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Brodalumab

Phase 4FDA approved

Psoriatic Arthritis | Monoclonal antibody | Immunology |Bausch Health Companies Inc.|Trials Updated: Aug 20, 2020

Brodalumab development status

FDA approval on record Feb 15, 2017 as Siliq
Approval holderValeant Luxembourg
ApplicationBLA761032
Highest phase Phase 4 (NCT03240809)
Phase scored for BHCPhase 3
Registered trials 15 across 3 sponsors since Oct 2008

Label indication SILIQ ® (brodalumab) is indicated for the treatment of moderate to severe plaque psoriasis in adult patients who are candidates for systemic therapy or phototherapy and have failed to respond or have lost response to other systemic therapies. FDA label

Brodalumab target and mechanism

Molecular targetIL17RA
Target classAntagonist
ModalityMonoclonal antibody

Also known as AMG 827

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment660

FDA Designations

No designations recorded

Brodalumab clinical trials

Brodalumab · 3 trials · 2 indications

Phase 3 1Phase 1 2
NCT02024646Study of Efficacy and Safety of Brodalumab in Subjects With Psoriatic ArthritisPsoriatic Arthritis
COMPLETED484 Analytics
PHASE3COMPLETED
Study of Efficacy and Safety of Brodalumab in Subjects With Psoriatic Arthritis
Psoriatic ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

ACR20 (American College of Rheumatology 20% Improvement) Response Rate Through Week 16
Baseline and 16 Weeks

ACR20 is used as a measurement of the proportion of subjects who are reaching a 20% improvement of tender an swollen joint counts. The higher percent of subjects reaching a higher improvement percentage shows greater success.

Pharmacokinetic Parameters for the Maximum Amount of Observed Brodalumab Concentration for Treatment A and Treatment B.
60 days

Pharmacokinetic parameter estimates after a 210 mg dose of brodalumab, and after two 210 mg doses of brodalumab delivered subcutaneously as a single prefilled syringe (PFS) injection

Area Under the Drug Concentration Time Curve From Zero to the Time of Last Quantifiable Concentration of Brodalumab
60 days

Pharmacokinetic parameter estimates after a 210 mg dose of brodalumab, and after two 210 mg doses of brodalumab delivered subcutaneously as a single prefilled syringe (PFS) injection

The Maximum Observed Concentration of Midazolam After a Single Dose of Brodalumab
Day 1 to day 9

Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on Day 30

The Area Under Drug Concentration Time Curve From Zero to Infinity (AUCinf)
Day 1 to Day 9

Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on day 30

The Area Under the Drug-concentration Curve of Midazolam After a Single Dose of Brodalumab From Zero Tot he Last Time of Quantifiable Concentration
Day 1 to Day 9

Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2

Secondary Endpoints

Immunogenicity
60 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
210 mg brodalumabEXPERIMENTALAdministered via subcutaneous injections.
140 mg brodalumabEXPERIMENTALAdministered via subcutaneous injection.
PlaceboPLACEBO_COMPARATORAdministered via subcutaneous injection until week 24.
Brodalumab (single 1.5mL pre-filled syringe)EXPERIMENTALA single 210 mg subcutaneous (SC) dose of Brodalumab administered using a single 1.5mL pre-filled syringe injection
Brodalumab (2 pre-filled syringes [1.0mL + 0.5mL])EXPERIMENTALA single 210 mg subcutaneous (SC) dose of Brodalumab administered using 2 (1.0mL + 0.5mL) pre-filled syringe injections
Brodalumab 140mg SCEXPERIMENTALopen label, all subjects receive brodulamab
Midazolam (MDZ) 2mg oral, Brodalumab 210mg SCEXPERIMENTALMDZ 2mg oral (Day 1 and Day 9), Brodalumab 210mg SC (Day 2)

Interventions

NameTypeDescription
210 mg brodalumabDRUG210 mg brodalumab administered via subcutaneous injection.
140 mg brodalumabDRUG140 mg brodalumab administered via subcutaneous injection.
PlaceboDRUGPlacebo administered via subcutaneous injection until week 24.
BrodalumabDRUGBrodalumab is a large molecule for the treatment of inflammatory diseases
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites103

Inclusion Criteria: Subjects has a diagnosis of psoriatic arthritis (by the Classification of Psoriatic Arthritis criteria (CASPAR), with ≥ 3 tender and ≥ 3 swollen joints (excluding distal interphalangeal joints). Subjects must have at least 1 psoriatic skin lesion. Exclusion Criteria: • -Subjec...

Countries:United StatesCanadaFranceGermanyGreeceHungaryLatviaMexicoPolandRussiaAustraliaNew Zealand
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Frequently asked questions about Brodalumab

What is Brodalumab used for?

Brodalumab is a monoclonal antibody developed for psoriasis and psoriatic arthritis, both immune-mediated inflammatory conditions. It is being studied in adults 18 years and older. The clinical program includes a Phase 3 trial in psoriatic arthritis and Phase 1 studies in psoriasis, including bioequivalence and drug-drug interaction evaluations.

What does Brodalumab target?

Brodalumab targets IL17RA, the interleukin-17 receptor A. It acts as an antagonist at this receptor, blocking signaling through the IL-17 pathway, which is involved in the inflammatory processes underlying psoriasis and psoriatic arthritis.

Who is developing Brodalumab?

Brodalumab is being developed by Bausch Health Companies Inc., which trades under the ticker BHC. The company is responsible for the clinical development program in psoriasis and psoriatic arthritis.

What phase is Brodalumab in?

Brodalumab is in Phase 1 development according to the current pipeline status. It is an investigational monoclonal antibody and has not been approved by the FDA for the indications described. The program includes completed Phase 1 and Phase 3 trials.

What clinical trials is Brodalumab in?

Brodalumab has been studied in completed trials including NCT02173392, a Phase 1 bioequivalence study in psoriasis; NCT02024646, a Phase 3 trial in psoriatic arthritis; and NCT01937260, a Phase 1 drug-drug interaction and pharmacodynamic study in psoriasis. No trials are currently active.