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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT03897075




Registration number
NCT03897075
Ethics application status
Date submitted
27/03/2019
Date registered
1/04/2019
Date last updated
29/05/2024

Titles & IDs
Public title
Efficacy and Safety Study of Tildrakizumab in the Treatment of Nail Psoriasis
Scientific title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Study to Assess the Efficacy and Safety of Tildrakizumab in the Treatment of Moderate to Severe Nail Psoriasis
Secondary ID [1] 0 0
TILD-18-19
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Chronic Plaque Psoriasis 0 0
Moderate to Severe Nail Psoriasis 0 0
Condition category
Condition code
Skin 0 0 0 0
Dermatological conditions
Skin 0 0 0 0
Other skin conditions

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Tildrakizumab
Treatment: Drugs - Placebo

Experimental: Arm A -

Placebo Comparator: Arm B -


Treatment: Drugs: Tildrakizumab
PART 1: Double-blind Placebo-controlled PART 2: Double-blind Active Treatment Extension PART 3: Observational Safety Follow-up

Treatment: Drugs: Placebo
PART 1: Double-blind Placebo-controlled PART 2: Double-blind Active Treatment Extension PART 3: Observational Safety Follow-up
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
The proportion of subjects who achieve at least a 75% improvement from baseline in totalmNAPSI at Week 28.
Timepoint [1] 0 0
Week 28
Secondary outcome [1] 0 0
The proportion of subjects with a score of "0 - normal" or "1 - minimal nail psoriasis" and at least a 2-point decrease from baseline at Week 28 as measured by the ViSENPsO.
Timepoint [1] 0 0
Week 28
Secondary outcome [2] 0 0
The proportion of subjects with at least 3 point decrease from baseline, in Nail Pain NRS score in subjects with baseline nail pain NRS score of >3
Timepoint [2] 0 0
Week 28

Eligibility
Key inclusion criteria
Subjects are eligible to be included in the study only if all of the following criteria
apply:

1. Subjects with a chronic moderate to severe plaque-type psoriasis for at least 6 months
(as determined by subject interview and confirmation of diagnosis through physical
examination by Investigator).

2. Subjects must have moderate to severe nail psoriasis at Screening and Baseline,
defined by:

- mNAPSI score of =20.

- ViSENPsO =3

3. Subjects must have moderate to severe plaque psoriasis at Screening and Baseline,
defined by:

- s-PGA score of at least 3.

- Body Surface Area (BSA) involvement of =10%.

- PASI =12

4. Subjects must be considered candidates for systemic therapy, meaning psoriasis
inadequately controlled by topical treatments (corticosteroids), and/or phototherapy,
and/or previous systemic therapy.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Subjects are excluded from the study if any of the following criteria apply:

1. Subjects who have predominantly non-plaque forms of psoriasis, specifically
erythrodermic psoriasis, predominantly pustular psoriasis, medication-induced, or
medication-exacerbated psoriasis, or new-onset guttate psoriasis.

2. Subjects with ongoing inflammatory skin diseases other than psoriasis or any other
disease affecting the fingernails, which may potentially confound the evaluation of
study treatment.

3. Subjects with fungal nail infection should be excluded from the study. Subjects in
whom the Investigator suspects a fungal nail infection in addition to nail psoriasis
should have scrapings sent for direct microscopy and fungal culture. If fungal culture
or direct microscopy of nail scrapings turns out to be positive for fungal infection,
the subject should be excluded from the study. At the discretion of the investigator,
Periodic Acid-Schiff (PAS) staining for nail clippings could also be considered to
rule of fungal infection of the nails. Direct microscopy or fungal culture are not
required if fungal infection is diagnosed in PAS staining.

4. Subjects with any previous use of tildrakizumab or other IL-23/Th-17 pathway
inhibitors, including p40, p19 and IL-17 antagonists for psoriasis.

5. Subjects with known history of allergy or hypersensitivity to any of the inactive
ingredients of the Tildrakizumab or placebo formulations.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
13/05/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/02/2025
Actual
Sample size
Target
Accrual to date
Final
99
Recruitment in Australia
Recruitment state(s)
NSW,QSLDSA,VIC,WAU
Recruitment hospital [1] 0 0
Premier Dermatology (Site 47) - Kogarah
Recruitment hospital [2] 0 0
St George Dermatology & Skin Cancer Centre (Site 45) - Kogarah
Recruitment hospital [3] 0 0
Veracity Clinical Research/ Specialist Connect(Site 44) - Woolloongabba
Recruitment hospital [4] 0 0
North Eastern Health Specialists (Site 46) - Campbelltown
Recruitment hospital [5] 0 0
Skin Health Institute Inc. (Site 43) - Carlton
Recruitment hospital [6] 0 0
Fremantle Dermatology (Site 40) - Fremantle
Recruitment postcode(s) [1] 0 0
2217 - Kogarah
Recruitment postcode(s) [2] 0 0
4102 - Woolloongabba
Recruitment postcode(s) [3] 0 0
5073 - Campbelltown
Recruitment postcode(s) [4] 0 0
3053 - Carlton
Recruitment postcode(s) [5] 0 0
6160 - Fremantle
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Florida
Country [3] 0 0
United States of America
State/province [3] 0 0
New York
Country [4] 0 0
United States of America
State/province [4] 0 0
Rhode Island
Country [5] 0 0
United States of America
State/province [5] 0 0
Texas

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Sun Pharmaceutical Industries Limited
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Phase 3b study to Assess the Efficacy and Safety of Tildrakizumab in the Treatment of
Moderate to Severe Nail Psoriasis
Trial website
https://clinicaltrials.gov/ct2/show/NCT03897075
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT03897075