Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as CF101
Piclidenoson · 12 trials · 8 indications
Improvement of psoriasis by 75% or more
Improvement of psoriasis by physicians' judgment
All adverse events occurring the trial will be recorded
Evaluate the efficacy of oral CF101 2 mg or 3 mg twice daily (BID) in patients with moderate-to-severe plaque psoriasis, compared with placebo, as determined by the proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16 (superiority)
Nature, incidence and severity of treatment-emergent adverse events
Complete clearing of corneal staining by fluorescein staining (FS). The primary efficacy analysis was performed for 1eye (target eye), defined as the eye with the larger corneal FS value at Baseline. If both eyes had the same corneal FS value at baseline, the target eye was considered the eye with the larger central corneal staining value at Baseline. Corneal FS defined as a corneal punctate fluorescein staining score of ≥4 in either eye by the National Eye Institute evaluation scale summed over 5 areas each with a 0-3 scoring scale
Determine the safety of oral CF 101 in this subject population. Adverse Events (AEs) and changes in vital signs, physical examination, clinical laboratory tests (liver, kidney, hematology, chemistry and urinalysis), electrocardiogram (ECG) findings, slit lamp and ophthalmic examination, visual acuity, and intraocular pressure measurements.
The primary end-point is to assess whether treatment for 6 months with piclidenoson improves the functioning of renal proximal tubular cells (PTCs), as assessed by the increase in 99mTc-DMSA uptake as compared to Baseline
Proportion of subjects alive and free of respiratory failure (defined as need for non-invasive or invasive mechanical ventilation, high-flow oxygen, or extracorporeal membrane oxygenation) at Day 29
Proportion of subjects alive and discharged to home without need for supplemental oxygen at Day 29
Proportion of patients experiencing AEs
Achievement of PASI 75 indicates a 75% reduction in the PASI score, which ranges from 0 (no disease) to 72 (maximal disease)
The mean of the IOP measurements obtained at week 16
ACR20 Response is defined as a 20% improvement from baseline in disease: 1. \>20% improvement in tender joint count (TJC), and 2. \>20% improvement in swollen joint count (SJC), and 3. \>20% improvement in at least 3 of following 5: 1. Physician global assessment (PGA), 2. Patient global assessment (PAGA), 3. Patient pain assessment (PPA), 4. Patient's assessment of physical function using Health Assessment Questionnaire (HAQ), and 5. Most improved response of ESR and CRP
Number of patients that achieved 20% response at week 12 in American College of Rheumatology Criteria
PASI scale is sum of redness, thickness, and scale scores, ranging from 0 (no disease) to 72 (most severe possible score); lower scores, i..e., negative change from baseline, indicate improvement
Involved placing a standardized paper tear strip inside the lower eyelid for 5 minutes. The tear strip was then removed and the length of the strip that was wet from tears was measured in millimeters. Change from baseline is calculated. Scores range 0-35 mm, with higher scores indicating more (better) tear production.
Time elapsed between a complete blink and the development of the first random dry spot on the tear film as seen under fluorescent light. Change from baseline is calculated. Scores range 0-30 seconds, with higher scores indicating better tear composition and function.
Severity of corneal epithelial loss as graded by Fluorescein Staining of the cornea, assessed on a 0-4+ scale with 0 = none and 4+ = severe de-epithelialization (in other words, higher scores indicate worse disease), expressed as number of participants with \>25% improvement at Week 12 relative to baseline.
