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PsoriasisPhase 4NCT01543204

Etanercept Treatment in Patients With Moderate to Severe Plaque Psoriasis Who Lost Response to Adalimumab

A Phase 4 study testing Etanercept in people with Psoriasis, run by Amgen at 47 sites in 2 countries.

Terminated

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

Official record
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Trial summary

This study will evaluate the efficacy of etanercept in patients with plaque psoriasis who have lost a satisfactory response to adalimumab. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis
What is being tested?
Etanercept
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
47 sitesin 2 countries
Study dates
1 Feb 2012to 29 May 2015
Phase
Phase 4
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Moderate to severe plaque psoriasis
  • Loss of satisfactory response to adalimumab
  • Currently receiving or recently discontinued treatment with adalimumab

Who cannot join

  • Active skin conditions that would interfere with evaluations of the effect of investigational product on psoriasis
  • Serious medical conditions

Trial locations and contacts

47 sites in 2 countries.

47 sites in 2 countries

United States42 sites
  • Research Site

    Atlanta, Georgia, 30342

  • Research Site

    Bakersfield, California, 93309

  • Research Site

    Bartlett, Tennessee, 38134

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Charleston, South Carolina, 29414

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Denver, Colorado, 80220

  • Research Site

    East Windsor, New Jersey, 08520

  • Research Site

    Encino, California, 91436

  • Research Site

    Farmington, Connecticut, 06030

  • Research Site

    Houston, Texas, 77004

  • Research Site

    Irvine, California, 92697

  • Research Site

    Jacksonville, Florida, 32204

  • Research Site

    Johnston, Rhode Island, 02919

  • Research Site

    Knoxville, Tennessee, 37917

  • Research Site

    Los Angeles, California, 90045

  • Research Site

    Louisville, Kentucky, 40202

  • Research Site

    Macon, Georgia, 31217

  • Research Site

    Miami, Florida, 33136

  • Research Site

    Mobile, Alabama, 36609

  • Research Site

    Nashville, Tennessee, 37215

  • Research Site

    New Albany, Indiana, 47150

  • Research Site

    New Orleans, Louisiana, 70112

  • Research Site

    Norfolk, Virginia, 23507

  • Research Site

    Omaha, Nebraska, 68144

  • Research Site

    Phoenix, Arizona, 85044

  • Research Site

    Pittsburgh, Pennsylvania, 15213

  • Research Site

    Plainfield, Indiana, 46168

  • Research Site

    Plymouth Meeting, Pennsylvania, 19462

  • Research Site

    Rochester, New York, 14625

  • Research Site

    Sacramento, California, 95816

  • Research Site

    San Francisco, California, 94118

  • Research Site

    San Ramon, California, 94583

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Skokie, Illinois, 60077

  • Research Site

    St Louis, Missouri, 63117

  • Research Site

    St. Petersburg, Florida, 33708

  • Research Site

    Tampa, Florida, 33607

  • Research Site

    Tampa, Florida, 33609

  • Research Site

    Verona, New Jersey, 07044

  • Research Site

    Walla Walla, Washington, 99362

Other trials in United States

Canada5 sites
  • Research Site

    Halifax, Nova Scotia, B3H 0A2

  • Research Site

    Markham, Ontario, L3P 1X2

  • Research Site

    Peterborough, Ontario, K9J 1Z2

  • Research Site

    Waterloo, Ontario, N2J 1C4

  • Research Site

    Winnipeg, Manitoba, R3C 0N2

Other trials in Canada

About this study

Official title: Open Label Study to Evaluate the Efficacy of Etanercept Treatment in Subjects With Moderate to Severe Plaque Psoriasis Who Have Lost a Satisfactory Response to Adalimumab

This study will evaluate the efficacy of etanercept in patients with plaque psoriasis who have lost a satisfactory response to adalimumab.

