A Phase 2b Study of Baricitinib in Participants With Moderate to Severe Psoriasis
A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Phase 2b Study of Baricitinib in Patients With Moderate-to-Severe Plaque Psoriasis
2 other identifiers
interventional
271
4 countries
35
Brief Summary
This is a dose-ranging study designed to investigate the efficacy and safety of Baricitinib in the treatment of participants with moderate to severe, chronic plaque psoriasis as assessed by the Psoriasis Area and Severity Index (PASI) score and routine safety assessments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2011
35 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, 2011
CompletedFirst Submitted
Initial submission to the registry
December 9, 2011
CompletedFirst Posted
Study publicly available on registry
December 13, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedResults Posted
Study results publicly available
July 18, 2017
CompletedSeptember 27, 2019
September 1, 2019
1 year
December 9, 2011
March 10, 2017
September 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving Psoriasis Area and Severity Index Score ≥75% (PASI 75) Improvement (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI])
The PASI combines assessments of the extent of body-surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of desquamation (scaling), erythema (redness), and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no psoriasis to 72 for the most severe disease.
Week 12
Secondary Outcomes (21)
Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA])
Week 12
Percentage of Participants Achieving an sPGA of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA])
Week 24
Percentage of Participants Achieving an sPGA of (0, 1) (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Static Physician Global Assessment [sPGA])
Week 92
Change From Baseline in Part A in Mean Psoriasis Area and Severity Index (PASI) Total Score to Week 12 (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis. Measure: Psoriasis Area and Severity Index [PASI])
Baseline Part A, Week 12
Change From Baseline in Part A in Mean Psoriasis Area and Severity Index (PASI) Total Score to Week 24 (Efficacy of Baricitinib in Participants With Moderate to Severe Plaque Psoriasis: Measure: Psoriasis Area and Severity Index [PASI])
Baseline Part A, Week 24
- +16 more secondary outcomes
Study Arms (5)
Placebo
PLACEBO COMPARATORPart A: Placebo administered orally (PO) once daily (QD) for 12 weeks. Part B: Placebo participants stayed on placebo or re-randomized to baricitinib 8 milligram (mg) or 10 mg PO QD for 12 weeks. Part C: Baricitinib participants re-randomized to 4 mg or placebo PO QD for 16 weeks. Part D: Retreated with Part B efficacious dose.
Baricitinib 2 mg
EXPERIMENTALPart A: Baricitinib administered PO QD for initial 12 weeks. Part B: Depending on participant's response, participant was maintained on current dose, or re-randomized to increased dose PO QD for 12 weeks. Part C: Participants re-randomized to half dose or placebo PO QD for 16 weeks. Part D: Participants retreated with Part B efficacious dose for 52 weeks.
Baricitinib 4 mg
EXPERIMENTALPart A: Baricitinib administered PO QD for initial 12 weeks. Part B: Depending on participant's response, participant was maintained on current dose, or re-randomized to increased dose PO QD for 12 weeks. Part C: Participants re-randomized to half dose or placebo PO QD for 16 weeks. Part D: Participants retreated with Part B efficacious dose for 52 weeks.
Baricitinib 8 mg
EXPERIMENTALPart A: Baricitinib administered PO QD for initial 12 weeks. Part B: Depending on participant's response, participant was maintained on current dose, or re-randomized to increased dose PO QD for 12 weeks. Part C: Participants re-randomized to half dose or placebo PO QD for 16 weeks. Part D: Participants retreated with Part B efficacious dose for 52 weeks.
Baricitinib 10 mg
EXPERIMENTALPart A: Baricitinib administered PO QD for initial 12 weeks. Part B: Depending on participant's response, participant was maintained on current dose, or discontinued from the study for 12 weeks. Part C: Participants re-randomized to 4mg dose or placebo PO QD for 16 weeks. Part D: Participants retreated with Part B efficacious dose for 52 weeks.
