PsoriasisPhase 2NCT02054481
BI 655066 Dose Ranging in Psoriasis, Active Comparator Ustekinumab
A Phase 2 study testing BI 655066 and Ustekinumab in people with Psoriasis, run by Boehringer Ingelheim at 32 sites in 7 countries.
Trial summary
The overall purpose of this trial is to assess clinical efficacy and safety of different subcutaneous doses of BI 655066 in adult patients with chronic plaque psoriasis in order to select doses for further clinical trials. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Psoriasis
- What is being tested?
- BI 655066 and Ustekinumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 166 participants
- Where
- 32 sitesin 7 countries
- Study dates
- Feb 2014to Jul 2015
- Phase
- Phase 2
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Body Mass Index (BMI) >/= 18.5 and < 40 kg/m²
- Patients with stable moderate to severe chronic plaque-type psoriasis with or without psoriatic arthritis involving >/= 10% body surface area, with disease severity PASI >/= 12 and sPGA score of moderate and above (score of at least 3) at screening visit and visit 2 (randomisation), as assessed by the investigator
- Psoriasis disease duration of at least 6 months prior to screening, as assessed by the investigator
- Patients must be candidates for systemic psoriasis treatment or phototherapy, as assessed by the investigator
- Patients must be suitable candidates for ustekinumab (Stelara®) therapy as given in the local labelling
- Patient must give informed consent and sign an approved consent form prior to any study procedures in accordance with GCP and local legislation
Who cannot join
- Patients with guttate, erythrodermic, or pustular psoriasis and patients with drug-induced psoriasis, as diagnosed by the investigator
- Evidence of current or previous clinically significant disease, medical condition other than psoriasis, or finding of the medical examination (including vital signs and ECG), that in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. This criterion provides an opportunity for the investigator to exclude patients based on clinical judgment, even if other eligibility criteria are satisfied. (Psoriatic arthritis is not considered an exclusion criterion)
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders, diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders, or history of orthostatic hypotension, fainting spells or blackouts, that in the investigator's judgement, could jeopardize the safe conduct of the study.
- Clinically important acute or chronic infections including hepatitis and HIV.
- With regards to tuberculosis the following applies:
- Have signs or symptoms suggestive of current active or latent TB upon medical history, physical examination and/or a chest radiograph (both posterior-anterior and lateral views, taken within 3 months prior to the first administration of study drug and read by a qualified radiologist).
Show all 13Show fewer
- Have history of latent or active TB prior to screening, except for patients who have documentation of having completed an adequate treatment regimen at least 6 months prior to the first administration of study agent.
- Have positive IGRA testing (QuantiFERON-TB Gold) within 2 months prior to or during screening, in which active TB has not been ruled out, except for patients with history of latent TB and documentation of having completed an adequate treatment regimen at least 6 months prior to the first administration of study agent.
- Have had a live vaccination </= 12 weeks prior to randomisation (visit 2). Patients must agree not to receive a live vaccination during the study. No BCG vaccines should be given for one year prior to randomisation (visit 2), during the study and for one year after last administration of study drug (according to the Stelara® SPC).
- History of clinically significant hypersensitivity to a systemically administered biologic agent or its excipients
- History of malignancy in the past 5 years or suspicion of active malignant disease except treated cutaneous squamous cell or basal cell carcinoma
- Has received any therapeutic agent directly targeted to IL-12, IL-23 (including ustekinumab (Stelara®))
- Use of biologic agents within 12 weeks (infliximab, etanercept, adalimumab, other biologics) prior to treatment, systemic anti-psoriatic medications or phototherapy within 4 weeks prior to treatment, or topical anti-psoriasis medications within 2 weeks prior to treatment
Trial locations and contacts
32 sites in 7 countries.
