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Completed

NCT Number: NCT04172233

A Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD) and the preliminary efficacy of AK101,an anti-IL-12/23p40 monoclonal antibody, when administered subcutaneously in subjects with moderate-to-severe plaque psoriasis.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

About this study

This was a single-center, randomized, double-blind, placebo-controlled trial which consisted of a dose escalation phase (Phase I) and a dose expansion phase (Phase II)..

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Have had Plaque Psoriasis diagnosed at least 6 months prior to screening.
  • Clinical diagnosis of stable plaque psoriasis with involvement of ≥ 10% body surface area. Psoriasis area and severity index(PASI) ≥12. Physicians Global Assessment score ≥3.
  • Patients who have received systemic therapy or phototherapy, or who have been allowed by the investigator to receive systemic therapy or phototherapy.
  • Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last dose of study treatment.
  • Ability to provide written informed consent and to be compliant with the schedule of protocol assessments.
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol.

Exclusion criteria

  • Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular).
  • Had other active skin diseases or skin infections (e.g., bacterial, fungal or viral infection) that could affect psoriasis evaluation.
  • Had Imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening.
  • History or evidence of active or latent tuberculosis at screening.
  • Serious systemic infections or local infections during the 2 months prior to screening.
  • History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved).
  • Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.
  • History of alcohol or drug abuse.
  • History or known presence of recurrent or chronic infection (e.g., hepatitis B, or C, human immunodeficiency virus [HIV], syphilis, TB).
  • Had received any DMARDs (e.g., anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening.
  • Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening.
  • Had received any systemic psoriasis therapy (e.g., glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening.
  • Had Enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials.
  • Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis.
  • Had received previous treatment with natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening.
  • Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.

Treatment and study plan

AK101

Biological

AK101 is an anti-IL-12/23p40 monoclonal antibody.

Placebo

Biological

matching placebo

Primary outcomes

  1. Incidence of treatment emergent adverse events (TEAEs)

    Time frame: From the time of signing informed consent till Week 16 for Phase I or Week 28 for Phase II

Secondary outcomes

  1. Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75)

    Time frame: At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)

  2. Number of participants who achieved ≥ 90% reduction in PASI (PASI90)

    Time frame: At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)

  3. Change From Baseline in the Physician Global Assessment (PGA)

    Time frame: At Week 2, 4, 8, 12, 16, 20 (Phase II), 24 (Phase II) and 28 (Phase II)

  4. Number of subjects who develop detectable anti-drug antibodies (ADAs)

    Time frame: From first dose till Week 16 for Phase I or Week 28 for Phase II

    The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs).

  5. Area under the curve (AUC) of AK101

    Time frame: From first dose till Week 16 for Phase I

    The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.

  6. Minimum observed concentration (Cmin) of AK101

    Time frame: From first dose till Week 16 for Phase I or Week 28 for Phase II

    The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.

  7. Maximum observed concentration (Cmax) of AK101

    Time frame: From first dose till Week 16 for Phase I or Week 28 for Phase II

    The endpoints for assessment of PK of AK101 include serum concentrations of AK101 at different timepoints after AK101 administration.

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Collaborators

  • Akeso Tiancheng, Inc

Registry information

Official study title

A Randomized, Double-blinded, and Placebo-controlled Phase I/II Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Nov 21, 2019
Registry last updated
Mar 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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