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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04314544
Registration number
NCT04314544
Ethics application status
Date submitted
13/03/2020
Date registered
19/03/2020
Titles & IDs
Public title
Efficacy and Safety of Tildrakizumab Compared to Placebo in Subjects With Active Psoriatic Arthritis I (INSPIRE 1)
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Scientific title
A Phase III, Randomized, Double-Blind, Single-Dose, Placebo-Controlled Study to Demonstrate the Efficacy and Safety of Tildrakizumab in Subjects With Active Psoriatic Arthritis I (INSPIRE 1)
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Secondary ID [1]
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TILD-19-07
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Active Psoriatic Arthritis
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0
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Condition category
Condition code
Musculoskeletal
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0
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0
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Osteoarthritis
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Inflammatory and Immune System
0
0
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0
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Rheumatoid arthritis
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Musculoskeletal
0
0
0
0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TILD
Treatment: Drugs - matching placebo injections
Experimental: Arm A -
Placebo comparator: Arm B -
Treatment: Drugs: TILD
one 1 mL injection of study medication
Treatment: Drugs: matching placebo injections
one 1 mL injection of placebo
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Intervention code [1]
0
0
Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The proportion of subjects who achieve American College of Rheumatology [ACR20]
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Assessment method [1]
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the proportion of subjects achieving a 20% reduction from Baseline in response criteria
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Timepoint [1]
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at week 24
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Secondary outcome [1]
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The proportion of subjects achieving American College of Rheumatology [ACR50]
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Assessment method [1]
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0
the proportion of subjects achieving a 50% reduction from Baseline in response criteria
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Timepoint [1]
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at Week 24
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Secondary outcome [2]
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0
The proportion of subjects achieving American College of Rheumatology [ACR70]
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Assessment method [2]
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0
the proportion of subjects achieving a 70% reduction from Baseline in response criteria
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Timepoint [2]
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at Week 24
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Secondary outcome [3]
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0
The proportion of subjects achieving Psoriasis Area and Severity Index 75 response among subjects with Body surface area =3% at baseline
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Assessment method [3]
0
0
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Timepoint [3]
0
0
at Weeks 24
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Secondary outcome [4]
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0
The change from Baseline in the van der Heijde modified total Sharp score
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Assessment method [4]
0
0
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Timepoint [4]
0
0
at Week 24
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Secondary outcome [5]
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0
The change from Baseline in the van der Heijde modified total Sharp score
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Assessment method [5]
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0
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Timepoint [5]
0
0
at Week 16
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Secondary outcome [6]
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Change from Baseline in American College of Rheumatology Response Criteria Components Score
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Assessment method [6]
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Tender Joint Count (68), Swollen Joint Count (66), Physician's Global Assessment of Arthritis (Visual Analog Scale, 0-100), Patient's Global Assessment of Arthritis (Visual Analog Scale, 0-100), Patient's Assessment of Arthritis Pain (Visual Analog Scale, 0-100), C-reactive protein levels, Erythrocyte sedimentation rate levels
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Timepoint [6]
0
0
at Week 24
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Secondary outcome [7]
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0
change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index
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Assessment method [7]
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0
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Timepoint [7]
0
0
at Week 24
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Secondary outcome [8]
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0
change from Baseline in Leeds Enthesitis Index
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Assessment method [8]
0
0
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Timepoint [8]
0
0
at Week 24
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Secondary outcome [9]
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0
The change from Baseline in Leeds Dactylitis Index
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Assessment method [9]
0
0
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Timepoint [9]
0
0
at Week 24
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Secondary outcome [10]
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0
The proportion of subjects who achieve a disease activity score-C-reactive protein < 3.2
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Assessment method [10]
0
0
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Timepoint [10]
0
0
at Week 24
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Secondary outcome [11]
0
0
The change from Baseline in van der Heijde modified Sharp sub-scores (erosion score and joint space narrowing score)
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Assessment method [11]
0
0
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Timepoint [11]
0
0
at Week 24
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Secondary outcome [12]
0
0
The proportion of subjects with the Change in van der Heijde modified total Sharp score <0 and < 0.5
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Assessment method [12]
0
0
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Timepoint [12]
0
0
at Week 24.
