Ignite Creation Date:
2025-12-26 @ 11:09 AM
Ignite Modification Date:
2026-01-13 @ 6:54 PM
Study NCT ID:
NCT06586112
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2025-12-09
First Post:
2024-08-14
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24', 'removedCountries': ['Belgium']}, 'interventionBrowseModule': {'meshes': [{'id': 'C505730', 'term': 'apremilast'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 840}}, 'statusModule': {'overallStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2024-07-25', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-12', 'completionDateStruct': {'date': '2025-12', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-03', 'studyFirstSubmitDate': '2024-08-14', 'studyFirstSubmitQcDate': '2024-09-03', 'lastUpdatePostDateStruct': {'date': '2025-12-09', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2024-09-19', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-09-19', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'To determine whether ESK-001 reduces the severity of psoriasis by 75% (using the PASI) or by at least 2 points (using sPGA score) compared to placebo', 'timeFrame': '16 weeks', 'description': 'Proportion of participants achieving ≥75% reduction in PASI score. Proportion of participants achieving a score of 0 or 1 on sPGA.'}], 'secondaryOutcomes': [{'measure': 'To compare the Psoriasis Area and Severity Index (PASI-90 and PASI-100) between ESK-001 and placebo or apremilast', 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving of ≥90% or 100% reduction in PASI'}, {'measure': 'To compare the Psoriasis Area and Severity Index (PASI-75) between ESK-001 and apremilast', 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving of ≥75% reduction in PASI'}, {'measure': "To compare the Static Physician's Global Assessment (sPGA-0/1) between ESK-001 and apremilast", 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving a score of 0 or 1 on sPGA'}, {'measure': 'To compare the affected body surface area (%BSA) between ESK-001 and placebo or apremilast', 'timeFrame': '24 weeks', 'description': 'Change from baseline in %BSA'}, {'measure': "To compare the scalp specific Physician's Global Assessment (ssPGA) between ESK-001 and placebo or apremilast.", 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving a score of 0 or 1 on ssPGA'}, {'measure': 'To compare the Psoriasis Symptoms and Signs Diary (PSSD) between ESK-001 and placebo or apremilast', 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving a score of 0'}, {'measure': 'To compare the Dermatology Life Quality Index (DLQI) between ESK-001 and placebo or apremilast', 'timeFrame': '24 weeks', 'description': 'Proportion of participants achieving a score of 0 or 1'}, {'measure': 'To compare the Pruritus numeric rating scale (NRS) between ESK-001 and placebo', 'timeFrame': '24 weeks', 'description': 'Change from baseline in Pruritus NRS'}, {'measure': 'Proportion of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)', 'timeFrame': '24 weeks', 'description': 'Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)'}, {'measure': 'To characterize the pharmacokinetics of ESK-001', 'timeFrame': '24 weeks', 'description': 'Maximum \\[Cmax\\] and minimum \\[Cmin\\] plasma concentration'}]}, 'oversightModule': {'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Plaque Psoriasis']}, 'descriptionModule': {'briefSummary': "The goal of this clinical trial is to learn if ESK-001 works to treat moderate to severe plaque psoriasis. The main questions it aims to answer are:\n\n* Does ESK-001 reduce the severity of people's psoriasis?\n* How safe is ESK-001 in people with moderate to severe plaque psoriasis?\n\nThe study includes 2 comparators: a placebo control (a 'dummy' tablet that does not contain the medicine ESK-001 but looks just like it) and an active control (apremilast, which is a medicine approved to treat psoriasis).\n\nPeople taking part in this study must be men or women aged at least 18 years and have had plaque psoriasis for at least 6 months, currently moderate to severe.\n\nParticipants will:\n\n* take drug every day for 24 weeks.\n* visit the clinic for checkups and tests.\n* fill out questionnaires about their psoriasis, itch severity, and change in quality of life.\n* be assessed for health issues and side effects, physical examinations, vital signs, heart electrical activity measurements, and psychological health.\n* provide blood and urine samples."