| CTRI Number |
CTRI/2020/01/022728 [Registered on: 13/01/2020] Trial Registered Prospectively |
| Last Modified On: |
02/11/2021 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
A Phase II clinical study being done at multiple centres on moderate to severe Psoriasis patients. This is a double-blind, double-dummy, placebo-controlled and randomized trial where two doses of the study drug (AUR101) shall be assessed for Safety and Efficacy. |
|
Scientific Title of Study
|
A Phase II, Multicenter, Double-blind, Double-dummy, Placebo controlled, Randomized, Study to Evaluate the Efficacy and Safety of two doses of AUR101 in patients with Moderate-to-Severe Psoriasis |
| Trial Acronym |
INDUS-2 |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Akhil Kumar |
| Designation |
Head & VP, Clinical Development |
| Affiliation |
Aurigene Discovery Technologies Limited (Subsidiary of Dr. Reddy’s Laboratories Limited) |
| Address |
39-40, KIADB Industrial Area, Phase II, Electronic City Hosur Road, Bangalore
Bangalore KARNATAKA 560100 India |
| Phone |
8071025578 |
| Fax |
|
| Email |
akhil_k@aurigene.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Divyesh Mandavia |
| Designation |
Medical Lead |
| Affiliation |
Aurigene Discovery Technologies Limited (Subsidiary of Dr. Reddy’s Laboratories Limited) |
| Address |
39-40, KIADB Industrial Area, Phase II, Electronic City Hosur Road, Bangalore
Bangalore KARNATAKA 560100 India |
| Phone |
8071025588 |
| Fax |
|
| Email |
divyesh_m@aurigene.com |
|
Details of Contact Person Public Query
|
| Name |
Shilendra Pandey |
| Designation |
Clinical Operations Lead |
| Affiliation |
Aurigene Discovery Technologies Limited (Subsidiary of Dr. Reddy’s Laboratories Limited) |
| Address |
39-40, KIADB Industrial Area, Phase II, Electronic City Hosur Road, Bangalore
Bangalore KARNATAKA 560100 India |
| Phone |
8071025584 |
| Fax |
|
| Email |
shilendra_p@aurigene.com |
|
|
Source of Monetary or Material Support
|
| Aurigene Discovery Technologies Limited Subsidiary of Dr Reddys Laboratories Limited |
|
|
Primary Sponsor
|
| Name |
Aurigene Discovery Technologies Limited Subsidiary of Dr Reddys Laboratories Limited |
| Address |
39-40 KIADB Industrial Area Phase II Electronic City Hosur Road Bangalore 560100 Karnataka India |
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
United States of America India |
Sites of Study
Modification(s)
|
| No of Sites = 9 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Neetu Sidana |
Apex Hospitals Pvt Ltd |
Department of Dermatology, SP-4 & 6, Malviya Nagar Industrial Area, Malviya Nagar, Jaipur - 302017, Rajasthan, India Jaipur RAJASTHAN |
9314661504
sidanasanjeev@rediffmail.com |
| Dr Bela Shah |
B.J Medical College & Civil Hospital |
Department of dermatology, Wing No.3, Room No.139, skinOPD 1st Floor, OPDBuilding, Asarwa, Ahmedabad – 380016. Ahmadabad GUJARAT |
9898059289
shah.drbela@gmail.com |
| Dr Nandini A S |
Kempegowda Institute of Medical Sciences |
Department of dermatology, B Block, OPD Building, K.R.Road, V.V.Puram, Bangalaore 560004 Bangalore KARNATAKA |
9886829579
drnandinias2002@yahoo.co.in |
| Dr Ishad Aggarwal |
Life Line Diagnostic Centre Cum Nursing Home |
Department of Dermatology, 4A, Wood street, Kankaria Estates, Kolkata 700016, West Bengal Kolkata WEST BENGAL |
8100622846
ishad1984@gmail.com |
| Dr Sushil Pande |
NKP Salve Institute |
Department of Dermatology, Digdoh Hills, Hingna, Nagpur 440019 Nagpur MAHARASHTRA |
9323511245
drsushilpande@gmail.com |
| Dr Savitha A S |
Sapthagiri Hospital |
Ground floor, dermatology OPD, 15, Chikkasandra, Hesaraghatta, Main road, Bangalore 560090 Bangalore KARNATAKA |
9880512166
drsavithasomaiah@gmail.com |
| Dr Shyamal Balki |
Shree Hospital and Critical Care Centre |
Department of dermatology, RMO Chamber, 1st Floor,799, Omnagar,Opposite to Tajshree Building, Mirchi Bazar Sakkardara Chowk, Umred Road, Nagpur 440009 Nagpur MAHARASHTRA |
9665477444
drshyamalb@gmail.com |
| Dr Suneel Vartak |
Sujata Birla Hospital & Medical Research Center |
Department of dermatology, OPD No. 6, Ground Floor, Opp to Bytco College, Nashik road, Nashik 422101 Nashik MAHARASHTRA |
9373901829
suneel.vartak@gmail.com |
| Dr Ashutosh Mehata |
Triveni Polyclinic |
Department of Dermatology, First Floor Shree JEE Krupa Apartment, Plot no 19-A near Wardhaman Nagar Petrol pump, Wardhaman Nagar square, Nagpur 440008, Maharashtra Nagpur MAHARASHTRA |
9881873985
asmehta215@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 9 |
| Name of Committee |
Approval Status |
| Apex Hospitals Private Limited |
Approved |
| Institutional Ethics Committee NKP Salve Institute of Medical Sciences |
Approved |
| Institutional Ethics Committee of Life Line Diagnostic Centre Cum Nursing Home |
Approved |
| Institutional Ethics Committee Sapthagiri |
Approved |
| Institutional Ethics Committee, BJ Medical college and civil Hospital |
Approved |
| Kempegowda Institute of Medical Sciences Institutional Ethics Committee |
Approved |
| Shree Hospital Ethics Committee |
Approved |
| Triveni Polyclinic Institutional Ethics Committee |
Approved |
| Yash Society Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: L400||Psoriasis vulgaris, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
AUR-101 |
Two doses of AUR-101 in in approximately 90 patients with moderate-to-severe psoriasis (defined as Psoriasis Area and Severity Index (PASI) ≥12 and Body Surface Area (BSA) involved ≥10%) will be randomized to the 2 dose groups of AUR101 and placebo in the ratio of 1:1:1.