Conditions
Psoriasis
Being tested
Etanercept
Keywords
plaque psoriasis, etanercept, adalimumab
Medical subject headings
Psoriasis

What participants receive

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

  • EtanerceptDrug

    Also called Enbrel®

    Administered by subcutaneous injection

Study groups in NCT01543204
Study groupRoleWhat they receive
Etanercept 50 mgExperimentalParticipants received etanercept 50 mg, twice weekly (BIW), subcutaneously (SC) for 12 weeks followed by 50 mg, once weekly (QW), SC for an additional 12 weeks.
Receives: Drug: Etanercept

What is being measured

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

  1. Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at Week 12

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).

    Measured: Week 12

  2. Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at Week 12 by Anti-adalimumab Antibody Status

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).

    Measured: Week 12

Secondary outcomes (28)
  1. Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at All Other Visits

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).

    Measured: Weeks 4, 8, 16, 20 and 24

  2. Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at All Other Visits by Anti-adalimumab Antibody Status

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).

    Measured: Weeks 4, 8, 16, 20 and 24

  3. Percentage of Participants With an sPGA Score of 0, 1 or 2 at Each Visit

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with a score of 0 (clear), 1 (almost clear) or 2 (mild) is reported.

    Measured: Weeks 4, 8, 12, 16, 20 and 24

  4. Percentage of Participants With an sPGA Score of 0, 1 or 2 by Anti-adalimumab Antibody Status at Each Visit

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with a score of 0 (clear), 1 (almost clear) or 2 (mild) is reported.

    Measured: Weeks 4, 8, 12, 16, 20 and 24

  5. Static Physician Global Assessment (sPGA) at Each Visit

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema).

    Measured: Weeks 4, 8, 12, 16, 20 and 24

  6. Static Physician Global Assessment (sPGA) by Anti-adalimumab Antibody Status at Each Visit

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema).

    Measured: Weeks 4, 8, 12, 16, 20 and 24

  7. Percentage of Participants With a PASI 50 Response at Each Visit

    A PASI 50 response is a 50% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  8. Percentage of Participants With a PASI 50 Response by Anti-adalimumab Antibody Status at Each Visit

    A PASI 50 response is a 50% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  9. Percentage of Participants With a PASI 75 Response at Each Visit

    A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  10. Percentage of Participants With a PASI 75 Response by Anti-adalimumab Antibody Status at Each Visit

    A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  11. Percentage of Participants With a PASI 90 Response at Each Visit

    A PASI 90 response is a 90% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  12. Percentage of Participants With a PASI 90 Response by Anti-adalimumab Antibody Status at Each Visit

    A PASI 90 response is a 90% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  13. Percentage of Participants With at Least a 1 Grade Improvement in sPGA From Baseline

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 1 grade is reported.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  14. Percentage of Participants With at Least a 1 Grade Improvement in sPGA From Baseline by Anti-adalimumab Antibody Status

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 1 grade is reported.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  15. Percentage of Participants With at Least a 2 Grade Improvement in sPGA From Baseline

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 2 grades is reported.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  16. Percentage of Participants With at Least a 2 Grade Improvement in sPGA From Baseline by Anti-adalimumab Antibody Status

    The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 2 grades is reported.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  17. Percent Change From Baseline in Psoriasis Area and Severity Index (PASI)

    The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  18. Percent Change From Baseline in PASI by Anti-adalimumab Antibody Status

    The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  19. Percent Change From Baseline in the Percentage of Body Surface Area (BSA) Involved With Psoriasis

    A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The percent of BSA affected was estimated by assuming that the participant's palm, excluding the fingers and thumb, represented roughly 1% of the body's surface. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 24

  20. Percent Change From Baseline in the Percentage of BSA Involved With Psoriasis by Anti-adalimumab Antibody Status

    A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The percent of BSA affected was estimated by assuming that the participant's palm, excluding the fingers and thumb, represented roughly 1% of the body's surface. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    Measured: Baseline and weeks 4, 8, 12, 16, 20 and 24

  21. Patient Satisfaction With Treatment at Week 12

    Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".

    Measured: Week 12

  22. Patient Satisfaction With Treatment at Week 24

    Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".

