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An international, multi-centre, prospective, randomised, double-blind, 4-arm, placebo controlled, parallel group study with 12 weeks once daily oral treatment in subjects with psoriasis vulgaris.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEO 22811 0.5 mg | Active Comparator | LEO 22811 0.5 mg: Oral solution |
|
| LEO 22811 1.5 mg | Active Comparator | LEO 22811 1.5 mg: Oral solution |
|
| LEO 22811 3.0 mg | Active Comparator | LEO 22811 3.0 mg: Oral solution |
|
| Placebo | Placebo Comparator | Placebo: Oral solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LEO 22811 | Drug | Oral solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage Change in Psoriasis Area and Severity Index (PASI) | The investigator made assessments of the extent and severity of clinical signs of the participant's psoriasis on specific areas of the body in terms of three clinical signs: redness, thickness and scaliness. The extent of psoriatic involvement was recorded for each of four areas; head, arms, trunk and legs using the following scale: 0. = no involvement
For each clinical sign a single score (0, 1, 2, 3 or 4) reflecting the average severity of all psoriatic lesions on the given body region was determined. PASI was calculated based on the investigator's assessment of the disease locally (head, trunk, arm, legs) using the following formula: Head: 0.1 (R + T + S)E = W Arms: 0.2 (R + T + S)E = X Trunk: 0.3 (R + T + S)E = Y Legs: 0.4 (R + T + S)E = Z R = score for redness; T = score for thickness, S = score for scaliness; E = score for extent The sum of W+X+Y+Z gives the total PASI that ranges from 0 to 72. | Baseline (Day 0) to end of treatment (Day 84) |
| Measure | Description | Time Frame |
|---|---|---|
| Participants With at Least 75% Reduction in PASI (PASI 75) | From baseline (Day 0) to end of treatment (Day 84) | |
| Participants With at Least 50% Reduction in PASI (PASI 50) | From baseline (Day 0) to end of treatment (Day 84) |
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Inclusion Criteria:
Exclusion Criteria:
Systemic treatment with biological therapies whether marketed or not with a possible effect on psoriasis vulgaris within the following time periods prior to randomisation:
Systemic treatment with all other therapies (other than biologics) with a possible effect on psoriasis vulgaris (e.g.corticosteroids, retinoids, immunosuppressants, methotrexate, cyclosporin or fumaric acid) within 4 weeks prior to randomisation
PUVA therapy within 4 weeks prior to randomisation
UVB therapy within 2 weeks prior to randomisation
Any topical treatment (except for emollients/ medicated shampoo) within 2 weeks prior to randomisation
Initiation of, or changes to concomitant medication that could affect psoriasis vulgaris (e.g. beta-blockers, anti-malaria drugs, lithium) 2 weeks prior to randomisation and during the study
Current diagnosis with erythrodermic, exfoliative or pustular psoriasis
Other current skin conditions that may confound the evaluation of psoriasis vulgaris as judged by the Investigator
Generally in good health and does not have any clinically significant cardiac, endocrinologic, pulmonary, neurologic, psychiatric, hepatic, renal, haematologic, or gastrointestinal disease, immunologic insufficiency, or other major diseases or current condition which, in the opinion of the Investigator, would put the subject at risk by participating in the study
Current active tuberculosis or latent tuberculosis
Planned exposure to the sun during the study that may affect psoriasis vulgaris
Known malignancy or history of malignancy (other than cervical carcinoma in situ, basal cell or squamous cell carcinoma) within the 5 year period prior to randomisation
Live vaccination within the 4 weeks prior to randomisation
Males who do not agree to use adequate contraception during the study (including follow-up) to ensure their partner does not become pregnant
Known or suspected hypersensitivity to component(s) of the investigational product
Current participation in any other interventional trial
Treatment with any non-marketed drug substance (i.e. an agent which has not yet been made available for clinical use following registration) within 4 weeks or 5 half-lives (whichever is longer) prior to randomisation
Previously randomised in this study
Known or, in the opinion of the Investigator, is unlikely to comply with the Clinical Study Protocol (e.g., alcohol abuse, drug dependency or psychotic state).
