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Psoriasis VulgarisPhase 1NCT06191042

A Study to Evaluate the Safety and Tolerability, and the Efficacy of Si-544 in Adults With Psoriasis Vulgaris or Psoriatic Arthritis

A Phase 1 study testing si-544 in people with Psoriasis Vulgaris and Psoriatic Arthritis, run by selectION Therapeutics GmbH at 4 sites in Germany.

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 main objective of this study is to investigate the safety and tolerability of si-544. Other objectives are to study the metabolism of si-544 in the body and to assess the effects of si-544 on cells of the body's immune system (immune cells) that have been chronically activated by the disease. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Psoriasis Vulgaris, Psoriatic Arthritis
What is being tested?
si-544
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
4 sitesGermany
Study dates
22 Jan 2024to 23 Jun 2025
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has the capacity for consenting, was informed about the nature, the scope, and the relevance of the clinical study, voluntarily agrees in participation and in the study provisions, and duly signed the ICF approved by the ethics committee before any study-related procedure is performed
  • Men and women aged ≥18 to 75 years
  • Willing and able to adhere to the protocol requirements
  • Women of childbearing potential must:
  • have a negative pregnancy test (blood) at Screening and a negative pregnancy test (urine) at Day 1
  • agree to use, and be able to comply with, highly effective measures of contraceptive control (failure rate less than 1% per year when used consistently and correctly) without interruption, from Screening through 30 days after the last IMP injection
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  • Reliable methods for this study are:
  • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal) ii. progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable) iii. intrauterine device iv. intrauterine hormone-releasing system v. bilateral tubal occlusion vi. vasectomized sexual partner (provided that the partner is the sole sexual partner of the woman of childbearing potential and has received medical assessment of the surgical success) vii. sexual abstinence (only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatment) Abstinence is only accepted as true abstinence: when this is in line with the preferred and usual lifestyle of the subject (periodic abstinence [eg, calendar, ovulation, symptothermal, postovulation methods and withdrawal] is not an acceptable method of contraception).
  • agree to abstain from breast feeding during the study participation and for 90 days after the last IMP injection
  • Postmenopausal (no menses for at least 1 year without alternative medical cause) or surgically sterile women (tubal ligation, hysterectomy, or bilateral oophorectomy)
  • Men must agree to practice true abstinence or to use a condom during sexual contact with a pregnant woman or a woman of childbearing potential during study participation and for at least 90 days after the last IMP injection, even after undergoing a successful vasectomy.
  • Ps-specific inclusion criteria:
  • Diagnosis of Ps at least 3 months before Screening
  • Active Ps with ≥3% BSA involved and with at least 1 psoriatic plaque (other than nail change)
  • PsA-specific inclusion criteria:
  • 7. Diagnosis of PsA based on the classification for psoriatic arthritis criteria (CASPAR) at least 3 months before Screening
  • 8. Diagnosis of active Ps with at least 1 psoriatic plaque (other than nail change)
  • 9. Active PsA defined as
  • ≥1 tender joint out of 68 assessed joints, and
  • ≥1 swollen joint out of 66 assessed joints (dactylitis of a digit counts as one joint each), and
  • negative results for rheumatoid factor and anti-cyclic citrullinated peptide antibodies

Who cannot join

  • Known history of hypersensitivity to constituents or excipients in the pharmaceutical formulation of the IMP
  • Uncontrolled hypertension or uncontrolled diabetes, as judged by the investigator
  • Chronic disease other than Ps or PsA not adequately controlled by stable treatment (ie, no changes or initiation of treatment within 4 weeks before Screening and Day 1)
  • History of seizures
  • Presence or history of paresthesia or neuropathy
  • Clinically significant ECG abnormalities, as judged by the investigator
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  • Clinically relevant disease which could affect the safety of the subject during the study or impede the subject's ability to complete the study, as assessed by the investigator
  • Presence of acute infection within 7 days before Screening or Day 1, as judged by the investigator
  • Known or active infection with Mycobacterium tuberculosis and/or positive tuberculosis interferon γ release assay result at Screening
  • Known or active infection with HIV, hepatitis B virus, or hepatitis C virus
  • Known or suspected abuse of alcohol, drugs, or medicinal products
  • Therapy with biologics used for the treatment of Ps and/o PsA (including those under investigation) within 1 year before Day 1
  • UV phototherapy or systemic therapy (except methotrexate for the treatment of PsA) within 4 weeks of Day 1
  • Vaccination within 2 weeks (for live vaccines within 4 weeks) before Day 1 and/or planned vaccination during the treatment period
  • Current or previous (within 4 weeks before Day 1) participation in another clinical study with an IMP or a medical device
  • Employee of the sponsor, or employee, or relative of the investigator
  • Committed to an institution by virtue of an order issued either by the judicial or the administrative authorities
  • Legal incapacity or limited legal capacity
  • Ps-specific exclusion criteria:
  • Drug-induced psoriasis
  • PsA-specific exclusion criteria:
  • 19. Late stage PsA with deformed joints

Trial locations and contacts

4 sites in 1 country.

Germany4 sites
  • selectION Clinical Trial Site

    Bad Bentheim

  • selectION Clinical Trial Site

    Berlin

  • selectION Clinical Trial Site

    Blankenfelde-Mahlow

  • selectION Clinical Trial Site

    Hamburg

Other trials in Germany

About this study

Official title: A Multicenter, Phase 1b, Double-blind, Placebo-controlled Study to Evaluate the Safety and Tolerability, and the Efficacy of Si-544 in Adults With Psoriasis Vulgaris or Psoriatic Arthritis

The main objective of this study is to investigate the safety and tolerability of si-544.

