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NCT03635099

This Study is Done in Patients With Plaque Psoriasis and Tests How Well They Tolerate BI 730357 and How Effective it is

Completed Phase 2 Results posted Last updated 3 August 2022
What this trial tests

Phase 2 trial testing Placebo (fasted) in Psoriasis in 274 participants. Completed in 26 May 2021.

Timeline
17 September 2018
Primary endpoint
6 May 2021
26 May 2021

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment274
Start date17 September 2018
Primary completion6 May 2021
Estimated completion26 May 2021
Sites34 locations across Canada, United States, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

Adults 18 to 75, 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.

Number of Patients Who Achieved Psoriasis Area Severity Index Score (PASI) 75 at Week 12 Primary · Assesment at week 12 of treatment

Number of patients who achieved Psoriasis Area Severity Index score (PASI) 75 at week 12. The PASI is a tool which provides a numeric scoring for patients overall psoriasis disease state, ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, infiltration, and desquamation over four body regions. Higher scores indicating higher severity, while a score of 0 indicates no disease. PASI 75 is based on the percent reduction from baseline, generally summarized as a dichotomous outcome based on achieving over an 75% reductio

GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)2
Part I - BI 50 mg (Fasted)3
Part I - BI 100 mg (Fasted)4
Part I - BI 200 mg (Fasted)12
Part II - Placebo (Fed)0
Part II - BI 400 mg Once Daily (Fed)11
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)10
Number of Patients Who Achieved a Static Physician's Global Assessment Score of 'Clear' or 'Almost Clear' (sPGA 0/1) at Week 12. Primary · Assesment at week 12 of treatment

Number of patients who achieved a static Physician's Global Assessment score of 'clear' or 'almost clear' (sPGA 0/1) at Week 12. The sPGA used in this trial is a 5 point score ranging from 0 to 4, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions. The assessment is considered "static" which refers to the patients disease state at the time of the assessments, without comparison to any of the subject's previous disease states, whether at Baseline or at a previous visit. A lower score indicates less body coverage, with 0 being clear and 1

GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)1
Part I - BI 50 mg (Fasted)3
Part I - BI 100 mg (Fasted)2
Part I - BI 200 mg (Fasted)11
Part II - Placebo (Fed)0
Part II - BI 400 mg Once Daily (Fed)11
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)10
Number of Patients Who Achieved Psoriasis Area Severity Index Score (PASI) 50 at Week 12 Secondary · Assesment at week 12 of treatment

Number of patients who achieved Psoriasis Area Severity Index score (PASI) 50 at week 12. The PASI is a tool which provides a numeric scoring for patients overall psoriasis disease state, ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, infiltration, and desquamation over four body regions. Higher scores indicating higher severity, while a score of 0 indicates no disease. PASI 50 is based on the percent reduction from baseline, generally summarized as a dichotomous outcome based on achieving over an 50% reductio

GroupValue95% CI
Part I - Placebo (Fasted)1
Part I - BI 25 mg (Fasted)2
Part I - BI 50 mg (Fasted)10
Part I - BI 100 mg (Fasted)8
Part I - BI 200 mg (Fasted)20
Part II - Placebo (Fed)1
Part II - BI 400 mg Once Daily (Fed)24
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)19
Number of Patients Who Achieved Psoriasis Area Severity Index Score (PASI) 90 at Week 12 Secondary · Assesment at week 12 of treatment

Number of patients who achieved Psoriasis Area Severity Index score (PASI) 90 at week 12. The PASI is a tool which provides a numeric scoring for patients overall psoriasis disease state, ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, infiltration, and desquamation over four body regions. Higher scores indicating higher severity, while a score of 0 indicates no disease. PASI 90 is based on the percent reduction from baseline, generally summarized as a dichotomous outcome based on achieving over an 90% reductio

GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)0
Part I - BI 50 mg (Fasted)2
Part I - BI 100 mg (Fasted)1
Part I - BI 200 mg (Fasted)7
Part II - Placebo (Fed)0
Part II - BI 400 mg Once Daily (Fed)4
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)2
Number of Patients Who Achieved Psoriasis Area Severity Index Score (PASI) 100 at Week 12 Secondary · Assesment at week 12 of treatment

Number of patients who achieved Psoriasis Area Severity Index score (PASI) 100 at week 12. The PASI is a tool which provides a numeric scoring for patients overall psoriasis disease state, ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, infiltration, and desquamation over four body regions. Higher scores indicating higher severity, while a score of 0 indicates no disease. PASI 100 is based on the percent reduction from baseline, generally summarized as a dichotomous outcome based on achieving over an 100% reduc

GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)0
Part I - BI 50 mg (Fasted)0
Part I - BI 100 mg (Fasted)1
Part I - BI 200 mg (Fasted)2
Part II - Placebo (Fed)0
Part II - BI 400 mg Once Daily (Fed)1
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)2
Number of Patients Who Achieved Psoriasis Area Severity Index Score (PASI) 75 at Weeks 16, 20, and 24 Secondary · Assesment at week 16, 20 and 24 of treatment

