A Randomized, Active-Controlled, Double-Blind, Phase 3 Study to Compare Efficacy and Safety of CT-P55 with Cosentyx in Patients with Moderate to Severe Plaque Psoriasis

The goal of this Phase 3 clinical trial is to compare efficacy and safety of CT-P55 with Cosentyx in patients with moderate to severe plaque psoriasis

开始日期2025-04-01

申办/合作机构

Celltrion, Inc.

NCT06338358 / Not yet recruitingN/A

In the Patient's Words: Understanding Patient Participation and Engagement in Plaque Psoriasis Clinical Trials

The study intends to investigate the personal experiences of plaque psoriasis patients who take part in a separate clinical study including a specific medication intervention. The major focus will be on closely following individuals' rates of trial completion and withdrawal.
The data collected from this study will help improve future outcomes for all plaque psoriasis as well as those in under-represented demographic groups.

开始日期2025-04-01

申办/合作机构

Power Life Sciences, Inc.

NCT06643260 / Not yet recruiting临床3期

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of Daily Piclidenoson (CF101) Administered Orally in Subjects With Moderate-to-Severe Plaque Psoriasis

This is a double-blind, placebo-controlled study in adults with a diagnosis of moderate-to-severe chronic plaque psoriasis to test the efficacy and safety of piclidenoson in this patient population.

开始日期2025-03-01

申办/合作机构

Can-Fite BioPharma Ltd.

100 项与斑块状银屑病相关的临床结果

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100 项与斑块状银屑病相关的转化医学

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0 项与斑块状银屑病相关的专利（医药）

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6,554

项与斑块状银屑病相关的文献（医药）

2025-01-01·Current Drug Delivery

Nigella sativa Oil-loaded Ethanolic Vesicular Gel for Imiquimod-induced Plaque Psoriasis: Physicochemical Characterization, Rheological Studies, and In vivo Efficacy

Article

作者: Ranjan Lal, Uma ; Kumar Chellappan, Dinesh ; Vihal, Samar ; Rathore, Charul ; Negi, Poonam ; Gupta, Gaurav ; Pundir, Swati ; Dua, Kamal ; Kumar Singh, Sachin

Background:The therapeutic effect of NS oil in mild to moderate psoriasis is limited owing to low play load of thymoquinone (<15 %w/w), irritation, dripping, low viscosity and thus, less contact time on the lesions.Aims::This study aimed at developing and characterizing the ethanolic vesicular hydrogel system of Nigella sativa (NS) oil (NS EV hydrogel) for the enhancement of anti-psoriatic activity.Objective:The objective of this study was to develop NS EV hydrogel and evaluate its anti-psoriatic activity.Methods:The identification and quantification of TQ content in different NS seed extracts and marketed oil were measured by an HPTLC method using n-hexane and ethyl acetate as solvent systems. Preparation of ethanolic vesicles (EVs) was performed by solvent injection method, while its antipsoriatic activity was evaluated employing an Imiquad (IMQ)-induced plaque psoriasis animal model.Results:A compact HPTLC band was obtained for TQ at an Rf value of 0.651. The calibration plot was linear in the range of 1-10 μg/spot, and the correlation coefficient of 0.990 was indicative of good linear dependence of peak area on concentration. From the different NS sources, the high TQ content was obtained in the marketed cold press oil, i.e., 1.45±0.08mg/ml. Out of various NS oilloaded EVs, the F6 formulation revealed the smallest particle size (278.1nm), with log-normal size distribution (0.459) and adequate entrapment efficiency. A non-uniform shape was observed in the transmission electron microscopy. The viscosity of F6 formulation hydrogel was 32.34 (Pa·s), which exhibited plastic behavior. In vivo, efficacy studies demonstrated decreased inflammation of the epidermis and dermis and a marked decrease in the levels of IL-17 by NS EV hydrogel compared to plain NS oil and standard drugs (Betamethasone and Dr. JRK Psorolin Oil).Conclusion:It may be concluded from the findings that NS-loaded EV gel was as good as betamethasone cream but more efficacious than the other treatments.

