Randomized Placebo-controlled Study of ISA247 in Plaque Psoriasis
SPIRIT
A Phase III, Randomized, Multicentre, Double-Blind, Placebo-Controlled Study of ISA247 in Plaque Psoriasis Patients
1 other identifier
interventional
451
1 country
31
Brief Summary
The purpose of this study is to determine which dose of voclosporin is effective in the treatment of plaque psoriasis compared to placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Dec 2004
Shorter than P25 for phase_3
31 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2005
CompletedFirst Submitted
Initial submission to the registry
October 25, 2005
CompletedFirst Posted
Study publicly available on registry
October 27, 2005
CompletedResults Posted
Study results publicly available
March 27, 2023
CompletedMarch 27, 2023
March 1, 2023
10 months
October 25, 2005
January 12, 2018
March 23, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of Subjects Achieving a PASI-75 at 12 Weeks at Each of the 3 Dose Levels of Voclosporin.
Proportion of subjects achieving a PASI-75 at 12 weeks at each of the 3 dose levels of voclosporin.
Twelve Weeks
Secondary Outcomes (3)
To Investigate the Safety and Tolerability of Voclosporin.
Twelve and twenty four weeks
To Investigate the Pharmacokinetics and Pharmacodynamics of Voclosporin After Chronic Dosing in a Subset of Subjects.
Twelve and twenty four weeks
To Evaluate the Effect of Voclosporin on Subject Quality of Life
Twelve and twenty four weeks
Study Arms (4)
Placebo Comparator: 1
PLACEBO COMPARATORPlacebo
Voclosporin 0.2 mg/kg po BID
ACTIVE COMPARATORVoclosporin 0.2 mg/kg po BID
Voclosporin 0.3 mg/kg po BID
ACTIVE COMPARATORVoclosporin 0.3 mg/kg po BID
Voclosporin 0.4 mg/kg po BID
ACTIVE COMPARATORVoclosporin 0.4 mg/kg po BID
Interventions
voclosporin 0.2, 0.3, or 0.4 mg/kg po BID
Eligibility Criteria
You may qualify if:
- Plaque psoriasis ≥ 6 months prior to screening.
- Diagnosis of stable, plaque psoriasis; i.e. psoriasis must not be spontaneously improving or worsening in the 4 weeks prior to the screening visit.
- Plaque psoriasis involving ≥10% of the body surface area (BSA) at screening and prior to randomization at the day 0 visit.
- PASI score ≥10 at screening and prior to randomization at the day 0 visit.
- Not pregnant or nursing or planning to become pregnant during the course of the study.
- Sexually active women of childbearing potential or less than 1 year post-menopausal and sexually active men who are not surgically sterile must use a reliable form of birth control during study treatment and for at least 3 months after the last dose of study drug. Surgically sterile females are not considered to be of childbearing potential. Reliable forms of birth control include oral or depot contraceptives, and double-barrier methods.
- Written informed consent prior to washout and screening procedures.
- Able to keep study appointments and cooperate with all study requirements, in the opinion of the investigator.
You may not qualify if:
- Has generalized erythrodermic, guttate, or pustular psoriasis.
- Have other dermatoses that would interfere with the evaluation of psoriasis, at the discretion of the investigator.
- A current malignancy or history of malignancy within 5 years or a history of lymphoma at any time. Subjects can be enrolled with a history of squamous or basal cell carcinoma that has been surgically excised or removed with curettage and electrodesiccation.
- Has current, uncontrolled bacterial, viral, or fungal infections that require intravenous antibiotics or antifungals or had had such infections within 60 days prior to screening.
- A history of streptococcal infection that required oral antibiotics within 30 days prior to screening.
- A known history of tuberculosis.
- Serologic evidence or known latent human immunodeficiency virus (HIV), hepatitis B (HBV) or hepatitis C (HCV) virus.
- Uncontrolled hypertension as defined by systolic blood pressure ≥150 mm Hg or diastolic blood pressure ≥ 90 mm Hg.
- MDRD GFR ≤ 60 ml/min.
- Variation between the screening and Visit 1 GFR ≥30%.
- Alanine transaminase, aspartate transaminase, or gamma-glutamyl transferase ≥ 3x upper limit of normal (ULN).
- White blood cell count ≤ 2.8 x 109/L.
- Triglycerides ≥ 3x ULN.
- Requires the following prohibited medications or treatments during the washout or treatment period: drugs potentiating the nephrotoxicity of voclosporin such as NSAID's or ACE inhibitors, drugs interfering with its pharmacokinetics; drugs considered to contribute to psoriasis flare; or, systemic and topical psoriasis medication (including psoralen/ultraviolet A light treatment) that may interfere with assessment of study drug efficacy.
