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NCT03230292

A Study to Evaluate the Long-term Safety, Tolerability and Efficacy of Bimekizumab in Adult Patients With Chronic Plaque Psoriasis

Completed Phase 2 Results posted Last updated 22 July 2022
What this trial tests

Phase 2 trial testing Bimekizumab in Chronic Plaque Psoriasis in 43 participants. Completed in 6 March 2019.

Timeline
3 July 2017
Primary endpoint
6 March 2019
6 March 2019

Quick facts

Lead sponsorUCB Biopharma SRL
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment43
Start date3 July 2017
Primary completion6 March 2019
Estimated completion6 March 2019
Sites10 locations across Canada, United States, Australia, Moldova

Drugs / interventions tested

Conditions studied

Sponsor

UCB Biopharma SRL — full company profile →

Who can join

Adults 18 to 70, any sex, with Chronic Plaque 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.

Incidence of Treatment Emergent Adverse Event (TEAE) Adjusted by Duration of Participant Exposure to Treatment Primary · From Baseline (Week 0) until Safety Follow Up Visit (up to Week 64)

TEAEs were events that had a start date on or after the first administration of study treatment in PS0018 until the last received dose of investigational medicinal product (IMP) +140 days \[which covered the 20-week Safety Follow-Up (SFU) Visit\]. The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provides an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the adverse event (AE) being considered. If a participant had no events, the total time at risk was used.

GroupValue95% CI
BKZ All Participants (SS)76.0053.8 – 104.3
Plasma Concentration of Bimekizumab During the Study Secondary · From Baseline (Week 0) until Safety Follow Up Visit (up to Week 64)

Plasma concentration of Bimekizumab was expressed in micrograms per milliliter (μg/mL). Values Below Limit of Quantification (BLQ) were replaced by value of Lower Limit of Quantification (LLOQ) divided by 2 (=0.075 μg/mL) in calculations of Means and Coefficient of Variations (CVs). Means and CVs were only calculated if at least 2/3 of the concentrations were quantified at the respective timepoint.

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (PK-PPS)NA± NA
Week 4
GroupValue95% CI
BKZ All Participants (PK-PPS)5.309± 47.8
Week 8
GroupValue95% CI
BKZ All Participants (PK-PPS)7.304± 60.7
Week 12
GroupValue95% CI
BKZ All Participants (PK-PPS)7.994± 53.9
Week 16
GroupValue95% CI
BKZ All Participants (PK-PPS)8.700± 53.7
Week 28
GroupValue95% CI
BKZ All Participants (PK-PPS)9.285± 49.7
Week 40
GroupValue95% CI
BKZ All Participants (PK-PPS)9.238± 51.3
Week 48/ Withdrawal
GroupValue95% CI
BKZ All Participants (PK-PPS)9.056± 52.5
Percentage of Participants With Positive Anti-bimekizumab (BZK) Antibody Levels Prior to Study Treatment Secondary · Baseline of study PS0016 [NCT03025542]

For a given visit / time point, an Anti-BKZ status of positive was concluded for any participant with an anti-drug antibody (ADA) level that was above cut point (ACP) and CP at that visit/ time point. A participant was classified as overall positive if at least one PS0018 measurement is ACP and CP (this included participants who had negative results at PS0016 Baseline). Percentages were based on the number of participants with a non-missing measurement, from samples that did not contain BKZ concentration levels above the drug tolerance, at the visit. Baseline was defined as the last available

GroupValue95% CI
BKZ All Participants (SS)2.3
Percentage of Participants With Overall Positive Anti-bimekizumab (BZK) Antibody Levels Following Study Treatment Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

For a given visit / time point, an Anti-BKZ status of positive was concluded for any participant with an anti-drug antibody (ADA) level that was above cut point (ACP) and CP at that visit/ time point. A participant was classified as overall positive if at least one PS0018 measurement is ACP and CP (this included participants who had negative results at PS0016 Baseline). Percentages were based on the number of participants with a non-missing measurement, from samples that did not contain BKZ concentration levels above the drug tolerance, at the visit. Baseline was defined as the last available

