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NCT03556202

A Long-term Study to Evaluate Safety and Maintenance of Treatment Effect of LY3074828 in Participants With Moderate-to-Severe Plaque Psoriasis (OASIS-3)

Terminated Phase 3 Results posted Last updated 21 March 2023
What this trial tests

Phase 3 trial testing Mirikizumab in Psoriasis in 1,936 participants. Terminated before completion.

Timeline
3 September 2018
Primary endpoint
7 February 2022
7 February 2022

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment1,936
Start date3 September 2018
Primary completion7 February 2022
Estimated completion7 February 2022
Sites229 locations across Italy, Japan, Taiwan, Poland, South Korea, Russia, Mexico, United States

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

18 and older, 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 With a Static Physician's Global Assessment Among Those Who Entered the Study With a sPGA of 0,1 Primary · Week 104

The sPGA is the physician's determination of the participant's psoriasis (PsO) lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participant's PsO was assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline. Participants who did not meet the clinical response criteria or had missing data at Week 104 were considered non-responders for non-responder Imputation (NR

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W46.742.2 – 51.2
250 mg Mirikizumab Q8W Excluding Secukinumab55.752.3 – 59.1
Secukinumab/250 mg Mirikizumab Q8W38.933.3 – 44.4
Percentage of Participants Who Maintained a ≥90% Improvements in Psoriasis Area and Severity Index (PASI) 90 Among Those Who Entered the Study With a PASI 90 Primary · Week 104

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W49.344.8 – 53.9
250 mg Mirikizumab Q8W Excluding Secukinumab56.853.4 – 60.2
Secukinumab/250 mg Mirikizumab Q8W39.433.9 – 44.9
Percentage of Participants Achieving a 100% Improvement in Psoriasis Area and Severity Index (PASI 100) Secondary · Week 104

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W30.426.4 – 34.3
250 mg Mirikizumab Q8W Excluding Secukinumab36.433.4 – 39.3
Secukinumab/250 mg Mirikizumab Q8W22.618.5 – 26.8
Percentage of Participants With a Psoriasis Symptoms Scale (PSS) Symptom Score of 0 (Free of Itch, Pain, Stinging, and Burning) in Those With a PSS Symptoms Score ≥1 at Baseline Secondary · Week 104

PSS is a patient-administered assessment of 4 symptoms (itch, pain, stinging, and burning); 3 signs (redness, scaling, and cracking); and 1 item on the discomfort related to symptoms/signs. The overall severity for each individual symptom/sign from the patient's psoriasis is indicated by selecting the number from a numeric rating scale (NRS) of 0 to 10 that best describes the worst level of each symptom/sign in the past 24 hours, where 0=no symptom/sign and 10=worst imaginable symptom/sign. In addition, a symptoms score ranging from 0 (no symptoms) to 40 (worst imaginable symptoms), and a sign

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W31.127.1 – 35.1
250 mg Mirikizumab Q8W Excluding Secukinumab33.630.7 – 36.5
Secukinumab/250 mg Mirikizumab Q8W23.419.1 – 27.7
Percentage of Participants Achieving a Dermatology Life Quality Index (DLQI) Total Score of (0,1) With at Least a 5-Point Improvement (Reduction) From Baseline in Participants With a Baseline DLQI Total Score ≥5 Secondary · Week 104

The DLQI is a patient-reported, 10-question, quality-of-life questionnaire that covers 6 domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. Response categories include "Not at all," "A little," "A lot," and "Very much," with corresponding scores of 0, 1, 2, and 3 respectively. Questions 3-10 also have an additional response category of "Not relevant" which is scored as "0". Totals range from 0 to 30 (less to more impairment). A DLQI total score of 0 to 1 is considered as having no effect on a patient's health-related qual

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W41.537.1 – 45.9
250 mg Mirikizumab Q8W Excluding Secukinumab47.344.1 – 50.5
Secukinumab/250 mg Mirikizumab Q8W34.529.5 – 39.5
Change in Palmoplantar Psoriasis Severity Index (PPASI) Total Score in Participants With Palmoplantar Involvement at Baseline Secondary · Baseline, Week 104

The PPASI is a composite score derived from the sum scores for erythema, induration, and desquamation multiplied by a score for the extent of palm and sole area involvement, ranging from 0 (no PPASI) to 72 (most severe PPASI). The PPASI was only assessed if participants have palmoplantar psoriasis at baseline.

