Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of CC-90006 in Subjects With Mild to Moderate Plaque-type Psoriasis



Status:Recruiting
Conditions:Psoriasis
Therapuetic Areas:Dermatology / Plastic Surgery
Healthy:No
Age Range:18 - 60
Updated:5/23/2018
Start Date:December 21, 2017
End Date:August 30, 2019
Contact:Associate Director Clinical Trial Disclosure
Email:clinicaltrialdisclosure@celgene.com
Phone:1-888-260-1599

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A Phase 1, Multi-center, Randomized, Double-blind, Placebo-controlled, Multiple-dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CC-90006 Administered Subcutaneously in Patients With Plaque-type Psoriasis

This is a multi-center, randomized, double-blind, placebo-controlled study to evaluate the
safety, tolerability, Pharmacokinetics (PK), Pharmacodynamics (PD), and immunogenicity of
CC-90006 following administration of multiple subcutaneous doses in subjects with mild to
moderate plaque-type psoriasis.

The study will be conducted in subjects with mild to moderate plaque-type psoriasis.

The study will consist of escalating multiple (three) doses in sequential groups.
Approximately 40 subjects with plaque-type psoriasis will be enrolled into approximately 4
planned dose cohorts.

Each cohort will study a different CC-90006 dose level and have ten subjects; eight subjects
will receive CC-90006 and two subjects will receive placebo. Subjects will be dosed according
to a computer-generated randomization scheme. Dosing will occur on Days 1, 15 (Week 2), and
29 (Week 4). During the study, blood samples and punch biopsies will be collected to
determine the amount of CC-90006 in the body and to evaluate its effect on the subject's
condition. Subjects will return to the clinic for regular follow up visits for safety, PK,
and PD. A follow up phone call to each subject to determine general health will occur on Day
141 (week 20).

Inclusion Criteria:

The following is a summary of the inclusion criteria:

1. Males or non-pregnant females between the ages of 18 and 60 years (inclusive) at the
time of signing the ICF, and be willing to adhere to the requirements of contraception
use throughout the study.

1. Female subjects who claim to be surgically sterile (hysterectomy, bilateral
oophorectomy, or bilateral salpingo-oophorectomy; proper documentation required)
must have undergone the procedure at least 6 months before screening,

2. Females who claim to be postmenopausal (defined as 24 consecutive months without
menses before screening, should have a confirmed follicle-stimulating hormone
[FSH] level of > 40 IU/L at screening).

3. All other females must:

i. Have two negative pregnancy tests (at screening and baseline) as verified by the
Investigator prior to starting study treatment. She must agree to ongoing pregnancy
testing during the course of the study, and after end of study treatment. This applies
even if the subject practices true abstinence from heterosexual contact.

ii. Either commit to true abstinence from heterosexual contact or agree to use two
forms of reliable contraception simultaneously. One must be a highly effective method
and one additional effective (barrier) method, and both must be practiced without
interruption, 28 days prior to starting investigational product, during the study
therapy (including dose interruptions), and for 4 months after discontinuation of
study therapy.

d. Males must practice true abstinence1 (which must be reviewed on a monthly basis and
source documented) or agree to use a barrier method of birth control (condoms not made
out of natural [animal] membrane [latex condoms are recommended]) during sexual
contact with a pregnant female or FCBP2 while participating in the study, during dose
interruptions, and for at least 4 months after the last dose of IP, even if he has
undergone a successful vasectomy.

2. Must be diagnosed with mild to moderate plaque-type psoriasis at least 6 months prior
to baseline (Day 1).

3. Must have a PASI ≤ 15 at screening and baseline (Day 1).

4. Must have a body surface area affected score (BSA) ≥ 1 and sPGA ≥ 3 at screening and
baseline (Day 1).

5. Must have at least two plaques, at least 3 x 3 centimeters(cm) in diameter. One plaque
will be used for punch biopsy and the other for TPSS evaluation.

6. Other than the diagnosed condition of mild to moderate plaque-type psoriasis, the
subject must be in good health as determined by a physical examination (PE) at
screening.

7. Has a body mass index (BMI) ≥ 18 and ≤ 35 kg/m2 at screening.

8. For all other clinical laboratory safety test parameters, the subject has results
within normal limits or judged to be not clinically significant by the Investigator.

Exclusion Criteria:

The following is a summary of the exclusion criteria:

1. Presence of any significant medical condition, laboratory abnormality, or psychiatric
illness which places him or her at unacceptable risk by participating in the study, or
that would that would prevent the subject from participating in the study for other
reasons, or would confound the ability to interpret data from the study.

2. History of cancer.

3. Presence of cancer or pre-cancerous conditions,

4. Presence of confirmed cervical dysplasia.

5. Presence of a systemic infection or any potentially opportunistic infections (eg,
atypical mycobacterial, CMV, Clostridium difficile, multifocal herpetic, etc).

(Immunologic disorders such as rheumatoid arthritis, lupus, asthma, and any
immunodeficiency are exclusionary.)

6. Presence of latent tuberculosis infection and/or active tuberculosis disease, as
tested using QuantiFERON-TB Gold test (or equivalent). Subjects with a history of TB
who have completed treatment (documented) may be eligible for the study.

7. History of serum hepatitis, or a confirmed carrier of hepatitis B surface antigen
(HBsAg), or hepatitis B core antibody (HBcA), or hepatitis C virus antibody (HCV Ab),
or who has a positive HIV antibody test.

8. Presence of non-plaque psoriasis (erythrodermic, guttate, inverse, or pustular
psoriasis).

9. Presence of dermatological diseases other than plaque psoriasis, including but not
limited to seborrheic dermatitis, lichen simplex chronicus, atopic dermatitis,
nummular eczema, superficial fungal infections, subacute cutaneous lupus
erythematosus, pityriasis rubra pilaris, crusted scabies, cutaneous T cell lymphoma

10. Use of topical therapy for psoriasis within 14 days of first dosing (including but not
limited to corticosteroids, retinoids, vitamin D analog, calcineurin inhibitors,
salicylic acid).

11. Use of systemic therapy for psoriasis within 30 days of first dose administration.

12. Use of phototherapy for psoriasis within 30 days of first dose administration.

13. Use of systemic biologics treatment for psoriasis within 24 weeks of first dose
administration.

14. Exposure to an immunosuppressive or immunomodulatory drug within 30 days of first dose
administration, or five half-lives of the drug (whichever is longer).

15. Exposure to an investigational drug (new chemical entity) within 30 days preceding the
first dose administration, or five half-lives of that investigational drug, if known
(whichever is longer).

16. Smoking > 10 cigarettes per day, or the equivalent in other tobacco products
(self-reported).

17. Vaccination within 30 days prior to the first dose administration or subject has plans
to receive a vaccination during the course of the study.
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