GroupValue95% CI
BKZ All Participants (SS)25.6
Percentage of Participants Achieving a 50% or Higher Improvement in Psoriasis Area and Severity Index (PASI) During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

The PASI quantifies the severity and extent of the disease and weighs these with the percentage of body surface area (BSA) involvement. The degree of involvement is estimated across 4 body areas; head, upper limbs, trunk, and lower limbs and then transferred into a grade. The Investigator assessed the average redness, thickness, and scaliness of lesions in each body area (each on a 5 - point scale); 0 = none, 1 = slight, 2 = moderate, 3 = marked, and 4 = very marked. The PASI score ranges from 0 to 72 with a higher score indicating increased disease severity. The PASI50 responses were based on

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)60.545.6 – 73.6
Week 4
GroupValue95% CI
BKZ All Participants (FAS)95.384.5 – 98.7
Week 8
GroupValue95% CI
BKZ All Participants (FAS)95.384.5 – 98.7
Week 12
GroupValue95% CI
BKZ All Participants (FAS)95.384.5 – 98.7
Week 16
GroupValue95% CI
BKZ All Participants (FAS)97.787.9 – 99.6
Week 20
GroupValue95% CI
BKZ All Participants (FAS)95.384.5 – 98.7
Week 24
GroupValue95% CI
BKZ All Participants (FAS)93.081.4 – 97.6
Week 28
GroupValue95% CI
BKZ All Participants (FAS)93.081.4 – 97.6
Percentage of Participants Achieving a 75% or Higher Improvement in Psoriasis Area and Severity Index (PASI) During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

The PASI quantifies the severity and extent of the disease and weighs these with the percentage of body surface area (BSA) involvement. The degree of involvement is estimated across 4 body areas; head, upper limbs, trunk, and lower limbs and then transferred into a grade. The Investigator assessed the average redness, thickness, and scaliness of lesions in each body area (each on a 5 - point scale); 0 = none, 1 = slight, 2 = moderate, 3 = marked, and 4 = very marked. The PASI score ranges from 0 to 72 with a higher score indicating increased disease severity. The PASI75 responses were based on

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)44.230.4 – 58.9
Week 4
GroupValue95% CI
BKZ All Participants (FAS)88.475.5 – 94.9
Week 8
GroupValue95% CI
BKZ All Participants (FAS)95.384.5 – 98.7
Week 12
GroupValue95% CI
BKZ All Participants (FAS)90.778.4 – 96.3
Week 16
GroupValue95% CI
BKZ All Participants (FAS)93.081.4 – 97.6
Week 20
GroupValue95% CI
BKZ All Participants (FAS)90.778.4 – 96.3
Week 24
GroupValue95% CI
BKZ All Participants (FAS)90.778.4 – 96.3
Week 28
GroupValue95% CI
BKZ All Participants (FAS)88.475.5 – 94.9
Percentage of Participants Achieving a 90% or Higher Improvement in Psoriasis Area and Severity Index (PASI) During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

The PASI quantifies the severity and extent of the disease and weighs these with the percentage of body surface area (BSA) involvement. The degree of involvement is estimated across 4 body areas; head, upper limbs, trunk, and lower limbs and then transferred into a grade. The Investigator assessed the average redness, thickness, and scaliness of lesions in each body area (each on a 5 - point scale); 0 = none, 1 = slight, 2 = moderate, 3 = marked, and 4 = very marked. The PASI score ranges from 0 to 72 with a higher score indicating increased disease severity. The PASI90 responses were based on

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)20.911.4 – 35.2
Week 4
GroupValue95% CI
BKZ All Participants (FAS)53.538.9 – 67.5
Week 8
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 12
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 16
GroupValue95% CI
BKZ All Participants (FAS)86.072.7 – 93.4
Week 20
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 24
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 28
GroupValue95% CI
BKZ All Participants (FAS)81.467.4 – 90.3
Percentage of Participants Achieving a 100% Improvement in Psoriasis Area and Severity Index (PASI) During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

