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Chronic Stable Plaque PsoriasisPhase 2NCT02949388

Efficacy and Safety of Prurisol Administered Orally for Active Moderate to Severe Chronic Plaque Psoriasis

A Phase 2 study testing 400 mg (200 mg BID) and 300 mg (150 mg BID) in people with Chronic Stable Plaque Psoriasis, run by Innovation Pharmaceuticals, Inc. at 34 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is designed as a randomized, double blind, parallel group, placebo-controlled trial to study the efficacy and safety of two oral doses of Prurisol administered twice daily for twelve weeks to subjects with moderate to severe chronic plaque psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Stable Plaque Psoriasis
What is being tested?
400 mg (200 mg BID) and 300 mg (150 mg BID)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
199 participants
Where
34 sitesUnited States
Study dates
Nov 2016to Dec 2017
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Evidence of a personally signed and dated written informed consent to participate in the clinical study
  • Male or non-pregnant female adults at least 18 years of age at time of informed consent
  • Chronic plaque-type psoriasis diagnosed for at least 6 months prior to baseline (at time of first study dose)
  • Moderate to severe plaque psoriasis as defined at baseline by:
  • PASI score of 12 or greater, and
  • Static PGA score of moderate (3) or severe (4), and
Show all 10Show fewer
  • Body Surface Area (BSA) affected by plaque-type psoriasis of 10% or greater
  • Candidate for systemic therapy or phototherapy
  • Willing to limit ultraviolet light exposure from sunbathing, use of tanning booths, prolonged outdoor exposure, or from other UV light sources during the study.
  • Willing and able to comply with scheduled visits, study assessments and l laboratory tests, and other study procedures

