Phase 3
N=201
Study of Ixekizumab (LY2439821) in Children 6 to Less Than 18 Years With Moderate-to-Severe Plaque Psoriasis
Plaque Psoriasis
Bottom Line
View on ClinicalTrials.gov: NCT03073200 ↗Enrolled (actual)
201
Serious AEs
2.4%
Results posted
Mar 2020
Primary outcome: Primary: Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) (Placebo and Ixekizumab) — 25; 88.7 percentage of participants — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Ixekizumab (Drug); Placebo (Drug); Etanercept (Drug)
- Age
- Pediatric · 6+ yrs
- Sex
- All
- Sponsor
- Eli Lilly and Company
- Primary completion
- Feb 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) (Placebo and Ixekizumab) |
25; 88.7 | <0.001 sig |
| PRIMARY Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1) (Placebo and Ixekizumab) |
10.7; 80.9 | <0.001 sig |
| SECONDARY Percentage of Participants With a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90) |
5.4; 78.3 | <0.001 sig |
| SECONDARY Percentage of Participants With a sPGA (0) |
1.8; 52.2 | <0.001 sig |
| SECONDARY Percentage of Participants With a 100% Improvement in Psoriasis Area and Severity Index (PASI 100) |
1.8; 49.6 | <0.001 sig |
| SECONDARY Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) |
8.9; 53.9 | <0.001 sig |
| SECONDARY Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1) |
7.1; 47.8 | <0.001 sig |
| SECONDARY Percentage of Participants With an Improvement of ≥4 in Those Who Had a Baseline Itch Numeric Rating Scale (NRS) Score of ≥4 |
20.0; 71.1 | <0.001 sig |
| SECONDARY Percentage of Participants Achieving Children's Dermatology Life Quality Index (CDLQI)/Dermatology Life Quality Index (DLQI) (0/1) |
23.2; 64.3 | <0.001 sig |
| SECONDARY Change From Baseline on the Nail Psoriasis Severity Index (NAPSI) |
0.17; -16.87 | 0.005 sig |
| SECONDARY Change From Baseline on the Psoriasis Scalp Severity Index (PSSI) |
-12.28; -27.64 | <0.001 sig |
| SECONDARY Change From Baseline on the Palmoplantar Psoriasis Severity Index (PPASI) |
6.89; -5.11 | 0.006 sig |
| SECONDARY Number of Participants With Anti-Ixekizumab Antibodies |
56 | — |
| SECONDARY Pharmacokinetics (PK): Trough Ixekizumab Concentration at Steady State (Ctrough ss) |
3.03 | — |
| SECONDARY Percentage of Participants With a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) (Etanercept Approved Countries) |
26.3; 84.2; 63.3 | 0.089 |
| SECONDARY Percentage of Participants With a Static Physician Global Assessment (sPGA) (0,1) (Etanercept Approved Countries) |
5.3; 76.3; 53.3 | 0.070 |
Summary
The purpose of this study is to evaluate the safety and efficacy of ixekizumab in pediatric participants with moderate-to-severe plaque psoriasis.
Eligibility Criteria
Inclusion Criteria
- Have a diagnosis of moderate-to-severe plaque-type psoriasis for at least 6 months prior to baseline as determined by the investigator.
- Have Psoriasis Area and Severity Index (PASI) score ≥12 and a Static Physician Global Assessment (sPGA) ≥3 and body surface area involvement ≥10% at screening and baseline.
- Are candidates for phototherapy or systemic treatment or considered by the investigator as not adequately controlled by topical therapies.
- Male subjects agree to use a reliable method of birth control during the study.
- Female subjects: Participants of childbearing age or childbearing potential who are sexually active who test negative for pregnancy must be counselled and agree to use either 1 highly effective method of contraception or 2 acceptable methods of contraception combined for the duration of the study and for at least 12 weeks following the last dose of study drug, or remain abstinent during the study and for at least 12 weeks following the last dose of study drug.
- Both the child or adolescent and a parent or legal guardian are able to understand and fully participate in the activities of the clinical study and sign their assent and consent, respectively.
- All immunizations are up-to-date in agreement with current immunization guidelines as noted by country specific paediatric authorities (e.g., the American Academy of Paediatrics). Note, subjects who are not up to date or have never been immunized are not to be enrolled in the trial.
Exclusion Criteria
- Have pustular, erythrodermic, and/or guttate forms of psoriasis.
- Have drug-induced psoriasis.
- Have clinical and/or laboratory evidence of untreated latent or active tuberculosis (TB).
- Participants with a documented history of immune deficiency syndrome.
- Have any other active or recent infection, including chronic or localized infections, within 4 weeks of baseline.
- Subjects with a known history of malignancy, lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy and/or splenomegaly unless ruled out by biopsy.
- Have used any therapeutic agent targeted at reducing interleukin-17.
- Have received other therapies within the specified time frames prior to screening (see below):
- adalimumab and infliximab 60 days, abatacept 90 days, anakinra 7 days, or any other biologic disease-modifying antirheumatic drug 5 half-lives.
- systemic therapy for psoriasis and psoriatic arthritis (PsA) (other than above, eg, methotrexate, cyclosporine), phototherapy (eg, photochemotherapy [psoralen plus ultraviolet A]) in the previous 4 weeks.
Data sourced from ClinicalTrials.gov (NCT03073200). 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.