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NCT00678561

Topical CP-690,550 For Chronic Plaque Psoriasis

Completed Phase 2 Results posted Last updated 31 December 2020
What this trial tests

Phase 2 trial testing CP-690,550 in Psoriasis in 81 participants. Completed in 24 July 2009.

Timeline
13 October 2008
Primary endpoint
9 July 2009
24 July 2009

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment81
Start date13 October 2008
Primary completion9 July 2009
Estimated completion24 July 2009
Sites20 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 65, 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.

Percent Change From Baseline in Target Plaque Severity Score (TPSS) at Week 4 Primary · Baseline, Week 4

TPSS: all target lesions were scored individually by the investigator for signs of induration, scaling, and erythema. For large target lesions only a portion of the lesion was treated and only the treated portion was rated. Each of the 3 signs was rated on a 5-point severity scale: 0 = none; 1 = slight; 2 = moderate; 3 = marked; 4 = very marked. Total score range for TPSS was 0 to 12, higher score indicated greater severity of disease.

GroupValue95% CI
2% CP-690,550 Once Daily2.38± 5.83
0.2% CP-690,550 Once Daily-4.76± 11.66
0.02% CP-690,550 Once Daily2.48± 11.50
Placebo Once Daily-4.17± 8.33
2% CP-690,550 Twice Daily-4.46± 9.23
0.2% CP-690,550 Twice Daily-1.77± 20.87
0.02% CP-690,550 Twice Daily-3.29± 21.34
Placebo Twice Daily-7.14± 20.11
Percentage of Participants With Success Based on Physician's Global Assessment (PGA) of Target Lesions Secondary · Week 4

PGA of Psoriasis: The investigator scored each target lesion on a 5-point scale, reflecting the erythema, induration and scaling separately for each target lesions. Each parameter was scored from 0 to 4, with appropriate morphologic descriptors. The 5-point scale for PGA was: 0, "clear"; 1, "almost clear"; 2, "mild"; 3, "moderate"; 4 "severe". The sum of the 3 scores was divided by 3 to obtain a final PGA score. Total score range: 0 to 4, higher score indicated greater severity of disease. Success was considered as PGA response of "clear" and "almost clear".

Active, Clear
GroupValue95% CI
2% CP-690,550 Once Daily0.0
0.2% CP-690,550 Once Daily0.0
0.02% CP-690,550 Once Daily0.0
Placebo Once Daily0.0
2% CP-690,550 Twice Daily6.7
0.2% CP-690,550 Twice Daily0.0
0.02% CP-690,550 Twice Daily0.0
Placebo Twice Daily0.0
Active, Almost Clear
GroupValue95% CI
2% CP-690,550 Once Daily0.0
0.2% CP-690,550 Once Daily0.0
0.02% CP-690,550 Once Daily0.0
Placebo Once Daily0.0
2% CP-690,550 Twice Daily13.3
0.2% CP-690,550 Twice Daily25.0
0.02% CP-690,550 Twice Daily33.3
Placebo Twice Daily14.3
Vehicle, Clear
GroupValue95% CI
2% CP-690,550 Once Daily0.0
0.2% CP-690,550 Once Daily0.0
0.02% CP-690,550 Once Daily0.0
Placebo Once Daily0.0
2% CP-690,550 Twice Daily0.0
0.2% CP-690,550 Twice Daily0.0
0.02% CP-690,550 Twice Daily0.0
Placebo Twice Daily0.0
Vehicle, Almost Clear
GroupValue95% CI
2% CP-690,550 Once Daily0.0
0.2% CP-690,550 Once Daily0.0
0.02% CP-690,550 Once Daily0.0
Placebo Once Daily0.0
2% CP-690,550 Twice Daily26.7
0.2% CP-690,550 Twice Daily25.0
0.02% CP-690,550 Twice Daily13.3
Placebo Twice Daily0.0
Percent Change From Baseline in Target Plaque Severity Score (TPSS) at Week 1, 2 and 3 Secondary · Baseline, Week 1, 2, 3

TPSS: all target lesions were scored individually by the investigator for signs of induration, scaling, and erythema. For large target lesions only a portion of the lesion was treated and only the treated portion was rated. Each of the 3 signs was rated on a 5-point scale: 0 = none; 1 = slight; 2 = moderate; 3 = marked; 4 = very marked. Total score range for TPSS was 0 to 12, higher score indicated greater severity of disease.

