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Clinical Study of Efficacy and Safety of BCD-085 (Monoclonal Anti-IL-17 Antibody) in Psoriatic Arthritis (PATERA)

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ClinicalTrials.gov Identifier: NCT03598751
Recruitment Status : Recruiting
First Posted : July 25, 2018
Last Update Posted : December 10, 2018
Sponsor:
Information provided by (Responsible Party):
Biocad

Brief Summary:
Study BCD-085-8/PATERA is a multicentre double-blind placebo-controlled Phase 3 study in patients with psoriatic arthritis (PsA). The objective of the study is to evaluate the efficacy and safety of BCD-085 comparing to placebo in patients with PsA.

Condition or disease Intervention/treatment Phase
Psoriatic Arthritis Drug: BCD-085 Drug: Placebo Phase 3

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 194 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: An International Multicenter Randomized Double-blind Placebo-controlled Clinical Study of the Efficacy and Safety of Subcutaneous BCD-085 in Patients With Psoriatic Arthritis
Actual Study Start Date : September 10, 2018
Estimated Primary Completion Date : April 30, 2020
Estimated Study Completion Date : January 31, 2021


Arm Intervention/treatment
Experimental: BCD-085

Blinded period:

BCD-085 120 mg at weeks 0, 1, 2, 4, 6, 8, 10, 14, 18, 22

Open-label period:

BCD-085 120 mg at weeks 26, 30, 34, 38, 42, 46, 50, 54

Drug: BCD-085
120 mg / 2 mL subcutaneously
Other Name: Anti-interleukin-17 Monoclonal Antibody

Placebo Comparator: Placebo

Blinded period:

Placebo at weeks 0, 1, 2, 4, 6, 8, 10, 14

  • patients who don't achieve ACR 20 at week 16 will receive BCD-085 at weeks 18 and 22
  • patients who achieve ACR 20 at week 16 will continue placebo at weeks 18 and 22

Open-label period:

BCD-085 120 mg at weeks 26, 30, 34, 38, 42, 46, 50, 54

Drug: Placebo
2 mL




Primary Outcome Measures :
  1. ACR 20 [ Time Frame: week 24 ]

    The percentage of patients achieved 20% improvement according to American College of Rheumatology response criteria.

    The ACR Criteria is a dichotomous variable with a positive (=responder) or negative (=non-responder) outcome. The ACR Criteria measures improvement in tender / swollen joint counts and improvement in at least three of the following parameters: 1) patient assessment 2) physician assessment 3) pain scale 4) disability/functional questionnaire 5) acute phase reactant (ESR or CRP). ACR 20 / 50 / 70 has a positive outcome if 20% / 50% / 70% improvement in tender and swollen joint counts was achieved as well as a 20% / 50% / 70% improvement in at least three of the other five criteria.



Secondary Outcome Measures :
  1. ACR 20 [ Time Frame: Week 1, 2, 4, 8, 12, 16, 20, 24, 30, 38, 46, 54 ]
    The percentage of patients achieved 20% improvement according to American College of Rheumatology response criteria.

  2. ACR 50 [ Time Frame: Week 1, 2, 4, 8, 12, 16, 20, 24, 30, 38, 46, 54 ]
    The percentage of patients achieved 50% improvement according to American College of Rheumatology response criteria.

  3. ACR 70 [ Time Frame: Week 1, 2, 4, 8, 12, 16, 20, 24, 30, 38, 46, 54 ]
    The percentage of patients achieved 70% improvement according to American College of Rheumatology response criteria.

  4. Proportion of patients achieved PsARC (Psoriatic Arthritis Response Criteria) [ Time Frame: Week 1, 2, 4, 8, 12, 16, 20, 24, 30, 38, 46, 54 ]
  5. Change in radiological signs of arthritis (mTSS) [ Time Frame: Week 24 and 54 ]
    mTSS - modified Total Sharp Score

  6. Proportion of patients with anti-drug antibodies [ Time Frame: Week 2, Week 12, Week 24, Week 38, Week 54 ]


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

Inclusion Criteria:

