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Ixekizumab Dosing Regimens 1, 2, and 3

Phase 3

Psoriasis | Monoclonal antibody | Dermatology |Eli Lilly and Company|Last Updated: Oct 3, 2019

Target and mechanism

Molecular targetIL17A
Target classInhibitor
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment1,296

FDA Designations

No designations recorded

Clinical trial landscape

Ixekizumab Dosing Regimens 1, 2, and 3 · 1 trial · 1 indication

Phase 3 1
NCT01474512A Phase 3 Study in Participants With Moderate to Severe PsoriasisPsoriasis
COMPLETED1,296 Analytics
PHASE3COMPLETED
A Phase 3 Study in Participants With Moderate to Severe Psoriasis
PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Static Physician Global Assessment (sPGA) of 0 or 1 (Efficacy of Ixekizumab in Participants With Moderate to Severe Plaque Ps Measure: sPGA)
Week 12

The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline.

Percentage of Participants Achieving ≥75% Improvement in Ps Area and Severity Index (PASI75) (Efficacy of Ixekizumab in Participants With Moderate to Severe Plaque Psoriasis Measure: PASI)
Week 12

The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor \[head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)\]. Overall scores range from 0 (no Ps) to 72 (the most severe disease). Participants achieving PASI75 were defined as having an improvement of ≥75% in the PASI score compared to baseline.

Secondary Endpoints

Percentage of Participants Achieving an sPGA of 0 (Efficacy of Ixekizumab in Participants With Moderate to Severe Plaque Ps Measure: sPGA)
Week 12
Percentage of Participants Achieving PASI 90% (PASI90) or 100% (PASI100) (Efficacy of Ixekizumab in Participants With Moderate to Severe Plaque Ps Measure: PASI)
Week 12
Percentage of Participants Maintaining sPGA 0 or 1 After Re-Randomization at Start of Maintenance Dosing Period
Week 60
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
80 milligrams (mg) Ixekizumab Dosing Regimen 1 (Q2W)EXPERIMENTALAdministered as two 80-mg subcutaneous (SC) injections at Week 0, then one 80-mg SC injection per Dosing Regimen 1 \[every 2 weeks (Q2W)\] up to and including Week 10. At Week 12, arm is re-randomized to placebo, Dosing Regimen 2 \[every 4 weeks (Q4W)\] or Dosing Regimen 3 \[every 12 weeks Q12W)\].
80 mg Ixekizumab Dosing Regimen 2 (Q4W)EXPERIMENTALAdministered as two 80-mg SC injections at Week 0, then one 80-mg SC injection per Dosing Regimen 2 (Q4W) up to and including Week 10. At Week 12, arm is re-randomized to placebo, Dosing Regimen 2 (Q4W) or Dosing Regimen 3 (Q12W).
80 mg Ixekizumab Dosing Regimen 3 (Q12W)EXPERIMENTALDosing Regimen 3 (Q12W) is not used until Week 12. At Week 12, participants who were re-randomized to this arm were administered one 80-mg SC injection Q12W.
PlaceboPLACEBO_COMPARATORAdministered as 2 SC injections at Week 0, then 1 SC injection per Dosing Regimen 1 (Q2W) up to and including Week 10. At Week 12, arm is re-randomized to placebo or Dosing Regimen 2 (Q4W).

Interventions

NameTypeDescription
80 mg Ixekizumab Dosing Regimens 1, 2, and 3DRUGAdministered SC
PlaceboDRUGAdministered SC
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites104

Inclusion Criteria: * Present with chronic plaque psoriasis based on a confirmed diagnosis of chronic psoriasis vulgaris for at least 6 months prior to randomization * At least 10% Body Surface Area (BSA) of Psoriasis at screening and at randomization * Static Physician Global Assessment (sPGA) sco...

Countries:United StatesAustraliaCanadaDenmarkGermanyHungaryItalyJapanPolandRomaniaUnited Kingdom
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Frequently asked questions about Ixekizumab Dosing Regimens 1, 2, and 3

What is Ixekizumab Dosing Regimens 1, 2, and 3 used for?

Ixekizumab Dosing Regimens 1, 2, and 3 is an investigational treatment evaluated for moderate to severe psoriasis. It was studied in a Phase 3 trial in adults with this skin condition. The regimens refer to different dosing schedules of ixekizumab, a monoclonal antibody developed by Eli Lilly and Company.

What does Ixekizumab Dosing Regimens 1, 2, and 3 target?

Ixekizumab Dosing Regimens 1, 2, and 3 targets interleukin-17A (IL-17A). It is an inhibitor of this cytokine, which is involved in inflammatory pathways associated with psoriasis. By targeting IL-17A, the drug aims to reduce inflammation that drives the condition.

Who is developing Ixekizumab Dosing Regimens 1, 2, and 3?

Eli Lilly and Company (ticker: LLY) is the developer of Ixekizumab Dosing Regimens 1, 2, and 3. The company is responsible for the clinical development of this monoclonal antibody for psoriasis.

What phase is Ixekizumab Dosing Regimens 1, 2, and 3 in?

Ixekizumab Dosing Regimens 1, 2, and 3 is in Phase 3 development. The single Phase 3 trial for this asset has been completed. It is an investigational treatment and has not been approved by the FDA for the studied indication.

What clinical trials is Ixekizumab Dosing Regimens 1, 2, and 3 in?

Ixekizumab Dosing Regimens 1, 2, and 3 was studied in one Phase 3 clinical trial, NCT01474512, titled "A Phase 3 Study in Participants With Moderate to Severe Psoriasis." The trial enrolled 1,296 participants, was randomized, double-blind, and placebo-controlled, and is now completed.