UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023424
Receipt number R000026640
Scientific Title Investigation on alterations of skin-infiltrating T cell populations and peripheral blood biomarkers upon administration of Cosentyx (secukinumab) in patients with plaque psoriasis
Date of disclosure of the study information 2016/08/01
Last modified on 2018/08/09 09:32:50

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Basic information

Public title

Investigation on alterations of skin-infiltrating T cell populations and peripheral blood biomarkers upon administration of Cosentyx (secukinumab) in patients with plaque psoriasis

Acronym

Investigation on alterations of skin-infiltrating T cell populations and peripheral blood biomarkers upon administration of Cosentyx (secukinumab) in patients with plaque psoriasis

Scientific Title

Investigation on alterations of skin-infiltrating T cell populations and peripheral blood biomarkers upon administration of Cosentyx (secukinumab) in patients with plaque psoriasis

Scientific Title:Acronym

Investigation on alterations of skin-infiltrating T cell populations and peripheral blood biomarkers upon administration of Cosentyx (secukinumab) in patients with plaque psoriasis

Region

Japan


Condition

Condition

Psoriasis vulgaris

Classification by specialty

Dermatology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We will evaluate the changes of skin-infiltrating T cell populations before and after secukinumab therapy, and monitor useful peripheral blood biomarkers during treatment with secukinumab.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Evaluation of changes in skin-infiltrating Th17, Th22, Th1 and Th2 cells before and at week 24 after the initial administration of secukinumab (10-time injections).

Key secondary outcomes

Evaluation of changes in peripheral blood Th17, Th22, Th1 and Th2 cells and in serum levels of IL-22, VEGF-A, and other cytokines, before and at week 24 after the initial administration of secukinumab (10-time injections).

Evaluation of changes in skin-infiltrating Th17, Th22, Th1 and Th2 cells, in peripheral blood Th17, Th22, Th1 and Th2 cells, and in serum levels of IL-22, VEGF-A, and other cytokines, before and at week 4 after the initial administration of secukinumab (5 injections).


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

An open, one-therapeutic arm, single group-structured, non-randomized study is conducted. Patients with plaque psoriasis are treated with secukinumab 300 mg daily, once a week from baseline to week 4 and then every 4 weeks thereafter. Secukinumab will be obtained from market. The treatment will be performed on the basis of the usual health insurance system in Japan.Before the therapy, 4-mm punch biopsy specimens will be taken from both lesional psoriasis skin and non-lesional normal-appearing skin (internal control). At week 4 and week 24 after initiation of the therapy, 4-mm punch biopsy specimens will be again taken from the same plaque of psoriasis. In addition, peripheral blood samples (10 ml with heparin for lymphocytes and 5 ml for sera) will be collected before and at week 4 and week 24 after initiation of the therapy.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Male or female aged 20-70 years. 2. Moderate and severe psoriasis vulgaris 3. More than 6 months since the diagnosis of psoriasis vulgaris 4. Subject's desire for initiation of secukinumab treatment 5. Written informed consent obtained from subject and ability for subject to comply with the requirements of the study.

Key exclusion criteria

1. Administration of adalimumab, infliximab and etanercept within 3 months before initiation of secukinumab.2. Administration of ustekinumab, alefacept, briakinumab and efalizumab within 6 months before initiation of secukinumab.3. Administration of cyclosporine A, methotrexate, corticosteroid, cyclophosphamide, retinoid and fumaric acid ester, and treatment with PUVA therapy within 4 weeks before initiation of secukinumab.4. Phototherapy with UVA and UVB, and topical treatment with reagents possibly affecting psoriatic lesions and symptoms, including corticosteroid, vitamin D3 analogue, tacrolimus, pimecrolimus, retinoid, salicylate petrolatum, salicylate, lactate, tar, uric acid, and hydroxy acid (fruit acid), within 2 weeks before initiation of secukinumab. 5.Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.6. Pregnancy.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshiki Tokura

Organization

Hamamatsu University School of Medicine

Division name

Department of Dermatology

Zip code


Address

1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

TEL

053-435-2303

Email

tokura@hama-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshiharu Fujiyama

Organization

Hamamatsu University School of Medicine

Division name

Department of Dermatology

Zip code


Address

1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan

TEL

053-435-2303

Homepage URL


Email

fujiyama@hama-med.ac.jp


Sponsor or person

Institute

Department of Dermatology, Hamamatsu University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Novartis

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Shizuoka General Hospital, Shizuoka
Shimada Municipal Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

浜松医科大学医学部附属病院(静岡県)、市立島田市民病院(静岡県)、静岡県立総合病院(静岡県)


Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 07 Month 11 Day

Date of IRB


Anticipated trial start date

2016 Year 08 Month 01 Day

Last follow-up date

2018 Year 05 Month 26 Day

Date of closure to data entry

2018 Year 05 Month 26 Day

Date trial data considered complete

2018 Year 08 Month 31 Day

Date analysis concluded

2018 Year 08 Month 31 Day


Other

Other related information



Management information

Registered date

2016 Year 08 Month 01 Day

Last modified on

2018 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026640


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name