2024-12-31·Journal of Dermatological Treatment

Association of disease duration and PASI response rates at week 12 in patients with moderate-to-severe plaque psoriasis receiving biologics in the real-world psoriasis study of health outcomes (PSoHO)

Article

作者: Eyerich, Kilian ; Schuster, Christopher ; Garrelts, Alyssa ; Pinter, Andreas ; Fotiou, Konstantinos ; Papp, Kim A ; Maul, Julia-Tatjana ; Lampropoulou, Anastasia ; Mert, Can ; Costanzo, Antonio

PURPOSECurrently, in the treatment of moderate-to-severe psoriasis (PsO) there is a lack of evidence demonstrating optimal biologic treatment response with respect to disease duration. The aim of this post-hoc analysis, using real world data from the Psoriasis Study of Health Outcomes (PSoHO), is to provide evidence if early intervention with biologics is associated with better treatment outcomes and if there is any difference among drug classes or individual biologics.MATERIALS AND METHODSFor this post-hoc analysis patients were categorised into two subgroups according to shorter (≤2 years) or longer (>2 years) disease duration. Analysis was performed on anti-interleukin (IL)-17A cohort vs other biologics cohort, anti-IL-17A vs other drug classes, and pairwise comparisons of ixekizumab vs individual biologics, provided that the statistical models converged. Analysis investigated the association of disease duration with the proportion of patients achieving 100% improvement in Psoriasis Area Severity Index score (PASI 100) at week 12. Adjusted comparative analyses, reported as odds ratio (OR), were performed using Frequentist Model Averaging (FMA) for each cohort or treatments within each subcategory of the subgroups.RESULTSAt week 12, anti-IL-17A and other biologics cohorts displayed minimal differences in numerical response rate for PASI 100 with respect to disease duration. The anti-IL-17A cohort showed a higher numerical PASI 100 response rate compared to the other biologic cohort irrespective of disease duration (≤2 years: 36.7% vs 21.8%; >2 years: 35.8% vs 21.9%).CONCLUSIONOverall, the results do not clearly indicate that treating patients early is critical in achieving optimal patient outcomes. Furthermore, patients treated with ixekizumab show numerically higher response rates relative to other individual biologics irrespective of disease duration.

2024-12-31·Journal of Dermatological Treatment

Effectiveness and safety of deucravacitinib treatment for moderate-to-severe psoriasis in real-world clinical practice in Japan

Article

作者: Hagino, Teppei ; Fujimoto, Eita ; Kanda, Naoko ; Saeki, Hidehisa

BACKGROUNDDeucravacitinib is a selective oral tyrosine kinase 2 (TYK2) inhibitor recently approved for psoriasis.OBJECTIVESWe aimed to evaluate the real-world effectiveness and safety of deucravacitinib for psoriasis.METHODSWe analyzed 33 Japanese patients with psoriasis (23 with plaque psoriasis, eight with psoriatic arthritis, and two with erythrodermic psoriasis) from January 2023 to October 2023. All patients received deucravacitinib 6 mg daily until week 16.RESULTSAt week 8, 12, or 16, the achievement rate of PASI 75 was 60.9%, 73.9%, or 78.3%, that of PASI 90 was 13.0%, 39.1%, or 52.2%, that of PASI 100 was 0%, 8.7%, or 13.0%, that of absolute PASI ≤2 was 34.8%, 65.2%, or 78.3%, respectively. The achievement rate of dermatology life quality index 0/1 at week 16 was 42.9%. Fourteen patients (42%) complained pruritus. Peak pruritus-numerical rating scale in patients with pruritus decreased by median [interquartile] 71.4 [50-80] % of baseline at week 2. Adverse events occurred in 18.2% of patients, which were mild and manageable.CONCLUSIONSDeucravacitinib for patients with psoriasis was well-tolerated and gave favorable therapeutic effects in the real-world practice. Deucravacitinib treatment rapidly reduced pruritus.