    Measured: Week 24

  23. Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score

    The dermatology life quality index (DLQI) is a skin disease-specific instrument to evaluate health-related quality of life. The DLQI questionnaire asks participants to evaluate the degree that psoriasis has affected their quality of life in the last week, and includes the following parameters: symptoms and feelings, daily activities, leisure activities, work or school activities, personal relationships and treatment related feelings. Participants answered 10 questions on a scale from 0 (not at all) to 3 (very much); the range of the total score is from 0 (best possible score) to 30 (worst possible score). Change from baseline was calculated as Baseline Value - Post-baseline Value, hence a positive change indicates improvement.

    Measured: Baseline and Weeks 12 and 24

  24. Change From Baseline in Work Productivity and Activity Impairment (WPAI)

    The impact of disease severity on the participant's ability to participate in work and other activities was evaluated using the WPAI. WPAI consists of six questions to assess whether the participant was currently employed (Q1); how many hours from work were missed due to problems associated with psoriasis (Q2) or any other reason (Q3); hours actually worked (Q4); degree that psoriasis affected productivity while working (Q5); and degree that psoriasis affected regular activities (Q6) over the past 7 days. Four separate overall scores were calculated, including absenteeism (work time missed due to health), presenteeism (impairment at work due to health), work productivity loss (overall work impairment due to health), and activity impairment due to health. Each score ranges from 0 to 100 with higher scores indicating greater impairment and less productivity. Change from baseline was calculated as Baseline Value - Post-baseline Value, hence a positive change indicates improvement.

    Measured: Baseline and Weeks 12 and 24

  25. Change From Baseline in Patient Assessment of Itch

    The severity of the participants itch was individually assessed by the participant. Participants were asked to circle a number between 0 and 10 to describe their itch, with 0 indicating "no itch at all" and 10 indicating "worst itch imaginable." Change from baseline was calculated as Baseline Value - Post-baseline Value, hence a positive change indicates improvement.

    Measured: Baseline and Week 12 and 24

  26. Change From Baseline in Patient Assessment of Pain

    The severity of the participants pain was individually assessed by the participant. Participants were asked to circle a number between 0 and 10 to describe how much their psoriasis hurts today, with 0 indicating "does not hurt at all" and 10 indicating "worst hurt imaginable." Change from baseline was calculated as Baseline Value - Post-baseline Value, hence a positive change indicates improvement.

    Measured: Baseline and Week 12 and 24

  27. Change From Baseline in Patient Assessment of Flaking

    The severity of the participants pain was individually assessed by the participant. Participants were asked to circle a number between 0 and 10 to describe their flaking, with 0 indicating "no flaking at all" and 10 indicating "worst flaking imaginable." Change from baseline was calculated as Baseline Value - Post-baseline Value, hence a positive change indicates improvement.

    Measured: Baseline and Week 12 and 24

  28. Number of Participants With Adverse Events

    A treatment-related adverse event is defined as an event that is deemed by the investigator to be related to investigational product.

    Measured: From first dose of study drug until 30 days after the last dose (up to 28 weeks)

Timeline

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

  1. First posted2 Mar 2012 (estimated)
  2. Study start1 Feb 2012
  3. Primary completion29 May 2015
  4. Study completion29 May 2015

Why it stopped: Business decision due to slow enrollment

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01543204
Sponsor's protocol ID
20101145
Status last verified
Dec 2017
First submitted
17 Jan 2012
Last updated
29 Dec 2017
Data monitoring committee
No

Publications

  • Bagel J, Tyring S, Rice KC, Collier DH, Kricorian G, Chung J, Iles J, Stolshek BS, Kaliyaperumal A, Papp KA. Open-label study of etanercept treatment in patients with moderate-to-severe plaque psoriasis who lost a satisfactory response to adalimumab. Br J Dermatol. 2017 Aug;177(2):411-418. doi: 10.1111/bjd.15381. Epub 2017 Jul 19.

    PubMed 28196270

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Etanercept in people with Psoriasis, run by Amgen at 47 sites in 2 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 3 inclusion and 2 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 29 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Canada. 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 phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 27 Jun 2016). 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?

Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at Week 12 (time frame: Week 12). 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?

On the ClinicalTrials.gov record for NCT01543204, which also lists 1 linked publication.

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 29 Dec 2017.

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