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NCT00078819

Etanercept (Enbrel®) in Psoriasis - Pediatrics

Completed Phase 3 Results posted Last updated 29 July 2019
What this trial tests

Phase 3 trial testing Etanercept in Psoriasis in 211 participants. Completed in 1 June 2007.

Timeline
8 September 2004
Primary endpoint
1 February 2006
1 June 2007

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment211
Start date8 September 2004
Primary completion1 February 2006
Estimated completion1 June 2007

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 4 to 17, any sex, with Psoriasis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Achieving a ≥ 75% Improvement in Psoriasis Area and Severity Index Score (PASI 75) at Week 12 Primary · Baseline and week 12

The percentage of participants who achieved 75% or greater improvement (decrease) from baseline in PASI score after 12 weeks of treatment. The PASI score is a combination of the intensity of psoriasis, assessed by erythema (reddening), induration (plaque thickness) and desquamation (scaling) scored on a scale from 0 (none) to 4 (very severe), together with the percentage of the area affected, rated on a scale from 0 (no involvement) to 6 (90% to 100% involvement). PASI scoring is performed at four body areas, the head, arms, trunk, and legs. The total PASI score ranges from 0 to 72. The higher

GroupValue95% CI
Placebo11.0
Etanercept57.0
Percentage of Participants Achieving a ≥ 50% Improvement in PASI Score (PASI 50) at Week 12 Secondary · Baseline and week 12

The percentage of participants who achieved 50% or greater improvement from baseline in PASI score after 12 weeks of treatment. PASI is a combination of the intensity of psoriasis, assessed by erythema (reddening), induration (plaque thickness) and desquamation (scaling) scored on a scale from 0 (none) to 4 (very severe), together with the percentage of the area affected, rated on a scale from 0 (no involvement) to 6 (90% to 100% involvement). PASI scoring is performed at four body areas, the head, arms, trunk, and legs. The total PASI score ranges from 0 to 72. The higher the total score, the

GroupValue95% CI
Placebo23
Etanercept75
Percentage of Participants Who Achieved a Static Physician Global Assessment (sPGA) Score of Clear (0) or Almost Clear (1) at Week 12 Secondary · Week 12

The sPGA is a static measurement based on induration, erythema, and scaling. The sPGA is assessed on a scale from 0 to 5: 0 = clear (no evidence of plaque elevation, erythema or scaling) 1. = almost clear (minimal plaque elevation, erythema or scaling) 2. = mild (mild plaque elevation or scaling, light red coloration) 3. = moderate (moderate plaque elevation, scaling, light red coloration) 4. = marked (marked plaque elevation, thick, non-tenacious scale predominates, bright red coloration) 5. = severe (severe plaque elevation, very thick tenacious scaling, dusky to deep red coloration). Par

GroupValue95% CI
Placebo13
Etanercept53
Percent Improvement From Baseline in Children's Dermatology Life Quality Index (CDLQI) at Week 12 Secondary · Baseline and week 12

The Children's Dermatology Life Quality Index (CDLQI) was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30, with lower scores indicating better quality of life. If participants were ≥ 13 years old, the text instrument was completed by the participants themselves. Participants ≥ 8 but \< 13 years old used the cartoon version of the instrument and participants ≤ 7 y

GroupValue95% CI
Placebo17.5± 8.3
Etanercept52.3± 6.1
Percentage of Participants Achieving a ≥ 90% Improvement in PASI Score (PASI 90) at Week 12 Secondary · Baseline and week 12

The percentage of participants who achieved 90% or greater improvement from baseline in PASI score after 12 weeks of treatment. The PASI score is a combination of the intensity of psoriasis, assessed by erythema (reddening), induration (plaque thickness) and desquamation (scaling) scored on a scale from 0 (none) to 4 (very severe), together with the percentage of the area affected, rated on a scale from 0 (no involvement) to 6 (90% to 100% involvement). PASI scoring is performed at four body areas, the head, arms, trunk, and legs. The total PASI score ranges from 0 to 72. The higher the total

GroupValue95% CI
Placebo7
Etanercept27
Number of Participants With Adverse Events During the Double-blind Treatment Period Secondary · 12 weeks

The severity assessment for adverse events and infections was done using the Common Toxicity Criteria (CTC) Version 2.0, where Grade 0 = no toxicity, Grade 1 = mild toxicity, Grade 2 = moderate toxicity, Grade 3 = severe toxicity, Grade 4 = life-threatening toxicity. Serious adverse events were any events that suggested a significant hazard or side effect, regardless of the investigator's or sponsor's opinion on the relationship to study medication. These included, but were not limited to, events at any dose that were fatal, life threatening, required in-patient hospitalization or prolonged h

Any adverse event
GroupValue95% CI
Placebo62
Etanercept68
Escape: Etanercept16
Non-infectious adverse event
GroupValue95% CI
Placebo46
Etanercept42
Escape: Etanercept9
Infection
GroupValue95% CI
Placebo33
Etanercept50
Escape: Etanercept9
Serious non-infectious adverse event
GroupValue95% CI
Placebo0
Etanercept0
Escape: Etanercept0
Serious infection
GroupValue95% CI
Placebo0
Etanercept0
Escape: Etanercept0
Death
GroupValue95% CI
Placebo0
Etanercept0
Escape: Etanercept0
Grade 3 non-infectious adverse event
GroupValue95% CI
Placebo3
Etanercept0
Escape: Etanercept0
Grade 3 infection
GroupValue95% CI
Placebo0
Etanercept0
Escape: Etanercept0
Etanercept Serum Concentration Secondary · Day 1 (predose), week 12, week 24, and week 48

Serum concentrations for etanercept were measured by using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification (LLOQ) was 0.627 ng/mL.

