, when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), declaration of abstinence for the duration of exposure to investigational drug, and withdrawal are not acceptable methods of contraception.
  • Male patient who is sexually active with a woman of childbearing potential must agree to use the highly effective method described as above or medically acceptable methods of contraception (e.g., male or female condom AND additional hormonal or barrier method by female partner) consistent with local regulations during the study and for 20 weeks following discontinuation of study drug. If patient or their partner has been surgically sterilized for less than 24 weeks prior to the date of informed consent form (ICF), they also must agree to use method(s) of contraception as described above. Postmenopausal female patients must have experienced their last menses more than 1 year prior to the date of ICF without an alternative medical cause to be classified as not of childbearing potential.

Who cannot join

  • Patient diagnosed with forms of psoriasis other than chronic plaque (e.g., pustular, erythrodermic or guttate psoriasis) or medication-induced psoriasis (e.g., new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium).
  • Patient who has previously received investigational or licensed product of tumor necrosis factor (TNF) α inhibitor for any purposes.
  • Patient who has prior exposure to 2 or more biologic agents considered by the investigator to affect the outcome of the study. Patient with 1 prior biologic agent which is not classified as TNF-α inhibitor (e.g., interleukin [IL]-17, IL-12/23, IL-23 blocker) can be enrolled after 5 half-lives prior to the first administration of the study drug (Day 1).
  • Patient who has allergies to any of the excipients of study drug or materials of device or any other murine and human proteins, or patient with a hypersensitivity to immunoglobulin products.
  • Patient who currently has, or has a history of, any of the following infections:
  • A known infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C (active or carrier state) or syphilis. However, a patient with past hepatitis B virus and/or hepatitis C virus is allowed if resolved.
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  • Recurrent herpes zoster or other chronic or recurrent infection within 6 weeks prior to the first administration of the study drug (Day 1).
  • Past or current granulomatous infections or other severe or chronic infections (such as sepsis, abscess, opportunistic infections, or invasive fungal infections such as histoplasmosis). A patient who has a past diagnosis with sufficient documentation of complete resolution of the infection can be enrolled in the study.
  • Acute infection requiring oral antibiotics within 2 weeks prior to the first administration of the study drug (Day 1) or a serious infection associated with hospitalization and/or which required parenteral injection of antibiotics within 24 weeks before Day 1.
  • Patient who currently has, or has a history of, any of the following TB conditions:
  • Patient who has a history of TB or a current diagnosis of TB. A patient who has a previous diagnosis of active TB cannot be enrolled in the study even if there is sufficient documentation of complete resolution of active TB.
  • Patient who has had exposure to a person with active TB such as first-degree family members or co-workers.
  • Patient who has an indeterminate result for interferon-γ release assay (IGRA) or latent TB (defined as a positive result of IGRA with a negative examination of chest X-ray) at Screening. A patient who has a previous diagnosis of latent TB cannot be enrolled despite sufficient documentation of prophylaxis. If the result of the IGRA is indeterminate at Screening, 1 retest will be possible during the Screening period. If the repeated IGRA result is indeterminate again or positive, the patient will be excluded from the study. If the repeated IGRA result is negative, the patient can be enrolled in the study.
  • Patient who has a medical condition including one or more of the following:
  • Classified as Class III obesity by WHO classification (body mass index≥40 kg/m2)
  • Diabetes mellitus considered by the investigator to be clinically significant and uncontrolled, even after insulin treatment.
  • Uncontrolled hypertension (as defined by systolic blood pressure [BP] ≥160 mmHg or diastolic BP ≥100 mmHg).
  • Active ongoing inflammatory or autoimmune disease other than chronic plaque psoriasis and psoriatic arthritis, that may confound the evaluation of the effect of the study drug.
  • History of a known malignancy within the previous 5 years prior to the first administration of the study drug (Day 1) except completely excised and cured squamous carcinoma of the uterine cervix in situ, cutaneous basal cell carcinoma, or cutaneous squamous cell carcinoma.
