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Sponsor decision
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This is a Phase 2a study to investigate the efficacy, safety, tolerability, PK, and PD of ATI-450 versus placebo in patients with moderate to severe psoriatic arthritis.
This is a Phase 2a, randomized, double-blind, placebo-controlled study to investigate the efficacy, safety, tolerability, PK, and PD of ATI-450 versus placebo in patients with moderate to severe psoriatic arthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ATI-450 | Experimental | ATI-450 50mg oral tablet BID |
|
| Placebo | Placebo Comparator | Placebo oral tablet BID |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ATI-450 | Drug | Oral, small molecule MK2 inhibitor |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients achieving ACR20 at Week 12 | Baseline to Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with ACR 50/70 at Week 12 | Baseline to Week 12 | |
| Proportion of patients with ACR 20/50/70 response at weeks 2, 4, 6, 8 | Baseline to Week 12 | |
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Inclusion Criteria:
Diagnosis of PsA with symptom onset at least 6 months before the Screening Visit and fulfilment of the Classification Criteria for PsA.
Patient has moderate-to-severe PsA at Screening and Randomization Visits defined as
Diagnosis of active plaque psoriasis or documented history of plaque psoriasis.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aclaris Investigational Site | Miami Lakes | Florida | 33014 | United States | ||
| Aclaris Investigational Site |
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The blinded placebo drug is packaged to match the active study drug and will be stored under the same conditions.
| Placebo Oral Tablet | Drug | Placebo tablet manufactured to match ATI-450 in appearance |
|
| Change from baseline in tender joint count 68 at weeks 1, 2, 4, 6, 8, 12 |
| Baseline to Week 12 |
| Change from baseline in swollen joint count 66 at weeks 1, 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Health Assessment Questionnaire - Disability Index at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in patient's global assessment of disease activity at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in physician's global assessment of disease activity at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Patients Pain VAS assessment at Weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in high sensitivity C-reactive protein (hs-CRP) at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Leeds Enthesitis Index over 12 weeks | Baseline to Week 12 |
| Change from baseline in Leeds Dactylitis Index over 12 weeks | Baseline to Week 12 |
| Proportion of patients achieving at least a 30% reduction and at least 1 unit reduction from Baseline in the numerical rating scale (NRS30) in Patient's Daily Assessment of Skin Pain at Weeks 2, 4, 8, 12 among patients with Baseline NRS ≥3 | Baseline to Week 12 |
| Proportion of patients achieving a sIGA of Psoriasis of 0 or 1 and at least a 2-point improvement from baseline among those with a baseline investigator's global assessment of at least 3 over 12 weeks | Baseline to Week 12 |
| Proportion of patients achieving MDA at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in DAS28CRP at Weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Psoriasis Area Severity Index (PASI) 50/75/90 response (for patients with ≥3% body surface area psoriasis at baseline) at Week 12 | Baseline to Week 12 |
| Mean change from baseline in PASI score at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Short-Form-36 Physical Component Summary at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Change from baseline in Self-Assessment of Psoriasis Symptoms Questionnaire at weeks 2, 4, 8, 12 | Baseline to Week 12 |
| Type and frequency of adverse events | Baseline to Week 12 |
| Type and frequency of serious adverse events | Baseline to Week 12 |
| Zunsemetinib trough concentration ng/mL | Baseline to Week 12 |
| CDD-2164 metabolite trough concentration ng/mL | Baseline to Week 12 |
| Zunsemetinib peak concentration (Cmax) ng/mL | Baseline to Week 12 |
| CDD-2164 metabolite peak concentration (Cmax) ng/mL | Baseline to Week 12 |
| Tampa |
| Florida |
| 33613 |
| United States |
| Aclaris Clinical Operations | Freehold | New Jersey | 07728 | United States |
| Aclaris Clinical Operations | Charlotte | North Carolina | 28210 | United States |
| Aclaris Investigational Site | Perrysburg | Ohio | 43551 | United States |
| Aclaris Investigational Site | Duncansville | Pennsylvania | 16635 | United States |
| Aclaris Investigational Site | Memphis | Tennessee | 38119 | United States |
| Aclaris Investigational Site | Mesquite | Texas | 75150 | United States |
| Aclaris Investigational Site | Bialystok | 15-707 | Poland |
| Aclaris Investigational Site | Bydgoszcz | 85-168 | Poland |
| Aclaris Investigational Site | Częstochowa | 42-200 | Poland |
| Aclaris Investigational Site | Katowice | 40-040 | Poland |
| Aclaris Investigational Site | Katowice | 40-081 | Poland |
| Aclaris Investigational Site | Krakow | 30-363 | Poland |
| Aclaris Investigational Site | Krakow | 30-510 | Poland |
| Aclaris Investigational Site | Olsztyn | 10-341 | Poland |
| Aclaris Investigational Site | Poznan | 60-702 | Poland |
| Aclaris Investigational Site | Stalowa Wola | 37-450 | Poland |
| Aclaris Investigational Site | Szczecin | 70-332 | Poland |
| Aclaris Investigational Site | Torun | 87-100 | Poland |
| Aclaris Investigational Site | Warsaw | 04-141 | Poland |
| Aclaris Investigational Site | Wroclaw | 50-381 | Poland |
| ID | Term |
|---|---|
| D015535 | Arthritis, Psoriatic |
| D001168 | Arthritis |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D011565 | Psoriasis |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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