Week 1
GroupValue95% CI
2% CP-690,550 Once Daily0.00± 0.00
0.2% CP-690,550 Once Daily5.56± 13.61
0.02% CP-690,550 Once Daily-1.39± 9.74
Placebo Once Daily-16.67± 33.33
2% CP-690,550 Twice Daily-1.59± 28.97
0.2% CP-690,550 Twice Daily4.24± 16.30
0.02% CP-690,550 Twice Daily2.13± 11.59
Placebo Twice Daily-3.87± 7.19
Week 2
GroupValue95% CI
2% CP-690,550 Once Daily-5.56± 8.61
0.2% CP-690,550 Once Daily0.93± 8.90
0.02% CP-690,550 Once Daily0.69± 8.63
Placebo Once Daily0.00± 0.00
2% CP-690,550 Twice Daily-3.49± 16.24
0.2% CP-690,550 Twice Daily0.25± 9.82
0.02% CP-690,550 Twice Daily-4.55± 16.11
Placebo Twice Daily-4.42± 13.45
Week 3
GroupValue95% CI
2% CP-690,550 Once Daily0.00± 0.00
0.2% CP-690,550 Once Daily2.78± 6.80
0.02% CP-690,550 Once Daily8.73± 13.52
Placebo Once Daily-16.67± 28.87
2% CP-690,550 Twice Daily-4.66± 13.47
0.2% CP-690,550 Twice Daily3.06± 22.74
0.02% CP-690,550 Twice Daily-2.99± 16.38
Placebo Twice Daily-2.83± 16.00
Number of Participants With Administration Site Adverse Events Secondary · Baseline up to 7 to 10 days after last dose of study treatment (maximum up to 38 days)

An adverse event was any untoward medical occurrence attributed to study drug in a participant who received study drug. Administration site adverse event included documentation of any clinically significant local reaction, such as erosion, vesicles or scabbing.

Active
GroupValue95% CI
2% CP-690,550 Once Daily0
0.2% CP-690,550 Once Daily0
0.02% CP-690,550 Once Daily0
Placebo Once Daily1
2% CP-690,550 Twice Daily0
0.2% CP-690,550 Twice Daily0
0.02% CP-690,550 Twice Daily1
Placebo Twice Daily0
Vehicle
GroupValue95% CI
2% CP-690,550 Once Daily0
0.2% CP-690,550 Once Daily0
0.02% CP-690,550 Once Daily0
Placebo Once Daily1
2% CP-690,550 Twice Daily0
0.2% CP-690,550 Twice Daily1
0.02% CP-690,550 Twice Daily1
Placebo Twice Daily0
Drug Plasma Concentrations of CP-690,555 Secondary · 0 hour (pre-dose) on Day 14 and 0 hour (pre-dose), 1, 2, 9 hours post-dose on Day 28

Concentrations below the limit of quantification (LOQ) were not estimable. The LOQ was 0.1 ng/mL.

0 hour post-dose
GroupValue95% CI
2% CP-690,550 Twice Daily0.183± 0.054
0.2% CP-690,550 Twice Daily0.116± 0.020
0.02% CP-690,550 Twice DailyNA± NA
1 hour post-dose
GroupValue95% CI
2% CP-690,550 Twice Daily0.174± 0.046
0.2% CP-690,550 Twice DailyNA± NA
0.02% CP-690,550 Twice Daily0.126± NA
2 hour post-dose
GroupValue95% CI
2% CP-690,550 Twice Daily0.191± 0.059
0.2% CP-690,550 Twice DailyNA± NA
0.02% CP-690,550 Twice Daily0.115± NA
9 hour post-dose
GroupValue95% CI
2% CP-690,550 Twice Daily0.160± 0.039
0.2% CP-690,550 Twice DailyNA± NA
0.02% CP-690,550 Twice Daily0.102± NA
Skin Biopsy Drug Concentrations Secondary · Day 28

Skin biopsy drug concentrations was measured via drug levels in dermis and expressed as nanogram of drug per milligram (mg) of dermis weight. Tissue concentration (ng/mg) = (ng drug/mL extraction solvent multiplied by mL extraction solvent) divided by mg tissue weight; 1 mL of extraction solvent was used.