Other objectives are to study the metabolism of si-544 in the body and to assess the effects of si-544 on cells of the body's immune system (immune cells) that have been chronically activated by the disease. Likewise, the effect of si-544 on inflammatory responses in the body triggered by the disease and other disease symptoms will be investigated.

Being tested
si-544, Placebo
Medical subject headings
Arthritis, Psoriatic

What participants receive

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

  • si-544Drug

    Subcutaneous injection in the abdomen

  • PlaceboDrug

    Subcutaneous injection in the abdomen

Study groups in NCT06191042
Study groupRoleWhat they receive
si-544ExperimentalNot described
Receives: Drug: si-544
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Determination of safety and tolerability of treatment with si-544

    Occurrence of adverse events (AEs) and serious AEs (SAEs), including description of type, frequency, severity, and causal relationship of adverse events (AEs) and serious AEs

    Measured: From Day -35 to Day 106

  2. Determination of safety and tolerability of treatment with si-544

    Change in clinical laboratory, electrocardiogram (ECG), vital signs, and peripheral oxygen saturation from Baseline to all assessed timepoints

    Measured: From Day 1 (Baseline) to Day 106

Secondary outcomes (16)
  1. Determination of the plasma concentrations of free si-544

    Plasma concentrations of free si-544

    Measured: Day 1 (Baseline) and Day 25

  2. Determination of the pharmacodynamics (PD) of si-544 as assessed by the number of T cells in peripheral blood

    Change in the number of T cells in peripheral blood

    Measured: From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16

  3. Determination of the pharmacodynamics (PD) of si-544 as assessed by immunophenotypes of T cell subsets

    Change in immunophenotypes of T cell subsets

    Measured: From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16

  4. Determination of the pharmacodynamics (PD) of si-544 as assessed by serum cytokine levels

    Change in serum cytokine levels

    Measured: From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16

  5. Determination of the immunogenicity of si-544 treatment

    Change in anti-drug antibodies against si-544 in serum

    Measured: From Day 1 (Baseline) to Day 29 (Week 5) and Week 16

  6. Determination of the efficacy of si-544 treatment as assessed by psoriasis area and severity index (PASI)

    Change in the psoriasis area and severity index (PASI)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  7. Determination of the efficacy of si-544 treatment as assessed by psoriasis area and severity index (PASI) response rate

    Difference in psoriasis area and severity index (PASI) response rate (defined as subjects with ≥1 score improvement from Baseline)

    Measured: At Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  8. Determination of the efficacy of si-544 treatment as assessed by physician's global assessment (PGA) of disease activity

    Change in the physician's global assessment (PGA) of disease activity

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  9. Determination of the efficacy of si-544 treatment as assessed by body surface area (BSA)

    Change in affected body surface area (BSA)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  10. Determination of the efficacy of si-544 treatment as assessed by a numeric rating scale (NRS)

    Change in the mean itch using a numeric rating scale (NRS)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  11. Determination of the efficacy of si-544 treatment as assessed by a numeric rating scale (NRS)

    Change in the worst itch using a numeric rating scale (NRS)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  12. Determination of the efficacy of si-544 treatment on symptoms of psoriasis vulgaris (Ps) in Ps patients only as assessed by dermatological life quality index (DLQI)

    Change in the dermatological life quality index (DLQI)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  13. Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assessed by psoriatic arthritis quality of life (PsAQoL)

    Change in the psoriatic arthritis quality of life (PsAQoL)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  14. Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only (assessment of pain)

    Change in the subject's assessment of pain using a visual analog scale (VAS)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  15. Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assesses by the 66 swollen joint count (SJC66)

    Change in the 66 swollen joint count (SJC66)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

  16. Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assessed by the 68 tender joint count (TJC68)

    Change in the 68 tender joint count (TJC68)

    Measured: From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16

Timeline

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

  1. First posted5 Jan 2024
  2. Study start22 Jan 2024
  3. Primary completion23 Jun 2025
  4. Study completion23 Jun 2025

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
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06191042
Sponsor's protocol ID
SEL-002
Other IDs
2023-507393-40, 2023
Status last verified
Jun 2025
First submitted
10 Dec 2023
Last updated
3 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Due to uncertainties in EU data protection legislation individual deidentified participant data are not shared. The main uncertainty is the concept of what "deidentified" means. It appears not to mean that the data set of a person is simply separated from the person's name. What additional operations have to be done appears to depend on technological capabilities to re-identify the persons associated with the data set. A common perception is that the technological capabilities for re-identification are permanently increasing. This could have the effect that public data sets that are regarded as deidentified now might become re-identifiable data sets in the future. Once this happens, the sponsor is no longer able to make the publication of the data sets un-happen. This could result in sanctioning by EU data protection authorities. The sponsor wants to avoid this.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing si-544 in people with Psoriasis Vulgaris and Psoriatic Arthritis, run by selectION Therapeutics GmbH at 4 sites in Germany.

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 21 inclusion and 22 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 3 Jul 2025. 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 Germany. 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?

Determination of safety and tolerability of treatment with si-544 (time frame: From Day -35 to Day 106). 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?
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 3 Jul 2025.

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