A Study to Evaluate the Efficacy and Safety of CS32582 in Participants With Moderate to Severe Plaque Psoriasis
MECAP
A Multi-center, Randomized, Double-blind, Placebo-controlled Phase Ib/II Study to Evaluate the Efficacy and Safety of CS32582 Capsule in Adult Patients With Moderate to Severe Plaque Psoriasis
1 other identifier
interventional
220
1 country
11
Brief Summary
" This study consists of two parts: Part 1 (Dose Escalation): A randomized, double-blind, placebo-controlled phase in which approximately 20 to 30 adult patients with plaque psoriasis will receive the investigational treatment for 4 weeks. Part 2 (Efficacy and Safety Assessment): A randomized, double-blind, placebo-controlled evaluation where approximately 200 adult patients with plaque psoriasis will undergo 12 weeks of treatment. The resulting data will provide preliminary evidence on the safety and efficacy profile of CS32582, informing its subsequent development strategy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Sep 2025
Typical duration for phase_1
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 11, 2025
CompletedFirst Posted
Study publicly available on registry
August 19, 2025
CompletedStudy Start
First participant enrolled
September 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 18, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 18, 2027
September 10, 2025
September 1, 2025
2 years
August 11, 2025
September 8, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Part 1:Incidence and Severity of Adverse Events (AEs)
5 weeks
Part 2:Proportion of patients achieved Psoriasis Area Severity Index (PASI) 75 at Week 12
Psoriasis Area and Severity Index (PASI) scores range from 0 to 72, with higher scores indicating more severe disease activity. PASI 75 is defined as the proportion of patients achieving ≥75% reduction in PASI score from baseline.
Week 12
Secondary Outcomes (15)
Part 1: Changes from baseline in PASI
Week 4
Part 1: Changes from baseline in sPGA
Week 4
Part 1: Changes from baseline in BSA
Week 4
Part 1: Changes from baseline in DLQI
Week 4
Part 1:Proportion of patients achieving PASI 50/75/90/100
Week 4
- +10 more secondary outcomes
Study Arms (5)
Part 1:Low dose CS32582
EXPERIMENTALThe patient received low-dose CS32582 capsules BID or placebo for 4 weeks
Part 1:Hgh dose CS32582
EXPERIMENTALThe patient received high-dose CS32582 capsules BID or placebo for 4 weeks
Part 2:Low dose CS32582
EXPERIMENTALThe patient received low-dose CS32582 capsules BID or placebo for 12 weeks
Part 2:Medium dose CS32582
EXPERIMENTALThe patient received medium-dose CS32582 capsules BID or placebo for 12 weeks
Part 2:High dose CS32582
EXPERIMENTALThe patient received high-dose CS32582 capsules BID or placebo for 12 weeks
Interventions
CS32582 capsule(low dose) or matched placebo,4 weeks
CS32582 capsule(high dose) or matched placebo,4 weeks
Eligibility Criteria
You may qualify if:
- Voluntarily sign the informed consent form (ICF) after fully understanding the trial.
- Age 18-70 years (inclusive) at consent, any gender
- Clinically diagnosed with chronic plaque psoriasis, defined as disease duration ≥ 6 months at screening.
- Stable plaque psoriasis at screening, defined as no significant flare-ups or morphological changes during the 6 months prior to screening (investigator-assessed).
- Moderate-to-severe disease at screening/randomization: PASI≥12, sPGA≥3, and BSA≥10%;
- Candidate for phototherapy or systemic therapy per investigator's judgment.
- Women of childbearing potential and males: Agreement to use highly effective contraception from consent until 30 days post-last dose.
You may not qualify if:
- Forms of psoriasis other than plaque-type (e.g., erythrodermic, pustular, guttate, or drug-induced psoriasis) .
- Presence of other skin conditions that in the judgement of the Investigator could interfere with study assessment.
- Immune-mediated diseases requiring systemic therapy (e.g., inflammatory bowel disease), except NSAIDs.
- History of severe drug allergies.
- Major surgery within 2 months before randomization or planned during the study.
- Drug/alcohol abuse within 6 months before screening.
- Uncontrolled hypertension at screening (SBP \>160 mmHg or DBP \>100 mmHg).
- Myocardial infarction, unstable angina, TIA, stroke, PCI, or CABG within 6 months before screening.
- NYHA Class III/IV heart failure at screening.
- History of malignancy or lymphoproliferative disorders within 5 years (exceptions: basal cell carcinoma, localized squamous cell carcinoma, or cervical carcinoma in situ cured ≥1 year).
- Prosthetic joint infection (unless prosthesis removed/replaced ≥2 months before randomization).
- History of opportunistic infections (e.g., PJP, histoplasmosis, coccidioidomycosis).
- Active/latent TB infection (positive IGRA without clinical manifestations).
- Herpes infection:a) Active herpes zoster/simplex (HSV-1/2) at screening;b) History of severe herpes (disseminated disease, multidermatomal HSV, encephalitis, ophthalmic herpes, or recurrent zoster \[≥2 episodes in 2 years\]).
- History of severe bacterial, fungal, or viral infection requiring hospitalization for IV antibiotic or antiviral administration within 2 months before randomization.
- +28 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Peking University People's Hospital
Beijing, Beijing Municipality, China
Affiliated Hospital of Chengde Medical University
Chengde, Hebei, China
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
Shiyan People's Hospital
Shiyan, Hubei, China
Shandong Provincial Hospital for Skin Diseases
Jinan, Shandong, China
First Hospital of Shanxi Medical University
Taiyuan, Shanxi, China
The Second Affiliated Hospital of Xi'an Jiaotong University(Xibei Hospital )
Xi’an, Shanxi, China
Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University
Hangzhou, Zhejiang, China
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
Yiwu, Zhejiang, China
The First Affliated Hospital of Wenzhou Medical University
Wenzhou, Zhengjiang, China
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- 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
August 11, 2025
First Posted
August 19, 2025
Study Start
September 8, 2025
Primary Completion (Estimated)
September 18, 2027
Study Completion (Estimated)
September 18, 2027
Last Updated
September 10, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share