GroupValue95% CI
2% CP-690,550 Once Daily3.4145± 2.9877
0.2% CP-690,550 Once Daily2.2320± 2.7257
0.02% CP-690,550 Once Daily0.3242± 0.6343
Placebo Once Daily0± NA
2% CP-690,550 Twice Daily8.2810± 10.270
0.2% CP-690,550 Twice Daily0.2957± 0.3675
0.02% CP-690,550 Twice Daily0.0847± 0.1252
Placebo Twice Daily0± NA

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

2% CP-690,550 Once Daily
Serious: 0/6 (0%)
Deaths:
0.2% CP-690,550 Once Daily
Serious: 0/6 (0%)
Deaths:
0.02% CP-690,550 Once Daily
Serious: 0/8 (0%)
Deaths:
Placebo Once Daily
Serious: 0/4 (0%)
Deaths:
2% CP-690,550 Twice Daily
Serious: 0/17 (0%)
Deaths:
0.2% CP-690,550 Twice Daily
Serious: 0/17 (0%)
Deaths:
0.02% CP-690,550 Twice Daily
Serious: 0/15 (0%)
Deaths:
Placebo Twice Daily
Serious: 0/8 (0%)
Deaths:
Other adverse events (38 terms — click to expand)

ReactionSystem2% CP-690,550 Once Daily0.2% CP-690,550 Once Daily0.02% CP-690,550 Once DailyPlacebo Once Daily2% CP-690,550 Twice Daily0.2% CP-690,550 Twice Daily0.02% CP-690,550 Twice DailyPlacebo Twice Daily
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
LymphadenopathyBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Dry mouthGastrointestinal disorders
Application site irritationGeneral disorders
Application site pruritusGeneral disorders
Chest discomfortGeneral disorders
FatigueGeneral disorders
FolliculitisInfections and infestations
GastroenteritisInfections and infestations
HordeolumInfections and infestations
Pharyngitis streptococcalInfections and infestations
SinusitisInfections and infestations
Tooth infectionInfections and infestations
Urinary tract infectionInfections and infestations
SunburnInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
Blood creatinine increasedInvestigations
Blood triglycerides increasedInvestigations
Cardiac murmurInvestigations
HyperlipidaemiaMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
SyncopeNervous system disorders
Adjustment disorder with depressed moodPsychiatric disorders
PollakiuriaRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Dermatitis contactSkin and subcutaneous tissue disorders
Photosensitivity reactionSkin and subcutaneous tissue disorders
PsoriasisSkin and subcutaneous tissue disorders
Skin irritationSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT00678561 adverse events section.

Sponsor's own description

Study will test effectiveness of an experimental drug applied once or twice daily to two psoriasis plaques. Requires 1 clinic visit each week for 5 weeks.

Publications & conference data

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

  1. Type I/II cytokines, JAKs, and new strategies for treating autoimmune diseases.
    Schwartz DM, Bonelli M, Gadina M, O'Shea JJ. · · 2016 · cited 474× · PMID 26633291 · DOI 10.1038/nrrheum.2015.167
  2. JAK inhibition as a therapeutic strategy for immune and inflammatory diseases.
    Schwartz DM, Kanno Y, Villarino A, Ward M, et al · · 2017 · cited 308× · PMID 29282366 · DOI 10.1038/nrd.2017.267
  3. Selectivity, efficacy and safety of JAKinibs: new evidence for a still evolving story.
    Bonelli M, Kerschbaumer A, Kastrati K, Ghoreschi K, et al · · 2024 · cited 95× · PMID 37923366 · DOI 10.1136/ard-2023-223850
  4. JAK inhibitors: treatment efficacy and safety profile in patients with psoriasis.
    Hsu L, Armstrong AW. · · 2014 · cited 88× · PMID 24883332 · DOI 10.1155/2014/283617
  5. SOCS-JAK-STAT inhibitors and SOCS mimetics as treatment options for autoimmune uveitis, psoriasis, lupus, and autoimmune encephalitis.
    Pandey R, Bakay M, Hakonarson H. · · 2023 · cited 45× · PMID 38022642 · DOI 10.3389/fimmu.2023.1271102
  6. Tofacitinib.
    · 2010 · cited 31× · PMID 21171673 · DOI 10.2165/11588080-000000000-00000
  7. Randomized Pilot Clinical Trial of Tofacitinib Solution for Plaque Psoriasis: Challenges of the Intra-Subject Study Design.
    Ports WC, Feldman SR, Gupta P, Tan H, et al · · 2015 · cited 16× · PMID 26267721
  8. Repurposing approved therapeutics for new indication: Addressing unmet needs in psoriasis treatment.
    Jain H, Bhat AR, Dalvi H, Godugu C, et al · · 2021 · cited 13× · PMID 34909670 · DOI 10.1016/j.crphar.2021.100041

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Data sources for this page

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/NCT00678561.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing