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Psoriatic ArthritisPhase 2/3NCT05623345

Psoriatic Arthritis Study of Izokibep

A Phase 2/3 study testing Izokibep in people with Psoriatic Arthritis, run by ACELYRIN Inc. at 71 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Izokibep is a potent and selective inhibitor of interleukin (IL)-17A that is being developed for treatment of psoriatic arthritis (PsA). This study will evaluate the efficacy of izokibep in subjects with PsA. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Psoriatic Arthritis
What is being tested?
Izokibep
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
351 participants
Where
71 sitesin 8 countries
Study dates
21 Nov 2022to 8 Aug 2024
Phase
Phase 2/3
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

  • General
  • Subject has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
  • Subject must be ≥18 (or the legal age of consent in the jurisdiction in which the study is taking place) and ≤75 years of age, at the time of signing the informed consent.
  • Type of Subject and Disease Characteristics
  • Clinical diagnosis of psoriatic arthritis (PsA) with symptom onset at least 6 months prior to first dose of study drug and fulfillment of the ClASsification for Psoriatic ARthritis (CASPAR) criteria at Screening.
  • Active PsA defined as ≥3 tender joints (based on 68 joint counts) and ≥3 swollen joints (based on 66 joint counts) at Screening and Baseline Visits
Show all 17Show fewer
  • Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) negative at screening.
  • Subject must have had an inadequate response, intolerance, or contraindication to at least one of the following:
  • nonsteroidal anti-inflammatory drug (NSAID)
  • conventional-synthetic disease-modifying anti-rheumatic drugs (csDMARD) (i.e. methotrexate, sulfasalazine, leflunomide, hydroxychloroquine, cyclosporine A)
  • tumor necrosis factor-alpha inhibitor(s) (TNFi) (e.g. adalimumab, infliximab, etanercept, golimumab, certolizumab).
  • For subjects using methotrexate, leflunomide, sulfasalazine, hydroxychloroquine, or apremilast, treated for ≥3 months and a stable dose (not to exceed 25 mg methotrexate per week, 20 mg leflunomide per day, sulfasalazine 3 g per day, hydroxychloroquine 400 mg per day, or apremilast 60 mg per day) for ≥4 weeks prior to first dose of study drug.
  • For subjects using corticosteroids, must have been on a stable dose and regimen and not to exceed 7.5 mg per day of prednisone (or other corticosteroid equivalent to 7.5 mg per day of prednisone) for ≥4 weeks prior to first dose of study drug.
  • Subjects using NSAIDs, or low potency opioid medications (tramadol, paracetamol in combination with hydrocodone or with codeine) must have been on a stable dose and regimen for ≥2 weeks prior to first dose of study drug.
  • Other Inclusions
  • No known history of active tuberculosis (TB).
  • Subject has a negative TB test at screening

Who cannot join

  • Disease-related Medical Conditions
  • Any history or current confirmed diagnosis of inflammatory bowel disease (IBD)
  • OR
  • Any of the following symptoms (of unknown etiology) or any signs or symptoms within the last year that in the opinion of the Investigator may be suggestive of IBD, with fecal calprotectin ≥ 500 μg/g; OR if fecal calprotectin >150 to <500 μg/g without confirmed approval from a GI consult that an IBD diagnosis is clinically unlikely when the following clinical signs and symptoms are present:
  • prolonged or recurrent diarrhea
  • prolonged or recurrent abdominal pain
Show all 17Show fewer
  • blood in stool
  • History of fibromyalgia, or any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than psoriatic arthritis (PsA) (including, but not limited to rheumatoid arthritis, gout, connective tissue diseases). Prior history of axial spondyloarthritis or fibromyalgia is permitted if documentation of change in diagnosis to PsA or documentation that the diagnosis was made incorrectly. Prior history of reactive arthritis or axial spondyloarthritis is permitted if an additional diagnosis of PsA is made. Chronic osteoarthritis symptoms that in the Investigator's opinion may interfere with study assessments.
  • Uncontrolled, clinically significant system disease
  • Malignancy within 5 years
  • Severe, uncontrolled, medically unstable mood disorder, such as severe depression.
  • History or evidence of any clinically significant disorder (including psychiatric), condition, or disease that, in the opinion of the investigator, may pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
  • Active infection or history of certain infections
  • Candida infection requiring systemic treatment within 3 months prior to first dose of study drug.
  • Tuberculosis or fungal infection seen on available chest x-ray taken within 3 months prior to first dose of study drug or at screening (Exception: documented evidence of completed treatment and clinically resolved).
  • Known history of human immunodeficiency virus (HIV) or positive HIV test at screening.
  • Other protocol defined Inclusion/Exclusion criteria may apply

Trial locations and contacts

71 sites in 8 countries.

71 sites in 8 countries

United States40 sites
  • Clinical Research Site

    Aventura, Florida, 33180

  • Clinical Research Site

    Beckley, West Virginia, 25801

  • Clinical Research Site

    Clearwater, Florida, 33765

  • Clinical Research Site

    Colleyville, Texas, 76034

  • Clinical Research Site

    Corvallis, Oregon, 97330

  • Clinical Research Site

    Duncansville, Pennsylvania, 16635-8445

  • Clinical Research Site

    Encino, California, 91436

  • Clinical Research Site

    Flagstaff, Arizona, 86001

  • Clinical Research Site

    Fountain Valley, California, 92708

  • Clinical Research Site

    Fullerton, California, 92835

  • Clinical Research Site

    Gainesville, Georgia, 30501

  • Clinical Research Site

    Glendale, Arizona, 85306

  • Clinical Research Site

    Grand Blanc, Michigan, 48439

  • Clinical Research Site

    Hickory, North Carolina, 28602

  • Clinical Research Site

    Hinsdale, Illinois, 60521

  • Clinical Research Site

    Irving, Texas, 75013

  • Clinical Research Site

    Jackson, Tennessee, 38305

  • Clinical Research Site

    Jonesboro, Arkansas, 72401

  • Clinical Research Site

    Kalispell, Montana, 59901

  • Clinical Research Site

    Kissimmee, Florida, 34741

  • Clinical Research Site

    Lexington, Kentucky, 40504

  • Clinical Research Site

    Los Angeles, California, 90045

  • Clinical Research Site

    Memphis, Tennessee, 38119

  • Clinical Research Site

    Mesa, Arizona, 85210

  • Clinical Research Site

    Mesquite, Texas, 75150

  • Clinical Research Site

    Middleburg Heights, Ohio, 44130

  • Clinical Research Site

    New Port Richey, Florida, 34652

  • Clinical Research Site

    Orland Park, Illinois, 60467

  • Clinical Research Site

    Ormond Beach, Florida, 32714

  • Clinical Research Site

    Phoenix, Arizona, 85037

  • Clinical Research Site

    Rancho Mirage, California, 92270

  • Clinical Research Site

    Sacramento, California, 95815

  • Clinical Research Site

    San Diego, California, 92128

  • Clinical Research Site

    Santa Fe, New Mexico, 87505

  • Clinical Research Site

    Santa Monica, California, 90404

  • Clinical Research Site

    Sarasota, Florida, 34239-6900

  • Clinical Research Site

    Seattle, Washington, 98122

  • Clinical Research Site

    Skokie, Illinois, 60076

  • Clinical Research Site

    Tucson, Arizona, 85704

  • Clinical Research Site

    Upland, California, 91786

Other trials in United States

Poland9 sites
  • Clinical Research Site

    Bialystok, 15-077

  • Clinical Research Site

    Bialystok, 15-351

  • Clinical Research Site

    Bydgoszcz, 85-650

  • Clinical Research Site

    Elblag, 82-300

  • Clinical Research Site

    Krakow, 30-510

  • Clinical Research Site

    Poznan, 00-874

  • Clinical Research Site

    Poznan, 61-113

  • Clinical Research Site

    Warsaw, 00-874

  • Clinical Research Site

    Warsaw, 02-691

Other trials in Poland

Canada5 sites
  • Clinical Research Site

    Québec, Quebec, G1V 3M7

  • Clinical Research Site

    Saskatoon, Saskatchewan, S7H 5M7

  • Clinical Research Site

    Sydney, Nova Scotia, B1S 3N1

  • Clinical Research Site

    Trois-Rivières, Quebec, G8Z 1Y2

  • Clinical Research Site

    Windsor, Ontario, N8X 1T3

Other trials in Canada

Hungary5 sites
  • Clinical Research Site

    Budapest, 1027

  • Clinical Research Site (003)

    Budapest, 1036

  • Clinical Research Site

    Kalocsa, 6300

  • Clinical Research Site

    Székesfehérvár, 8000

  • Clinical Research Site

    Veszprém, 8200

Other trials in Hungary

Bulgaria4 sites
  • Clinical Research Site

    Burgas, 8000

  • Clinical Research Site

    Pleven, 5808

  • Clinical Research Site

    Rousse, 7012

  • Clinical Research Site

    Sofia, 1303

Other trials in Bulgaria

Czechia3 sites
  • Clinical Research Site

    Ostrava, 702 00

  • Clinical Research Site

    Prague, 140 00

  • Clinical Research Site

    Zlín, 760 01

Other trials in Czechia

Spain3 sites
  • Clinical Research Site

    Alcobendas, 28100

  • Clinical Research Site

    Santiago de Compostela, 15702

  • Clinical Research Site

    Seville, 41010

Other trials in Spain

Germany2 sites
  • Clinical Research Site

    Frankfurt am Main, 60590

  • Clinical Research Site

    Hamburg, 20095

Other trials in Germany

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Phase 2b/3 Study to Evaluate the Efficacy and Safety of Izokibep in Subjects With Active Psoriatic Arthritis

