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A Study of Ixekizumab (LY2439821) in Participants With Active Psoriatic Arthritis (SPIRIT-P2)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT02349295
First received: October 10, 2014
Last updated: October 5, 2016
Last verified: October 2016
  Purpose
The main purpose of this study is to evaluate how effective and safe the study drug known as ixekizumab is in participants with active psoriatic arthritis.

Condition Intervention Phase
Psoriatic Arthritis Drug: Ixekizumab Drug: Placebo Phase 3

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 Multicenter, Randomized, Double-Blind, Placebo Controlled 24-Week Study Followed by Long Term Evaluation of Efficacy and Safety of Ixekizumab (LY2439821) in Biologic Disease-Modifying Antirheumatic Drug-Experienced Patients With Active Psoriatic Arthritis

Resource links provided by NLM:


Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Percentage of Participants Achieving American College of Rheumatology 20 Index (ACR20) [ Time Frame: Week 24 ]

Secondary Outcome Measures:
  • Change from Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Scores [ Time Frame: Baseline, Week 24 ]
  • Proportion of Participants with Psoriasis Area and Severity Index (PASI) 75 [ Time Frame: Week 12 ]
  • Percentage of Participants Achieving ACR20 [ Time Frame: Week 12 and Week 52 and up to 3 Years ]
  • Percentage of Participants Achieving ACR 50/70 [ Time Frame: Week 24 and Week 52 and up to 3 Years ]
  • Change from Baseline in Leeds Enthesitis Index (LEI) [ Time Frame: Baseline, Week 12 ]
  • Change from Baseline in Itch Numeric Rating Scale (NRS) [ Time Frame: Baseline, Week 12 ]
  • Change from Baseline in Tender Joint Count (TJC) [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Swollen Joint Count (SJC) [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Participants Assessment of Pain Visual Analog Scale (VAS) [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Participants Global Assessment of Disease Activity VAS [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Physicians Global Assessment of Disease Activity VAS [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in C-Reactive Protein (CRP) [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Disease Activity Score-CRP (DAS28-CRP) [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Score [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in Fatigue Severity NRS Score [ Time Frame: Baseline, Week 24 ]
  • Change from Baseline in 36-Item Short-Form Health Survey (SF-36) Scores [ Time Frame: Baseline, Week 24 ]
  • Number of Participants with Anti-Ixekizumab Antibodies [ Time Frame: Week 24 ]
  • Pharmacokinetics (PK): Steady State Concentration of Ixekizumab [ Time Frame: Week 24 ]

Estimated Enrollment: 360
Study Start Date: December 2014
Estimated Study Completion Date: June 2019
Primary Completion Date: September 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Ixekizumab Dosing Regimen 1
Administered by 80 milligram (mg) subcutaneous (SC) injection.
Drug: Ixekizumab
Administered SC
Other Name: LY2439821
Experimental: Ixekizumab Dosing Regimen 2
Administered by 80 mg SC injection.
Drug: Ixekizumab
Administered SC
Other Name: LY2439821
Placebo Comparator: Placebo
Placebo for ixekizumab administered by SC injection.
Drug: Placebo
Administered SC

  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Presents with established diagnosis of active psoriatic arthritis (PsA) for at least 6 months, and currently meets Classification for Psoriatic Arthritis (CASPAR) criteria
  • Active PsA defined as the presence of at least 3 tender and at least 3 swollen joints
  • Presence of active psoriatic skin lesion or a history of plaque psoriasis (Ps)
  • Men must agree to use a reliable method of birth control or remain abstinent during the study
  • Women must agree to use reliable birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment
  • Have been treated with 1 or more conventional disease-modifying antirheumatic drugs (cDMARDs)

Exclusion Criteria:

  • Current use of biologic agents for treatment of Ps or PsA
  • Inadequate response to greater than 2 biologic DMARDs
  • Current use of more than one cDMARDs
  • Diagnosis of active inflammatory arthritic syndromes or spondyloarthropathies other than PsA
  • Have received treatment with interleukin (IL) -17 or IL12/23 targeted monoclonal antibody (MAb) therapy
  • Serious disorder or illness other than psoriatic arthritis
  • Serious infection within the last 3 months
  • Breastfeeding or nursing (lactating) women
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02349295

  Show 115 Study Locations
Sponsors and Collaborators
Eli Lilly and Company
Investigators
Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company
  More Information

Additional Information:
Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT02349295     History of Changes
Other Study ID Numbers: 14310
I1F-MC-RHBE ( Other Identifier: Eli Lilly and Company )
2011-002328-42 ( EudraCT Number )
Study First Received: October 10, 2014
Last Updated: October 5, 2016

Additional relevant MeSH terms:
Arthritis
Arthritis, Psoriatic
Joint Diseases
Musculoskeletal Diseases
Spondylarthropathies
Spondylarthritis
Spondylitis
Spinal Diseases
Bone Diseases
Psoriasis
Skin Diseases, Papulosquamous
Skin Diseases
Antirheumatic Agents

ClinicalTrials.gov processed this record on July 17, 2017