A Clinical Study of Increased Dose of TA-650 in Patients With Psoriasis
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Purpose
The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of TA-650 at increased dose of 10 mg/kg every 8 weeks in patients with psoriasis in whom effect of the treatment was confirmed after the treatment with Remicade® at 5 mg/kg every 8 weeks but decreased thereafter.
| Condition | Intervention | Phase |
|---|---|---|
|
Plaque Psoriasis Psoriatic Arthritis Pustular Psoriasis (Excluding a Localized) Psoriatic Erythroderma |
Drug: TA-650 |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Percentage of patients achieving 75% improvement in the Psoriasis Area and Severity Index (PASI) score [ Time Frame: Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40 in Increased Dose Period ] [ Designated as safety issue: No ]
- PASI score [ Time Frame: Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40 in Increased Dose Period ] [ Designated as safety issue: No ]
- Physician Global Assessment (PGA) for skin lesions (Only for patients with plaque psoriasis) [ Time Frame: Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40 in Increased Dose Period ] [ Designated as safety issue: No ]
- Visual Analog Scale(VAS) of pain assessment by subjects (Only for patients with psoriatic arthritis) [ Time Frame: Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40 in Increased Dose Period ] [ Designated as safety issue: No ]
- Assessment of severity (Only for patients with pustular psoriasis) [ Time Frame: Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40 in Increased Dose Period ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | July 2012 |
| Estimated Study Completion Date: | February 2015 |
| Estimated Primary Completion Date: | February 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: TA-650 | Drug: TA-650 |
Detailed Description:
Patients with plaque psoriasis or psoriatic arthritis:
Screening Period:
TA-650 at 5 mg per kg body weight is administered on the day of TA-650 administration at the start (week 0) and week 8 (if efficacy is not judged as decreased or maintained at week 8 of the screening period) , respectively, by intravenous infusion slowly over at least 2 hours.
Increased Dose Period:
If efficacy is judged as decreased in the screening period, TA-650 at 10 mg per kg body weight is administered on the day of TA-650 administration at the start (week 0) and at every 8 weeks up to week 32 in the increased dose period , respectively, as one dose by intravenous infusion slowly over at least 2 hours.
- Patients with pustular psoriasis or psoriatic erythroderma:
TA-650 at 10 mg per kg body weight is administered on the day of TA-650 administration at the start (week 0) and at every 8 weeks up to week 32, respectively, as one dose by intravenous infusion slowly over at least 2 hours.
Eligibility| Ages Eligible for Study: | 16 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients who have already been diagnosed as having plaque psoriasis, psoriatic arthritis, pustular psoriasis (excluding a localized), or psoriatic erythroderma.
- Patients in whom effect of the treatment was confirmed for a certain period after the start of administration of Remicade® at 5 mg/kg at every 8 weeks but decreased thereafter.
Exclusion Criteria:
- Patients who have guttate psoriasis.
- Patients who have drug-induced psoriasis
- Patients who have previously used any other biological products than infliximab.
- Patients who have a concomitant diagnosis, or a history within 6 months prior to provisional enrollment, of serious infections that need hospitalization.
- Patients who have a concomitant diagnosis, or a history within 6 months prior to provisional enrollment, of opportunistic infections
- Female patients who are pregnant, breast-feeding, or possibly pregnant.
Contacts and Locations| Contact: Clinical Trials Information Desk | cti-inq-ml@ml.mt-pharma.co.jp |
| Japan | |
| Investigational site | Recruiting |
| Chubu, Japan | |
| Investigational site | Recruiting |
| Chugoku, Japan | |
| Investigational site | Recruiting |
| Hokkaido, Japan | |
| Investigational site | Recruiting |
| Kanto, Japan | |
| Investigational site | Recruiting |
| Kinki, Japan | |
| Investigational site | Recruiting |
| Kyushu, Japan | |
| Investigational site | Recruiting |
| Tohoku, Japan | |
| Study Director: | Hideshi Torii, MD | Social Insurance Central General Hospital |
| Study Director: | Kazuoki Kondo, MD | Mitsubihsi Tanabe Pharma Corporation |
| Study Chair: | Hidemi Nakagawa, MD | The Jikei University School of Medicine |
More Information
No publications provided
| Responsible Party: | Mitsubishi Tanabe Pharma Corporation |
| ClinicalTrials.gov Identifier: | NCT01680159 History of Changes |
| Other Study ID Numbers: | TA-650-24 |
| Study First Received: | August 28, 2012 |
| Last Updated: | March 6, 2013 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Keywords provided by Mitsubishi Tanabe Pharma Corporation:
|
Infliximab REMICADE TA-650 psoriasis |
Additional relevant MeSH terms:
|
Psoriasis Arthritis Arthritis, Psoriatic Dermatitis, Exfoliative Joint Diseases Musculoskeletal Diseases Spondylarthropathies Spondylarthritis |
Spondylitis Spinal Diseases Bone Diseases Skin Diseases, Papulosquamous Skin Diseases Dermatitis Skin Diseases, Eczematous |
ClinicalTrials.gov processed this record on May 19, 2013