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Completed

NCT Number: NCT04173637

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

This is a multiple-center, randomized, double-blind, placebo-controlled Phase IIb study to evaluate the efficacy and safety of AK101, an anti-IL-12/23 p40 antibody, when administered subcutaneously, in subjects with moderate-to-severe plaque psoriasis. The study will consist of 3 periods: up to 4 weeks screening, 12 weeks double-blinded treatment and long-term follow-up period(up to 52 weeks).

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Key information

Conditions

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Peking Union Medical College Hospital, Beijing, Beijing Municipality, China

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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.
  • Candidate for systemic therapy, defined as having psoriasis inadequately controlled by topical treatment (including topical corticosteroids) and/or phototherapy and/or previous systemic therapy.
  • 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 doses 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.
  • Known history of alcohol or drug abuse.
  • History or known presence of recurrent or chronic infection (e.g., hepatitis 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 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

an anti-IL-12/23p40 monoclonal antibody

Placebo

Biological

matching placebo

Primary outcomes

  1. Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75) at Week 12

    Time frame: Week 12

  2. Incidence of treatment emergent adverse events (TEAEs)

    Time frame: From the time of signing the informed consent form till last follow-up visit (Up to Week 52)

Secondary outcomes

  1. Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90) at Week 12

    Time frame: At baseline and Week 12

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

    Time frame: Up to Week 52 (except for Week 12)

  3. Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90)

    Time frame: Up to Week 52( except for Week 12)

  4. Number of participants who achieved 100% reduction in Psoriasis Area and Severity Index (PASI100) at Week 12

    Time frame: Up to Week 52

  5. Proportion of subjects who achieve a ≥ 4-point reduction in DLQI from baseline

    Time frame: Up to Week 52

    The DLQI is a dermatology-specific quality of life (QoL) instrument designed to assess the impact of the disease on a participant's QoL. It is a 10-item questionnaire that, in addition to evaluating overall Qol, can be used to assess six different aspects that mey affect QoL: 1) symptoms and feelings, 2) daily activities, 3) leisure, 4) work or school performance, 5) personal relationships, and 6) treatment.

  6. Proportion of subjects who achieve Physician Global Assessment (PGA) of clear or almost clear (0 or 1) after treatment

    Time frame: Up to Week 52

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

    Time frame: Up to Week 52

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

  8. Minimum observed concentration (Cmin) of AK101 at steady state

    Time frame: Up to Week 52

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Collaborators

  • Akeso Tiancheng, Inc

Registry information

Official study title

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

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Nov 22, 2019
Registry last updated
Feb 28, 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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