Izokibep is a potent and selective inhibitor of interleukin (IL)-17A that is being developed for treatment of psoriatic arthritis (PsA).

This study will evaluate the efficacy of izokibep in subjects with PsA.

Being tested
Izokibep, Placebo to izokibep
Keywords
psoriatic arthritis (PsA), psoriasis, inflammatory arthritis, enthesitis
Medical subject headings
Arthritis, Psoriatic, Psoriasis, Arthritis

What participants receive

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

  • IzokibepDrug

    Biologic: IL-17A inhibitor

    Form: Solution for injection

    Route of administration: Subcutaneous (SC)

  • Placebo to izokibepDrug

    Form: Solution for injection

    Route of administration: Subcutaneous (SC)

Study groups in NCT05623345
Study groupRoleWhat they receive
Group 1ExperimentalPlacebo from Day 1/Week 0 to Week 15, then izokibep from Week 16 to Week 51
Receives: Drug: Izokibep; Drug: Placebo to izokibep
Group 2ExperimentalIzokibep Dose 1 from Day 1/Week 0 to Week 51
Receives: Drug: Izokibep
Group 3ExperimentalIzokibep Dose 2 from Day 1/Week 0 to Week 51
Receives: Drug: Izokibep; Drug: Placebo to izokibep
Group 4ExperimentalIzokibep Dose 3 from Day 1/Week 0 to Week 51
Receives: Drug: Izokibep; Drug: Placebo to izokibep

What is being measured

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

  1. Number of Participants Who Achieved 50% Improvement in American College of Rheumatology (ACR50) at Week 16

    ACR50 is a clinical trial measure for PsA, indicating a 50% improvement in symptoms. To qualify, participants must show a 50% reduction in tender and swollen joint counts plus improvements in three of five additional criteria, including pain, global assessments, physical function, and inflammatory markers. ACR50 is binary-patients either meet it or not.

    Measured: Week 16

Secondary outcomes (9)
  1. Number of Participants With Baseline ≥ 3% Body Surface Area (BSA) Psoriasis Who Achieved a 90% or Greater Reduction in Psoriasis Area and Severity Index (PASI90) at Week 16

    PASI is a tool used in clinical trials to measure the severity and extent of psoriasis. Scores range from a minimum of 0 to a maximum of 72, with higher scores indicating more severe disease.

    Measured: Baseline and Week 16

  2. Number of Participants With Baseline Enthesitis > 0 With Resolution of Enthesitis (Leeds Enthesitis Index [LEI] = 0) at Week 16

    LEI is a clinical tool used to assess enthesitis in conditions like psoriatic arthritis and spondyloarthritis. It evaluates six sites: bilateral lateral epicondyles, medial femoral condyles, and achilles tendons. Each site is scored 0 (no pain) or 1 (pain on pressure), with a total score ranging from a minimum of 0 to a maximum of 6, where higher scores indicate more severe enthesitis.

    Measured: Baseline and Week 16

  3. Number of Participants Achieving Minimal Disease Activity (MDA) at Week 16

    A participants was classified as being in MDA when at least five of the following seven criteria were met:

    • Tender joint count based on 68 joints (TJC68) ≤ 1
    • Swollen joint count based on 66 joints (SJC66) ≤ 1
    • PASI ≤ 1 or BSA ≤ 3%
    • Participant's Pain Assessment (Visual Analogue Scale [VAS]) ≤ 15 mm
    • Participant's Global Activity VAS ≤ 20 mm (corresponding to participant's Global Assessment of Disease Activity)
    • Health Assessment Questionnaire-Disability Index (HAQ-DI) ≤ 0.5
    • Tender enthesitis points ≤ 1 out of 6 sites assessed by the LEI.

    Measured: Week 16

  4. Number of Participants Achieving 20% Improvement in ACR (ACR20) at Week 16

    ACR20 is a clinical trial measure for PsA, indicating a 20% improvement in symptoms. To qualify, participants must show a 20% reduction in tender and swollen joint counts plus improvements in three of five additional criteria, including pain, global assessments, physical function, and inflammatory markers. ACR20 is binary-patients either meet it or not.