Interventions
Administered orally
Eligibility Criteria
You may qualify if:
- You must have active chronic plaque psoriasis for at least 6 months prior to entry into the study
- You are a candidate for systemic therapy and/or phototherapy
- You must have active plaque psoriasis covering at least 12% body surface area
- You must have Psoriasis Area and Severity Index (PASI) score of at least 12
- You must have Static Physician's Global Assessment (sPGA) score of at least 3
You may not qualify if:
- You must not have received a biologic agent/monoclonal antibody within 8 weeks prior to entry into the study
- You must not have prior treatment with an oral Janus kinase (JAK) inhibitor
- You must not have received a systemic psoriasis (Ps) therapy within 4 weeks prior to entry into the study
- You must not have received a phototherapy within 4 weeks prior to entry into the study
- You must not have received a topical Ps therapy with psoralens within 4 weeks prior to entry into the study
- You must not be pregnant or nursing
- If female of childbearing potential or a male, and do not agree to use 2 forms of highly effective methods of birth control for at least 28 days following the last dose of investigational product
- You must not have had symptomatic herpes zoster or herpes simplex infection within 12 weeks or have a history of disseminated/complicated herpes zoster
- You must not have evidence of active infection, such as fever ≥38.0ºC (100.4ºF)
- You must not have a history of active hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
- You must not be immunocompromised and, in the opinion of the investigator, are at an unacceptable risk for participating in the study
- You must not have known history hypogammaglobulinemia
- You must not have had a serious systemic or local infection within 12 weeks prior to entry into the study
- You must not have been exposed to a live vaccine within 12 weeks prior to entry into the study, or expected to need/receive a live vaccine (including herpes zoster vaccination) during the course of the study
- You must not have had household contact with a person with active tuberculosis (TB) and did not receive appropriate and documented prophylaxis for TB
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eli Lilly and Companylead
- Incyte Corporationcollaborator
Study Sites (35)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Bakersfield, California, 93309, United States
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Santa Monica, California, 90404, United States
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Miami, Florida, 33175, United States
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Miramar, Florida, 33027, United States
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Ocala, Florida, 34471, United States
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Alpharetta, Georgia, 30022, United States
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Arlington Heights, Illinois, 60005, United States
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Louisville, Kentucky, 40202, United States
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East Windsor, New Jersey, 08520, United States
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Albuquerque, New Mexico, 87104, United States
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Rochester, New York, 14623, United States
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Winston-Salem, North Carolina, 27103, United States
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Exton, Pennsylvania, 19341, United States
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Philadelphia, Pennsylvania, 19103, United States
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Austin, Texas, 78705, United States
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Dallas, Texas, 75246, United States
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Salt Lake City, Utah, 84132, United States
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Seattle, Washington, 98101, United States
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Kelowna, British Columbia, V1Y 4X3, Canada
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Surrey, British Columbia, V3R 6A7, Canada
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Peterborough, Ontario, K9J 1Z2, Canada
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Richmond Hill, Ontario, L4B 1A5, Canada
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Waterloo, Ontario, N2J 1C4, Canada
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Sherbrooke, Quebec, J1H1Z1, Canada
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Québec, G1V4X7, Canada
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Chiba, 292-8535, Japan
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Fukuoka, 814-0180, Japan
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Ishikawa, 923-8560, Japan
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Kanagawa, 2308765, Japan
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Osaka, 545-8586, Japan
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Saitama, 350-0495, Japan
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Tochigi, 329- 0498, Japan
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Tokyo, 162-8543, Japan
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Toyama, 9330871, Japan
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Carolina, 00985, Puerto Rico
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 9, 2011
First Posted
December 13, 2011
Study Start
December 1, 2011
Primary Completion
December 1, 2012
Study Completion
August 1, 2014
Last Updated
September 27, 2019
Results First Posted
July 18, 2017
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
- Access Criteria
- A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.