2,064

项与斑块状银屑病相关的新闻（医药）

2024-10-31

·PRNewswire

Scinai Leadership to Showcase Company's cGMP Biologics CDMO and Innovative I&I pipeline during BIO-Europe 2024

JERUSALEM, Oct. 31, 2024 /PRNewswire/ -- Scinai Immunotherapeutics Ltd. (Nasdaq: SCNI), a biopharmaceutical company specializing in inflammation and immunology (I&I) biological products and providing CDMO services through its Scinai Bioservices unit, today announced that it will be showcasing its innovative I&I product pipeline in partnership meetings and exhibiting its CDMO services at the BIO-Europe 2024 conference, taking place November 4-6 in Stockholm, Sweden. Scinai's CEO, Mr. Amir Reichman, and CTO, Dr. Dalit Weinstein-Fischer will be holding meetings during the conference days with: Prospective clients of the company's end-to-end biologics CDMO services. Potential pharma partners in the field of I&I interested in co-developing or in-licensing one of Scinai's innovative NanoAbs. Potential pharma partners in the field of dermatology interested in Scinai's drug development program for local treatment of mild to moderate plaque psoriasis – "the Botox-like solution for psoriatic patients" Institutional and private investors interested in SCNI's value proposition. Additional interested parties are encouraged to schedule a meeting through the conference partnering platform or to email Scinai at [email protected] to schedule a meeting. Throughout the conference, Scinai will also be available at exhibitor booth # 150 to showcase its CDMO services. About Scinai Immunotherapeutics Scinai Immunotherapeutics Ltd. (Nasdaq: SCNI) is a biopharmaceutical company with two complementary business units, one focused on in-house development of inflammation and immunology (I&I) biological therapeutic products beginning with an innovative, de-risked pipeline of nanosized VHH antibodies (NanoAbs) targeting diseases with large unmet medical needs, and the other a boutique CDMO providing biological drug development, analytical methods development, clinical GMP manufacturing, and pre-clinical and clinical trial design and execution services to early stage biotech companies. Company website: . Company Contacts Investor Relations | +972 8 930 2529 | [email protected] CDMO and Partnering | +972 8 930 2529 | [email protected] Forward-Looking Statements This press release contains forward-looking statements within the meaning of the Private Litigation Reform Act of 1995. Words such as "expect," "believe," "intend," "plan," "continue," "may," "will," "anticipate," and similar expressions are intended to identify forward-looking statements. All statements, other than statements of historical facts, are forward-looking statements. These forward-looking statements reflect management's current views with respect to certain current and future events and are subject to various risks, uncertainties and assumptions that could cause the results to differ materially from those expected by the management of Scinai Immunotherapeutics Ltd. Risks and uncertainties include, but are not limited to; the risk that the Scinai will not be able to sign agreements with other potential clients of the CDMO business; lower than anticipated revenues of Scinai's CDMO business in 2024 and thereafter; a delay in the commencement and results of pre-clinical and clinical studies; the risk of delay in, Scinai's inability to conduct, or the unsuccessful results of, its research and development activities, including the contemplated in-vivo studies and a clinical trial; the risk that Scinai will not be successful in expanding its CDMO business or in-license other NanoAbs; the risk that Scinai may not be able to secure additional capital on attractive terms, if at all; the risk that the therapeutic and commercial potential of NanoAbs will not be met or that Scinai will not be successful in bringing the NanoAbs towards commercialization; the risk of a delay in the preclinical and clinical trials data for NanoAbs, if any; the risk that Scinai's business strategy may not be successful; Scinai's ability to acquire rights to additional product opportunities; Scinai's ability to enter into collaborations on terms acceptable to Scinai or at all; timing of receipt of regulatory approval of Scinai's manufacturing facility in Jerusalem, if at all or when required; the risk that the manufacturing facility will not be able to be used for a wide variety of applications and other treatment technologies; the risk that drug development involves a lengthy and expensive process with uncertain outcomes; and the risk that the Company will otherwise be unable to remain compliant with the continued listing requirements of Nasdaq;. More detailed information about the risks and uncertainties affecting the Company is contained under the heading "Risk Factors" in the Company's Annual Report on Form 20-F filed with the Securities and Exchange Commission ("SEC") on May 15, 2024, and the Company's subsequent filings with the SEC. Scinai undertakes no obligation to revise or update any forward-looking statement for any reason. Logo: SOURCE Scinai Immunotherapeutics Ltd. WANT YOUR COMPANY'S NEWS FEATURED ON PRNEWSWIRE.COM? 440k+ Newsrooms & Influencers 9k+ Digital Media Outlets 270k+ Journalists Opted In GET STARTED