Day 1
GroupValue95% CI
Etanercept1.50± 3.13
Week 12
GroupValue95% CI
Etanercept1614± 828
Week 24
GroupValue95% CI
Etanercept2104± 1255
Week 48
GroupValue95% CI
Etanercept1650± 1126

Adverse events — posted to ClinicalTrials.gov

Time frame: Double-blind treatment period: 12 weeks Escape to etanercept: from time of escape to week 12 (maximum of 8 weeks) Open-label treatment period: 24 weeks Incomplete response: From date of incomplete response to week 48 (maximum of 24 weeks) Withdrawal Period: 12 weeks Re-treatment Period: From date of re-treatment to week 48 (maximum of 8 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Double-blind Period: Placebo
Serious: 0/105 (0%)
Deaths:
Double-blind Period: Etanercept 0.8 mg/kg QW
Serious: 0/106 (0%)
Deaths:
Double-blind Period: Escape to Etanercept 0.8 mg/kg QW
Serious: 0/32 (0%)
Deaths:
Open-label Period: Etanercept 0.8 mg/kg QW
Serious: 0/208 (0%)
Deaths:
Open-label Period Incomplete Response: Etanercept 0.8 mg/kg QW
Serious: 0/59 (0%)
Deaths:
Withdrawal Period: Placebo
Serious: 0/69 (0%)
Deaths:
Withdrawal Period: Etanercept 0.8 mg/kg QW
Serious: 0/68 (0%)
Deaths:
Re-treatment Period: Placebo/Etanercept 0.8 mg/kg QW
Serious: 0/30 (0%)
Deaths:
Re-treatment Period: Etanercept / Etanercept 0.8 mg/kg QW
Serious: 0/12 (0%)
Deaths:
Other adverse events (35 terms — click to expand)

ReactionSystemDouble-blind Period: PlaceboDouble-blind Period: Etane…Double-blind Period: Escap…Open-label Period: Etanerc…Open-label Period Incomple…Withdrawal Period: PlaceboWithdrawal Period: Etanerc…Re-treatment Period: Place…Re-treatment Period: Etane…
Upper Respiratory Tract InfectionInfections and infestations
HeadacheNervous system disorders
NasopharyngitisInfections and infestations
InfluenzaInfections and infestations
Pharyngolaryngeal PainRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Pharyngitis StreptococcalInfections and infestations
Nasal CongestionRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
GastroenteritisInfections and infestations
Gastroenteritis ViralInfections and infestations
PharyngitisInfections and infestations
Skin PapillomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Injection Site BruisingGeneral disorders
PyrexiaGeneral disorders
SinusitisInfections and infestations
Abdominal Pain UpperGastrointestinal disorders
Otitis MediaInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
AcneSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
Ear InfectionInfections and infestations
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Skin InfectionInfections and infestations
DizzinessNervous system disorders
Injection Site ReactionGeneral disorders
Abdominal PainGastrointestinal disorders
Injection Site PainGeneral disorders
FolliculitisInfections and infestations
PsoriasisSkin and subcutaneous tissue disorders
Seasonal AllergyImmune system disorders
Guttate PsoriasisSkin and subcutaneous tissue disorders
Body TineaInfections and infestations
Conjunctivitis ViralInfections and infestations

Data from ClinicalTrials.gov NCT00078819 adverse events section.

Sponsor's own description

This study will evaluate the safety and efficacy of etanercept (Enbrel®) in children with Psoriasis.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Etanercept treatment for children and adolescents with plaque psoriasis.
    Paller AS, Siegfried EC, Langley RG, Gottlieb AB, et al · · 2008 · cited 244× · PMID 18199863 · DOI 10.1056/nejmoa066886
  2. Biologic disease modifying antirheumatic drugs and Janus kinase inhibitors in paediatric rheumatology - what we know and what we do not know from randomized controlled trials.
    Welzel T, Winskill C, Zhang N, Woerner A, et al · · 2021 · cited 19× · PMID 33766063 · DOI 10.1186/s12969-021-00514-4
  3. Biologics and Small Molecule Targeted Therapies for Pediatric Alopecia Areata, Psoriasis, Atopic Dermatitis, and Hidradenitis Suppurativa in the US: A Narrative Review.
    Yi RC, Moran SK, Gantz HY, Strowd LC, et al · · 2024 · cited 7× · PMID 39201826 · DOI 10.3390/children11080892
  4. Understanding efficacy-safety balance of biologics in moderate-to-severe pediatric psoriasis.
    Golhen K, Winskill C, Theiler M, Buettcher M, et al · · 2022 · cited 6× · PMID 36226155 · DOI 10.3389/fmed.2022.944208
  5. Efficacy and safety of biological agents for the treatment of pediatric patients with psoriasis: A bayesian analysis of six high-quality randomized controlled trials.
    Cai XC, Ru Y, Liu L, Sun XY, et al · · 2022 · cited 6× · PMID 36081503 · DOI 10.3389/fimmu.2022.896550
  6. Pediatric psoriasis: Biologics and oral small molecule inhibitors in modern therapy.
    Firek A, Castelo-Soccio L. · · 2025 · cited 1× · PMID 39950181 · DOI 10.1016/j.jdrv.2024.12.008

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00078819.

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