Phase 2
Completed N=49
A Study to Evaluate the Pharmacokinetics (PK), Pharmacodynamics (PD), and Safety of Bimekizumab in Patients With Chronic Plaque Psoriasis
Source: ClinicalTrials.gov NCT03025542 ↗Enrolled (actual)
49
Serious AEs
6.1%
Results posted
Jan 2021
Primary outcomePrimary: Change From Baseline in Psoriasis Area and Severity Index (PASI) at Week 28 — -10.76; -19.74 scores on a scale
Summary
This is a Phase 2a, multicenter, randomized, subject-blind, investigator-blind, study to investigate the pharmacokinetics (PK), pharmacodynamics (PD), and safety of bimekizumab in adult subjects with moderate to severe chronic plaque psoriasis
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Psoriasis Area and Severity Index (PASI) at Week 28 |
-10.76; -19.74 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Baseline |
NA; NA | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 2 |
19.749; 14.437 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 4 |
11.402; 9.077 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 8 |
16.728; 13.969 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 12 |
5.972; 5.466 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 16 |
2.200; 2.293 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 20 |
0.798; 9.702 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 24 |
NA; 4.377 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 28 |
NA; 1.933 | — |
| PRIMARY Plasma Concentration of Bimekizumab at Week 36 |
NA; 0.322 | — |
| PRIMARY Percentage of Participants Reporting Positive Anti-Drug-Antibodies (ADA) Titre Prior to Study Treatment With Bimekizumab at Baseline |
3.1; 0 | — |
| PRIMARY Percentage of Participants Reporting an Overall Positive Anti-Drug-Antibodies (ADA) Titre Following Study Treatment With Bimekizumab |
34.4; 47.1 | — |
| PRIMARY Percentage of Participants Who Experienced at Least One Adverse Events (AEs) |
87.5; 88.2 | — |
| SECONDARY Percentage of Participants Achieving a 75% or Higher Improvement From Baseline in PASI (Psoriasis Area and Severity Index) Score at Week 16 |
93.8; 88.2 | — |
| SECONDARY Percentage of Participants Achieving a 90% or Higher Improvement From Baseline in PASI (Psoriasis Area and Severity Index) Score at Week 16 |
84.4; 70.6 | — |
| SECONDARY Percentage of Participants Achieving a 100% Improvement From Baseline in PASI (Psoriasis Area and Severity Index) Score at Week 16 |
46.9; 52.9 | — |
| SECONDARY Percentage of Participants With IGA (Investigator´s Global Assessment) Response at Week 16 |
81.3; 64.7 | — |
Eligibility Criteria
Inclusion Criteria
- Male or female at least 18 years of age and less than or equal to 70
- Chronic plaque psoriasis for at least 6 months prior to Screening
- Psoriasis Area and Severity Index (PASI) >=12 and body surface area (BSA) >=10% and Investigator's Global Assessment (IGA) score >=3 on a 5-point scale
- Candidates for systemic psoriasis therapy and/or phototherapy and/or chemophototherapy
- Female subjects must be postmenopausal, permanently sterilized or, if of childbearing potential, must be willing to use a highly effective method of contraception up till 20 weeks after last administration of study drug, and have a negative pregnancy test at Visit 1 (Screening) and immediately prior to first dose
- Male subjects with a partner of childbearing potential must be willing to use a condom when sexually active, up till 20 weeks after the last administration of study medication (anticipated 5 half-lives)
Exclusion Criteria
- Subjects previously participating in a bimekizumab study
- Subjects with erythrodermic, guttate, pustular form of psoriasis, or drug-induced psoriasis
- History of chronic or recurrent infections, or a serious or life-threatening infection within the 6 months prior to the Baseline Visit (including herpes zoster)
- High risk of infection in the Investigator's opinion
- Current sign or symptom that may indicate an active infection
- Concurrent acute or chronic viral hepatitis B or C or human immunodeficiency virus (HIV) infection
- Live (includes attenuated) vaccination within the 8 weeks prior to Baseline
- Subjects with concurrent malignancy or history of malignancy during the past 5 years (except for specific malignant condition as defined in the protocol)
- Primary immunosuppressive conditions
- TB infection, high risk of acquiring TB infection, latent TB infection (LTBI), or current or history of NTMB infection
- Laboratory abnormalities, as defined in the study protocol
- Any condition which, in the Investigator's judgement, would make the subject unsuitable for inclusion in the study
- Exposure to more than 1 biological response modifier (limited to anti-TNF or IL-12/-23) or any biologic response modifier during the three months prior to the Baseline Visit
- Subjects have received previous treatment with any anti-IL-17 therapy for the treatment of psoriasis or psoriatic arthritis
- Subjects with a diagnosis of inflammatory conditions other than psoriasis or psoriatic arthritis, including but not limited to rheumatoid arthritis, sarcoidosis, or systemic lupus erythematosus. Subjects with a diagnosis of Crohn's disease or ulcerative colitis are allowed as long as they have no active symptomatic disease at Screening or Baseline
- Subjects taking psoriatic arthritis medications other than nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics
Data sourced from ClinicalTrials.gov (NCT03025542). 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.