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W-6.55± 7.058
250 mg Mirikizumab Q8W Excluding Secukinumab-6.80± 8.391
Secukinumab/250 mg Mirikizumab Q8W-7.38± 6.632
Change in Psoriasis Scalp Severity Index (PSSI) Total Score in Participants With Scalp Involvement at Baseline Secondary · Baseline, Week 104

The PSSI is a physician assessment of erythema, induration and desquamation and percent of scalp that is covered with a scores range from 0 (none) to 4 (very severe). The composite score is derived from the sum of scores for erythema, induration, and desquamation multiplied by the score recorded for the extent of the scalp area involved, 1 (\<10%) to 6 (90%-100%) with a total score ranging from 0 (less severity) to 72 (more severity).

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W-20.9± 15.79
250 mg Mirikizumab Q8W Excluding Secukinumab-19.5± 13.48
Secukinumab/250 mg Mirikizumab Q8W-19.6± 13.44
Change in Nail Psoriasis Severity Index (NAPSI) Total Score in Participants With Fingernail Involvement at Baseline Secondary · Baseline, Week 104

The NAPSI scale is used to evaluate the severity of fingernail bed Ps and fingernail matrix PsO by area of involvement. The fingernail is divided into quadrants. Each fingernail is given a score for fingernail bed PsO 0 (none) to 4 (PsO in 4 quadrants of the fingernail) and fingernail matrix PsO 0 (none) to 4 (Ps in 4 quadrants of the matrix), depending on the presence (score of 1) or absence (score of 0) of any of the features of fingernail bed or matrix PsO in each quadrant. The sum of all fingernails equals the total NAPSI score range is from 0 (no effect) to 80 (more severe psoriasis).

GroupValue95% CI
125 Milligram (mg) Mirikizumab Q8W-19.4± 17.75
250 mg Mirikizumab Q8W Excluding Secukinumab-21.0± 17.69
Secukinumab/250 mg Mirikizumab Q8W-22.2± 18.75

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment Period: Baseline Up To 160 Weeks, Follow-up Period: 0-12 Weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

125 Milligram (mg) Mirikizumab Q8W
Serious: 55/527 (10%)
Deaths: 2/527
250 mg Mirikizumab Q8W Excluding Secukinumab
Serious: 88/1020 (9%)
Deaths: 6/1020
Secukinumab/250 mg Mirikizumab Q8W
Serious: 35/389 (9%)
Deaths: 0/389
125 Milligram (mg) Mirikizumab Q8W Follow-up Period
Serious: 7/453 (2%)
Deaths: 1/453
250 mg Mirikizumab Q8W Excluding Secukinumab Follow-up Period
Serious: 6/861 (1%)
Deaths: 0/861
Secukinumab/250 mg Mirikizumab Q8W Follow-up Period
Serious: 0/333 (0%)
Deaths: 0/333

Serious adverse events (174 terms)

ReactionSystem125 Milligram (mg) Mirikiz…250 mg Mirikizumab Q8W Exc…Secukinumab/250 mg Mirikiz…125 Milligram (mg) Mirikiz…250 mg Mirikizumab Q8W Exc…Secukinumab/250 mg Mirikiz…
Covid-19 pneumoniaInfections and infestations
Atrial fibrillationCardiac disorders
Acute myocardial infarctionCardiac disorders
Cholecystitis acuteHepatobiliary disorders
Covid-19Infections and infestations
Myocardial infarctionCardiac disorders
Pancreatitis acuteGastrointestinal disorders
AppendicitisInfections and infestations
CellulitisInfections and infestations
DiverticulitisInfections and infestations
ErysipelasInfections and infestations
PneumoniaInfections and infestations
Clavicle fractureInjury, poisoning and procedural complications
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Cerebrovascular accidentNervous system disorders
Transient ischaemic attackNervous system disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Acute coronary syndromeCardiac disorders
Angina unstableCardiac disorders
Cardiac failureCardiac disorders
Cardiac failure congestiveCardiac disorders
Cardiogenic shockCardiac disorders
Coronary artery diseaseCardiac disorders
Coronary artery stenosisCardiac disorders
Other adverse events (945 terms — click to expand)