The PASI quantifies the severity and extent of the disease and weighs these with the percentage of body surface area (BSA) involvement. The degree of involvement is estimated across 4 body areas; head, upper limbs, trunk, and lower limbs and then transferred into a grade. The Investigator assessed the average redness, thickness, and scaliness of lesions in each body area (each on a 5 - point scale); 0 = none, 1 = slight, 2 = moderate, 3 = marked, and 4 = very marked. The PASI score ranges from 0 to 72 with a higher score indicating increased disease severity. The PASI100 responses were based o

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)4.71.3 – 15.5
Week 4
GroupValue95% CI
BKZ All Participants (FAS)23.313.2 – 37.7
Week 8
GroupValue95% CI
BKZ All Participants (FAS)37.224.4 – 52.1
Week 12
GroupValue95% CI
BKZ All Participants (FAS)46.532.5 – 61.1
Week 16
GroupValue95% CI
BKZ All Participants (FAS)39.526.4 – 54.4
Week 20
GroupValue95% CI
BKZ All Participants (FAS)48.834.6 – 63.2
Week 24
GroupValue95% CI
BKZ All Participants (FAS)41.928.4 – 56.7
Week 28
GroupValue95% CI
BKZ All Participants (FAS)46.532.5 – 61.1
Percentage of Participants With Investigator´s Global Assessment (IGA) Response (Clear or Almost Clear With at Least a 2 Category Improvement From Baseline on a 5-point Scale) During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

A static IGA for Psoriasis (PSO) was used to assess disease severity in all study participants during the study. IGA is a 5 point scale ranging from 0=Clear to 4=Severe. The response was defined as clear \[0\] or almost clear \[1\] with at least 2 category improvement from PS0016 Baseline. Clear was defined as no signs of PSO; post-inflammatory hyperpigmentation may be present. Almost clear was defined as no thickening; normal to pink coloration; no to minimal focal scaling. Baseline was defined as the last available value prior to the first injection of study medication in the PS0016 study.

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)18.69.7 – 32.6
Week 4
GroupValue95% CI
BKZ All Participants (FAS)62.847.9 – 75.6
Week 8
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 12
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 16
GroupValue95% CI
BKZ All Participants (FAS)81.467.4 – 90.3
Week 20
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Week 24
GroupValue95% CI
BKZ All Participants (FAS)76.762.3 – 86.8
Week 28
GroupValue95% CI
BKZ All Participants (FAS)79.164.8 – 88.6
Mean Change From PS0016 [NCT03025542] Baseline in PASI Score During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

The total PASI score ranges from 0 to 72 with a reduction from PS0016 Baseline indicating improvement. Missing data was imputed using Last observation carried forward (LOCF) at all visits. Baseline was defined as the last available value prior to the first injection of study medication in the PS0016 study.

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)-11.21± 9.13
Week 4
GroupValue95% CI
BKZ All Participants (FAS)-16.79± 6.72
Week 8
GroupValue95% CI
BKZ All Participants (FAS)-18.12± 7.41
Week 12
GroupValue95% CI
BKZ All Participants (FAS)-18.70± 7.89
Week 16
GroupValue95% CI
BKZ All Participants (FAS)-19.01± 8.70
Week 20
GroupValue95% CI
BKZ All Participants (FAS)-18.91± 8.70
Week 24
GroupValue95% CI
BKZ All Participants (FAS)-19.08± 8.66
Week 28
GroupValue95% CI
BKZ All Participants (FAS)-19.13± 8.79
Mean Percentage Change From PS0016 [NCT03025542] Baseline in PASI Score During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

A negative percentage change from PS0016 baseline indicated improvement in Total PASI score. The total PASI score ranges from 0 to 72 with a reduction from PS0016 Baseline indicating improvement. Missing data was imputed using Last Observation Carried Forward (LOCF) at all visits. Baseline was defined as the last available value prior to the first injection of study medication in the PS0016 study.