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n1. Males or females, age ≥18 years\n2. Diagnosis of plaque psoriasis for ≥6 months\n3. Plaques covering ≥10% of BSA\n4. PASI ≥12\n5. sPGA ≥3\n6. Women of childbearing potential (WOCBP) and males who are sexually active with WOCBP must agree to adhere to highly effective methods of contraception\n\nExclusion Criteria:\n\n1. Nonplaque psoriasis or other inflammatory skin conditions\n2. immune-mediated conditions commonly associated with psoriasis (eg inflammatory bowel disease). Participants with psoriatic arthritis may participate\n3. Pregnant, lactating, or planning to get pregnant during the study\n4. Use of drugs prior to Study Day 1 that treat or may affect psoriasis:\n\n * Topical within 2 weeks\n * Phototherapy or any systemic treatments within 4 weeks\n * Any biologic agent targeted to IL-12 or IL-23 within 6 months, oral IL-12 or IL-23 or TNFα inhibitor within 2 months, or IL-17 within 4 months\n * Systemic immunosuppressants or immunomodulatory drugs within 4 weeks\n * Modulators of B cells within 6 months, or T cells within 3 months\n * JAK inhibitors or TYK2 inhibitors within 4 weeks\n * PDE4 inhibitor within 2 months\n * Any investigational agent, within 30 days or 5 half-lives or is currently enrolled in an investigational study\n5. Lack of clinical response to a TYK2, IL-12, or IL-23 targeted psoriasis treatment\n6. Participants with QTcF \\>450 msec (males) or \\>470 msec (females) at Screening\n7. Unstable cardiovascular disease, defined as a recent clinical deterioration or a cardiac hospitalization within the last 3 months\n8. Evidence of recent or recurrent herpes zoster or herpes simplex viral infection\n9. Evidence of active infection or positive test result for hepatitis B, hepatitis C, HIV or TB\n10. History of serious bacterial, fungal, or viral infections that led to hospitalization, or any recent serious infection requiring antibiotic treatment\n11. Any history of known or suspected congenital or acquired immunodeficiency state or condition that would compromise the participant's immune status\n12. Lab abnormalities indicating significant renal, hepatic or bone marrow dysfunction\n13. History of any immune-mediated or inflammatory medical condition for which participants requires current systemic corticosteroids\n\n \\* Stable doses of inhaled corticosteroids for treatment of asthma are allowed\n14. Known current malignancy or current evaluation for a potential malignancy or history of malignancy within the past 5 years prior to screening, except for adequately treated basal cell or squamous cell skin carcinoma or carcinoma in situ of the cervix\n15. Live vaccines within 4 weeks prior to Study Day 1\n16. Participant has planned surgery during the study period\n17. Any acute or chronic illness/condition or evidence of an unstable clinical condition that, in the opinion of the Investigator, will substantially increase the risk to the participant if he or she participates in the study\n18. History of mental illness within the last 5 years, unless receiving a fixed regimen of psychiatric medications for at least 6 months before screening or has not required or been prescribed any psychiatric medication within 12 months before screening\n19. Evidence of severe depressive symptoms or active suicidal ideation or behavior"}, 'identificationModule': {'nctId': 'NCT06586112', 'acronym': 'ONWARD1', 'briefTitle': 'A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis', 'organization': {'class': 'INDUSTRY', 'fullName': 'Alumis Inc'}, 'officialTitle': 'A Multicenter, Randomized, Double-Blind, Placebo and Active Comparator Controlled Phase 3 Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis (ONWARD1)', 'orgStudyIdInfo': {'id': 'ESK-001-016'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'ESK-001', 'description': 'ESK-001 administered as an oral tablet', 'interventionNames': ['Drug: ESK-001']}, {'type': 'PLACEBO_COMPARATOR', 'label': 'Placebo', 'description': 'Matching oral placebo', 'interventionNames': ['Drug: Placebo']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Apremilast', 'description': 'Apremilast administered as an oral capsule', 'interventionNames': ['Drug: Apremilast']}], 'interventions': [{'name': 'ESK-001', 'type': 'DRUG', 'description': 'ESK-001', 'armGroupLabels': ['ESK-001']}, {'name': 'Apremilast', 'type': 'DRUG', 'description': 'Apremilast', 'armGroupLabels': ['Apremilast']}, {'name': 'Placebo', 'type': 'DRUG', 'description': 'Placebo', 'armGroupLabels': ['Placebo']}]}, 'contactsLocationsModule': {'locations': [{'zip': '85032', 'city': 'Phoenix', 'state': 'Arizona', 'country': 'United States', 'facility': 'Alliance Dermatology', 'geoPoint': {'lat': 33.44838, 'lon': -112.07404}}, {'zip': '85260', 'city': 'Scottsdale', 'state': 'Arizona', 'country': 'United States', 'facility': 'Scottsdale Clinical Trials', 'geoPoint': {'lat': 33.50921, 'lon': -111.89903}}, {'zip': '72758-8600', 'city': 'Rogers', 'state': 'Arkansas', 'country': 'United States', 'facility': 'Northwest Arkansas Clinical Trials Center (NWACTC), PLLC', 'geoPoint': {'lat': 36.33202, 'lon': 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