    Measured: Week 16

  5. Number of Participants With Baseline Psoriatic Arthritis Impact of Disease (PsAID) Score ≥ 3 With Improvement in PsAID Score at Week 16

    The PsAID consists of nine items, each scored on a numeric rating scale (0-10), covering key aspects of disease burden, including pain, fatigue, skin problems, work/leisure activities, functional capacity, sleep disturbance, anxiety, coping, and social participation. The total score is calculated as a weighted sum of these individual items, with higher scores indicating a greater impact of the disease. The minimum score is 0 (no disease impact), while the maximum is 10 (worst possible disease impact). Reaching an improvement was considered an increase of 3 units from baseline score.

    Measured: Week 16

  6. Change in Physical Function as Assessed by HAQ-DI From Baseline to Week 16

    The HAQ-DI consists of 20 questions divided into eight categories: dressing, arising, eating, walking, hygiene, reaching, grip, and other activities. Each item is scored on a scale from 0 to 3, where 0 = no difficulty, 1 = some difficulty, 2 = much difficulty, and 3 = unable to perform. The final HAQ-DI score is calculated as the average of the highest scores in each category, resulting in a range from 0 (no disability) to 3 (severe disability). Higher scores indicate greater functional impairment. A negative change indicates an improvement in functional impairment.

    Measured: Baseline and Week 16

  7. Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs), Serious TEAEs and AE of Special Interest During Period 1

    An AE was any untoward medical occurrence in a participant, regardless of a causal relationship with the study treatment. TEAEs included any event occurring after the participant received study treatment. Clinically significant changes in vital signs, electrocardiograms and laboratory tests recorded after treatment administration were documented as TEAEs.

    TEAEs were considered serious if they led to death, were life-threatening, required hospitalization or its prolongation, caused disability, resulted in congenital anomalies or were considered medically important.

    The events of special interest monitored were : candida infection; inflammatory bowel disease; suicidal ideation; malignancies; major adverse cardiovascular and cerebrovascular events (cerebrovascular accident and transient ischemic attack, nonfatal myocardial infarction or unstable angina, cardiovascular death); tuberculosis; infections (opportunistic, serious, or fungal); cytopenia; systemic hypersensitivity reactions.

    Measured: Up to Week 16, or 4 weeks after participant's last dose in case of treatment discontinuation

  8. Number of Participants Who Experienced TEAEs, Serious TEAEs and AE of Special Interest During Period 2

    An AE was any untoward medical occurrence in a participant, regardless of a causal relationship with the study treatment. TEAEs included any event occurring after the participant received study treatment. Clinically significant changes in vital signs, electrocardiograms and laboratory tests recorded after treatment administration were documented as TEAEs.

    TEAEs were considered serious if they led to death, were life-threatening, required hospitalization or its prolongation, caused disability, resulted in congenital anomalies or were considered medically important.

    The events of special interest monitored were : candida infection; inflammatory bowel disease; suicidal ideation; malignancies; major adverse cardiovascular and cerebrovascular events (cerebrovascular accident and transient ischemic attack, nonfatal myocardial infarction or unstable angina, cardiovascular death); tuberculosis; infections (opportunistic, serious, or fungal); cytopenia; systemic hypersensitivity reactions.

    Measured: First dose of study treatment on or after Week 16 up to Week 55

  9. Number of Participants With a Positive Treatment-emergent Anti-drug Antibody (ADA) Result

    Blood samples were collected at different timepoints throughout the study. ADA is considered "Positive" if any titer value is available.

    Measured: Baseline to Week 65

Timeline

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

  1. First posted21 Nov 2022
  2. Study start21 Nov 2022
  3. Primary completion30 Nov 2023
  4. Study completion8 Aug 2024

Why it stopped: Per our 13Aug24 press release, we announced discontinuation of internal development in this indication. This decision was not due to safety reasons.

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
351 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05623345
Sponsor's protocol ID
22104
Other IDs
2022-501362-22
Status last verified
Nov 2024
First submitted
13 Nov 2022
Last updated
23 May 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Izokibep in people with Psoriatic Arthritis, run by ACELYRIN Inc. at 71 sites in 8 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 17 inclusion and 17 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: stopped early, as of the sponsor's last update on 23 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 71 sites in United States, Poland, Canada, Hungary, Bulgaria and 3 more countries. 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 combined 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.

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?

Yes. Results are posted in the registry (first posted 23 May 2025). 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?

Number of Participants Who Achieved 50% Improvement in American College of Rheumatology (ACR50) 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 23 May 2025.

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