Safety and Efficacy Study of CF101 to Treat Psoriasis
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Purpose
| Condition | Intervention | Phase |
|---|---|---|
| Plaque Psoriasis | Drug: CF101 Drug: Placebo | Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase 2, Randomized, Double-Blind, Dose-Ranging, Placebo-Controlled Study of the Safety and Activity of Daily CF101 Administered Orally in Patients With Moderate-to-Severe Plaque Psoriasis |
- Change From Baseline (CFB) in Psoriasis Area and Severity Index (PASI) Score [ Time Frame: 12 weeks minus baseline ]PASI scale is sum of redness, thickness, and scale scores, ranging from 0 (no disease) to 72 (most severe possible score); lower scores, i..e., negative change from baseline, indicate improvement
- Frequency and Nature of Adverse Events [ Time Frame: 12 weeks ]
- The Number of Patients Who Achieve a Score of "Almost Clear" or "Clear" by Physician's Global Assessment (PGA) [ Time Frame: 12 weeks ]PGA is a scale from 0 (clear, no disease) to 5 (most severe score); patients who improve to 0 (clear) or 1 (minimal disease) are tabulated in this outcome
- Individual PASI Components Redness, Thickness, and Scale [ Time Frame: 12 weeks ]Each component is scored as 0 (clear, no disease) to 24 (most severe score); lower scores indicate improvement
- Relationship Between Peripheral Blood Mononuclear Cell Adenosine A3 Receptor (A3AR) Expression Level at Baseline and Response to Therapy. [ Time Frame: 12 weeks ]A3AR is measured biochemically and the expression level on cells from patients with disease is compared to that from healthy volunteer levels and expressed as a ratio
| Enrollment: | 76 |
| Study Start Date: | June 2007 |
| Study Completion Date: | September 2009 |
| Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: CF101
CF101 1 mg q12 hours for 12 weeks
Other Name: IB-MECA
|
| Experimental: 2 |
Drug: CF101
CF101 2 mg q12 hours for 12 weeks
Other Name: IB-MECA
|
| Experimental: 3 |
Drug: CF101
CF101 4 mg q12 hours for 12 weeks
Other Name: IB-MECA
|
| Placebo Comparator: 4 |
Drug: Placebo
Placebo tablets q12 hours for 12 weeks
Other Name: Inactive pill
|
Detailed Description:
This is a Phase 2, multicenter, randomized, double-blind, dose-ranging, placebo-controlled, study in adult males and females, ages 18 to 70 years, inclusive, with a diagnosis of moderate-to-severe chronic plaque psoriasis. At the Screening Visit, patients who provide written informed consent will have screening procedures performed, including a complete medical history, medication history, physical examination, including height, weight, blood pressure, pulse rate and temperature, and clinical laboratory tests.
Eligible patients will be those who have not received systemic retinoids, corticosteroids, or immunosuppressants (e.g., methotrexate, cyclosporine) within 6 weeks prior to initiation of study; or high potency topical corticosteroids (Class I-III), keratolytics, or coal tar (other than on the scalp, palms, groin, and/or soles); and UV or Dead Sea therapy within 4 weeks prior to initiation of study treatment. Eligible patients will be sequentially assigned to 1 of 3 dosing cohorts:
Cohort 1: CF101 1 mg (15 patients) or Placebo (5 patients); Cohort 2: CF101 2 mg (15 patients) or Placebo (5 patients); Cohort 3: CF101 4 mg (15 patients) or Placebo (5 patients).
