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Ixekizumab Q4W

Phase 3

Psoriatic Arthritis | Small molecule | Immunology |Eli Lilly and Company|Last Updated: Jul 1, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment363

FDA Designations

No designations recorded

Clinical trial landscape

Ixekizumab Q4W · 1 trial · 1 indication

Phase 3 1
NCT02349295A Study of Ixekizumab (LY2439821) in Participants With Active Psoriatic ArthritisPsoriatic Arthritis
COMPLETED363 Analytics
PHASE3COMPLETED
A Study of Ixekizumab (LY2439821) in Participants With Active Psoriatic Arthritis
Psoriatic ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving American College of Rheumatology 20 Index (ACR20)
Week 24

ACR20 response is defined as a greater than or equal to (≥) 20% improvement from baseline for tender joint count (TJC) and swollen joint count (SJC) and in at least 3 of the following 5 criteria: Participant's assessment of Joint Pain visual analog scale (VAS), Participant's Global Assessment of Disease Activity VAS (PatGA), Physician's Global Assessment of the Disease Activity VAS (PGA), Participant's Assessment of Physical Function using the Health Assessment Questionnaire Disability Index (HAQ-DI), or Acute Phase Reactant as measured by high sensitivity C-reactive protein (hs-CRP).

Secondary Endpoints

Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score
Baseline, Week 24
Percentage of Participants Achieving ACR20
Week 12
Percentage of Participants Achieving American College of Rheumatology 50 Index (ACR50)
Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ixekizumab 80 milligram (mg) every 2 Weeks (Q2W)EXPERIMENTALBlinded Treatment Period (Week(wk) 0-24): Participants (pts) received a starting dose of 160 mg of ixekizumab (ixe) given as 2 subcutaneous (SC) injections at Wk 0 followed by 1 SC injection of 80 mg of ixe Q2W given on Wks 2,4,6,8,10,12,14,16,18,20,22, and 24.Week 16 inadequate responders (IR) from the placebo treatment group who were re-randomized (1:1) to ixe 80 mg Q2W and IR from ixekizumab 80 mg Q2W who continued on ixekizumab 80 mg Q2W. Pts receive rescue therapy while receiving ixekizumab given as 1 injection of 80 mg Q2W given on Wks 16,18,20,22,24. Extension Period (Wk24-156):Pts who were randomized to ixe 80 mg Q2W at week 0 and continued on ixe 80 mg Q2W during the Extension Period. Pts who received ixekizumab 80 mg Q2W,who were either completed the study or discontinued the study early entered the post-treatment follow-up period (12-24 weeks).
Ixekizumab 80 mg Q4WEXPERIMENTALBlinded Treatment Period (Week 0-24): Participants (pts) received a starting dose of 160 mg of ixekizumab (ixe) given as 2 subcutaneous (SC) injections at Wk 0 followed by 1 SC injection of 80 mg of ixe Q4W given on Wks 4, 8 and 12 alternating with placebo for ixe injections Q4W given on Wks 2,6,10,14,18, and 22.Week 16 inadequate responders (IR) from the placebo treatment group who were re-randomized (1:1) to ixe 80 mg Q4W and IR from ixekizumab 80 mg Q4W who continued on ixekizumab 80 mg Q4W. Pts receive rescue therapy while receiving ixekizumab given as 1 injection of 80 mg Q4W given on Wks 16 and 20 alternating with placebo for ixe injections Q4W given on Wks 18 and 22.Extension Period (Wk24-156):Pts who were randomized to ixe 80 mg Q4W at week 0 and continued on ixe 80 mg Q4W during the Extension Period.Pts who received ixekizumab 80 mg Q4W,who were either completed the study or discontinued the study early entered the post-treatment follow-up period (12-24 weeks).
PlaceboPLACEBO_COMPARATORBlinded Treatment Period (Wk 0-24): Pts received placebo for Ixe as 2 SC injections followed by 1 SC injection Q2W given on Wks 2,4,6,8,10,12,14,16,18,20,22 and 24. Pts initially randomized to placebo treatment group in the double blind treatment period,flagged as IR at Wk 16,re-randomized to ixe 80 mg Q2W/Q4W for the remainder of the current period and following period. Extended Treatment Period (Wk 24-156): Pts who were randomized to placebo at Week 0 then randomized to ixekizumab 80 mg Q2W/Q4W during the Extension Period.Pts who remained on placebo at the completion of the double blind treatment period received the first dose of ixe (160 mg starting dose) at Wk 24.Pts who were IRs at Wk 16 and were re-randomized to ixe at Wk 16 received the first dose of ixe (160 mg starting dose) at Wk 16. Pts who received placebo,who were either completed the study or discontinued the study early entered the post-treatment follow-up period (12-24 weeks).

Interventions

NameTypeDescription
PlaceboDRUGAdministered SC
Ixekizumab 80 mg Q4WDRUGAdministered SC
Ixekizumab 80 mg Q2WDRUGAdministered SC
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites109

Inclusion Criteria: * Presents with established diagnosis of active psoriatic arthritis (PsA) for at least 6 months, and currently meets Classification for Psoriatic Arthritis (CASPAR) criteria * Active PsA defined as the presence of at least 3 tender and at least 3 swollen joints * Presence of act...

Countries:United StatesAustraliaCzechiaFranceGermanyItalyPolandSpainTaiwanUnited Kingdom
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Frequently asked questions about Ixekizumab Q4W

What is Ixekizumab Q4W used for in psoriatic arthritis?

Ixekizumab Q4W is an investigational small molecule being studied for the treatment of active psoriatic arthritis. It is administered once every four weeks. The drug is currently in Phase 3 clinical development for this condition.

Who makes Ixekizumab Q4W?

Ixekizumab Q4W is being developed by Eli Lilly and Company, a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol LLY. The company is conducting clinical trials to evaluate the drug for psoriatic arthritis.

What phase is Ixekizumab Q4W in?

Ixekizumab Q4W is in Phase 3 clinical development for psoriatic arthritis. It is an investigational drug and has not been approved by regulatory authorities. A Phase 3 trial has been completed to evaluate its safety and efficacy.

What clinical trials has Ixekizumab Q4W been in?

Ixekizumab Q4W has been studied in a Phase 3 clinical trial with the identifier NCT02349295. This completed trial enrolled 363 participants with active psoriatic arthritis and was conducted in the United States, Australia, Czechia, France, Germany, Italy, Poland, Spain, Taiwan, and the United Kingdom.

Is Ixekizumab Q4W the same as LY2439821?

Yes, Ixekizumab Q4W is also known as LY2439821. In clinical trials, the drug is referred to by this alternative name. Both names refer to the same investigational drug being developed for psoriatic arthritis.