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Secondary outcome [13]
0
0
The proportion of subjects with active Psoriasis and Body surface area =3%
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Assessment method [13]
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0
with: Psoriasis Area and Severity Index 90 and Psoriasis Area and Severity Index 100
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Timepoint [13]
0
0
at Week 24
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Secondary outcome [14]
0
0
The change from Baseline in subjects with active Psoriasis and Body surface area = 3% ("those with involvement of nails" )
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Assessment method [14]
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0
Physician Global Assessment-Psoriasis and nail psoriasis severity index
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Timepoint [14]
0
0
at Week 24
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Secondary outcome [15]
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0
The proportion of subjects achieving American College of Rheumatology [ACR20, ACR50 and ACR70]
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Assessment method [15]
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0
the proportion of subjects achieving a 20/50/70% reduction from Baseline in response criteria
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Timepoint [15]
0
0
at week 52
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Secondary outcome [16]
0
0
The change from Baseline in American College of Rheumatology Response Criteria Components Score
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Assessment method [16]
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0
Tender Joint Count (68), Swollen Joint Count (66), Physician's Global Assessment of Arthritis (Visual Analog Scale, 0-100), Patient's Global Assessment of Arthritis (Visual Analog Scale, 0-100), Patient's Assessment of Arthritis Pain (Visual Analog Scale, 0-100), C-reactive protein levels, Erythrocyte sedimentation rate levels
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Timepoint [16]
0
0
at Week 52
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Secondary outcome [17]
0
0
The change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index
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Assessment method [17]
0
0
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Timepoint [17]
0
0
at Week 52
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Secondary outcome [18]
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0
The change from Baseline
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Assessment method [18]
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Leeds Enthesitis Index, Leeds Dactylitis Index, Health Assessment Questionnaire Disability Index Score
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Timepoint [18]
0
0
at Week 52
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Secondary outcome [19]
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0
The proportion of subjects who achieve a Disease Activity Score(28 [joints]-C-reactive protein) < 3.2
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Assessment method [19]
0
0
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Timepoint [19]
0
0
at Week 52
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Secondary outcome [20]
0
0
The change from Baseline in van der Heijde modified total Sharp score
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Assessment method [20]
0
0
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Timepoint [20]
0
0
at Week 52
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Secondary outcome [21]
0
0
The change from Baseline in van der Heijde modified Sharp sub-scores (erosion score and joint space narrowing score)
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Assessment method [21]
0
0
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Timepoint [21]
0
0
at Week 52
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Secondary outcome [22]
0
0
The proportion of subjects with the change in van der Heijde modified total Sharp score <0 and < 0.5
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Assessment method [22]
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0
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Timepoint [22]
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0
at Week 52
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Secondary outcome [23]
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In subjects with active Psoriasis and Body surface area =3%, the proportion of subjects
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Assessment method [23]
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Psoriasis Area and Severity Index 75, Psoriasis Area and Severity Index 90 and Psoriasis Area and Severity Index 100
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Timepoint [23]
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0
at Week 52
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Secondary outcome [24]
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0
In subjects with active Psoriasis and Body surface area =3% those with involvement of nails , the change from Baseline in nail psoriasis severity index
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Assessment method [24]
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0
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Timepoint [24]
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0
at Week 52
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Secondary outcome [25]
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In subjects with active Psoriasis and Body surface area =3%, the change from Baseline in Physician Global Assessment-Psoriasis
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Assessment method [25]
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0
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Timepoint [25]
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0
at Week 52
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Secondary outcome [26]
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Change from baseline in health assessment questionnaire - disability index (HAQ-DI) score
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Assessment method [26]
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0
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Timepoint [26]
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0
at Week 24
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Secondary outcome [27]
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The change from Baseline in the Short-Form-36 Health Survey Version 2 (SF-36v2), Acute Components
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Assessment method [27]
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Physical Functioning Domain, Role-Physical Domain, Role-Emotional Domain, Bodily Pain Domain, Mental Health Domain, General Health Domain, Vitality Domain, Social Functioning Domain, Physical Component Summary Score, Mental Component Summary Score
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Timepoint [27]
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0
Weeks 24 and 52
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Secondary outcome [28]
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The change from Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scores
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Assessment method [28]
0
0
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Timepoint [28]