Who cannot join

  • Positive blood test for HLA-B*5701 allele
  • Currently have forms of psoriasis other than chronic plaque-type, (e.g., guttate, erythrodermic, exfoliative, palmoplantar, pustular), with the exception of nail psoriasis
  • Evidence of drug-induced psoriasis, e.g., a new onset or current exacerbation of psoriasis from beta-blockers, calcium channel inhibitors, antimalarial drugs or lithium
  • Psoriasis flare or rebound within 4 weeks prior to Screening
  • Active inflammatory diseases other than psoriasis that might confound the evaluation of study treatment on signs and symptoms of psoriasis.
  • . Any of the following prohibited treatments that do not meet the specified minimum washout period:
Show all 39Show fewer
  • Biologic immunomodulating treatments of brodalumab or ustekinumab within 24 weeks prior to start of study treatment
  • Biologic immunomodulating treatments such as adalimumab, etanercept, infliximab, ixekizumab, secukinumab or certolizumab pegol within 12 weeks prior to start of study treatment
  • Systemic immunomodulating treatments other than biologics within 4 weeks prior to start of study treatment, e.g., oral corticosteroids, injectable corticosteroids (intraarticular, intramuscular, cutaneous/subcutaneous or intravenous), methotrexate, cyclosporine, cyclophosphamide, apremilast
  • Inhaled or intranasal corticosteroids with predominantly local effect (e.g., to treat asthma) are allowable
  • Use of corticosteroids in the eye or the ear are allowable
  • Other systemic treatments for psoriasis within 4 weeks prior to start of study treatment, e.g., retinoids, fumarates
  • Any such treatment used to treat a symptom of psoriasis but not the condition itself (e.g., anti-histamines for pruritus) is not restricted
  • Photochemotherapy, e.g., Psoralens + UVA phototherapy (PUVA), within 4 weeks prior to start of study treatment
  • Phototherapy, e.g., UVA, UVB, within 2 weeks prior to start of study treatment
  • Topical treatments that could affect signs and symptoms of psoriasis within 2 weeks prior to start of study treatment, e.g., corticosteroids, vitamin D analogs, retinoids, pimecrolimus, tacrolimus, tars, keratolytics
  • Allowable exceptions are: low or least potent (Class 6 or 7) topical corticosteroids for use on face, palms, soles, and intertriginous areas only; tar and salicylic acid preparations/shampoos for use on scalp only; bland emollient for use on any body region
  • Past vaccination with live vaccine within 6 weeks prior to start of study treatment, or plans for administration during the study
  • Any investigational or experimental therapy or procedure or participation in any interventional trial within 4 weeks or 5 half-lives (whichever is longer) prior to start of study treatment
  • Women of child-bearing potential who are not using reliable means of contraception, e.g., abstinence, surgical sterilization (hysterectomy and/or bilateral oophorectomy or partner vasectomy) or tubal ligation, double barrier method, oral/ injected/ implanted/ transdermal hormonal contraception, intrauterine device or intrauterine system, throughout study participation, and for 4 weeks after the end of treatment
  • Women of child-bearing potential who are pregnant or nursing (lactating), or planning a pregnancy while participating in the study
  • History of any ongoing, chronic or recurrent infectious disease (with the exception of episodic herpes labialis and herpes genitalis, and vaginal yeast infections)
  • Evidence of tuberculosis infection as defined by a positive QuantiFERON®-TB Gold In-Tube test (QFT-G) at Screening, or subjects with an indeterminate QFT-G test result with any retest result as indeterminate or positive
  • History of either untreated or incompletely treated latent or active tuberculosis infection
  • Ongoing or recent history of any non-psoriatic uncontrolled (in the Investigator's medical opinion) systemic disease, including, but not limited to renal, hepatic, hematologic, gastrointestinal, endocrine, metabolic, pulmonary, cardiac, neurologic, or psychiatric disease. (e.g., A past or current history of hypertension that is controlled with diet and/or medications is not exclusionary.)
  • History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years with the exception of: basal cell or squamous cell carcinoma or actinic keratoses that have been treated or excised with no evidence of recurrence in the past 12 weeks; cervical carcinoma in situ or non-invasive malignant colon polyps that have been removed
  • Active systemic infections during the past two weeks (exception: common cold) prior to start of study treatment or any infection that reoccurs on a regular basis
  • Past medical history of infection with HIV, hepatitis B or hepatitis C
  • History of any allergic reaction to any formulation of abacavir
  • Previous treatment with any abacavir-containing product, e.g., Ziagen®, Epzicom®, or Trizivir®
  • Previous participation in a clinical study of Prurisol
  • Presence of any medical or psychiatric condition that, in the Investgator's opinion, makes it unlikely that the requirements of the protocol will be completed
  • History of alcohol or substance abuse, unless in full remission for more than 6 months prior to start of study treatment
  • Electrocardiogram (ECG) obtained at Screening visit which shows medically relevant abnormalities which may affect subject safety or interpretation of study results
  • Observed clinical laboratory values/abnormalities during Screening that show any one or more of the following:
  • Screening total white blood cell (WBC) count <2.5 x 10^9/L, or platelets <100 x 10^9/L or neutrophils <1.2 x 10^9/L or hemoglobin <8.5 g/dL
  • Screening serum creatinine level exceeding 2.0 mg/dL (176.8 µmol/L)
  • Screening alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels > 2 x ULN
  • Any other severe acute or chronic medical or psychiatric condition or test abnormality(ies) that, in the Investigator's opinion, puts the subject at significant risk, could confound the study results, or may interfere significantly with the subject's participation in the study