  • New York Heart Association class III or IV heart failure, severe uncontrolled cardiac disease (unstable angina or clinically significant electrocardiogram [ECG] abnormalities), or myocardial infarction within 24 weeks prior to the first administration of the study drug (Day 1).
  • History of organ transplantation, including corneal graft/transplantation.
  • Any underlying condition (e.g., metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal) that, in the opinion of the investigator significantly immunocompromises the patient and/or places the patient at unacceptable risk for receiving an immunomodulatory therapy.
  • Pre-existing or recent-onset central or peripheral nervous system demyelinating disease, including multiple sclerosis, optic neuritis and Guillain-Barre syndrome.
  • Any other serious acute or chronic medical or psychiatric condition that could increase the risk associated with study participation or study drug administration or that could interfere with the interpretation of study results.
  • History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion.
  • Patient who has the following laboratory abnormalities:
  • Hemoglobin ≤8.0 g/dL (SI [Système International d'Unités] units: ≤80 g/L or 4.96 mmol/L).
  • Platelet count <75× 103 cells/µL (SI units: <75 × 109 cells/L).
  • Absolute neutrophil count <1.5 × 103 cells/µL (SI units: <1.5 × 109 cells/L).
  • Alanine aminotransferase or aspartate aminotransferase >3.0 × upper limit of normal (ULN).
  • Serum creatinine >1.5 × ULN or an estimated creatinine clearance level ≤50 mL/min (by Cockcroft-Gault formula) (SI units: 0.84 mL/s).
  • Patient who has received or plans to receive any of following prohibited medications or treatments:
  • Topical treatment for psoriasis or any other skin condition (e.g., corticosteroids, vitamin D analogues, pimecrolimus, retinoids, salicylvaseline, salicylic acid, lactic acid, tacrolimus, tar, urea, α-hydroxy or fruit acids) within 2 weeks prior to the first administration of the study drug (Day 1). However, low-potency topical corticosteroids (Class 6 or 7) applied to the face and intertriginous areas are permitted during study participation to reduce patient's burden with a restriction of use within 12 hours prior to study visits requiring PASI or sPGA measures. Bland moisturizers/emollients not containing pharmacological active ingredients are permitted for treatment of psoriasis during study participation, but these should not be used within 12 hours before study visits when efficacy assessments are going to be performed.
  • Ultraviolet A or B phototherapy (without oral psoralen) or psoralen with Ultraviolet A photochemotherapy for the treatment of psoriasis within 4 weeks prior to the first administration of the study drug (Day 1).
  • Any systemic immunomodulating treatments (e.g., MTX, cyclosporine A, corticosteroids, cyclophosphamide, and other systemic nonbiologic therapies [e.g., apremilast, tofacitinib]) within 4 weeks prior to the first administration of the study drug (Day 1).
  • Any other investigational device or medical product within 4 weeks prior to the first administration of the study drug (Day 1) or 5 half-lives, whichever is longer.
  • Initiation or dose modification of drugs that may aggravate psoriasis (e.g., beta-blockers, calcium channel blocker or lithium) within 4 weeks prior to the first administration of the study drug (Day 1). Patients who have been on stable dose without exacerbation of psoriasis for at least 4 weeks prior to the first administration of the study drug (Day 1) can be enrolled, however, the same dose should remain throughout the study.
  • Patient who has received live or live-attenuated vaccine within 4 weeks prior to the first administration of the study drug (Day 1), or any planned live or live-attenuated vaccination during the study period.
  • Herbal remedies that could affect the outcome of the study within 2 weeks prior to the first administration of the study drug (Day 1).
  • Patient not willing to limit UV light exposure (e.g., sunbathing and/or the use of tanning devices) during the course of the study.
  • Patient with inability or unwillingness to undergo repeated venipuncture (e.g., because of poor tolerability or lack of access to veins).
  • Female patient who is currently pregnant or breastfeeding, or plans to become pregnant or breastfeed within 20 weeks of the last dose of study drug. Male patient who is planning to donate sperm or father a child within 20 weeks of the last dose of study drug.
  • Patient who currently abuses alcohol or drugs or has a history of alcohol or drug abuse within 1 year from Screening.
  • Patient is vulnerable (e.g., employees of the study center or any other individuals involved with the conduct of the study, or immediate family members of such individuals, persons kept in prison, or other institutionalized persons by law enforcement).
  • Patient who, in the opinion of their physician or the investigator, should not participate in the study.