免疫疗法临床研究

2024-10-31

·药时代

国产自免新药之光！恒瑞的「夫那奇珠单抗」疗效到底怎么样？

前言银屑病，也俗称为“牛皮癣”，发病机制复杂，涉及神经、内分泌及免疫系统。由于典型的红色斑块常出现在头部、手部及四肢等易暴露部位，患者往往会面临来自社会、心理等多方面的压力。目前，我国银屑病患者约700多万，其中有57.3%为中重度银屑病患者。 2024年8月20日，首个本土自研靶向IL-17A的中重度银屑病创新药——夫那奇珠单抗注射液（vunakizumab，SHR-1314）获NMPA批准上市。夫那奇珠单抗为恒瑞医药自研产品，既是国内首个获批的本土自主研发重组抗IL-17A人源化单抗，也是恒瑞在自身免疫疾病领域上市的首个创新药！夫那奇珠单抗的上市打破了同类进口药物的长期垄断局面，为400余万中重度银屑病患者提供了新的治疗选择。那么夫那奇珠单抗的疗效到底怎么样，比起进口药效果又如何？ III期临床详细结果公布：SHR-1314-301研究解析夫那奇珠单抗的获批上市基于一项在全国开展的III期SHR-1314-301研究。2024年10月19日，该研究完整分析结果在皮肤病领域权威期刊Journal of the American Academy of Dermatology（美国皮肤病学会杂志，IF=12.8）上发布，题为“Efficacy and safety of vunakizumab in moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, placebo-controlled phase 3 trial”，文章详尽介绍了SHR-1314-301研究的全部结果。 SHR-1314-301研究为随机对照试验，包括52周的双盲治疗期（12周的核心期治疗+40周的维持治疗）和16周的安全随访期。研究共纳入690例成人中重度斑块状银屑病患者。这690例患者被2:1随机分入试验组和安慰剂组，其中试验组先是每两周（第0，2，4周）注射240mg夫那奇珠单抗注射液，之后按此剂量每4周给药一次；安慰剂组前12周用药频率和试验组一致，第12周时转为夫那奇珠单抗240mg治疗（240mg Q2W*3+240mg Q4W）。研究的主要终点为：1）第12周银屑病面积和严重程度指数（PASI）评分比基线至少改善90%（PASI 90）的受试者比例；2）第12周时达到静态医师全面评估（sPGA）0/1的受试者比例。次要终点包括第12周PASI 75/PASI 100的受试者比例、sPGA 0的受试者比例等。从试验设计来看，安慰剂组在12周后转为接受夫那奇珠单抗治疗，这样设计不仅可评估疗效，同时保证了所有受试者都得到治疗。另外，两个主要终点标准的选择也符合相关治疗指南中的疾病治疗要求。《中国银屑病诊疗指南（2023版）》中指出，患者若能达到PASI 90/PASI 100则实现了症状和皮损的完全清除或几乎完全清除。另一主要终点sPGA 0/1的实现也意味着裸眼观察下，患者皮肤已完全/几乎全面恢复。且PASI90的实现与患者生活质量（QoL）改善密切相关。夫那奇珠单抗：银屑病治疗新星在银屑病治疗领域，生物制剂正得到更多重视。《中国银屑病诊疗指南（2023版）》明确指出，对于接受光疗或传统系统治疗无效、失效或无法耐受且生活质量受到明显影响的患者，可考虑应用生物制剂。目前在我国正式获批用于斑块状银屑病治疗的生物制剂包括TNF-α抑制剂、IL-23抑制剂和IL-17A抑制剂等。其中，IL-17A作为银屑病核心致病因子，其生物制剂在银屑病治疗中脱颖而出。在夫那奇珠单抗获批上市前，国内获批用于银屑病治疗的IL-17A药物均为进口药。其中，司库奇尤单抗（Secukinumab ）和依奇珠单抗（Ixekizumab）分别于2019年4月和9月作为第一批临床急需境外新药在中国获批上市。从此次披露的SHR-1314-301详细数据来看，相比于此前获NMPA批准用于银屑病治疗的IL-17A产品，夫那奇珠单抗注射液显示出了毫不逊色的治疗表现，是一款疗效强、起效快、作用持久的银屑病新药。 