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

United States34 sites
  • Study Center

    Arlington Heights, Illinois, 60005

  • Study Center

    Austin, Texas, 78759

  • Clinical Study Site

    Berlin, New Jersey, 08009

  • Study Center

    Charlottesville, Virginia, 22911

  • Clinical Study Site

    Clarkston, Michigan, 48346

  • Clinical Study Site

    Clinton Township, Michigan, 48038

  • Study Site

    Denver, Colorado, 80209

  • Clinical Study Site

    Denver, Colorado, 80210

  • Study Site

    Glendale, Arizona, 85308

  • Study Center

    Hot Springs, Arkansas, 71913

  • Clinical Study Site

    Houston, Texas, 77004

  • Study Site

    Johnston, Rhode Island, 02919

  • Study Site

    Las Vegas, Nevada, 89106

  • Study Center

    Los Angeles, California, 90017

  • Study Site

    Los Angeles, California, 90036

  • Study Site

    Louisville, Kentucky, 40217

  • Clinical Study Site

    Murrieta, California, 92562

  • Clinical Study Site

    New York, New York, 10012

  • Clinical Study Site

    Oceanside, California, 92056

  • Study Center

    Overland Park, Kansas, 66215

  • Clinical Study Site

    Pflugerville, Texas, 78660

  • Study Site

    Port Orange, Florida, 32127

  • Clinical Study Site

    Portland, Oregon, 97210

  • Clinical Study Site

    Portsmouth, New Hampshire, 03801

  • Clinical Study Site

    Rogers, Arkansas, 72758

  • Clinical Study Site

    San Antonio, Texas, 78213

  • Clinical Study Site

    San Antonio, Texas, 78229

  • Study Site

    San Antonio, Texas, 78229

  • Study Site

    Savannah, Georgia, 31406

  • Study Site

    Sherman Oaks, California, 91403

  • Clinical Study Site

    South Bend, Indiana, 46617

  • Clinical Study Site

    St Louis, Missouri, 63117

  • Clinical Study Site

    Tampa, Florida, 33609

  • Study Site

    Webster, Texas, 77598

Other trials in United States

About this study

Official title: A Randomized, Double Blind, Parallel Group, Placebo-controlled Trial to Study the Efficacy and Safety of Two Oral Doses of Prurisol Administered Twice Daily for Twelve Weeks to Subjects With Moderate to Severe Chronic Plaque Psoriasis

This study is designed as a randomized, double blind, parallel group, placebo-controlled trial to study the efficacy and safety of two oral doses of Prurisol administered twice daily for twelve weeks to subjects with moderate to severe chronic plaque psoriasis.

Read the detailed description

This study is designed as a randomized, double blind, parallel group, placebo-controlled trial to study the efficacy and safety of two oral doses of Prurisol administered twice daily for twelve weeks to subjects with moderate to severe chronic plaque psoriasis.

Approximately 189 study participants will be enrolled. Subjects will be randomly assigned to one of three treatment groups in a 3:3:1 randomization ratio, respectively.

  • Group A (n=81): Prurisol 150 mg bid
  • Group B (n=81): Placebo
  • Group C (n=27): Prurisol 200 mg bid Outpatient subjects with moderate to severe chronic plaque psoriasis who are candidates for systemic therapy or phototherapy will be recruited to the study. Study participants are required to have a Psoriasis Area and Severity Index (PASI) score ≥ 12, body surface area involvement ≥ 10%, and a static Physician's Global Assessment (sPGA) of moderate or severe (score of 3 or 4).

A subject studied under this clinical protocol will commence with a screening period of up to 4 weeks, a treatment period of 12 weeks, and a follow-up period of 4 weeks ending with an End of Study evaluation.

During treatment, subjects will return to the study center every 2 weeks. Efficacy assessments, including physician and patient rated endpoints, will be measured throughout the study. Safety and tolerability will be assessed by ascertainment of AEs and results of clinical laboratory testing, vital signs assessments, and need for concomitant medications.

At a subset of sites, blood samples for determination of plasma concentrations of Prurisol (abacavir glycolate) and abacavir, it's metabolite, will be obtained from subjects who consent to provide these samples. At selected sites, for those subjects consenting to photography, standardized digital photographs will be obtained for illustrative purposes.

Being tested
Placebo, 400 mg (200 mg BID), 300 mg (150 mg BID)

What participants receive

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

  • PlaceboDrug

    Two capsules (both containing Placebo enclosed) taken twice a day and approximately 12 hours apart

  • 400 mg (200 mg BID)Drug

    Also called Prurisol

    Two capsules (both containing two 50mg tablets enclosed) taken twice a day and approximately 12 hours apart

  • 300 mg (150 mg BID)Drug

    Also called Prurisol

    Two capsules (one containing 50mg tablet and one containing two 50 mg tablets) taken twice a day and approximately 12 hours apart

Study groups in NCT02949388
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo Comparator: Placebo daily Two (2) placebo capsules given twice daily (AM and PM) for 84 (± 2 days
Receives: Drug: Placebo
300 mg (150 mg BID)Active comparatorActive Comparator: 300 mg of Prurisol daily One (1) capsule containing 100 mg Prurisol and one (1) capsule containing 50 mg of Prurisol given twice (AM and PM) for 84 (± 2) days
Receives: Drug: 300 mg (150 mg BID)
400 mg (200 mg BID)Active comparatorActive Comparator: 400 mg of Prurisol daily Two (2) capsule each containing 100 mg Prurisol given twice daily (AM and PM) for 84 (± 2) days
Receives: Drug: 400 mg (200 mg BID)

