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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-507393-40 | Other Identifier | EU CT Number |
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| Name | Class |
|---|---|
| FGK Clinical Research GmbH | INDUSTRY |
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The main objective of this study is to investigate the safety and tolerability of si-544.
Other objectives are to study the metabolism of si-544 in the body and to assess the effects of si-544 on cells of the body's immune system (immune cells) that have been chronically activated by the disease. Likewise, the effect of si-544 on inflammatory responses in the body triggered by the disease and other disease symptoms will be investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| si-544 | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| si-544 | Drug | Subcutaneous injection in the abdomen |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of safety and tolerability of treatment with si-544 | Occurrence of adverse events (AEs) and serious AEs (SAEs), including description of type, frequency, severity, and causal relationship of adverse events (AEs) and serious AEs | From Day -35 to Day 106 |
| Determination of safety and tolerability of treatment with si-544 | Change in clinical laboratory, electrocardiogram (ECG), vital signs, and peripheral oxygen saturation from Baseline to all assessed timepoints | From Day 1 (Baseline) to Day 106 |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of the plasma concentrations of free si-544 | Plasma concentrations of free si-544 | Day 1 (Baseline) and Day 25 |
| Determination of the pharmacodynamics (PD) of si-544 as assessed by the number of T cells in peripheral blood |
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Inclusion Criteria:
Subject has the capacity for consenting, was informed about the nature, the scope, and the relevance of the clinical study, voluntarily agrees in participation and in the study provisions, and duly signed the ICF approved by the ethics committee before any study-related procedure is performed
Men and women aged ≥18 to 75 years
Willing and able to adhere to the protocol requirements
Women of childbearing potential must:
Reliable methods for this study are:
i. combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal) ii. progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable) iii. intrauterine device iv. intrauterine hormone-releasing system v. bilateral tubal occlusion vi. vasectomized sexual partner (provided that the partner is the sole sexual partner of the woman of childbearing potential and has received medical assessment of the surgical success) vii. sexual abstinence (only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatment) Abstinence is only accepted as true abstinence: when this is in line with the preferred and usual lifestyle of the subject (periodic abstinence [eg, calendar, ovulation, symptothermal, postovulation methods and withdrawal] is not an acceptable method of contraception).
c. agree to abstain from breast feeding during the study participation and for 90 days after the last IMP injection
Postmenopausal (no menses for at least 1 year without alternative medical cause) or surgically sterile women (tubal ligation, hysterectomy, or bilateral oophorectomy)
Men must agree to practice true abstinence or to use a condom during sexual contact with a pregnant woman or a woman of childbearing potential during study participation and for at least 90 days after the last IMP injection, even after undergoing a successful vasectomy.
Ps-specific inclusion criteria:
Diagnosis of Ps at least 3 months before Screening
Active Ps with ≥3% BSA involved and with at least 1 psoriatic plaque (other than nail change)
PsA-specific inclusion criteria:
7. Diagnosis of PsA based on the classification for psoriatic arthritis criteria (CASPAR) at least 3 months before Screening
8. Diagnosis of active Ps with at least 1 psoriatic plaque (other than nail change)
9. Active PsA defined as
Exclusion Criteria:
Known history of hypersensitivity to constituents or excipients in the pharmaceutical formulation of the IMP
Uncontrolled hypertension or uncontrolled diabetes, as judged by the investigator
Chronic disease other than Ps or PsA not adequately controlled by stable treatment (ie, no changes or initiation of treatment within 4 weeks before Screening and Day 1)
History of seizures
Presence or history of paresthesia or neuropathy
Clinically significant ECG abnormalities, as judged by the investigator
Clinically relevant disease which could affect the safety of the subject during the study or impede the subject's ability to complete the study, as assessed by the investigator
Presence of acute infection within 7 days before Screening or Day 1, as judged by the investigator
Known or active infection with Mycobacterium tuberculosis and/or positive tuberculosis interferon γ release assay result at Screening
Known or active infection with HIV, hepatitis B virus, or hepatitis C virus
Known or suspected abuse of alcohol, drugs, or medicinal products
