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NCT Number: NCT06380907

A Phase 2 Study of ZL-1102 in Patients With Chronic Plaque Psoriasis

A Randomized, Double-Blind, Vehicle-Controlled, Multicenter, Dose-Ranging, Phase 2 Study to Evaluate the Efficacy and Safety of Different Doses of ZL-1102 Topical gel (A Human VH IL-17A Antibody Fragment) in the Treatment of Chronic Plaque Psoriasis

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Zai Lab Site 5013, Phillip, Australian Capital Territory, Australia

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About this study

This is a randomized, double-blind, vehicle-controlled, dose-ranging, phase 2 study of ZL-1102 in patients with chronic plaque psoriasis. Approximately 250 patients will be randomized at a ratio of 1:1:1:1:1 to 5 treatment arms for 16 weeks of treatment.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adults ≥ 18 years of age.
  • Willing and able to provide signed and dated informed consent prior to any study-related procedures, and willing and able to comply with all study procedures
  • Clinical diagnosis of psoriasis vulgaris of at least 6 months duration as determined by Investigator via medical records or in medical history obtained from the patient, is currently eligible for topical treatment and meets all the following criteria at screening and baseline:
  • IGA ≥ 2 (5 score system)
  • Affected BSA 3%-15% (excluding head)
  • Agree not to have prolonged sun exposure (e.g., recreational) during the study period. Tanning bed use or use of other light-emitting diodes (LEDs) is not allowed.

Exclusion criteria

  • Other types of psoriasis dominant other than plaque psoriasis (e.g., psoriatic arthritis, pustular, erythrodermic, guttate, palmar, plantar, scalp or nail disease) or the lesion is not eligible for topical treatment only.
  • Patients with any serious medical/psychiatric condition or clinically significant laboratory abnormality that would prevent study participation or place the patient at significant risk, as determined by the Investigator.
  • Known or suspected:
  • Severe renal insufficiency or hepatic insufficiency.
  • History of severe depression or suicidal ideation or behavior within 2 years prior to screening.
  • Positive for any of the following tests at screening:
  • Human immunodeficiency virus (HIV): HIV antibody
  • Hepatitis B virus (HBV): hepatitis B surface antigen (HBsAg)/hepatitis B core antibody (HBcAb)/HBV DNA
  • Hepatitis C virus (HCV): HCV RNA
  • Patients with active tuberculosis (TB) or untreated latent TB per local guidelines.
  • History of and/or concurrent condition of inflammatory bowel disease (IBD) (ulcerative colitis and Crohn's disease), or signs/symptoms of IBD at screening that, in the opinion of the Investigator, pose an unacceptable risk to the patient if participating in the study.
  • History of and/or concurrent condition of serious hypersensitivity (anaphylactic shock or anaphylactoid reaction) to IL-17 antibodies and any human or humanized biological agents.
  • Patients who have a history of malignancy unless deemed cured by adequate treatment with no evidence of recurrence for ≥ 3 years before the initiation of study treatment.
  • Patients with a history of chronic alcohol or drug abuse within 6 months of the initiation of study treatment, as determined by the Investigator.
  • Prior exposure to ZL-1102.
  • Patients who have received a live vaccine within 6 weeks prior to dosing on Day 1.
  • Females who are pregnant, wishing to become pregnant during the study, or are breastfeeding

Treatment and study plan

ZL-1102 1% w/w gel BID for 16 weeks

Drug

ZL-1102

1% w/w gel BID for 16 weeks

ZL-1102 3% w/w gel BID for 16 weeks

Drug

ZL-1102 3% w/w gel BID for 16 weeks

ZL-1102 3% w/w gel QD for 16 weeks

Drug

ZL-1102 3% w/w gel QD for 16 weeks

Placebo ZL-1102 0% w/w gel BID for 16 weeks

Drug

Vehicle 0% w/w gel BID for 16 weeks

Placebo ZL-1102 0% w/w gel QD for 16 weeks

Drug

Vehicle 0% w/w gel QD for 16 weeks

Primary outcomes

  1. Efficacy of different doses of ZL-1102 compared to Vehicle at Week 16.

    Time frame: 16 weeks

    The proportion of patients achieving mPASI 75 (at least a 75% reduction in mPASI score from baseline) at Week 16.

Secondary outcomes

  1. The proportion of patients achieving IGA treatment success.

    Time frame: 20 Weeks

    The proportion of patients achieving IGA treatment success, defined as an IGA score of 0 or 1 with at least a 2-point improvement from baseline at Weeks 2, 4, 8, 12, 16,and 20.

  2. The proportion of patients achieving IGA score of 0 or 1.

    Time frame: 20 Weeks

    The proportion of patients achieving an IGA score of 0 or 1 at Weeks 2, 4, 8, 12, 16, and 20

  3. The percent change from baseline in mPASI score.

    Time frame: 20 Weeks

    The percent change from baseline in mPASI score at Weeks 2, 4, 8, 12, 16, and 20.

  4. The proportion of patients achieving mPASI 75 at Week 2, 4, 8, 12, and 20.

    Time frame: 20 Weeks

    The proportion of patients achieving mPASI 75 at Week 2, 4, 8, 12, and 20.

  5. The proportion of patients achieving mPASI 50/90/100 at Weeks 2, 4, 8, 12, 16, and 20.

    Time frame: 20 Weeks

    The proportion of patients achieving mPASII 50/90/100 at Weeks 2, 4, 8, 12,16, and 20.

  6. Time to achieve mPASI 50/75/90.

    Time frame: 20 Weeks

    The time to achieve mPASI 50/75/90 through week 20.

  7. Time to achieve IGA score of 0 or 1.

    Time frame: 20 Weeks

    Time to achieve IGA score of 0 or 1 through Week 20.

  8. Time to achieve 1- or 2-point improvement in IGA.

    Time frame: 20 Weeks

    Time to achieve 1- or 2-point improvement in IGA score through Week 20.

  9. Incidence of Treatment Related Adverse Events through Week 20.

    Time frame: 20 Weeks

    Number of patients with treatment related adverse events through week 20.

  10. Mean local tolerability scores (LTS)

    Time frame: 20 Weeks

    Mean local tolerability scores at Weeks 2, 4,8, 12,16, and 20

  11. Serum concentration of ZL-1102.

    Time frame: 16 Weeks

    Serum concentration of ZL-1102.

  12. Anti-drug antibody (ADA) of ZL-1102.

    Time frame: 16 Weeks

    Incidence, prevalence, and titers of ADA of ZL-1102 in this study

Study contacts

Contact information is provided by the study sponsor or research team.

Zai Lab 1102-002 Study Team

CONTACT

[email protected]

857-971-3465

Sponsors and collaborators

Lead sponsor

Zai Lab (Hong Kong), Ltd.

Industry

Collaborators

  • Zai Lab (US) LLC

Registry information

Official study title

A Randomized, Double-Blind, Vehicle-Controlled, Multicenter, Dose-Ranging, Phase 2 Study to Evaluate the Efficacy and Safety of Different Doses of ZL-1102 Topical Gel (A Human VH IL-17A Antibody Fragment) in the Treatment of Chronic Plaque Psoriasis

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Apr 24, 2024
Registry last updated
Nov 5, 2024

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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