SELECT - PsA 1
Brief summary
This is a Phase 3 multicenter study that includes two periods. Period 1 is designed to compare the safety, tolerability, and efficacy of an active drug Dose A once daily (QD) and Dose B QD versus placebo and versus an active drug every other week (eow) in participants with moderately to severely active Psoriatic Arthritis (PsA) and have an inadequate response to non-biologic DMARDs (DMARD-IR). Period 1 is also designed to compare the efficacy of an active drug Dose A QD and Dose B QD versus placebo for the prevention of structural progression. Period 2 evaluates the safety, tolerability and efficacy of an active drug Dose A QD and Dose B QD in participants with PsA who have completed Period 1.
Interventional study
- 1
- 2
- 3
- 4
Age:
18 Years and older.
Inclusion Criteria:
- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the
Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR)
criteria.
- Participant has active disease at Baseline defined as >= 3 tender joints (based on
68 joint counts) and >= 3 swollen joints (based on 66 joint counts) at Screening and
Baseline Visits.
- Presence of either at Screening:
1. >= 1 erosion on x-ray as determined by central imaging review or;
2. high-sensitivity C-reactive protein (hs-CRP) > laboratory defined upper limit
of normal (ULN).
- Diagnosis of active plaque psoriasis or documented history of plaque psoriasis.
- Participant has had an inadequate response (lack of efficacy after a minimum 12 week
duration of therapy) to previous or current treatment with at least 1 non-biologic
DMARD at maximally tolerated dose (methotrexate (MTX), sulfasalazine (SSZ),
leflunomide (LEF), cyclosporine, apremilast, bucillamin or iguratimod), or
participant has an intolerance to or contraindication for DMARDs as defined by the
investigator.
- Participant who is on current treatment with concomitant non-biologic DMARDs at
study entry must be on <= 2 non-biologic DMARDs (except the combination of MTX and
leflunomide). The following non-biologic DMARDs are allowed: MTX, sulfasalazine,
leflunomide, apremilast, hydroxychloroquine (HCQ) , bucillamine or iguratimod, and
have been ongoing for >= 12 weeks and at stable dose for >= 4 weeks prior to the
Baseline Visit. No other DMARDs are permitted during the study.
i. Participants who need to discontinue DMARDs prior to the Baseline Visit to comply
with this inclusion criterion must follow the procedure specified below or at least
five times the mean terminal elimination half-life of a drug:
1. >= 8 weeks for LEF if no elimination procedure was followed, or adhere to an
elimination procedure (i.e., 11 days with cholestyramine, or 30 days washout
with activated charcoal or as per local label);
2. >= 4 weeks for all others.
Exclusion Criteria:
- Prior exposure to any Janus Kinase (JAK) inhibitor (including but not limited to
ruxolitinib, tofacitinib, baricitinib, and filgotinib).
- Current treatment with > 2 non-biologic DMARDs; or use of DMARDs other than
methotrexate, sulfasalazine, leflunomide, apremilast, hydroxychloroquine,
bucillamine, or iguratimod; or use of methotrexate in combination with leflunomide.
- History of fibromyalgia, any arthritis with onset prior to age 17 years, or current
diagnosis of inflammatory joint disease other than PsA (including, but not limited
to rheumatoid arthritis, gout, overlap connective tissue diseases, scleroderma,
polymyositis, dermatomyositis, systemic lupus erythematosus). Prior history of
reactive arthritis or axial spondyloarthritis including ankylosing spondylitis and
nonradiographic axial spondyloarthritis is permitted if documentation of change in
diagnosis to PsA or additional diagnosis of PsA is made. Prior history of
fibromyalgia is permitted if documentation of change in diagnosis to PsA or
documentation that the diagnosis of fibromyalgia was made incorrectly.