ReactionSystem125 Milligram (mg) Mirikiz…250 mg Mirikizumab Q8W Exc…Secukinumab/250 mg Mirikiz…125 Milligram (mg) Mirikiz…250 mg Mirikizumab Q8W Exc…Secukinumab/250 mg Mirikiz…
NasopharyngitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Covid-19Infections and infestations
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
HypertensionVascular disorders
Back painMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
BronchitisInfections and infestations
Alanine aminotransferase increasedInvestigations
Injection site painGeneral disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Tooth extractionSurgical and medical procedures
SinusitisInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
DiarrhoeaGastrointestinal disorders
Blood creatine phosphokinase increasedInvestigations
Injection site reactionGeneral disorders
InfluenzaInfections and infestations
PyrexiaGeneral disorders
PharyngitisInfections and infestations
HypertriglyceridaemiaMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
ToothacheGastrointestinal disorders
GastroenteritisInfections and infestations
Ligament sprainInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Vaccination complicationInjury, poisoning and procedural complications
Dental cariesGastrointestinal disorders
NauseaGastrointestinal disorders
Vaccination site painGeneral disorders
Hepatic steatosisHepatobiliary disorders
Tinea pedisInfections and infestations
Diabetes mellitusMetabolism and nutrition disorders
HypercholesterolaemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Covid-19 pneumonia, Atrial fibrillation, Acute myocardial infarction, Cholecystitis acute, Covid-19, Myocardial infarction, Pancreatitis acute, Appendicitis.

Data from ClinicalTrials.gov NCT03556202 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the long-term safety and maintenance of efficacy of mirikizumab in participants with moderate-to-severe plaque psoriasis.

Publications & conference data

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

  1. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  2. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  3. Use of IL-23 Inhibitors for the Treatment of Plaque Psoriasis and Psoriatic Arthritis: A Comprehensive Review.
    Yang K, Oak ASW, Elewski BE. · · 2021 · cited 129× · PMID 33301128 · DOI 10.1007/s40257-020-00578-0
  4. Targeted Immunotherapy for Autoimmune Disease.
    Jung SM, Kim WU. · · 2022 · cited 113× · PMID 35291650 · DOI 10.4110/in.2022.22.e9
  5. Cellular rejuvenation: molecular mechanisms and potential therapeutic interventions for diseases.
    Ji S, Xiong M, Chen H, Liu Y, et al · · 2023 · cited 89× · PMID 36918530 · DOI 10.1038/s41392-023-01343-5
  6. Key Signaling Pathways in Psoriasis: Recent Insights from Antipsoriatic Therapeutics.
    Ben Abdallah H, Johansen C, Johansen C, Iversen L. · · 2021 · cited 48× · PMID 34235053 · DOI 10.2147/ptt.s294173
  7. Targeting Th17 cells: a promising strategy to treat oral mucosal inflammatory diseases.
    Wang Y, Xue N, Wang Z, Zeng X, et al · · 2023 · cited 15× · PMID 37564654 · DOI 10.3389/fimmu.2023.1236856
  8. Anti-IL23/12 agents and JAK inhibitors for inflammatory bowel disease.
    Tian Z, Zhao Q, Teng X. · · 2024 · cited 13× · PMID 39086483 · DOI 10.3389/fimmu.2024.1393463

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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/NCT03556202.

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