32 sites in 7 countries
United States12 sites
1311.2.10003 Boehringer Ingelheim Investigational Site
Arlington Hts, Illinois
1311.2.10002 Boehringer Ingelheim Investigational Site
Bay City, Michigan
1311.2.10006 Boehringer Ingelheim Investigational Site
Dallas, Texas
1311.2.10001 Boehringer Ingelheim Investigational Site
East Windsor, New Jersey
1311.2.10004 Boehringer Ingelheim Investigational Site
Fridley, Minnesota
1311.2.10011 Boehringer Ingelheim Investigational Site
Houston, Texas
1311.2.10010 Boehringer Ingelheim Investigational Site
Los Angeles, California
1311.2.10013 Boehringer Ingelheim Investigational Site
Port Orange, Florida
1311.2.10005 Boehringer Ingelheim Investigational Site
Portland, Oregon
1311.2.10007 Boehringer Ingelheim Investigational Site
Raleigh, North Carolina
1311.2.10012 Boehringer Ingelheim Investigational Site
Spokane, Washington
1311.2.10009 Boehringer Ingelheim Investigational Site
Verona, New Jersey
France6 sites
1311.2.33005 Boehringer Ingelheim Investigational Site
Marseille
1311.2.33002 Boehringer Ingelheim Investigational Site
Nice
1311.2.33001 Boehringer Ingelheim Investigational Site
Paris
1311.2.33004 Boehringer Ingelheim Investigational Site
Pessac
1311.2.33003 Boehringer Ingelheim Investigational Site
Rouen
1311.2.33006 Boehringer Ingelheim Investigational Site
Toulouse
Germany5 sites
1311.2.49001 Boehringer Ingelheim Investigational Site
Berlin
1311.2.49003 Boehringer Ingelheim Investigational Site
Dresden
1311.2.49005 Boehringer Ingelheim Investigational Site
Lübeck
1311.2.49002 Boehringer Ingelheim Investigational Site
Mainz
1311.2.49004 Boehringer Ingelheim Investigational Site
Münster
Canada4 sites
1311.2.20002 Boehringer Ingelheim Investigational Site
Markham, Ontario
1311.2.20005 Boehringer Ingelheim Investigational Site
Peterborough, Ontario
1311.2.20004 Boehringer Ingelheim Investigational Site
Sainte-Foy, Quebec
1311.2.20003 Boehringer Ingelheim Investigational Site
Waterloo, Ontario
Finland2 sites
1311.2.35802 Boehringer Ingelheim Investigational Site
Helsinki
1311.2.35801 Boehringer Ingelheim Investigational Site
Turku
Norway2 sites
1311.2.47002 Boehringer Ingelheim Investigational Site
Ålesund
1311.2.47001 Boehringer Ingelheim Investigational Site
Oslo
About this study
Official title: A 48 Weeks Study of Three Different Dose Regimens of BI 655066 Administered Subcutaneously in Patients With Moderate to Severe Chronic Plaque Psoriasis (Randomised, Dose-ranging, Active-comparator-controlled (Ustekinumab), Double-blind Within Dose Groups of BI 655066)
The overall purpose of this trial is to assess clinical efficacy and safety of different subcutaneous doses of BI 655066 in adult patients with chronic plaque psoriasis in order to select doses for further clinical trials.
- Conditions
- Psoriasis
- Being tested
- BI 655066, Ustekinumab
- Medical subject headings
- Psoriasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BI 655066Drug
Medium dose
BI 655066Drug
High dose
UstekinumabDrug
BI 655066Drug
Low dose
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | BI 655066 s.c. Receives: Drug: BI 655066 |
| Arm 2 | Experimental | BI 655066 s.c. Receives: Drug: BI 655066 |
| Arm 3 | Experimental | BI 655066 s.c. Receives: Drug: BI 655066 |
| Arm 4 | Active comparator | Ustekinumab s.c. Receives: Drug: Ustekinumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Achievement of ≥90% Reduction From Baseline PASI Score (PASI90) at Week 12
Percentage of participants who achieved ≥90% reduction from baseline in Psoriasis Area and Severity Index score (PASI90) at Week 12.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Baseline and Week 12
Secondary outcomes (7)
Achievement of ≥75% Reduction From Baseline in PASI Score (PASI75) at Weeks 12 and 24
Percentage of participants who achieved ≥75% reduction from baseline in Psoriasis Area and Severity Index score (PASI75) at Weeks 12 and 24.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Baseline, Week 12 and Week 24
Achievement of 100% Reduction From Baseline in PASI Score (PASI100) at Week 12
Percentage of participants who achieved 100% reduction from baseline in Psoriasis Area and Severity Index score (PASI100) at Week 12.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Baseline and Week 12
Achievement of ≥50% Reduction From Baseline in PASI Score (PASI50) at Week 12
Percentage of participants who achieved ≥50% reduction from baseline in Psoriasis Area and Severity Index score (PASI50) at Week 12.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Baseline and Week 12
Achievement of PASI90 at Week 24
Percentage of participants who achieved PASI90 at Week 24.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Week 24
Percentage Change in PASI Score From Baseline at Week 12
Percentage change in Psoriasis Area and Severity Index (PASI) from baseline at Week 12.