Therapy with biologics used for the treatment of Ps and/o PsA (including those under investigation) within 1 year before Day 1
UV phototherapy or systemic therapy (except methotrexate for the treatment of PsA) within 4 weeks of Day 1
Vaccination within 2 weeks (for live vaccines within 4 weeks) before Day 1 and/or planned vaccination during the treatment period
Current or previous (within 4 weeks before Day 1) participation in another clinical study with an IMP or a medical device
Employee of the sponsor, or employee, or relative of the investigator
Committed to an institution by virtue of an order issued either by the judicial or the administrative authorities
Legal incapacity or limited legal capacity
Ps-specific exclusion criteria:
Drug-induced psoriasis
PsA-specific exclusion criteria:
19. Late stage PsA with deformed joints
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| Name | Affiliation | Role |
|---|---|---|
| Andreas Klostermann, Dr. | selectION Therapeutics GmbH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| selectION Clinical Trial Site | Bad Bentheim | Germany | ||||
| selectION Clinical Trial Site |
Due to uncertainties in EU data protection legislation individual deidentified participant data are not shared. The main uncertainty is the concept of what "deidentified" means. It appears not to mean that the data set of a person is simply separated from the person's name. What additional operations have to be done appears to depend on technological capabilities to re-identify the persons associated with the data set. A common perception is that the technological capabilities for re-identification are permanently increasing. This could have the effect that public data sets that are regarded as deidentified now might become re-identifiable data sets in the future. Once this happens, the sponsor is no longer able to make the publication of the data sets un-happen. This could result in sanctioning by EU data protection authorities. The sponsor wants to avoid this.
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| Drug |
Subcutaneous injection in the abdomen |
|
Change in the number of T cells in peripheral blood
| From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the pharmacodynamics (PD) of si-544 as assessed by immunophenotypes of T cell subsets | Change in immunophenotypes of T cell subsets | From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the pharmacodynamics (PD) of si-544 as assessed by serum cytokine levels | Change in serum cytokine levels | From Day 1 (Baseline) to Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the immunogenicity of si-544 treatment | Change in anti-drug antibodies against si-544 in serum | From Day 1 (Baseline) to Day 29 (Week 5) and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by psoriasis area and severity index (PASI) | Change in the psoriasis area and severity index (PASI) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by psoriasis area and severity index (PASI) response rate | Difference in psoriasis area and severity index (PASI) response rate (defined as subjects with ≥1 score improvement from Baseline) | At Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by physician's global assessment (PGA) of disease activity | Change in the physician's global assessment (PGA) of disease activity | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by body surface area (BSA) | Change in affected body surface area (BSA) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by a numeric rating scale (NRS) | Change in the mean itch using a numeric rating scale (NRS) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment as assessed by a numeric rating scale (NRS) | Change in the worst itch using a numeric rating scale (NRS) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment on symptoms of psoriasis vulgaris (Ps) in Ps patients only as assessed by dermatological life quality index (DLQI) | Change in the dermatological life quality index (DLQI) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assessed by psoriatic arthritis quality of life (PsAQoL) | Change in the psoriatic arthritis quality of life (PsAQoL) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only (assessment of pain) | Change in the subject's assessment of pain using a visual analog scale (VAS) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assesses by the 66 swollen joint count (SJC66) | Change in the 66 swollen joint count (SJC66) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Determination of the efficacy of si-544 treatment on symptoms of psoriatic arthritis (PsA) in PsA patients only as assessed by the 68 tender joint count (TJC68) | Change in the 68 tender joint count (TJC68) | From Day 1 (Baseline) to Day 15, Day 29 (Week 5), Week 8, Week 12 and Week 16 |
| Berlin |
| Germany |
| selectION Clinical Trial Site | Blankenfelde-Mahlow | Germany |
| selectION Clinical Trial Site | Hamburg | Germany |
| ID | Term |
|---|---|
| D015535 | Arthritis, Psoriatic |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D011565 | Psoriasis |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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