The purpose of this trial is to investigate the efficacy and safety of different doses and dose administrations of FP187 compared to a placebo treatment in patients with moderate to severe plaque psoriasis.
The trial tests two different dose levels and two different daily dosing schedules (twice daily (BID) and three times daily (TID))over 20 weeks of treatment. Key is effect as measured by achievement of a 75% reduction in PASI after 20 weeks and safety monitored by adverse events and safety lab. There are 3 active arms: 1. FP-187 at a daily dose of 750mg divided in three doses (250mg TID) 2. FP-187 at a daily dose of 750mg divided in two doses (375mg BID) 3. FP-187 at a daily dose of 500mg divided in two doses (250mg BID) and 1 placebo arm. An additional open (flexible dosing) treatment arm has been amended to the trial
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
252
Dermatological Dept., Uniklinikum, TU-Dresden
Dresden, Germany
SCIderm
Hamburg, Germany
Proportion of patients achieving PASI 75 compared to placebo
Proportion of patients achieving PASI75 (a reduction in the PASI score of 75% or more)
Time frame: After 20 weeks of treatment
PASI 75
Proportion of patients achieving PASI75 (a reduction of the PASI score of 75% or more compared to baseline)
Time frame: At week 4, 8, 12 and 16
PASI 50
Proportion of patients who achieves PASI 50 (a reduction of the PASI score of 50% or more compared to baseline)
Time frame: At week 4, 8, 12, 16 and 20
PASI 90
Proportion of patients achieving PASI90 (a reduction of the PASI score of 90% or more compared to baseline
Time frame: At week 4, 8, 12, 16 and 20
PGA (Physicians Global Assessment)
On a 5-point scale from 0 (abscence or very mild disease) to 4 (very severe disease) proportion of patients being responders - defined as patients achieving either a score of 0 or 1 or a two point improvement
Time frame: At week 4, 8, 12, 16 and 20
PaGA (Patients Global Assessment
Patients evaluation on a 5-point Likert scale 1 (very good) - 5 (very poor)based on the evaluation of: "Considering all the ways your psoriasis affects you, how have you been doing in the last 24 hours?"
Time frame: At week 4,8,12,16 and 20
Pruritus
Patient evaluation of pruritus measured on a VAS (Visual Analog Scale) from 0mm (no pruritus) to 100mm (worst possible pruritus)
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Low daily dose of 500mg FP187 administered as 250mg BID
Oral tablets, up to 3 times daily for 20 weeks.
Time frame: At week 4, 8, 12, 16 and 20
Patient rated QoL (Quality of Life)
Patient filling in 10 questions on the DLQI QoL system with a calculated summary score and analysis of the improvement from baseline
Time frame: At week 4, 8, 12, 16 and 20
Adverse events (AEs)
Summary of incidense and severity of AEs and ADRs (Adverse Drug Reactions)/SAEs (Serious Adverse Events)/SUSARs (Suspected Unexpected Serious Adverse Reactions)
Time frame: At week 4, 8, 12, 16 and 20
Safety lab test
Summary of lab parameters and clinically relevant changes over the treatment period in standard clinical chemistry tests, standard haematology tests and urin dip stick test
Time frame: At week 20