PASI score ranges from 0 (best) to 72 (worst).
Measured: Baseline and Week 12
Achievement of sPGA Clear or Almost Clear at Week 12
Percentage of participants who achieved static Physician Global Assessment (sPGA) clear or almost clear at Week 12.
sPGA is assessed on a six-point scale from 0 (clear) to 5 (severe).
Measured: Week 12
Time to Loss of PASI50 Response
Time to loss of PASI50 response.
Measured: From first drug administration until end of follow-up period, up to 48 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2014 (estimated)
- Study startFeb 2014
- Primary completionNov 2014
- Study completionJul 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for PsoriasisStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 166 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02054481
- Sponsor's protocol ID
- 1311.2
- Other IDs
- 2012-004384-48
- Status last verified
- Jul 2016
- First submitted
- 3 Feb 2014
- Last updated
- 19 Sep 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Suleiman AA, Khatri A, Oberoi RK, Othman AA. Exposure-Response Relationships for the Efficacy and Safety of Risankizumab in Japanese Subjects with Psoriasis. Clin Pharmacokinet. 2020 May;59(5):575-589. doi: 10.1007/s40262-019-00829-2.
PubMed 31667790Suleiman AA, Minocha M, Khatri A, Pang Y, Othman AA. Population Pharmacokinetics of Risankizumab in Healthy Volunteers and Subjects with Moderate to Severe Plaque Psoriasis: Integrated Analyses of Phase I-III Clinical Trials. Clin Pharmacokinet. 2019 Oct;58(10):1309-1321. doi: 10.1007/s40262-019-00759-z.
PubMed 31054118Papp KA, Blauvelt A, Bukhalo M, Gooderham M, Krueger JG, Lacour JP, Menter A, Philipp S, Sofen H, Tyring S, Berner BR, Visvanathan S, Pamulapati C, Bennett N, Flack M, Scholl P, Padula SJ. Risankizumab versus Ustekinumab for Moderate-to-Severe Plaque Psoriasis. N Engl J Med. 2017 Apr 20;376(16):1551-1560. doi: 10.1056/NEJMoa1607017.
PubMed 28423301
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 48 Weeks Study of Three Different Dose Regimens of BI 655066 Administered Subcutaneously in Patients With Moderate to Severe Chronic Plaque Psoriasis (Randomised, Dose-ranging, Active-comparator-controlled (Ustekinumab), Double-blind Within Dose Groups of BI 655066)
- ClinicalTrials.gov ID
- NCT02054481
- Acronym / sponsor ID
- 1311.2
- Conditions
- Psoriasis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 166 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Feb 2014
- Primary completion
- Nov 2014 (actual)
- Study completion
- Jul 2015 (actual)
- First posted
- 4 Feb 2014 (estimated)
- Results
- Posted 19 Sep 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The overall purpose of this trial is to assess clinical efficacy and safety of different subcutaneous doses of BI 655066 in adult patients with chronic plaque psoriasis in order to select doses for further clinical trials.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: BI 655066BI 655066 s.c. |
| Arm 2 | Experimental | Drug: BI 655066BI 655066 s.c. |
| Arm 3 | Experimental | Drug: BI 655066BI 655066 s.c. |
| Arm 4 | Active comparator | Drug: UstekinumabUstekinumab s.c. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Body Mass Index (BMI) >/= 18.5 and < 40 kg/m²
- Patients with stable moderate to severe chronic plaque-type psoriasis with or without psoriatic arthritis involving >/= 10% body surface area, with disease severity PASI >/= 12 and sPGA score of moderate and above (score of at least 3) at screening visit and visit 2 (randomisation), as assessed by the investigator
- Psoriasis disease duration of at least 6 months prior to screening, as assessed by the investigator
- Patients must be candidates for systemic psoriasis treatment or phototherapy, as assessed by the investigator
- Patients must be suitable candidates for ustekinumab (Stelara®) therapy as given in the local labelling
Key exclusion criteria (13 listed)
- Patients with guttate, erythrodermic, or pustular psoriasis and patients with drug-induced psoriasis, as diagnosed by the investigator
- Evidence of current or previous clinically significant disease, medical condition other than psoriasis, or finding of the medical examination (including vital signs and ECG), that in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. This criterion provides an opportunity for the investigator to exclude patients based on clinical judgment, even if other eligibility criteria are satisfied. (Psoriatic arthritis is not considered an exclusion criterion)
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders, diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders, or history of orthostatic hypotension, fainting spells or blackouts, that in the investigator's judgement, could jeopardize the safe conduct of the study.