Trial locations and contacts

1 site in 1 country.

Estonia1 site
  • CT-P17 3.3 investigational site

    Tallinn

Other trials in Estonia

About this study

Official title: A Randomized, Active-Controlled, Double-Blind, Phase 3 Study to Compare Pharmacokinetics, Efficacy, and Safety of CT-P17 With Humira in Patients With Moderate to Severe Chronic Plaque Psoriasis

This is a Phase 3 Study to Compare Pharmacokinetics, Efficacy and Safety of CT-P17 with Humira in Patients with Moderate to Severe Chronic Plaque Psoriasis

Read the detailed description

CT-P17 is a recombinant human monoclonal antibody containing the active ingredient adalimumab (human TNF-α blocker). CT-P17 is a drug product being developed by CELLTRION, Inc. and being compared to both the EU-approved Humira® and US-licensed Humira®. In this study, Pharmacokinetics, Efficacy and Safety of CT-P17 will be evaluated in patients with Moderate to Severe Chronic Plaque Psoriasis.

Being tested
CT-P17, EU-approved Humira

What participants receive

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

  • CT-P17Biological

    CT-P17 40mg will be subcutaneous administered

  • EU-approved HumiraBiological

    subcutaneous administration

Study groups in NCT05495568
Study groupRoleWhat they receive
Switching CT-P17ExperimentalOn Day 1, Week 0, patients will be enrolled in the study and receive Humira. The patients will receive initial dose of Humira (80 mg; 2 shots of 40 mg) on Day 1 and Humira (40 mg) EOW starting one week after the initial dose until Week 11. Prior to the study drug administration at Week 13, patients will be randomized to receive either CT-P17 (40 mg) or Humira (40 mg) and the CT-P17 Switching group will receive CT-P17 (40mg) at Week 13, Week 15, Week 21, Week 23 and Week 25. The Switching group will receive Humira at Week 17 and Week 19. From Week 27, patients will receiAve CT-P17 (40 mg) EOW only as open-label up to Week 49.
Receives: Biological: CT-P17; Biological: EU-approved Humira
Humira maintenanceActive comparatorOn Day 1, Week 0, patients will be enrolled in the study and receive Humira. The patients will receive initial dose of Humira (80 mg; 2 shots of 40 mg) on Day 1 and Humira (40 mg) EOW starting one week after the initial dose until Week 11. Prior to the study drug administration at Week 13, patients will be randomized to receive either CT-P17 (40 mg) or Humira (40 mg) and the Humira maintenance group will receive Humira (40mg) EOW up to Week 25. From Week 27, patients will receive CT-P17 (40 mg) EOW only as open-label up to Week 49.
Receives: Biological: CT-P17; Biological: EU-approved Humira

What is being measured

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

  1. To demonstrate the pharmacokinetics (PK) similarity between patients receiving Humira continuously and those who alternate between Humira and CT-P17 in terms of Area under the concentration-time curve over the dosing interval (AUCtau, 25-27)

    Measured: Week 25-27

  2. To demonstrate the pharmacokinetics (PK) similarity between patients receiving Humira continuously and those who alternate between Humira and CT-P17 in terms of Maximum serum concentration during the dosing interval (Cmax, 25-27)

    Measured: Week 25-27

Secondary outcomes (8)
  1. To evaluate Pharmacokinetics (PK) Pharmacokinetics (PK) parameter: Time to maximum serum concentration during the dosing interval (Tmax, 25-27)

    Measured: Week 25-27

  2. To evaluate Pharmacokinetics (PK) Pharmacokinetics (PK) parameter: Trough concentration (Ctrough)

    Measured: up to Week 52

  3. To evaluate Efficacy: Mean % improvement from baseline in PASI (Psoriasis Area Severity Index) score

    Measured: up to Week 52

  4. To evaluate Efficacy: Proportion of patients achieving at least 50/75/90/100% improvement from baseline in PASI (PASI 50/75/90/100)

    Measured: up to Week 52

  5. To evaluate Efficacy: Proportion of patients with an sPGA (Static Physician's Global Assessment) score on a 5-point scale of clear (0) or almost clear (1)

    Measured: up to Week 52

  6. To evaluate Safety: AEs (including serious AEs) by Common Terminology Criteria for Adverse Events (CTCAE) v5.0

    Measured: up to Week 52

  7. To evaluate Safety: AEs of special interest by Common Terminology Criteria for Adverse Events (CTCAE) v5.0

    Measured: up to Week 52

  8. To evaluate Safety: Immunogenicity of Switching and Humira maintenance will be assessed by anti-drug antibody and neutralizing antibody test in validated immunoassay.

    Measured: up to Week 52

Timeline

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

  1. First posted10 Aug 2022
  2. Study start7 Nov 2022
  3. Primary completion14 Aug 2023
  4. Study completion5 Feb 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Interchangeability study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
367 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05495568
Sponsor's protocol ID
CT-P17 3.3
Other IDs
2022-002336-31
Status last verified
Jul 2024
First submitted
7 Aug 2022
Last updated
21 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Pariser DM, Lebwohl MG, Jaworski J, Trefler J, Daniluk S, Dudek A, Baran W, Owczarek W, Brzewski P, Sikora M, Krogulec M, Kim S, Suh J, Choi E, Cha J, Lee H, Lee S, Koo JY. CT-P17 Adalimumab Biosimilar in Patients with Moderate-to-Severe Chronic Plaque Psoriasis: An Open-Label Extension of a Phase 3 Interchangeability Study. Dermatol Ther (Heidelb). 2025 May;15(5):1079-1092. doi: 10.1007/s13555-025-01383-5. Epub 2025 Mar 27.

    PubMed 40148673
  • Lebwohl MG, Koo JY, Jaworski J, Trefler J, Daniluk S, Dudek A, Baran W, Owczarek W, Kolinek J, Brzewski P, Sikora M, Krogulec M, Kim S, Bae Y, Jeon D, Choi E, Cha J, Lee H, Choi S, Pariser DM. Repeated Switching Between CT-P17 and EU Reference Adalimumab in Patients with Moderate-to-Severe Chronic Plaque Psoriasis: A Randomized, Double-Blind, Active-Controlled, Phase 3, Interchangeability Study. Adv Ther. 2025 Mar;42(3):1582-1599. doi: 10.1007/s12325-024-03100-8. Epub 2025 Feb 11.

    PubMed 39932677

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CT-P17 and EU-approved Humira in people with Moderate to Severe Chronic Plaque Psoriasis, run by Celltrion at 1 site in Estonia.

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 45 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 1 site in Estonia. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

To demonstrate the pharmacokinetics (PK) similarity between patients receiving Humira continuously and those who alternate between Humira and CT-P17 in terms of Area under the concentration-time curve over the dosing interval (AUCtau, 25-27) (time frame: Week 25-27). The study lists 2 primary outcomes in all. 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 NCT05495568, 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 21 Aug 2024.

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