- Has used any investigational drug or device within 28 days or 5 half lives (whichever is longer) prior to the screening visit.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (31)
Isotechnika Investigational Site
Calgary, Alberta, T2S 3B3, Canada
Isotechnika Investigational Site'
Edmonton, Alberta, T5J 3S9, Canada
Isotechnika Investigational Site
Edmonton, Alberta, T5J 3S9, Canada
Isotechnika Investigational Site
Vancouver, British Columbia, V5Z 3Y1, Canada
Isotechnika Investigational Site
Vancouver, British Columbia, V5Z 4E8, Canada
Isotechnika Investigational Site
Victoria, British Columbia, V8R 6V4, Canada
Isotechnika Investigational Site
Winnipeg, Manitoba, R3C 0N2, Canada
Isotechnika Investigational Site
Moncton, New Brunswick, E1C 8X3, Canada
Isotechnika Investigational Site
St. John's, Newfoundland and Labrador, A1B 3E1, Canada
Isotechnika Investigational Site
St. John's, Newfoundland and Labrador, A1B 4F8, Canada
Isotechnika Investigational Site
Halifax, Nova Scotia, B3H 1Z4, Canada
Isotechnika Investigational Site
Hamilton, Ontario, L8N 1V6, Canada
Isotechnika Investigational Site
London, Ontario, N5X 2P1, Canada
Isotechnika Investigational Site
London, Ontario, N6A 3H7, Canada
Isotechnika Investigational Site
Maple, Ontario, L4K 5V2, Canada
Isotechnika Investigational Site
Markham, Ontario, L3P 1A8, Canada
Isotechnika Investigational Site
Newmarket, Ontario, L3Y 6P5, Canada
Isotechnika Investigational Site
North Bay, Ontario, L4M 6L2, Canada
Isotechnika Investigational Site
North Bay, Ontario, P1B 3Z7, Canada
Isotechnika Investigational Site
Oakville, Ontario, L6K 1E1, Canada
Isotechnika Investigational Site
Oshawa, Ontario, L1H 1B9, Canada
Isotechnika Investigational Site
Toronto, Ontario, M5V 2T3, Canada
Isotechnika Investigational Site
Waterloo, Ontario, N2J 1C4, Canada
Isotechnika Investigational Site
Windsor, Ontario, N8W 1E6, Canada
Isotechnika Investigational Site
Windsor, Ontario, N8W 5L7, Canada
Isotechnika Investigational Site
Laval, Quebec, H7G 2C0, Canada
Isotechnika Investigational Site
Montreal, Quebec, H2K 4L5, Canada
Isotechnika Investigational Site
Montreal, Quebec, H3G 1C6, Canada
Isotechnika Investigational Site
Pointe-Claire, Quebec, H9R 4S3, Canada
Isotechnika Investigational Site
Sherbrooke, Quebec, J1J 2B8, Canada
Isotechnika Investigational Site
Ste. Foy, Quebec, G1V 4X7, Canada
Related Publications (4)
Gregory CR, Kyles AE, Bernsteen L, Wagner GS, Tarantal AF, Christe KL, Brignolo L, Spinner A, Griffey SM, Paniagua RT, Hubble RW, Borie DC, Morris RE. Compared with cyclosporine, ISATX247 significantly prolongs renal-allograft survival in a nonhuman primate model. Transplantation. 2004 Sep 15;78(5):681-5. doi: 10.1097/01.tp.0000131950.75697.71.
PMID: 15371668BACKGROUNDStalder M, Birsan T, Hubble RW, Paniagua RT, Morris RE. In vivo evaluation of the novel calcineurin inhibitor ISATX247 in non-human primates. J Heart Lung Transplant. 2003 Dec;22(12):1343-52. doi: 10.1016/s1053-2498(03)00033-0.
PMID: 14672749BACKGROUNDAbel MD, Aspeslet LJ, Freitag DG, Naicker S, Trepanier DJ, Kneteman NM, Foster RT, Yatscoff RW. ISATX247: a novel calcineurin inhibitor. J Heart Lung Transplant. 2001 Feb;20(2):161. doi: 10.1016/s1053-2498(00)00290-4. No abstract available.
PMID: 11250240BACKGROUNDPapp K, Bissonnette R, Rosoph L, Wasel N, Lynde CW, Searles G, Shear NH, Huizinga RB, Maksymowych WP. Efficacy of ISA247 in plaque psoriasis: a randomised, multicentre, double-blind, placebo-controlled phase III study. Lancet. 2008 Apr 19;371(9621):1337-42. doi: 10.1016/S0140-6736(08)60593-0.
PMID: 18424323DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Robert Huizinga
- Organization
- Aurinia Pharmaceuticals Inc.
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Bissonnette, MD
Innovaderm Research
- PRINCIPAL INVESTIGATOR
Richard Langley, MD, FRCPC
Eastern Canada Cutaneous Research Associates Ltd.
- PRINCIPAL INVESTIGATOR
Gilles Lauzon, PhD MD FRCPC
Western Canada Dermatology Institute
- PRINCIPAL INVESTIGATOR
Kim Papp, MD, PhD
Probity Medical Research
- PRINCIPAL INVESTIGATOR
Neil Shear, MD
Ventana Clinical Research Organization
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 25, 2005
First Posted
October 27, 2005
Study Start
December 1, 2004
Primary Completion
October 1, 2005
Study Completion
October 1, 2005
Last Updated
March 27, 2023
Results First Posted
March 27, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share