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0
at Week 24
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Eligibility
Key inclusion criteria
1. Subject has provided written informed consent.
2. Subject is = 18 years of age at time of Screening.
3. RF and anti-CCP Ab negative.
4. Subjects must have prior exposure to anti-TNF agent(s) use for the treatment of PsO or PsA.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Subject has a planned surgical intervention between Baseline and the Week 24 evaluation for a pretreatment condition.
2. Subject has an active infection or history of infections as follows:
* any active infection for which systemic anti-infectives were used within 28 days prior to first IMP dose, with the last dose having been received within 7 days of Screening,
* a serious infection, defined as requiring hospitalization or IV anti-infectives within 8 weeks prior to the first IMP dose, with the last dose having been received within 7 days of Screening,
* recurrent or chronic infections, e.g., chronic pyelonephritis, chronic osteomyelitis, bronchiectasis, or other active infection that, in the opinion of the Investigator, might cause this study to be detrimental to the subject.
3. Subject has a known history of infection with hepatitis B, hepatitis C, or human immunodeficiency virus.
4. Subject had myocardial infarction, unstable angina pectoris, or ischemic stroke within the past 6 months prior to the first IMP dose.
5. Subject has any active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma.
6. Subject has a history of malignancy within 5 years from the time of Screening EXCEPT treated and considered cured cutaneous basal or squamous cell carcinoma, in situ cervical carcinoma, OR in situ breast ductal carcinoma.
7. Subjects with a history of alcohol or drug abuse in the previous 2 years.
8. Female subjects of childbearing potential who do not agree to abstain from heterosexual activity or practice a dual method of contraception, for example, a combination of the following: (1) oral contraceptive, depo progesterone, or intrauterine device; and (2) a barrier method (condom or diaphragm). Male subjects with female partners of childbearing potential who are not using birth control as described above must use a barrier method of contraception (e.g., condom) if not surgically sterile (i.e., vasectomy). Contraceptive methods must be practiced upon entering the study and through 17 weeks after the last dose of IMP. If a subject discontinues prematurely, the contraceptive method must be practiced for 17 weeks following final administration of IMP. A FSH test should be performed to confirm menopause for those women with no menses for less than 1 year.
9. Subject currently enrolled in another investigational device/procedure or drug study, or Baseline of this study is less than 30 days or 5 half-lives (whichever is longer) since ending another investigational device/procedure or drug study(s), or receiving other investigational agent(s).
10. Subject previously has been enrolled (randomized) in this study.
11. Subject has any kind of disorder that, in the opinion of the Investigator, may compromise the ability of the subject to give written informed consent and/or to comply with all required study procedures.