- Clinically important acute or chronic infections including hepatitis and HIV.
- Have signs or symptoms suggestive of current active or latent TB upon medical history, physical examination and/or a chest radiograph (both posterior-anterior and lateral views, taken within 3 months prior to the first administration of study drug and read by a qualified radiologist).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BI 655066Medium dose | Drug | Arm 2 |
| BI 655066High dose | Drug | Arm 3 |
| Ustekinumab | Drug | Arm 4 |
| BI 655066Low dose | Drug | Arm 1 |
Primary outcome
Achievement of ≥90% Reduction From Baseline PASI Score (PASI90) at Week 12
Time frame: Baseline and Week 12
Percentage of participants who achieved ≥90% reduction from baseline in Psoriasis Area and Severity Index score (PASI90) at Week 12. PASI score ranges from 0 (best) to 72 (worst).
7 secondary outcomes
Achievement of ≥75% Reduction From Baseline in PASI Score (PASI75) at Weeks 12 and 24
Time frame: Baseline, Week 12 and Week 24
Achievement of 100% Reduction From Baseline in PASI Score (PASI100) at Week 12
Time frame: Baseline and Week 12
Achievement of ≥50% Reduction From Baseline in PASI Score (PASI50) at Week 12
Time frame: Baseline and Week 12
Achievement of PASI90 at Week 24
Time frame: Week 24
Percentage Change in PASI Score From Baseline at Week 12
Time frame: Baseline and Week 12
Achievement of sPGA Clear or Almost Clear at Week 12
Time frame: Week 12
Time to Loss of PASI50 Response
Time frame: From first drug administration until end of follow-up period, up to 48 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31667790Suleiman AA, Khatri A, Oberoi RK, Othman AA. Exposure-Response Relationships for the Efficacy and Safety of Risankizumab in Japanese Subjects with Psoriasis. Clin Pharmacokinet. 2020 May;59(5):575-589. doi: 10.1007/s40262-019-00829-2.
- Derived from this study: PubMed 31054118Suleiman AA, Minocha M, Khatri A, Pang Y, Othman AA. Population Pharmacokinetics of Risankizumab in Healthy Volunteers and Subjects with Moderate to Severe Plaque Psoriasis: Integrated Analyses of Phase I-III Clinical Trials. Clin Pharmacokinet. 2019 Oct;58(10):1309-1321. doi: 10.1007/s40262-019-00759-z.
- Derived from this study: PubMed 28423301Papp KA, Blauvelt A, Bukhalo M, Gooderham M, Krueger JG, Lacour JP, Menter A, Philipp S, Sofen H, Tyring S, Berner BR, Visvanathan S, Pamulapati C, Bennett N, Flack M, Scholl P, Padula SJ. Risankizumab versus Ustekinumab for Moderate-to-Severe Plaque Psoriasis. N Engl J Med. 2017 Apr 20;376(16):1551-1560. doi: 10.1056/NEJMoa1607017.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim study chair
Boehringer Ingelheim
32 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BI 655066 and Ustekinumab in people with Psoriasis, run by Boehringer Ingelheim at 32 sites in 7 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 6 inclusion and 13 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 19 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 32 sites in United States, France, Germany, Canada, Finland and 2 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 19 Sep 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?
Achievement of ≥90% Reduction From Baseline PASI Score (PASI90) at Week 12 (time frame: Baseline and Week 12). 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 NCT02054481, which also lists 3 linked publications.
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 19 Sep 2016.