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)-56.45± 38.26
Week 4
GroupValue95% CI
BKZ All Participants (FAS)-87.71± 15.52
Week 8
GroupValue95% CI
BKZ All Participants (FAS)-93.28± 12.13
Week 12
GroupValue95% CI
BKZ All Participants (FAS)-94.50± 8.22
Week 16
GroupValue95% CI
BKZ All Participants (FAS)-95.15± 8.43
Week 20
GroupValue95% CI
BKZ All Participants (FAS)-94.84± 9.02
Week 24
GroupValue95% CI
BKZ All Participants (FAS)-95.69± 6.77
Week 28
GroupValue95% CI
BKZ All Participants (FAS)-95.72± 7.35
Percentage of Participants Who Shifted From Moderate Investigator´s Global Assessment (IGA) Score at PS0016 [NCT03025542] Baseline to Clear IGA Score During the Study Secondary · From Baseline of study PS0016 [NCT03025542] until Safety Follow Up Visit (up to Week 64) of study PS0018

A static IGA for Psoriasis (PSO) was used to assess disease severity in all study participants during the study. IGA is a 5 point scale ranging from 0 = Clear to 4 = Severe. Moderate IGA was defined as clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling. Clear IGA was defined as no signs of PSO; post-inflammatory hyperpigmentation may be present. Baseline was defined as the last available value prior to the first injection of study medication in the PS0016 study.

PS0018 Week 0
GroupValue95% CI
BKZ All Participants (FAS)4.7
Week 4
GroupValue95% CI
BKZ All Participants (FAS)23.3
Week 8
GroupValue95% CI
BKZ All Participants (FAS)37.2
Week 12
GroupValue95% CI
BKZ All Participants (FAS)44.2
Week 16
GroupValue95% CI
BKZ All Participants (FAS)34.9
Week 20
GroupValue95% CI
BKZ All Participants (FAS)41.9
Week 24
GroupValue95% CI
BKZ All Participants (FAS)37.2
Week 28
GroupValue95% CI
BKZ All Participants (FAS)39.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the PS0018 Baseline until the Safety Follow-Up Visit [20 weeks after the last dose (up to Week 64)]. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BKZ All Participants (SS)
Serious: 3/43 (7%)
Deaths: 0/43

Serious adverse events (3 terms)

ReactionSystemBKZ All Participants (SS)
Acute myocardial infarctionCardiac disorders
Anaemia postoperativeInjury, poisoning and procedural complications
SyncopeNervous system disorders
Other adverse events (8 terms — click to expand)

ReactionSystemBKZ All Participants (SS)
Upper respiratory tract infectionInfections and infestations
NasopharyngitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
Oral candidiasisInfections and infestations
Alanine aminotransferase increasedInvestigations
PharyngitisInfections and infestations
Staphylococcal pharyngitisInfections and infestations

Most-reported serious reactions: Acute myocardial infarction, Anaemia postoperative, Syncope.

Data from ClinicalTrials.gov NCT03230292 adverse events section.

Sponsor's own description

This is a study to assess the long-term safety, tolerability, and efficacy of bimekizumab.

Publications & conference data

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

  1. Bimekizumab for the treatment of moderate-to-severe plaque psoriasis: efficacy, safety, pharmacokinetics, pharmacodynamics and transcriptomics from a phase IIa, randomized, double-blind multicentre study.
    Oliver R, Krueger JG, Glatt S, Vajjah P, et al · · 2022 · cited 41× · PMID 34687214 · DOI 10.1111/bjd.20827
  2. Bimekizumab Safety in Patients With Moderate to Severe Plaque Psoriasis: Pooled Results From Phase 2 and Phase 3 Randomized Clinical Trials.
    Gordon KB, Langley RG, Warren RB, Okubo Y, et al · · 2022 · cited 40× · PMID 35544084 · DOI 10.1001/jamadermatol.2022.1185
  3. Neuro-Immune Crosstalk: Molecular Mechanisms, Biological Functions, Diseases, and Therapeutic Targets.
    Guo X, Liu H, Song YJ, Wang JH, et al · · 2026 · cited 2× · PMID 41583906 · DOI 10.1002/mco2.70497
  4. Selected Poster Abstracts from MauiDerm 2023 for Dermatologists
    · 2023

Verify or expand the search:

Other trials of Bimekizumab

Trials testing the same drug.

Other recruiting trials for Chronic Plaque Psoriasis

Currently open trials in the same condition.

Other UCB Biopharma SRL trials

Trials by the same sponsor.

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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/NCT03230292.

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