12. Donation or loss of 400 mL or more of blood within 8 weeks before dosing.
13. Subjects who have been placed in an institution on official or judicial orders.
14. Subjects who are related to or dependent on the Investigator, Sponsor, or study site such that a conflict of interest could arise.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/02/2026
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Actual
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Sample size
Target
472
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,TAS,VIC,WA
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Recruitment hospital [1]
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Sunpharma Site no. 81 - Phillip
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Recruitment hospital [2]
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Sunpharma Site no. 84 - Kogarah
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Recruitment hospital [3]
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Sunpharma Site no 68 - Maroochydore
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Recruitment hospital [4]
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Sunpharma site no. 24 - Hobart
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Recruitment hospital [5]
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Sunpharma Site no 67 - Camberwell
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Recruitment hospital [6]
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Sunpharma Site no. 82 - Fitzroy
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Recruitment hospital [7]
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Sunpharma Site no. 83 - Murdoch
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Recruitment postcode(s) [1]
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2606 - Phillip
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Recruitment postcode(s) [2]
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2217 - Kogarah
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Recruitment postcode(s) [3]
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4558 - Maroochydore
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Recruitment postcode(s) [4]
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7000 - Hobart
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Recruitment postcode(s) [5]
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3124 - Camberwell
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Recruitment postcode(s) [6]
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3065 - Fitzroy
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Recruitment postcode(s) [7]
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6150 - Murdoch
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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0
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United States of America
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State/province [2]
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Arizona
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United States of America
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California
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United States of America
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Colorado
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United States of America
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Connecticut
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United States of America
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Florida
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United States of America
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Georgia
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United States of America
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Illinois
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United States of America
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Kansas
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United States of America
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Massachusetts
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United States of America
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Michigan
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United States of America
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Minnesota
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United States of America
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Missouri
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Montana
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United States of America
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Nebraska
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New Jersey
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New York
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North Carolina
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North Dakota
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Ohio
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Oklahoma
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Pennsylvania
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South Carolina
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Texas
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Utah
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Washington
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Canada
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Ontario
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Canada
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Quebec
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Czechia
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Brno
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Czechia
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Prague 2
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Czechia
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Praha 4
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Czechia
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Zlín
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Estonia
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Tallinn
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Estonia
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Tallin
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Estonia
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Tartu
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Germany
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Bad Doberan
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Germany
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Berlin
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Germany
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Herne
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India
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Chennai
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India
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Gujarat
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India
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Karnataka
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India
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Maharashtra
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India
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Telangana
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India
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Uttar Pradesh
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Italy
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Brescia
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Italy
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Milan
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Italy
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Verona
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Korea, Republic of
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Daejeon
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Korea, Republic of
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Gyeonggi-do
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Korea, Republic of
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Incheon
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Korea, Republic of
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Seoul
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Poland
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Mazowiecki
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Poland
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Bialystok
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Poland
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Katowice
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Poland
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Krakow
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Lublin
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Poland
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Olsztyn
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Poland
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Ponzan
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Poland
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Poznan
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Poland
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Torun
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0
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Poland
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Warszawa
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0
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Poland
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0
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Wroclaw
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Slovakia
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Martin
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Slovakia
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Rimavska Sobota
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0
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Slovakia
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Svidnik
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Country [66]
0
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Slovakia
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Vahom
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0
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Spain
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Córdoba
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Spain
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Gran Canaria
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Spain
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La Coruña
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Spain
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0
Madrid
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Country [71]
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Spain
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State/province [71]
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Malaga
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Country [72]
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Spain
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State/province [72]
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Sabadell
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Country [73]
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Spain
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State/province [73]
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Santiago de Compostela
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Country [74]
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Spain
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State/province [74]
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Sevilla
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Country [75]
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Spain
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State/province [75]
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Valencia
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Country [76]
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Taiwan
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State/province [76]
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Pai-Tou
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Country [77]
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0
Taiwan
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State/province [77]
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Taichung
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Country [78]
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Taiwan
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State/province [78]
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Hsinchu
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Country [79]
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Taiwan
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State/province [79]
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Kaohsiung
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Country [80]
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Taiwan
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State/province [80]
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Tainan
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Country [81]
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0
Taiwan
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State/province [81]
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Taipei
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sun Pharmaceutical Industries Limited
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multicenter Phase III, Randomized, Double-Blind, Single-Dose, Placebo-Controlled Study to Demonstrate the Efficacy and Safety of tildrakizumab in Subjects with Active Psoriatic Arthritis I (INSPIRE 1)
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Trial website
https://clinicaltrials.gov/study/NCT04314544
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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0
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0
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Contact person for public queries
Name
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Head, Clinical development
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Address
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Phone
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91 2266455645
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0
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04314544