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Cyclosporine A microemulsion

Phase 3

Chronic Plaque Psoriasis | Small molecule | Dermatology |Novartis AG|Trials Updated: Sep 22, 2014

Cyclosporine A microemulsion development status

Highest phase Phase 3
Registered trials 6 across 3 sponsors since Oct 2002

Cyclosporine A microemulsion target and mechanism

Molecular targetPPIA
Target classModulator
ModalitySmall molecule
ChEMBLCHEMBL160

Also known as Neoral

Success Probability

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Market & Valuation

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Trial Design

RandomizedPLACEBO_CONTROLLED
Total Trials2
Total Enrollment283

FDA Designations

No designations recorded

Cyclosporine A microemulsion clinical trials

Cyclosporine A microemulsion · 2 trials · 4 indications

Phase 3 1Phase 1 1
NCT00438360Efficacy and Safety of Cyclosporine A Microemulsion in Maintenance Patients With Chronic Plaque PsoriasisChronic Plaque Psoriasis
COMPLETED243 Analytics
PHASE3COMPLETED
Efficacy and Safety of Cyclosporine A Microemulsion in Maintenance Patients With Chronic Plaque Psoriasis
Chronic Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Relapse Rate (Success or Failure), as Assessed by Psoriasis Area and Severity Index (PASI) Score
24 weeks

PASI is an index used for assessing and grading the severity of psoriatic lesions and their response to therapy. The PASI produces a numeric score that can range from 0 (best) to 72 (worst), with the highest score representing complete erythroderma of severest degree. Relapse is considered a worsening of psoriasis associated to a PASI score \>75% of PASI score recorded before starting induction therapy with CsA (before study start). Each patient was considered as failure (relapse occurrence) if rate was \>= 75%. In all the other cases the patient was considered as success (no relapse).

compare timing & severity of recurrent chronic HCV disease Neoral versus Prograf

Secondary Endpoints

Proportion of Participants With Clinical Relapse
24 weeks
Change From Baseline in Psoriasis Area and Severity Index (PASI) Score
baseline and week 24
Change From Baseline in Body Surface Area (BSA) Affected by Psoriasis
Baseline and week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cyclosporine AACTIVE_COMPARATOROral soft gelatin capsules of cyclosporine 10 mg, 25 mg, 50 mg or 100 mg administered twice a week for 24 weeks at the dosage of 5 mg/Kg/day in two daily administrations
PlaceboPLACEBO_COMPARATOROral soft gelatin capsules of placebo matching cyclosporine administered twice a week for 24 weeks in two daily administrations

Interventions

NameTypeDescription
Cyclosporine A microemulsionDRUGOral soft gelatin capsules of Cyclosporine 10 mg, 25 mg, 50 mg or 100 mg administered twice a week for 24 weeks at the dosage of 5 mg/Kg/day in two daily administrations
PlaceboDRUGOral soft gelatin capsules of placebo matching cyclosporine administered twice a week for 24 weeks in two daily administrations
NeoralDRUG -
TacrolimusDRUG -
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion criteria: * Outpatients 18 years of age and older (max 65 years) * Patients with chronic plaque psoriasis on disease remission (i.e. PASI ≤75% of PASI before cyclosporine continuous treatment course) entering a maintenance period * Disease remission obtained with only cyclosporine as syst...

Countries:ItalyUnited States
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Frequently asked questions about Cyclosporine A microemulsion

What is Cyclosporine A microemulsion?

Cyclosporine A microemulsion is a small molecule formulation of cyclosporine A developed by Novartis AG for the treatment of chronic plaque psoriasis. It is a microemulsion-based version of the drug designed to improve absorption. It is currently in Phase 3 clinical development for this dermatologic indication.

What is Cyclosporine A microemulsion used for?

Cyclosporine A microemulsion is being developed for chronic plaque psoriasis, a common inflammatory skin condition. It is intended for maintenance patients with this condition. The development program is in Phase 3 and the drug is investigational, meaning it has not been approved for this use.

What does Cyclosporine A microemulsion target?

Cyclosporine A microemulsion targets PPIA, also known as peptidyl-prolyl cis-trans isomerase A, which is a modulator target. By binding to this target, the drug interferes with T-cell activation pathways involved in immune-mediated inflammation. This mechanism underlies its development for chronic plaque psoriasis.

Who makes Cyclosporine A microemulsion?

Cyclosporine A microemulsion is developed by Novartis AG, which trades under the ticker NVS. Novartis is the sponsor of the clinical program evaluating this microemulsion formulation for chronic plaque psoriasis.

What phase is Cyclosporine A microemulsion in?

Cyclosporine A microemulsion is in Phase 3 development for chronic plaque psoriasis. It is an investigational therapy and has not been approved by the FDA for this indication. The Phase 3 trial has been completed.

What clinical trials is Cyclosporine A microemulsion in?

Cyclosporine A microemulsion has been studied in one completed Phase 3 trial, NCT00438360, titled Efficacy and Safety of Cyclosporine A Microemulsion in Maintenance Patients With Chronic Plaque Psoriasis. The trial enrolled 243 participants in Italy, was randomized and placebo-controlled, and included adults 18 years and older of all sexes.