  • Signed informed consent (IC)
  • History of psoriatic arthritis (According to CASPAR, 2006) for 6 months
  • 3/68 TJC and 3/66 SJC
  • RF / ACCP negative
  • At least 1 psoriatic plaque ≥ 2 cm and/or psoriatic nails and/or history of confirmed plaque psoriasis
  • History of inadequate response to NSAID
  • Stable dose of NSAID for 2 weeks
  • If on steroids: inadequate response to steroids (at least 3 months of treatment) and stable dose of steroids (10 mg or less) for at least 2 weeks.
  • If on MTX: inadequate response to MTX (stable dose 15 - 25 mg / week for at least 2 months)
  • In case of history of etanercept therapy: at least 4 weeks after last administration
  • In case of history of infliximab therapy: at least 8 weeks after last administration
  • In case of history of adalimumab / golimumab / certolizumab pegol therapy: at least 10 weeks after last administration
  • In case of history of other mabs / fragments / small molecules : at least 5 half life after last administration
  • Negative pregnancy test for women with childbearing potential
  • Ability to follow procedures of the study
  • Patient and his/her sexual partner with childbearing potential are ready to use reliable contraception, starting at the date of IC sign, within the study period and 4 weeks after the last dose of investigational drug administration. (Not applied to participants/sexual partners who surgically sterilized, and women at menopause for more than 2 years). Reliable contraception considered as 1 barrier method and one of the following: spermicides, oral contraception or intrauterine devices)

Exclusion Criteria:

  • Therapy with anti-IL17 / IL17R or anti-IL12/23 or history of therapy with 2 or more monoclonal antibodies or therapy with topical / oral retinoids or phototherapy or other topical medication for psoriasis history or parenteral steroids administration or any intraarticular injections within 4 weeks prior IC sign or any DMARD therapy (excl. methotrexate) on the dated of IC
  • Vaccination with live vaccines within 8 weeks prior to IC sign
  • Diagnosis of any other chronic infection which may increase the risk of infectious adverse events.
  • HIV, HCV, HBV, Syphilis.
  • Clinically significant deviations in blood chemistry and blood count
  • History of Herpes Zoster
  • History of depression, suicidal ideation/behavior.
  • Known history of alcohol or drug abuse
  • Diagnosis or history of tuberculosis
  • Any acute infection or chronic infection flare within 30 days prior to informed consent sign, which may increase (according to the PI opinion) the risk of infectious adverse events.
  • Any other documented conditions which increase the risk of AEs development or may interfere with symptoms the disease (masking, increasing or changing) or induce clinical symptoms or laboratory abnormalities similar to PsA:

    1. Uncontrolled diabetes mellitus;
    2. Severe, uncontrolled hypertension;
    3. Presence or history of inflammatory joint disease other than PsA (or any other systemic autoimmune disease (including lupus, Crohn's disease, ulcerative colitis, scleroderma, inflammatory myopathy, mixed connective tissue disease, autoimmune overlap syndrome, fibromyalgia etc.);
    4. History of malignancy, excluding cured basal cell carcinoma / cervical cancer in situ (complete remission for 5 years); cured basal cell skin carcinoma (5 years complete remission), cured ductal breast cancer (5 years complete remission);
    5. Decompensated liver or kidney diseases;
    6. Unstable angina pectoris;
    7. Chronic heart failure, class III-IV according to NYHA;
    8. Myocardial infarction, within 1 year prior to IC sign;
    9. History of organ transplantation;
    10. History of Quincke edema;
    11. History of any significant respiratory diseases, including COPD, asthma or bronchiectasis;
    12. Decompensated respiratory failure;
    13. History of multiple sclerosis,
    14. Devic's disease, or Guillain-Barre syndrome;
    15. Any neurological disease with motor or sensory functions impairment)
  • Pregnancy, current or planned in less than 8 weeks after study completion or breastfeeding.
  • Simultaneous participation in other clinical trials or participation in other clinical trials with 3 month prior to IC signing date or history of participation it current clinical study (excluding patients dropped out at screening).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03598751


Contacts
Contact: Ekaterina Chernyaeva +7 812 380 49 33 ext 403 chernyaeva@biocad.ru

Locations
Belarus
1st City Clinical Hospital Recruiting
Minsk, Belarus
Contact: Andrei Pristriom, PhD         
Russian Federation
Chelyabinsk Regional Clinical hospital Not yet recruiting
Chelyabinsk, Russian Federation
Contact: Olga Nesmeianova, PhD         
North-Western State Medical University n.a. I.I.Mechnikov Active, not recruiting
Saint-Petersburg, Russian Federation
Sponsors and Collaborators
Biocad
Investigators
Study Chair: Roman Ivanov, PhD Biocad

Responsible Party: Biocad
ClinicalTrials.gov Identifier: NCT03598751     History of Changes
Other Study ID Numbers: BCD-085-8
First Posted: July 25, 2018    Key Record Dates
Last Update Posted: December 10, 2018
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
Arthritis
Arthritis, Psoriatic
Joint Diseases
Musculoskeletal Diseases
Spondylarthropathies
Spondylarthritis
Spondylitis
Spinal Diseases
Bone Diseases
Psoriasis
Skin Diseases, Papulosquamous
Skin Diseases
Antibodies
Immunologic Factors
Physiological Effects of Drugs