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Alefacept

Phase 4

Chronic Plaque Psoriasis | Biologics | Dermatology |Biogen Inc.|Trials Updated: Aug 23, 2023

Alefacept development status

Highest phase Phase 4 (NCT00794807)
Phase scored for BIIBPhase 3
Registered trials 10 across 6 sponsors since Oct 2005

Alefacept target and mechanism

Molecular targetCD2
Target classInhibitor
ModalityBiologics

Also known as Amevive, ASP0485

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment1,033

FDA Designations

No designations recorded

Alefacept clinical trials

Alefacept · 5 trials · 3 indications

Phase 3 4Phase 2 1
NCT00673556A Study to Assess the Efficacy and Safety of Alefacept in Psoriasis Patients for Whom Conventional Treatment is Ineffective or InappropriateChronic Plaque Psoriasis
COMPLETED195 Analytics
NCT00674063A Study to Assess the Efficacy and Safety of Two Dosing Regimens of Alefacept in Subjects Weighing Between 100kg and 150kg With Moderate to Severe Chronic Plaque PsoriasisChronic Plaque Psoriasis
COMPLETED78 Analytics
NCT00692172Open-label Study to Evaluate Safety of Multiple Courses of IM Alefacept During Treatment of Chronic Plaque PsoriasisPsoriasis
COMPLETED175 Analytics
NCT00233662Safety and Tolerability of Repeat Courses of IM AlefaceptChronic Plaque Psoriasis
COMPLETED400 Analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of Alefacept in Psoriasis Patients for Whom Conventional Treatment is Ineffective or Inappropriate
Chronic Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of Two Dosing Regimens of Alefacept in Subjects Weighing Between 100kg and 150kg With Moderate to Severe Chronic Plaque Psoriasis
Chronic Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
Open-label Study to Evaluate Safety of Multiple Courses of IM Alefacept During Treatment of Chronic Plaque Psoriasis
PsoriasisUnlock trial analytics
PHASE3COMPLETED
Safety and Tolerability of Repeat Courses of IM Alefacept
Chronic Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of patients achieving a Psoriasis Area and Severity Index (PASI) score of ≥ 50
14 Weeks
Proportion of subjects receiving a Psoriasis Area and Severity Index (PASI) score of ≥75 compared to baseline
1 Week post treatment
Assessment of safety including evaluation of incidence of adverse events, physical exams and laboratory monitoring
Throughout treatment course
Incidence of infections, malignancies, serious adverse events, adverse events leading to discontinuation of study drug, dose withholding (due to infection or decreased T cells), and changes in lymphocyte counts over time.
Proportion of patients achieving a score in the assessment system of the American College of Rheumatology Core Set Measurements of ACR 20, ACR 50 and ACR 70
12 Weeks and at any time

Secondary Endpoints

Proportion of patients achieving a PASI score of ≥ 50 any time during study
Throughout study
Proportion of patients achieving a PASI score of ≥ 75
14 Weeks
Proportion of subjects in each dosing regimen receiving a PASI score of ≥75 compared to baseline
1 Week post treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Course A1EXPERIMENTAL -
Course A2PLACEBO_COMPARATOR -
Course BEXPERIMENTALOpen label extension
1EXPERIMENTALDose regimen 1
2EXPERIMENTALDose regimen 2

Interventions

NameTypeDescription
alefaceptDRUGIntramuscular (IM)
placeboDRUGIntramuscular (IM)
MethotrexateDRUGOral
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Eligibility Criteria

Age Range16 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Diagnosis of Chronic Plaque Psoriasis involving ≥ 10% body surface area * Treatment history for Psoriasis in which 3 or more conventional anti-psoriatic therapies are inappropriate or ineffective * CD4+ T lymphocyte counts at or above the lower limit of normal Exclusion Crite...

Countries:United StatesAustriaBelgiumCanadaGermanyDenmarkFranceNetherlandsSpainUnited KingdomSwitzerlandPolandRussia
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Frequently asked questions about Alefacept

What is Alefacept used for?

Alefacept is being studied for chronic plaque psoriasis, psoriasis, and psoriatic arthritis. It is a dermatology therapy developed by Biogen Inc. for patients with these inflammatory skin and joint conditions. Clinical development has focused on moderate to severe chronic plaque psoriasis and on psoriatic arthritis.

What does Alefacept target?

Alefacept targets CD2 and acts as an inhibitor of this target. CD2 is a cell surface receptor involved in T cell activation. By binding CD2, alefacept is designed to interfere with the T cell driven immune responses that contribute to psoriasis and psoriatic arthritis.

Who makes Alefacept?

Alefacept is developed by Biogen Inc., which trades under the ticker BIIB. Biogen has sponsored the clinical trial program evaluating alefacept in chronic plaque psoriasis and psoriatic arthritis, including Phase 3 studies in psoriasis and a Phase 2 study in psoriatic arthritis.

What phase is Alefacept in?

Alefacept has been evaluated in Phase 3 clinical development for chronic plaque psoriasis and in Phase 2 for psoriatic arthritis. The Phase 3 program includes three completed studies, and the Phase 2 psoriatic arthritis study is also completed. No active trials are currently listed.

What clinical trials is Alefacept in?

Alefacept has been studied in four completed trials: NCT00692172, an open-label Phase 3 safety study of multiple intramuscular courses in chronic plaque psoriasis; NCT00674063, a Phase 3 dosing study in patients weighing 100 kg to 150 kg; NCT00673556, a Phase 3 study in patients for whom conventional treatment was ineffective or inappropriate; and NCT00659412, a Phase 2 placebo-controlled psoriatic arthritis study.