Medication will be taken orally q12h for 12 weeks. Disease activity will be assessed using the Psoriasis Area and Severity Index (PASI) and the Physician Global Assessment (PGA). Patients will return for assessments at Weeks 2, 4, 8, 12 and 14.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female, 18 to 70 years of age, inclusive;
- Diagnosis of moderate-to-severe chronic plaque-type psoriasis with body surface area involvement ≥10%, as judged by the Investigator;
- Duration of psoriasis of at least 6 months;
- PASI score ≥10;
- Body weight ≤100 kg;
- Candidate for systemic treatment or phototherapy for psoriasis;
- ECG is normal or shows abnormalities which, in the judgment of the Investigator, are not clinically significant;
- Females of child-bearing potential must have a negative serum pregnancy test at screening;
- Females of child-bearing potential must be willing to use 2 methods of contraception deemed adequate by the Investigator (for example oral contraceptive pills plus a barrier method) to be eligible for, and continue participation in, the study;
- Ability to complete the study in compliance with the protocol; and
- Ability to understand and provide written informed consent.
Exclusion Criteria:
- Erythrodermic, guttate, palmar, plantar, or generalized pustular psoriasis;
- Treatment with systemic retinoids, corticosteroids, or immunosuppressants (e.g., methotrexate, cyclosporine) within 6 weeks of the Baseline visit;
- Treatment with high potency topical corticosteroids (Class I-III), keratolytics, or coal tar (other than on the scalp, palms, groin, and/or soles) within 2 weeks of the Baseline visit;
- Ultraviolet or Dead Sea therapy within 4 weeks of the Baseline visit, or anticipated need for either of these therapies during the study period;
- Treatment with a biological agent (including etanercept, adalimumab, efalizumab, infliximab, or alefacept) within a period of time equal to 5 times its circulating half-life, or 30 days, whichever is longer, prior to the Baseline visit;
- History of poor clinical response to methotrexate after an adequate regimen and duration of treatment;
- Treatment with systemic nonsteroidal anti-inflammatory drugs, beta-blockers, lithium, hydroxychloroquine, chloroquine, or systemic terbinafine within 2 weeks of the Baseline visit, or anticipated need for such drugs during the study period;
- Presence or history of uncontrolled asthma;
- Presence or history of uncontrolled arterial hypertension or symptomatic hypotension;
- Significant cardiac arrhythmia or conduction block, congestive heart failure (New York Heart Association Class 3-4), or any other evidence of clinically significant heart disease or clinically significant findings on screening electrocardiogram;
- Hemoglobin level <9.0 gm/L;
- Platelet count <125,000/mm^3;
- White blood cell count <3500/mm^3;
- Serum creatinine level greater than 1.5 times the laboratory's upper limit of normal;
- Liver aminotransferase levels greater than 2 times the laboratory's upper limit of normal;
- Pregnancy, planned pregnancy, lactation, or inadequate contraception as judged by the Investigator;
- History of malignancy within the past 5 years (excluding basal cell carcinoma of the skin and ≤3 cutaneous squamous cell carcinomas, all of which have been completely excised);
- Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study;
- Participation in another investigational drug or vaccine trial concurrently or within 30 days; or within 5 half lives of a biological investigational product, whichever is longer;
- Other conditions which would confound the study evaluations or endanger the safety of the patient.
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00428974
| Israel | |
| Haemek Medical Center | |
| Afula, Israel | |
| Wolfson Medical Center | |
| Holon, Israel | |
| Rabin Medical Center | |
| Petach Tikva, Israel | |
| Sheba Medical Center | |
| Tel-Hashomer, Israel | |
| Principal Investigator: | Michael David, MD | Rabin Medical Center |
More Information
Publications:
| Responsible Party: | Can-Fite BioPharma |
| ClinicalTrials.gov Identifier: | NCT00428974 History of Changes |
| Other Study ID Numbers: |
CF101-201PS |
| Study First Received: | January 29, 2007 |
| Results First Received: | June 20, 2011 |
| Last Updated: | February 25, 2015 |
Keywords provided by Can-Fite BioPharma:
|
Psoriasis |
Additional relevant MeSH terms:
|
Psoriasis Skin Diseases, Papulosquamous Skin Diseases |
ClinicalTrials.gov processed this record on July 17, 2017


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