1）疗效强研究结果显示，12周时，试验组显示出更高的PASI 90（76.8% vs 0.9%）和sPGA 0/1（71.8% vs 0.4%）应答率，研究达到所有主要终点。且相比于安慰剂组，试验组其余各项评分均显著改善。数据显示，试验组12周时达到PASI 75和PASI 100的受试者比例为93.6%和36.6%，安慰剂组分别为4.0%和0.0%。且试验组显示出更高的sPGA 0（38.2%vs0.0%），研究达到所有关键次要终点。而根据司库奇尤单抗III期ERASURE和FIXTURE研究结果，其第12周时PASI 75应答率为77.1%-81.6%、PASI 90应答率为54.2%-59.2%和PASI 100应答率为24.1%-28.6%。另一边，依奇珠单抗III期UNCOVER-1, 2, 3研究数据显示，其第12周时PASI 75应答率为87.3%-89.7%，PASI 90应答率为68.1%-70.7%，PASI 100应答率为35.3%-40.5%，sPGA 0/1应答率为80.5%-83.2%。虽并非头对头研究数据，但分析对比三款药物关键临床试验设计情况，此对比结果具有一定参考价值。另从患者入组标准来看，SHR-1314-301研究中，基线时sPGA >4的受试者比例为58.8%，另两款IL-17单抗关键临床试验中此数值为46%-52%。可更直接地理解为，SHR-1314-301研究中纳入了更高比例的重度银屑病患者，这意味着哪怕最终指标应答率相当，但SHR-1314-301研究中可能面临更大的挑战。且值得注意的是，12周的核心治疗期内，SHR-1314-301研究给药频率更低（4次vs 6次）。 2）起效快夫那奇珠单抗的另一个特点是起效快。此次发布的详细研究数据显示，试验组在治疗第2周时，PASI评分平均百分比减少超过50%，到第4周时56.6%的受试者实现PASI 75。且PASI 90应答中位时间仅8.3周（95%CI, 8.1-8.3周）。 3）作用持久从试验组实现PASI 90/sPGA 0/1的受试者比例变化情况来看（见下图蓝色线），在12周核心治疗期内，试验组的两组曲线均迅速爬升至较高点，这表明大部分患者在12周内症状就已经良好改善。进入维持期后，两组曲线趋于平稳，且52周时并未表现出明显下滑趋势，这足以证明夫那奇珠单抗在中重度银屑病治疗中持久的作用效果。 A:52周内达到PASI 90的患者比例随时间变化情况 B:52周内达到sPGA 0/1的患者比例随时间变化情况图片源自：Efficacy and safety of vunakizumab in moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, placebo-controlled phase 3 trial 更多详细数据显示，在维持期，超过85%的受试者持续保持了PASI 75、PASI 90或sPGA 0/1应答，与此前已经获批的依奇珠单抗和司库奇尤单抗III期研究结果相当。此外在安全性方面，夫那奇珠单抗组的不良事件发生率与安慰剂组相似，且感染发生率低，无受试者因为注射部位反应而停止治疗或终止研究。总体而言，夫那奇珠单抗的安全性与已获批的依奇珠单抗和司库奇尤单抗相当，没有发现新的安全性信号。结语据悉，使用夫那奇珠单抗全年仅需注射14次，预充式自动注射笔的应用也使患者给药更为便捷。恒瑞官方公众号消息显示，在收到上市批件后，满载夫那奇珠单抗注射液的冷藏车就马不停蹄地驶向全国医院和药房，并于8月30日上午由复旦大学附属华山医院徐金华教授开出全国首张处方。目前，恒瑞医药已就夫那奇珠单抗开展多项临床试验，预计这款药将有望惠及更多年龄段，更多疾病领域的其他患者！参考资料： 1.Efficacy and safety of vunakizumab in moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, placebo-controlled phase 3 trial. 2.《中国银屑病诊疗指南（2023版）》 3.恒瑞医药官方公众号 4.其他公开资料点击了解更多！

