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Phase 3 N=563 Randomized Quadruple-blind Treatment

A Study to Investigate ABP 654 for the Treatment of Participants With Moderate to Severe Plaque Psoriasis

Plaque Psoriasis

Enrolled (actual)
563
Serious AEs
1.6%
Results posted
Dec 2023
Primary outcome: Primary: PASI Percent Change From Baseline to Week 12 — 81.92; 81.91 Percent Change in PASI score

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
ABP 654 (Drug); Ustekinumab (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Jan 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
PASI Percent Change From Baseline to Week 12
81.92; 81.91
SECONDARY
PASI Percent Change at Other Timepoints
44.15; 42.40; 85.88; 85.86; 89.41; 88.18
SECONDARY
Percentage of Participants With PASI 75 Response Throughout the Study
11.4; 10.3; 69.8; 70.2; 80.8; 80.1
SECONDARY
Percentage of Participants With PASI 100 Response Throughout the Study
0.4; 0.7; 20.6; 19.1; 29.9; 26.2
SECONDARY
Percentage of Participants With sPGA Responses (0/1) at Week 12 and Week 52
55.2; 52.8; 24.0; 35.3; 71.3; 70.9
SECONDARY
Change From Baseline in Percentage of BSA Affected With Psoriasis at Week 12 and Week 52
-17.8; -17.2; -20.6; -21.6; -24.7; -22.8
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
106; 99; 85; 44; 40; 12
SECONDARY
Number of Participants With Events of Interests (EOIs)
5; 7; 3; 0; 4
SECONDARY
Number of Participants Developing Anti-drug Antibodies (ADAs) to ABP 654
52; 104; 11; 4; 2; 0

Summary

The purpose of the study is to evaluate the efficacy, safety, and immunogenicity of ABP 654 compared with ustekinumab in participants with moderate to severe plaque psoriasis.

Eligibility Criteria

Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

  • Stable moderate to severe plaque psoriasis for at least 6 months
  • Baseline score of PASI >= 12, involvement of >= 10% BSA, and sPGA >= 3 at screening and at baseline
  • Candidate for phototherapy or systemic therapy
  • Previous failure, inadequate response, intolerance, or contraindication to at least 1 conventional anti-psoriatic systemic therapy
  • Female participants should have negative serum pregnancy test during screening and a negative urine pregnancy test at baseline
  • No known history of latent or active tuberculosis (TB), and has a negative test for TB during screening (with negative purified protein derivative (PPD), and Negative Quantiferon®/T-spot test)
  • Participants with a positive purified protein derivative and a history of Bacillus Calmette-Guérin (BCG) vaccination are allowed with a negative Quantiferon®/T-spot®
  • Participants with a positive PPD test (without history of BCG vaccination) or participants with a positive or indeterminate Quantiferon®/T-spot test are allowed if they have all of the following:
  • No symptoms per TB worksheet provided by the sponsor
  • Documented history of adequate prophylaxis initiation prior to receiving investigational product (IP) in accordance with local recommendations
  • No known exposure to a case of active TB after most recent prophylaxis
  • No evidence of active TB on chest radiograph within 3 months prior to the first dose of IP

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  • Skin disease related conditions such as, Erythrodermic psoriasis (PsO), pustular PsO, guttate PsO, medication induced PsO, or other skin conditions at the time of the screening visit (eg, eczema) that would interfere with evaluations of the effect of IP on PsO
  • Participant has an active infection, recurrent or chronic infections, serious infection or history of infections
  • Known history of human immunodeficiency virus
  • Hepatitis B surface antigen or hepatitis C virus antibody positivity at screening
  • Uncontrolled, clinically significant systemic disease such as uncontrolled diabetes mellitus, cardiovascular disease, renal disease, liver disease, or hypertension
  • Moderate to severe heart failure (New York Heart Associate class III/IV)
  • Known hypersensitivity to the IP or to any of the excipients
  • Any abnormal laboratory parameters at screening, as defined in protocol
  • Previous treatment with any agent specifically targeting interleukin (IL)-12 or IL-23
  • Received biologic treatment for psoriasis within the previous month or 5 drug half-lives prior to randomization
  • Received non-biologic systemic psoriasis therapy within 4 weeks prior to randomization
  • Received Ultra-violet A (UVA) phototherapy (with or without psoralen) or excimer laser within 4 weeks prior to randomization, or ultra-violet B (UVB) phototherapy within 2 weeks prior to randomization
  • Received topical psoriasis treatment within 2 weeks prior to randomization (exception: upper mid-strength to least potent [class III to VII] topical steroids permitted on the palms, soles, face, and intertriginous areas; bland emollients)
  • Received live viral or live bacterial vaccination within 2 weeks prior to randomization
  • Received BCG vaccination within 1 year prior to randomization
  • Other investigational procedures within 4 weeks prior to randomization and during the study
  • Participants not agreeing to follow protocol defined contraceptives procedures
  • Participants likely not to be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04607980). 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.

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