The purpose of this study is to determine the efficacy and safety of the study drug recombinant anti-IL-17A humanized monoclonal antibody in Chinese participants with moderate-to-severe plaque psoriasis.
Study SSGJ-608-PsO-II-01 is a phase 2, multicenter, randomized, double-blind, placebo-controlled, multiple-dose escalation and dose finding study to identify the doses of treatments ,and to further evaluate the effect of different dose regimens of recombinant anti-IL-17A humanized monoclonal antibody versus placebo in Chinese participants with moderate-to-severe plaque psoriasis during an induction dosing period with dosing for 12 weeks, followed by a randomized, double-blind, 40-week maintenance dosing period. Phase Ib One of three dose levels of copanlisib is assigned at registration according to the dose escalation scheme. Phase II The copanlisib dose for the Phase II part of the trial will be based on the MTD established in the Phase Ib part of the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
139
608 will be administered subcutaneously.
Participants will receive Placebo to maintain the blinding of the Investigational Medicinal Products.
608 will be provided at pre-specified time intervals.
Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, China
Shanghai Dermatology Hospital
Shanghai, Shanghai Municipality, China
The First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, China
Incidence and severity of treatment emergent adverse event (TEAE).
The incidence and severity of treatment emergent adverse event (TEAE), including adverse events (AEs),serious adverse event (SAE) and AEs associated with the use of the drug, as well as clinical symptoms, and any abnormalities of vital signs, physical examinations,electrocardiogram,laboratory tests and, etc.
Time frame: Up to 64 Weeks
Cmax
To assess the maximum plasma level of 608.
Time frame: Week 0 to 16
Tmax
To assess the time to peak 608 concentration.
Time frame: Week 0 to 16
AUC0-last
To assess the area under the concentration time-curves from time zero to the time of the last quantifiable concentration after dosing.
Time frame: Week 0 to 16
AUC0-tau
To assess the area under the concentration time-curves from time zero to the dosing interval tau.
Time frame: Week 0 to 16
Cmin
To assess the minimum plasma level of 608.
Time frame: Week 0 to 48
Rac_Cmax
Accumulation ratio based on maximum plasma concentration (Cmax) calculated as: Rac\_Cmax = Cmax at steady state (ss) divided by Cmax at first dose.
Time frame: week 0,12
Rac_AUC0-tau
Accumulation ratio calculated as, Rac obtained from Area Under the Concentration Time Curve (AUCτau) from time 0-τau(Week 12) divided by AUC from time 0-τau (Week 0)
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Participants will receive Placebo at pre-specified time points to maintain the blinding of the Investigational Medicinal Products.
Time frame: week 0,12
Number of Participants Positive for Anti-Drug Antibody (ADA) in Part 1.
Serum ADA positivity is determined over course of the trial duration.
Time frame: Week 0,4,8,12,16,24,48,64
Number of Participants Positive for Anti-Drug Antibody (ADA) in Part 2.
Serum ADA positivity is determined over course of the trial duration.
Time frame: Week 0,8,20,44,64
Percentage of Participants Achieving a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75)
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor \[head (0.1), upper limbs (0.2), trunk (0.3), lower limbs(0.4)\]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
Time frame: At Week 12
Percentage of Participants With a Static Physician Global Assessment (sPGA) Score of Clear (0) or Minimal (1) With at Least a 2 Point Improvement
The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a postbaseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline.
Time frame: At Week 12
Percentage of Participants Achieving a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90)
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor \[head (0.1), upper limbs (0.2), trunk (0.3), lower limbs(0.4)\]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
Time frame: At Week 12
Percentage of Participants Achieving a 100% Improvement in Psoriasis Area and Severity Index (PASI 100)
The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor \[head (0.1), upper limbs (0.2), trunk (0.3), lower limbs(0.4)\]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
Time frame: At Week 12