Study of Subcutaneous Risankizumab Injection Compared to Oral Apremilast Tablets to Assess Change in Disease Activity And Adverse Events in Adult Participants With Moderate Plaque Psoriasis Who Are Candidates for Systemic Therapy
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ClinicalTrials.gov Identifier: NCT04908475 |
Recruitment Status :
Completed
First Posted : June 1, 2021
Results First Posted : April 30, 2024
Last Update Posted : April 30, 2024
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Sponsor:
AbbVie
Information provided by (Responsible Party):
AbbVie
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Single (Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Psoriasis |
Interventions |
Drug: Risankizumab Drug: Apremilast |
Enrollment | 352 |
Participant Flow
Recruitment Details | A total of 352 participants were enrolled from 48 sites across 5 countries including Canada, Germany, Israel, Poland, and the United States. |
Pre-assignment Details | Period A: participants were randomized in a 1:2 ratio to risankizumab (RZB) or apremilast (APR). Period B: participants receiving RZB were continued up to Week 52; participants receiving APR were re-randomized in a 1:1 ratio to receive either RZB or APR (with the option to receive RZB as rescue) up to Week 52. Rerandomization was stratified by Psoriasis Area and Severity Index (PASI) 75 response (responder, non-responder) at Week 16. |
Arm/Group Title | Period A: APR | Periods A/B: RZB/RZB | Period B: APR/APR, NR | Period B: APR/RZB, NR | Period B: APR/APR, R | Period B: APR/RZB, R |
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Arm/Group Description | Apremilast 30 mg orally twice daily (BID) up to Week 16 | Risankizumab 150 mg as a single subcutaneous (SC) injection at Baseline (Day 1) and Week 4 (Period A) and at Weeks 16, 28, and 40 (Period B). | Participants who were randomized to apremilast in Period A, failed to achieve PASI 75 at Week 16 (non-responders [NR]) and were re-randomized to apremilast 30 mg orally BID up to Week 52. | Participants who were randomized to apremilast in Period A, failed to achieve PASI 75 at Week 16 (NR) and were re-randomized to risankizumab 150 mg as a single SC injection at Weeks 16, 20, 32, and 44. | Participants who were randomized to apremilast in Period A, achieved PASI 75 at Week 16 (responders [R]) and were re-randomized to apremilast 30 mg orally BID up to Week 52. | Participants who were randomized to apremilast in Period A, achieved PASI 75 at Week 16 (R) and were re-randomized to risankizumab 150 mg as a single SC injection at Weeks 16, 20, 32, and 44. |
Period Title: Period A (Baseline to Week 16) | ||||||
Started | 234 | 118 | 0 | 0 | 0 | 0 |
Completed | 216 | 118 | 0 | 0 | 0 | 0 |
Not Completed | 18 | 0 | 0 | 0 | 0 | 0 |
Reason Not Completed | ||||||
Lost to Follow-up | 3 | 0 | 0 | 0 | 0 | 0 |
Withdrawal by Subject | 9 | 0 | 0 | 0 | 0 | 0 |
Other, Not Specified | 6 | 0 | 0 | 0 | 0 | 0 |
Period Title: Period B (Week 16 to Week 52) | ||||||
Started [1] | 0 | 118 | 78 | 83 | 22 | 20 |
Received ≥ 1 Dose of Study Drug | 0 | 116 | 75 | 82 | 22 | 20 |
Received RZB as Rescue Medication | 0 | 0 | 47 | 0 | 1 | 0 |
Completed | 0 | 69 | 42 | 57 | 15 | 13 |
Not Completed | 0 | 49 | 36 | 26 | 7 | 7 |
Reason Not Completed | ||||||
Lost to Follow-up | 0 | 6 | 4 | 6 | 0 | 0 |
Withdrawal by Subject | 0 | 5 | 13 | 2 | 3 | 0 |
Other, Not Specified | 0 | 38 | 19 | 18 | 4 | 7 |
[1]
Participants re-randomized in Period B
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Baseline Characteristics
Arm/Group Title | Period A: APR | Period A: RZB | Total | |
---|---|---|---|---|
Arm/Group Description | Apremilast 30 mg orally BID up to Week 16 | Risankizumab 150 mg as a single SC injection at Baseline (Day 1) and Week 4. | Total of all reporting groups | |
Overall Number of Baseline Participants | 234 | 118 | 352 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 234 participants | 118 participants | 352 participants | |
46.2 (14.27) | 45.5 (13.63) | 46.0 (14.04) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 234 participants | 118 participants | 352 participants | |
Female |
79 33.8%
|
42 35.6%
|
121 34.4%
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|
Male |
155 66.2%
|
76 64.4%
|
231 65.6%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 234 participants | 118 participants | 352 participants | |
Hispanic or Latino |
23 9.8%
|
7 5.9%
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30 8.5%
|
|
Not Hispanic or Latino |
211 90.2%
|
111 94.1%
|
322 91.5%
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|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 234 participants | 118 participants | 352 participants | |
American Indian or Alaska Native |
1 0.4%
|
0 0.0%
|
1 0.3%
|
|
Asian |
14 6.0%
|
12 10.2%
|
26 7.4%
|
|
Native Hawaiian or Other Pacific Islander |
1 0.4%
|
2 1.7%
|
3 0.9%
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|
Black or African American |
9 3.8%
|
5 4.2%
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14 4.0%
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|
White |
209 89.3%
|
98 83.1%
|
307 87.2%
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More than one race |
0 0.0%
|
1 0.8%
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1 0.3%
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|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
Results Point of Contact
Name/Title: | Global Medical Services |
Organization: | AbbVie |
Phone: | 800-633-9110 |
EMail: | abbvieclinicaltrials@abbvie.com |
Responsible Party: | AbbVie |
ClinicalTrials.gov Identifier: | NCT04908475 |
Other Study ID Numbers: |
M20-326 2020-005512-21 ( EudraCT Number ) |
First Submitted: | May 28, 2021 |
First Posted: | June 1, 2021 |
Results First Submitted: | April 2, 2024 |
Results First Posted: | April 30, 2024 |
Last Update Posted: | April 30, 2024 |