The patients in each arm will receive AUR101 of 400 mg twice daily or
AUR101 600 mg twice daily or matching placebo twice daily for 12 weeks in a
double blind, double dummy fashion. All the patients will be followed up for 14
± 2 days of their last dose for safety assessment. |
| Comparator Agent |
Placebo |
Not Applicable |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. Confirmed diagnosis of chronic plaque-type psoriasis, diagnosed at least 6
months before screening
2. Psoriasis of at least moderate severity, defined as PASI≥12 and involved
BSA≥10 % at screening and Day 1
3. Adult males or females, ≥ 18 to ≤ 65 years of age,
4. Ability to communicate well with the investigator and to comply with the
requirements of the entire study
5. Willingness to give written informed consent (prior to any study related
procedures being performed) and ability to adhere to the study restrictions and
assessments schedule. |
|
| ExclusionCriteria |
| Details |
1. History of erythrodermic, guttate, or pustular psoriasis within last 12 months
2. Efficacy failure on any biologic (e.g. interleukin (IL)-17 antibodies like
brodalumab or ixekizumab or anti-TNF agents like etanercept, infliximab or adalimumab) for the treatment of psoriasis
Note: Efficacy failure is defined as: A) Failure to achieve static Physician/
Investigator Global Assessment (PGA/IGA) of 0 to 2 (i.e. clear to mild) despite a continuous treatment with biologic at the approved (as in package insert) dose for at least 8 weeks And / Or B) After having an efficacious response, PGA/IGA increased to 3 or higher while receiving the approved (as in package insert) dose as maintenance
3. Static 5-point IGA mod 2011 scale of 0 to 2 at screening or Day 1.
4. BMI ≥ 35 kg/m2
5. Current treatment or history of treatment for psoriasis with IL-17 or IL-12/23 antagonist biological agents (e.g. secukinumab, briakinumab, tildrakizumab, ustekinumab etc.) within 6 months prior to study day 1
6. Current treatment or history of treatment for psoriasis with other biological
agents (e.g. adalimumab, etanercept, infliximab, alefacept etc.) within 3 months
prior to study day 1
7. Current treatment or history of treatment for psoriasis with non-biological systemic medications (including systemic steroids, methotrexate, cyclosporine etc.) or phototherapy within 4 weeks prior to study day 1.
8. Treatment with medicated topical agents (having active pharmaceutical ingredient that can impact the interfere with effect of the study drug; See Section 8.11 of protocol) within 2 weeks prior to study day 1.
9. History or presence of any medical or psychiatric disease, or clinically
significant laboratory
|
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Double Blind Double Dummy |
|
Primary Outcome
|
| Outcome |
TimePoints |
Proportion of patients achieving PASI 75 response (i.e. 75% reduction from
baseline PASI score) |
At the end of week 12. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Proportion of patients achieving PASI 75 response (i.e. 75% reduction from
baseline PASI score) |
At the end of week 4 and 8. |
Proportion of patients achieving PASI 50 response (i.e. 50% reduction from
baseline PASI score) |
At week 4, 8 and 12. |
| Proportion of patients achieving IGA 0 or 1 |
At week 4, 8 and 12 |
| Percent change from baseline in PASI score |
At week 4, 8 and 12 |
| Change from baseline in IGA scale |
At week 4, 8 and 12 |
| Change from baseline to week 4, 8 and 12 in percent Body Surface Area (BSA) involved |
At week 4, 8 and 12 |
Change from baseline to week 4, 8 and 12 in Dermatology Life Quality Index
(DLQI) |
At week 4,8 and 12 |
|
|
Target Sample Size
|
Total Sample Size="90" Sample Size from India="80"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="90" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
14/01/2020 |
| Date of Study Completion (India) |
25/02/2021 |
| Date of First Enrollment (Global) |
14/01/2020 |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Completed |
| Recruitment Status of Trial (India) |
Completed |
|
Publication Details
|
Not Applicable |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
|
Brief Summary
|
This will be a multicenter, double-blind, double-dummy, placebo controlled, randomized study to evaluate efficacy and safety of two doses of AUR101 in patients with moderate-to-severe psoriasis. Approximately 90 patients with chronic moderate-to-severe plaque psoriasis (defined as Psoriasis Area and Severity Index (PASI) ≥12 and Body Surface Area (BSA) involved ≥10%) will be randomized to the 2 dose groups of AUR101 and placebo in the ratio of 1:1:1. The patients in each arm will receive AUR101 of 400 mg twice daily or AUR101 600 mg twice daily or matching placebo twice daily for 12 weeks in a double blind, double dummy fashion. All the patients will be followed up for 14 ± 2 days of their last dose for safety assessment. A subset of approximately 25 patients, who consent, will be asked to come for plasma PK assessment in week 4 of dosing. |