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Alefacept

Phase 3

Chronic Plaque Psoriasis | Small molecule | Dermatology |Biogen Inc.|Last Updated: Aug 23, 2023

Target and mechanism

Molecular targetCD2
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment673

FDA Designations

No designations recorded

Clinical trial landscape

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 developed for chronic plaque psoriasis, psoriasis, and psoriatic arthritis. It is an investigational therapy studied in adults with moderate to severe forms of these dermatologic and joint conditions. Clinical trials have evaluated its use in patients for whom conventional treatment is ineffective or inappropriate, as well as in patients weighing between 100 kg and 150 kg.

What does Alefacept target?

Alefacept targets CD2 and acts as an inhibitor. By binding to CD2, it interferes with the activation and proliferation of T cells, which are involved in the inflammatory process underlying psoriasis and psoriatic arthritis. This targeted approach is designed to modulate the immune response rather than broadly suppress it.

Who is developing Alefacept?

Alefacept is being developed by Biogen Inc., which trades under the ticker symbol BIIB. The company has sponsored Phase 3 and Phase 2 clinical trials of the drug in chronic plaque psoriasis and psoriatic arthritis across multiple countries including the United States, Canada, and several European nations.

What phase is Alefacept in?

Alefacept is in Phase 3 clinical development. It has been evaluated in three completed Phase 3 trials and one completed Phase 2 trial. The Phase 3 program includes studies in chronic plaque psoriasis, while the Phase 2 study examined psoriatic arthritis. All trials have been completed, and no active trials are currently listed.

What clinical trials is Alefacept in?

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

Is Alefacept FDA approved?

Alefacept is an investigational drug and has not been approved by the FDA for the indications described. It remains in clinical development, with all reported trials completed. The development program includes Phase 3 studies in chronic plaque psoriasis and a Phase 2 study in psoriatic arthritis, but no regulatory approval has been granted for these uses.