Efficacy and Safety Study of Apremilast (CC-10004) in Pediatric Subjects From 6 Through 17 Years of Age With Moderate to Severe Plaque Psoriasis

Not Recruiting

Trial ID: NCT03701763

Purpose

This is a Phase 3, multicenter, randomized, placebo-controlled, double-blind study of the efficacy and safety of apremilast (CC-10004) in pediatric subjects with moderate to severe plaque psoriasis. At least 230 pediatric subjects (ages 6 through 17 years) will be randomized 2:1 to receive either apremilast or placebo for the first 16 weeks and then all subjects will receive apremilast during the 36 week Extension Phase for a total of 52 weeks. Randomization to apremilast arm or placebo arm will be stratified by age group (6 to 11 years or 12 to 17 years). Subjects will receive apremilast treatment of either 20 mg twice daily (BID) or 30 mg BID, depending on weight. This Phase 3 study is being conducted to evaluate the safety and efficacy of apremilast in the treatment of pediatric subjects.

Official Title

A PHASE 3, MULTI-CENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY TO ASSESS THE EFFICACY AND SAFETY OF APREMILAST (CC-10004) IN PEDIATRIC SUBJECTS FROM 6 THROUGH 17 YEARS WITH MODERATE TO SEVERE PLAQUE PSORIASIS

Stanford Investigator(s)

Joyce Teng, MD, PhD
Joyce Teng, MD, PhD

Professor of Dermatology and, by courtesy, of Pediatrics

Eligibility


Inclusion Criteria:

   1. Males or female subjects 6 to 17 years of age, inclusive, at the time the informed
   consent form is signed by the legal guardian

   2. Subjects must have a weight of ≥ 20 kg

   3. Diagnosis of chronic plaque psoriasis for at least 6 months prior to Screening.

   4. Has moderate to severe plaque psoriasis at Screening and Baseline as defined by:

      - PASI score ≥ 12; and

      - Body surface area (BSA) ≥ 10%; and

      - sPGA ≥ 3 (moderate to severe)

   5. Disease inadequately controlled by or inappropriate for topical therapy for psoriasis

   6. Candidate for systemic therapy or phototherapy

Exclusion Criteria:

   1. Guttate, erythrodermic, or pustular psoriasis at Screening and Baseline

   2. Psoriasis flare or rebound within 4 weeks prior to Screening

   3. Prior history of suicide attempt at any time in the subject's lifetime prior to
   Screening or randomization in the study, or major psychiatric illness requiring
   hospitalization within 3 years prior to signing the assent and informed consent

   4. Answer "Yes" to any question on the Columbia-Suicide Severity Rating Scale during
   Screening or at Baseline

   5. Current or planned concurrent use of the following therapies that may have a possible
   effect on psoriasis

   a. Topical therapy within 2 weeks prior to randomization (including but not limited to
   topical corticosteroids, topical retinoid or vitamin D analog preparations,
   tacrolimus, pimecrolimus, or anthralin/dithranol)

   Exceptions*:

   i. Low potency or weak corticosteroids (please refer to the Investigators' Manual)
   will be allowed as background therapy for treatment of the face, axillae and groin in
   accordance with manufacturer's suggested usage ii. Unmedicated skin moisturizer (eg,
   Eucerin®) will also be permitted for body lesions

   *Subjects should not use these topical treatments within 24 hours prior to the clinic
   visit.

   b. Conventional systemic therapy for psoriasis within 4 weeks prior to randomization
   c. Phototherapy treatment (ie, ultraviolet B [UVB], PUVA) within 4 weeks prior to
   randomization d. Biologic therapy within 4 weeks prior to randomization or 5 PK/PD
   half-lives (whichever is longer).

Intervention(s):

drug: Apremilast (CC-10004)

other: Placebo

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Research Team @ Pediatric Dermatology
650-724-1982