The Safety & Efficacy of Etanercept in Psoriasis Patients Who Have Not Responded to Adalimumab

NCT00833729 | Completed Phase 4

• 1 other identifier: CA-2008-0008
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

To describe the response of etanercept after adalimumab has failed to produce a satisfactory response in moderate to severe plaque psoriasis. A total of 10 patients with moderate to severe psoriasis who are currently using adalimumab for at least 12 weeks but have a PGA of mild or worse will be transitioned to etanercept 50 mg twice weekly (BIW) for 12 wks followed by a dose reduction to 50mg once weekly (OW) for an additional 12 weeks.

Conditions

Plaque Psoriasis

Keywords

psoriasis; etanercept; adalimumab; moderate to severe plaque psoriasis

Outcome Measures

Primary Outcomes (1)

• Mean change in PGA score

  Baseline to 12 weeks

Secondary Outcomes (5)

• Mean change in body surface area covered in psoriasis

  Baseline to 12 weeks and again at 24 weeks

• Mean change in DLQI

  Baseline to 12 weeks and again at 24 weeks

• Treatment satisfaction

  Baseline to 12 weeks and again at 24 weeks

• Proportion of patients achieving an improvement in PGA score

  Baseline to 12 weeks and again at 24 weeks

• Mean change in adverse events

  Baseline to 12 weeks and again at 24 weeks

Study Arms (1)

etanercept

EXPERIMENTAL

Single armed study

Drug: etanercept

Interventions

etanercept DRUG

50 mg twice weekly (BIW) for 12 wks followed by a dose reduction to 50mg once weekly (OW) for an additional 12 weeks.

etanercept

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subject is ≥ 18 years of age.
• Subject has had a diagnosis of moderate to severe chronic plaque psoriasis for at least 6 months
• Subject has had a sub-optimal response to continuous treatment with adalimumab administered for at least 3 consecutive months prior to screening, with no treatment interruptions exceeding 14 days, at doses of 40 mg every other week (eow) after a loading of 80mg sc. The last dose of adalimumab must be greater than 11 days and less than 17 days before the first dose of etanercept.
• PGA of mild or worse
• If female, subject is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile or is of childbearing potential and is practicing an approved method of birth control throughout the study. The results of a urine pregnancy test performed at the screening visit must be negative.
• Subject is judged to be in generally good health as determined by the Investigator based upon the results of medical history, laboratory profile, and physical examination performed at screening.
• Subject must be able to self-administer or has a qualified designee who can reliably administer SC injections.
• Subject must be able and willing to give written informed consent and to comply with the requirements of this study protocol.
• Subject has a negative PPD test at within 6 months of screening.
• Able to start etanercept per the approved Enbrel® product monograph

You may not qualify if:

• Previous treatment with etanercept
• Subject receives or requires:
• UVB phototherapy, (other than narrow-band UVB), excessive sun exposure or the use of tanning booths within 14 days prior to Baseline visit.
• PUVA phototherapy within 14 days prior to Baseline visit.
• Systemic non-biologic therapies for psoriasis within 30 days prior to Baseline visit.
• Biologic therapies (excluding adalimumab) for psoriasis within 30 days prior to Baseline visit.
• High potentcy topical steroids during the study period
• Received any investigational agent within 30 days or 5 half lives prior to Baseline (whichever is longer), or within a duration of its known pharmacological activity.
• Subject has other active skin diseases or skin infections (bacterial, fungal, viral or parasitic) that may interfere with evaluation of psoriasis.
• Infection(s) requiring treatment with intravenous (IV) antibiotics, IV antivirals, or IV antifungals within 30 days prior to Baseline or oral antibiotics, oral antivirals, or oral antifungals within 14 days prior to Baseline.
• History of moderate to severe congestive heart failure (NYHA class III or IV), recent cerebrovascular accident and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol.
• History of CNS demyelinating disease or neurologic symptoms suggestive of CNS demyelinating disease.
• History of listeriosis, histoplasmosis, chronic or active Hepatitis B infection, human immunodeficiency virus (HIV) infection, immunodeficiency syndrome, chronic recurring infections or active TB.
• Known hypersensitivity to the excipients of etanercept as stated in the label.
• Erythrodermic psoriasis generalized or localized pustular psoriasis, medication-induced or medication-exacerbated psoriasis or new onset guttate psoriasis.

Sponsors & Collaborators

• Dermatrials Research: lead
• Amgen: collaborator

Study Sites (1)

Dermatrials Research

Hamilton, Ontario, L8N 1V6, Canada

Location

Related Publications (1)

• Vender R. An open-label, prospective cohort pilot study to evaluate the efficacy and safety of etanercept in the treatment of moderate to severe plaque psoriasis in patients who have not had an adequate response to adalimumab. J Drugs Dermatol. 2011 Apr;10(4):396-402.

  PMID: 21455550 DERIVED

MeSH Terms

Conditions

Psoriasis

Interventions

Etanercept

Condition Hierarchy (Ancestors)

Skin Diseases, Papulosquamous; Skin Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Immunoglobulin Fc Fragments; Immunoglobulin Fragments; Peptide Fragments; Peptides; Amino Acids, Peptides, and Proteins; Immunoglobulin Constant Regions; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Serum Globulins; Globulins; Receptors, Tumor Necrosis Factor; Receptors, Cytokine; Receptors, Immunologic; Receptors, Cell Surface; Membrane Proteins

Study Officials

• Ronald Vender, MD FRCPC

  Dermatrials Research

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 30, 2009
• First Posted: February 2, 2009
• Study Start: February 1, 2009
• Primary Completion: February 1, 2010
• Study Completion: February 1, 2010
• Last Updated: October 9, 2020

Record last verified: 2020-10

Locations

CA (1)