临床结果临床3期上市批准

2024-10-30

·药明康德

持久临床缓解持续近2年！强生单抗疗法公布3期积极数据

▎药明康德内容团队编辑日前，强生（Johnson & Johnson）公布其白细胞介素-23（IL-23）靶向抗体Tremfya（guselkumab）在GRAVITI临床3期研究的积极结果。研究结果显示，在48周时，接受Tremfya作为诱导和维持治疗的中至重度活动性克罗恩病（CD）成人患者，相较于安慰剂实现了显著的临床缓解和内镜应答。 GRAVITI是一项随机、双盲、安慰剂对照的3期研究，旨在评估皮下注射Tremfya对中至重度活动性克罗恩病患者的疗效与安全性。这些患者对常规治疗（如皮质类固醇或免疫调节剂）或生物制品（TNF拮抗剂或vedolizumab）应答不足或不耐受。患者在第0、4和8周时接受400 mg Tremfya诱导治疗，随后接受每4周200 mg Tremfya（q4w）、每8周100 mg Tremfya（q8w）或安慰剂作为维持治疗。GRAVITI研究的皮下注射48周结果如下：使用两种维持剂量Tremfya患者的临床缓解率是安慰剂组的3倍以上。Tremfya q8w组的临床缓解率为60.0%，q4w组为66.1%，安慰剂组为17.1%。在内镜应答方面，Tremfya q8w组和q4w组患者分别有44.3%和51.3%达到内镜应答，而安慰剂组仅为6.8%。在内镜缓解方面，Tremfya q8w组和q4w组患者分别有30.4%和38.3%达到内镜缓解，而安慰剂组仅为6.0%。 Tremfya是一款全人源单克隆抗体。除了靶向IL-23，该抗体也可同时与生产IL-23细胞上的受体CD64相结合。IL-23是由活化的单核细胞/巨噬细胞和树突状细胞分泌的细胞因子，是UC等免疫介导疾病的驱动因素。Tremfya于2017年7月首次获FDA批准用于治疗中度至重度斑块状银屑病成人患者，随后于2020年7月获批用于治疗活动性银屑病关节炎成人患者。2024年6月，强生向美国FDA提交了补充生物制品许可申请（sBLA），寻求批准Tremfya用于治疗中度至重度活动性克罗恩病成人患者。今年9月，Tremfya获FDA批准用于治疗中度至重度活动性溃疡性结肠炎（UC）成人患者。根据新闻稿，Tremfya是首个获批用于治疗活动性溃疡性结肠炎的双作用机制IL-23抑制剂。 ▲欲了解更多前沿技术在生物医药产业中的应用，请长按扫描上方二维码，即可访问“药明直播间”，观看相关话题的直播讨论与精彩回放参考资料： [1] TREMFYA® (guselkumab) is the first and only IL-23 inhibitor to demonstrate robust results with a fully subcutaneous regimen in both induction and maintenance in Crohn's disease. Retrieved October 29, 2024 from https://www.investor.jnj.com/news/news-details/2024/TREMFYA-guselkumab-is-the-first-and-only-IL-23-inhibitor-to-demonstrate-robust-results-with-a-fully-subcutaneous-regimen-in-both-induction-and-maintenance-in-Crohns-disease/default.aspx 免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。版权说明：本文来自药明康德内容团队，欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”，获取转载须知。分享，点赞，在看，聚焦全球生物医药健康创新

临床结果临床3期临床成功