ACR 20 response (20% improvnent in RA based on swollen and tender joint counts, physician and patient global assessments of disease activity, a patient pain score) at endpoint (Week 12), with all-cause dropouts considered as nonresponders (nonresponder imputation) in the Intent-To-Treat (ITT) population
| Arm | Type | Description |
|---|---|---|
| Piclidenoson treatment | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | - |
| CF101 2mg | EXPERIMENTAL | CF101 2mg, orally q12 hours |
| CF101 3mg | EXPERIMENTAL | CF101 3mg, orally q12 hours |
| Apremilast 30mg | ACTIVE_COMPARATOR | Apremilast 30mg, orally q12 hours |
| CF101 0.1 mg | EXPERIMENTAL | Subjects were randomized to receive CF 101 0.1mg, orally, twice daily for 24 weeks |
| CF101 1 mg | EXPERIMENTAL | Subjects were randomized to receive CF 101 1.0mg, orally, twice daily for 24 weeks |
| Piclidenoson (CF101) open-label treated patients | EXPERIMENTAL | Piclidenoson will be administered orally at a dose of 3 mg twice per day for 6 months |
| Piclidenoson | EXPERIMENTAL | Piclidenoson 2 mg every 12 hours orally added to standard of care |
| CF101 2 mg | EXPERIMENTAL | CF101 2mg oral tablets |
| CF101 1mg | EXPERIMENTAL | CF101 1mg orally q12 hours |
| CF101 4mg | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| piclidenoson | DRUG | Piclidenoson is a selective A3AR agonist, supplied as tablets. |
| Placebo | DRUG | Inactive control |
| CF101 2mg | DRUG | CF101 tablets, 2mg BID for 16 weeks |
| CF101 3mg | DRUG | CF101 tablets, 3mg BID for 16 weeks |
| Apremilast 30mg | DRUG | Apremilast tablets, 30mg BID for 16 weeks |
| Placebo Oral Tablet | DRUG | Placebo tablets, BID for 16 weeks |
| CF101 | DRUG | orally q12h |
| Placebo for | DRUG | Matching placebo tablets orally every 12 hours for 16 weeks |
| Placebo control | DRUG | orally q12 hours |
| CF101 1mg | DRUG | CF101 1 mg q12 hours for 12 weeks |
| CF101 4mg | DRUG | CF101 4 mg q12 hours for 12 weeks |
Inclusion Criteria: 1. Male or female, 18 years and above; 2. Diagnosis of moderate-to-severe chronic plaque-type psoriasis with BSA involvement ≥10%; 3. PASI score ≥12 at the Screening and Baseline visits; 4. Static PGA ≥3 at the Screening and Baseline visits; 5. Candidate for systemic treatment o...
Piclidenoson is an investigational small molecule being studied for the treatment of Lowe Syndrome, plaque psoriasis, and COVID-19. It is being developed by Can-Fite Biopharma Ltd (CANF). The drug is currently in clinical trials, including a Phase 3 study for moderate-to-severe plaque psoriasis and Phase 2 studies for Lowe Syndrome and COVID-19.
Piclidenoson targets the ADORA3 receptor, acting as an agonist. This means it binds to and activates the adenosine A3 receptor. The drug is being investigated for its potential effects in conditions such as plaque psoriasis, Lowe Syndrome, and COVID-19, though its exact mechanism in these diseases is still under study.
Piclidenoson is being developed by Can-Fite Biopharma Ltd, a biopharmaceutical company traded under the ticker symbol CANF. The company is conducting clinical trials for the drug across multiple indications, including plaque psoriasis, Lowe Syndrome, and COVID-19.
Piclidenoson is in Phase 2 and Phase 3 clinical development. It has a completed Phase 2 trial for COVID-19, a Phase 2 trial for Lowe Syndrome that has not yet started recruiting, and a Phase 3 trial for plaque psoriasis that is also not yet recruiting. The drug is investigational and not yet approved.
Piclidenoson has three registered clinical trials. NCT04333472 is a completed Phase 2 study for COVID-19 with 6 participants. NCT06643260 is a planned Phase 3 study for moderate-to-severe plaque psoriasis with 705 participants. NCT07410455 is a planned Phase 2 pilot study for Lowe Syndrome with 5 participants.
Piclidenoson is also known by the code name CF101. The drug is being developed by Can-Fite Biopharma for multiple indications, including plaque psoriasis, Lowe Syndrome, and COVID-19. It is an adenosine A3 receptor agonist currently in clinical trials.