Phase 2
Completed N=271
A Phase 2b Study of Baricitinib in Participants With Moderate to Severe Psoriasis
Psoriasis · Skin Diseases · Skin Diseases, Papulosquamous
Source: ClinicalTrials.gov NCT01490632 ↗
Enrolled (actual)
271
Serious AEs
1.1%
Results posted
Jul 2017
Primary outcomePrimary: Percentage of Participants Achieving Psoriasis Area and Severity Index Score ≥75% (PASI 75) Improvement (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI]) — 16.7; 28.6; 28.6; 42.9 Percent of Participants
Summary
This is a dose-ranging study designed to investigate the efficacy and safety of Baricitinib in the treatment of participants with moderate to severe, chronic plaque psoriasis as assessed by the Psoriasis Area and Severity Index (PASI) score and routine safety assessments.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving Psoriasis Area and Severity Index Score ≥75% (PASI 75) Improvement (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI]) |
16.7; 28.6; 28.6; 42.9; 54.1 | — |
| SECONDARY Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA]) |
14.7; 15.6; 25.0; 29.7; 34.8 | — |
| SECONDARY Percentage of Participants Achieving an sPGA of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA]) |
33.3; 23.1; 21.1; 27.0 | — |
| SECONDARY Percentage of Participants Achieving an sPGA of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA]) |
33.3; 23.1; 21.1; 27.0 | — |
| SECONDARY Change From Baseline in Part A in Mean Psoriasis Area and Severity Index (PASI) Total Score to Week 12 (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI]) |
5.14; 9.40; 9.46; 11.52; 13.93 | — |
| SECONDARY Change From Baseline in Part A in Mean Psoriasis Area and Severity Index (PASI) Total Score to Week 24 (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis: Measure: Psoriasis Area and Severity Index [PASI]) |
15.62; 16.69; 12.94; 12.23; 14.55; 13.67 | — |
| SECONDARY Change From Baseline in Part D in Mean Psoriasis Area and Severity Index (PASI) Total Score to Week 92 (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI]) |
6.33; 3.25; 5.84; 6.98 | — |
| SECONDARY Change From Baseline Part A in Dermatology Life Quality Index (DLQI) Total Score to Week 12 |
-1.7; -3.4; -4.6; -4.0; -5.1 | — |
| SECONDARY Change From Baseline Part A in Dermatology Life Quality Index (DLQI) Total Score to Week 24 |
-6.9; -7.0; -3.8; -1.5; -7.8; -4.5 | — |
| SECONDARY Change From Baseline Part D in Dermatology Life Quality Index (DLQI) Total Score to Week 92 |
-3.3; -0.5; -2.1; -5.0 | — |
| SECONDARY Change From Baseline Part A in Itch Numeric Rating Scale (Itch NRS) Score at Week 12 |
-1.1; -2.8; -3.3; -3.8; -4.7 | — |
| SECONDARY Change From Baseline Part A in Itch Numeric Rating Scale (Itch NRS) Score to Week 24 |
-4.7; -5.6; -5.4; -3.4; -4.1; -3.5 | — |
| SECONDARY Change From Baseline Part D in Itch Numeric Rating Scale (Itch NRS) Score to Week 92 |
-2.3; -2.5; -2.7; -3.1 | — |
| SECONDARY Change From Baseline Part A in Quick Inventory of Depressive Symptomatology-Self Report 16 Items (QIDS-SR16) Total Score at Week 12 |
-0.9; -1.0; -1.0; -0.7; -0.9 | — |
| SECONDARY Change From Baseline Part A in Quick Inventory of Depressive Symptomatology-Self Report 16 Items (QIDS-SR16) Total Score to Week 24 |
-1.6; -2.6; -1.4; -1.2; -1.6; -2.2 | — |
| SECONDARY Change From Baseline Part D in Quick Inventory of Depressive Symptomatology-Self Report 16 Items (QIDS-SR16) Total Score to Week 92 |
-0.25; -0.13; -0.86 | — |
| SECONDARY Change From Baseline Part A in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Scores |
8.1; 13.2; 9.6; 9.4; 7.5; 10.5 | — |
| SECONDARY Change From Baseline Part A in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Scores |
8.1; 13.2; 9.6; 9.4; 7.5; 10.5 | — |
| SECONDARY Change From Baseline Part D in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Scores |
8.67; 4.00; 4.78; 4.19 | — |
| SECONDARY Percentage of Participants Experiencing Rebound Upon Discontinuation of Study Drug in Part C |
0; 0; 0; 0 | — |
| SECONDARY Pharmacokinetics (PK): Maximum Concentration at Steady State of Dosing (Cmax,ss) of Baricitinib |
52.4; 106; 222; 260 | — |
| SECONDARY PK: Area Under the Concentration-Time Curve Versus Time During One Dosing Interval at Steady State (AUC τ,ss) |
462; 975; 2030; 2440 | — |
Eligibility Criteria
Inclusion Criteria
- You must have active chronic plaque psoriasis for at least 6 months prior to entry into the study
- You are a candidate for systemic therapy and/or phototherapy
- You must have active plaque psoriasis covering at least 12% body surface area
- You must have Psoriasis Area and Severity Index (PASI) score of at least 12
- You must have Static Physician's Global Assessment (sPGA) score of at least 3
Exclusion Criteria
- You must not have received a biologic agent/monoclonal antibody within 8 weeks prior to entry into the study
- You must not have prior treatment with an oral Janus kinase (JAK) inhibitor
- You must not have received a systemic psoriasis (Ps) therapy within 4 weeks prior to entry into the study
- You must not have received a phototherapy within 4 weeks prior to entry into the study
- You must not have received a topical Ps therapy with psoralens within 4 weeks prior to entry into the study
- You must not be pregnant or nursing
- If female of childbearing potential or a male, and do not agree to use 2 forms of highly effective methods of birth control for at least 28 days following the last dose of investigational product
- You must not have had symptomatic herpes zoster or herpes simplex infection within 12 weeks or have a history of disseminated/complicated herpes zoster
- You must not have evidence of active infection, such as fever ≥38.0ºC (100.4ºF)
- You must not have a history of active hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
- You must not be immunocompromised and, in the opinion of the investigator, are at an unacceptable risk for participating in the study
- You must not have known history hypogammaglobulinemia
- You must not have had a serious systemic or local infection within 12 weeks prior to entry into the study
- You must not have been exposed to a live vaccine within 12 weeks prior to entry into the study, or expected to need/receive a live vaccine (including herpes zoster vaccination) during the course of the study
- You must not have had household contact with a person with active tuberculosis (TB) and did not receive appropriate and documented prophylaxis for TB
- You must not have a serious and/or unstable illness that, in the opinion of the investigator, poses an unacceptable risk for the your participation in the study
- You must not have or have had a history of lymphoproliferative disease; or signs or symptoms suggestive of possible lymphoproliferative disease, including lymphadenopathy or splenomegaly; or active primary or recurrent malignant disease; or been in remission from clinically significant malignancy for less than 5 years
- You must not have a history of chronic alcohol abuse or intravenous (IV) drug abuse within the last 2 years
- You must not have donated blood of more than 500 mL within 4 weeks
- You must not have received a topical Ps treatment within 2 weeks prior to entry into the study
- Exceptions:
- class 6 (mild, such as desonide) or class 7 (least potent, such as hydrocortisone) topical steroids used on the face, axilla, palms, soles, and/or genitalia
- non-medicated shampoos (for example, that do not contain corticosteroids, coal tar, or vitamin D3 analogues)
- emollients that do not contain alpha or beta hydroxyl acids
Data sourced from ClinicalTrials.gov (NCT01490632). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.