What is being measured

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

  1. Proportion of participants achieving at least a 75% reduction from baseline in PASI score (PASI75) at Week 12

    The Psoriasis Area and Severity Index (PASI) quantifies the severity of psoriasis based on lesion severity and the percent of body surface area affected. It is a composite assessment, across body regions, reflected in a single score: 0 (no disease) to 72 (maximal disease).

    Measured: 12 Weeks

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Reporting of Adverse Events measurements, and reporting of adverse events.

    Measured: 16 Weeks

Secondary outcomes (9)
  1. Proportion of subjects achieving a static Physician Global Assessment (sPGA) score of clear (0) or almost clear (1) with at least a 2-point reduction from baseline

    The static Physician Global Assessment reflects an overall severity of the erythema, induration and scaling across all psoriatic lesions on a 5-point scale, where 0=clear, 1=almost clear, 2=mild, 3=moderate, and 4=severe.

    Measured: 16 Weeks

  2. PASI75 response at time points through Week 16

    The Psoriasis Area and Severity Index (PASI) quantifies the severity of psoriasis based on lesion severity and the percent of body surface area affected. It is a composite assessment, across body regions, reflected in a single score: 0 (no disease) to 72 (maximal disease).

    Measured: 16 Weeks

  3. The actual and change from baseline in patient-reported itch severity score

    The severity of itching due to psoriasis will be assessed on a horizontal numeric rating scale, anchored by the terms "No itching" (0) and "Worst possible itching" (10).

    Measured: 16 weeks

  4. Assessment of patient-reported quality of life by the Dermatology Life Quality Index (DLQI)

    The Dermatology Life Quality Index (DLQI) is a 10-item general dermatology questionnaire that assesses patient health-related quality of life in adult subjects with skin diseases such as psoriasis

    Measured: 16 Weeks

  5. Assessment of patient-reported quality of life by the Short Form-36 Health Survey (version 2, acute form)

    The SF-36 is a widely used general health status questionnaire that assesses 8 domains of functional health and well-being: Physical Functioning, Role Limitations due to Physical Health Problems, Bodily Pain, Social Functioning, Mental Health, Role Limitations due to Emotional Problems, Vitality, and General Health Perceptions

    Measured: 12 Weeks

  6. Assessment of patient-reported quality of life by the Euro-Qol 5 Dimensions Health State Profile

    The EQ-5D is a generic instrument designed to assess a subject's general health status. The instrument consists of a questionnaire and a visual analog scale (VAS)

    Measured: 12 Weeks

  7. Assessment of Patient Satisfaction with Study Treatment (PSST)

    Overall patient satisfaction with study treatment will be assessed on a 7-point rating scale, with response options range from "very dissatisfied" to "very satisfied"

    Measured: 12 Weeks

  8. Plasma concentrations of Prurisol

    Measurement of Prurisol (abacavir glycolate) from a subset of subjects in the trial

    Measured: 4 Weeks

  9. Plasma concentrations of abacavir

    Measurement of abacavir, a metabolite of Prurisol, from a subset of subjects in the trial

    Measured: Timeframe: 4 weeks

Timeline

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

  1. First posted31 Oct 2016 (estimated)
  2. Study startNov 2016
  3. Primary completionNov 2017
  4. Study completionDec 2017

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
199 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02949388
Sponsor's protocol ID
CTIX-PRU-005
Status last verified
Jan 2018
First submitted
14 Oct 2016
Last updated
13 Feb 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 400 mg (200 mg BID) and 300 mg (150 mg BID) in people with Chronic Stable Plaque Psoriasis, run by Innovation Pharmaceuticals, Inc. at 34 sites in United States.

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 10 inclusion and 39 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 13 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States. 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. Some participants in this study may receive a placebo. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of participants achieving at least a 75% reduction from baseline in PASI score (PASI75) at Week 12 (time frame: 12 Weeks). 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?
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 13 Feb 2018.

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