CALYPSO clinical study is a phase 3 study which is carried out to establish the efficacy, safety and pharmacokinetic equivalence of BCD-055 (adalimumab, manufactured by JSC BIOCAD, Russia) and Humira® when used in patients with moderate to severe plaque psoriasis.
CALYPSO study is the next step of clinical evaluation of adalimumab biosimilar manufactured by joint-stock company (JSC) BIOCAD, Russia.The aim of this study is to establish that BCD-057 is equivalent to Humira® in terms of efficacy, safety and pharmacokinetics when used by the standard regimen in patients with plaque psoriasis. The study will enroll 344 patients with moderate to severe plaque psoriasis, who will be randomized into 2 groups (1:1 ratio): patients from the first group will receive BCD-057 subcutaneously (SC) at a dose 80 mg on week 0, then at a dose 40 mg on weeks 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21 and 23. Then participants of this group will be invited for randomization at week 25 (in order to keep the double-blind design of the study), but it will have a formal character (assignment of a new randomization number and lot). Patients will continue to receive 40 mg of BCD-057 on weeks 25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49 and 51. Patients from the second group will receive Humira® subcutaneously (SC) at a dose 80 mg on week 0, then at a dose 40 mg on weeks 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21 and 23. At week 25 participants will re-randomized (1:1) to treatment with Humira® or will transitioned to BCD-057.They will receive Humira® or BCD-057 at a dose 40 mg on weeks 25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49 and 51.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
344
BIOCAD
Saint Petersburg, Strelna, Russia
Ratio of patients with PASI75 response after 16 weeks of therapy
Ratio of patients who developed a decrease in Psoriasis Area Severity Index score by 75% or more (PASI75) after 16 weeks of therapy with adalimumab vs. baseline.
Time frame: 16 weeks of therapy
PASI Improvement (%) after 16, 24, 33 and 55 weeks of therapy with adalimumab.
Percent improvement in Psoriasis Area Severity Index (PASI) after 16, 24, 33 and 55 weeks of therapy with adalimumab.
Time frame: 16, 24, 33 and 55 weeks of therapy
Ratio of patients with PASI75 response after 24, 33, 55 weeks of therapy
Ratio of patients who developed a decrease in Psoriasis Area Severity Index score by 75% or more (PASI75) after 33, 55 weeks of therapy with adalimumab vs. baseline.
Time frame: 24, 33 and 55 weeks of therapy
Ratio of patients with PASI50 and PASI90 response after 16, 33, 55 weeks of therapy.
Ratio of patients who developed a decrease in Psoriasis Area Severity Index score by 50% or more (PASI50) and Psoriasis Area Severity Index score by 90% or more (PASI90) after 16, 24, 33, 55 weeks of therapy with adalimumab vs. baseline.
Time frame: 16, 24, 33 and 55 weeks of therapy
Ratio of patients with sPGA response after 16, 33, 55 weeks of therapy
Ratio of patients who have Physicians Global Assessment (sPGA) score 0 or 1 after 16, 33, 55 weeks of therapy with adalimumab.
Time frame: 16, 24, 33 and 55 weeks of therapy
BSA Improvement (%) after 16, 24, 33, 55 weeks of therapy
Percent of body surface area (BSA), affected by psoriasis (measured by physician during physical examination of patient), after 16, 33, 55 weeks of therapy with adalimumab vs. baseline.
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Time frame: 16, 24, 33 and 55 weeks of therapy
Change in SF-36
Change in Short Form-36 questionnaire (SF-36) from Week 0 to Week 16 and from Week 16 to Week 55.
Time frame: Week 0 to Week 16; Week 16 to Week 55
Change in DQLI
Change in Dermatology Quality of Life Index questionnaire (DLQI) from Week 0 to Week 16 and from Week 16 to Week 55.
Time frame: Week 0 to Week 16; Week 16 to Week 55
Adverse events (AE) severity and frequency related to adalimumab
Time frame: 16 and 55 weeks of therapy
Overall adverse events (AE) and serious adverse events (SAE) frequency
Time frame: 16 and 55 weeks of therapy
Frequency of early withdrawal due to AE/SAE
Time frame: 16 and 55 weeks of therapy
Ratio of patients with binding and neutralizing antibodies to adalimumab
Time frame: 55 weeks
AUC(0-tau) of adalimumab after multiple adalimumab injections
Area under the plasma concentration versus time curve (AUC) 0-tau of adalimumab after multiple adalimumab injections
Time frame: 55 weeks
Cav,ss of adalimumab after multiple adalimumab injections
Average blood concentration of adalimumab in steady state conditions (Cav,ss)
Time frame: 55 weeks
Т½ of adalimumab after multiple adalimumab injections
Half-life (Т½) of adalimumab after multiple adalimumab injections
Time frame: 55 weeks
Vd of adalimumab after multiple adalimumab injections
Volume of distribution (Vd) of adalimumab after multiple adalimumab injections
Time frame: 55 weeks
Cl of adalimumab after multiple adalimumab injections
Clearance (Cl) of adalimumab after multiple adalimumab injections
Time frame: 55 weeks