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| Name | Affiliation | Role |
|---|---|---|
| Yves Poulin, MD | Centre de Recherche Dermatologique du Quebec Metropolitain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de Recherche Dermatologique du Quebec Metropolitain | Québec | G1V 4X7 | Canada | |||
| Hôpital Saint-Louis, Service de Dermatologie |
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| ID | Title | Description |
|---|---|---|
| FG000 | LEO 22811 0.5 mg | LEO 22811 0.5 mg: Oral solution |
| FG001 | LEO 22811 1.5 mg | LEO 22811 1.5 mg: Oral solution |
| FG002 | LEO 22811 3.0 mg | LEO 22811 3.0 mg: Oral solution |
| FG003 | Placebo | Placebo: Oral solution |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LEO 22811 0.5 mg | LEO 22811 0.5 mg: Oral solution |
| BG001 | LEO 22811 1.5 mg | LEO 22811 1.5 mg: Oral solution |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage Change in Psoriasis Area and Severity Index (PASI) | The investigator made assessments of the extent and severity of clinical signs of the participant's psoriasis on specific areas of the body in terms of three clinical signs: redness, thickness and scaliness. The extent of psoriatic involvement was recorded for each of four areas; head, arms, trunk and legs using the following scale: 0. = no involvement
For each clinical sign a single score (0, 1, 2, 3 or 4) reflecting the average severity of all psoriatic lesions on the given body region was determined. PASI was calculated based on the investigator's assessment of the disease locally (head, trunk, arm, legs) using the following formula: Head: 0.1 (R + T + S)E = W Arms: 0.2 (R + T + S)E = X Trunk: 0.3 (R + T + S)E = Y Legs: 0.4 (R + T + S)E = Z R = score for redness; T = score for thickness, S = score for scaliness; E = score for extent The sum of W+X+Y+Z gives the total PASI that ranges from 0 to 72. | Full Analysis Set | Posted | Mean | Standard Deviation | percentage of change in PASI index score | Baseline (Day 0) to end of treatment (Day 84) |
From Day 0 to Follow-up (Day 122 + 28±2 days)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Placebo: Oral solution | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Proteinurea | Renal and urinary disorders | MedDRA (6.1) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial ischaemia | Cardiac disorders | MedDRA (6.1) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosure Manager | LEO Pharma A/S | +45 4494 5888 | disclosure@leo-pharma.com |
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| Placebo | Drug | Placebo |
|
| Participants With "Controlled Disease" According to the Investigators' Global Assessment (IGA) | At Visits 1 to 8 the investigator made a global assessment of the disease severity (IGA) using a 6-point scale (clear, almost clear, mild, moderate, severe, very severe). This assessment represents average lesion severity on head, trunk, arm and legs. The assessment was based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. Participants classified as clear or almost clear according to IGA was considered to have "controlled disease". | At end of treatment (Day 84) |
| Participants With Satisfactory Response According to IGA | "Satisfactory response" was defined as participants classified as "Clear" or "Almost Clear" or "Mild" according to the IGA. | At end of treatment (Day 84) |
| Paris |
| France |
| BG002 |
| LEO 22811 3.0 mg |
LEO 22811 3.0 mg: Oral solution |
| BG003 | Placebo | Placebo: Oral solution |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| ID |
|---|
| Title |
|---|
| Description |
|---|
| OG000 | Placebo | Placebo: Oral solution |
| OG001 | LEO 22811 0.5 mg | LEO 22811 0.5 mg: Oral solution |
| OG002 | LEO 22811 1.5 mg | LEO 22811 1.5 mg: Oral solution |
| OG003 | LEO 22811 3.0 mg | LEO 22811 3.0 mg: Oral solution |
|
|
|
| Secondary | Participants With at Least 75% Reduction in PASI (PASI 75) | Posted | Count of Participants | Participants | From baseline (Day 0) to end of treatment (Day 84) |
|
|
|
| Secondary | Participants With at Least 50% Reduction in PASI (PASI 50) | Posted | Count of Participants | Participants | From baseline (Day 0) to end of treatment (Day 84) |
|
|
|
| Secondary | Participants With "Controlled Disease" According to the Investigators' Global Assessment (IGA) | At Visits 1 to 8 the investigator made a global assessment of the disease severity (IGA) using a 6-point scale (clear, almost clear, mild, moderate, severe, very severe). This assessment represents average lesion severity on head, trunk, arm and legs. The assessment was based on the condition of the disease at the time of evaluation and not in relation to the condition at a previous visit. Participants classified as clear or almost clear according to IGA was considered to have "controlled disease". | Posted | Count of Participants | Participants | At end of treatment (Day 84) |
|
|
|
| Secondary | Participants With Satisfactory Response According to IGA | "Satisfactory response" was defined as participants classified as "Clear" or "Almost Clear" or "Mild" according to the IGA. | Posted | Count of Participants | Participants | At end of treatment (Day 84) |
|
|
|
| 14 |
| 0 |
| 14 |
| 10 |
| 14 |
| EG001 | LEO 22811 0.5 mg | LEO 22811 0.5 mg: Oral solution | 0 | 16 | 1 | 16 | 11 | 16 |
| EG002 | LEO 22811 1.5 mg | LEO 22811 1.5 mg: Oral solution | 0 | 15 | 1 | 15 | 11 | 15 |
| EG003 | LEO 22811 3.0 mg | LEO 22811 3.0 mg: Oral solution | 0 | 18 | 0 | 18 | 15 | 18 |
| Prostatitis | Reproductive system and breast disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Keratoconjunctivitis sicca | Eye disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Visual disturbance | Eye disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Aphthous stomatitis | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Duodenal ulcer | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Bacillary angiomatosis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Ear infection | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Folliculitis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Furuncle | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Gastrointestinal fungal infection | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Gingival infection | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Herpes simplex | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Herpes zoster | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Otitis externa | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Tooth abscess | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Vaginal mycosis | Infections and infestations | MedDRA (6.1) | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Blood testosterone decreased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Blood triglycerides increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Electrocardiogram normal | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Low density lipoprotein increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Lymphocyte count increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Mean cell volume increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Neutrophil count increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA (6.1) | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Ganglion | Musculoskeletal and connective tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Psoriatic arthropathy | Musculoskeletal and connective tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Amnesia | Nervous system disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Migraine | Nervous system disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Affective disorder | Psychiatric disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Libido decreased | Psychiatric disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Stress symptoms | Psychiatric disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Glycosuria | Renal and urinary disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Ingrowing nail | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Pain of skin | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Psoriasis | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Rash papular | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
| Skin fissures | Skin and subcutaneous tissue disorders | MedDRA (6.1) | Non-systematic Assessment |
|
Individual publications or presentations of data by one or more Investigator(s) shall not be made before the results of the joint publication have been made public. The company retains the right to have any publication submitted to the company for review at least 30 days prior to the same paper being submitted for publication or presentation. Investigators must undertake not to submit any part of their individual data for publication without the prior consent of LEO.
| No |
|
| No |
|
| Non-controlled |
|
| Unsatisfactory |
|