Number of patients who achieved Psoriasis Area Severity Index score (PASI) 75 at weeks 16, 20 and 24. The PASI is a tool which provides a numeric scoring for patients overall psoriasis disease state, ranging from 0 to 72. It is a linear combination of percent of surface area of skin that is affected and the severity of erythema, infiltration, and desquamation over four body regions. Higher scores indicating higher severity, while a score of 0 indicates no disease. PASI 75 is based on the percent reduction from baseline, generally summarized as a dichotomous outcome based on achieving over an

Week 16
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)1
Part I - BI 50 mg (Fasted)1
Part I - BI 100 mg (Fasted)5
Part I - BI 200 mg (Fasted)11
Week 20
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)2
Part I - BI 50 mg (Fasted)3
Part I - BI 100 mg (Fasted)4
Part I - BI 200 mg (Fasted)13
Week 24
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)2
Part I - BI 50 mg (Fasted)4
Part I - BI 100 mg (Fasted)4
Part I - BI 200 mg (Fasted)14
Number of Patients Who Achieved a Static Physician's Global Assessment Score of 'Clear' (sPGA 0) at Week 12 Secondary · Assesment at week 12 of treatment

Number of patients who achieved a static Physician's Global Assessment score of 'clear' (sPGA 0) at Week 12. The sPGA used in this trial is a 5 point score ranging from 0 to 4, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions. The assessment is considered "static" which refers to the patients disease state at the time of the assessments, without comparison to any of the subject's previous disease states, whether at Baseline or at a previous visit. A lower score indicates less body coverage, with 0 being clear and 1 being almost clear.

GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)0
Part I - BI 50 mg (Fasted)0
Part I - BI 100 mg (Fasted)1
Part I - BI 200 mg (Fasted)2
Part II - Placebo (Fed)0
Part II - BI 400 mg Once Daily (Fed)1
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)1
Number of Patients Who Achieved a Static Physician's Global Assessment Score of 'Clear' or 'Almost Clear' (sPGA 0/1) at Weeks 16, 20, and 24 Secondary · Assesment at week 16, 20 and 24 of treatment

Number of patients who achieved a static Physician's Global Assessment score of 'clear' or 'almost clear' (sPGA 0/1) at Week 16, 20 and 24. The sPGA used in this trial is a 5 point score ranging from 0 to 4, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions. The assessment is considered "static" which refers to the patients disease state at the time of the assessments, without comparison to any of the subject's previous disease states, whether at Baseline or at a previous visit. A lower score indicates less body coverage, with 0 being

Week 16
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)1
Part I - BI 50 mg (Fasted)2
Part I - BI 100 mg (Fasted)3
Part I - BI 200 mg (Fasted)12
Week 20
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)1
Part I - BI 50 mg (Fasted)4
Part I - BI 100 mg (Fasted)2
Part I - BI 200 mg (Fasted)10
Week 24
GroupValue95% CI
Part I - Placebo (Fasted)0
Part I - BI 25 mg (Fasted)1
Part I - BI 50 mg (Fasted)3
Part I - BI 100 mg (Fasted)4
Part I - BI 200 mg (Fasted)13
Overall Change From Baseline in Psoriasis Symptoms Evaluated Using the Total Score of the Psoriasis Symptoms Scale (PSS) at Week 12 Secondary · Assesment at week 12 of treatment

Overall change from baseline in psoriasis symptoms evaluated using the total score of the Psoriasis Symptoms Scale (PSS) at Week 12. The PSS is a four-item patient-reported outcome (PRO) instrument that assesses the severity of psoriasis symptoms in patients with moderate to severe psoriasis. The symptoms included are: pain, redness, itching and burning from psoriasis. Current symptom severity is assessed for a 24 hour recall period using a 5-point verbal rating scale, the PSS score ranges from 0 (none) to 4 (very severe). The symptom scores are added to an unweighted total score (range: 0 to

GroupValue95% CI
Part I - Placebo (Fasted)-0.4± 1.0
Part I - BI 25 mg (Fasted)0.1± 0.7
Part I - BI 50 mg (Fasted)0.2± 0.7
Part I - BI 100 mg (Fasted)2.3± 0.7
Part I - BI 200 mg (Fasted)3.6± 0.7
Part II - Placebo (Fed)0.3± 1.2
Part II - BI 400 mg Once Daily (Fed)3.4± 0.6
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)3.3± 0.6
Number of Patients Who Achieved a Dermatology Life Quality Index Score of 'no Effect on Patient's Life' (DLQI 0/1) at Week 12 Secondary · Assesment at week 12 of treatment

Number of patients who achieved a Dermatology Life Quality Index score of 'no effect on patient's life' (DLQI 0/1) at Week 12. The DLQI is a subject-administered, ten-question, quality of life questionnaire covering 6 domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment. Item scores range from 0 (not relevant/not at all) to 3 (very much). Question 7 is a "yes"/ "no" question where "yes" is scored as 3. DLQI total score is calculated by summing the scores of each question resulting in a range of 0 to 30 where 0-1 = no effect o

GroupValue95% CI
Part I - Placebo (Fasted)1
Part I - BI 25 mg (Fasted)3
Part I - BI 50 mg (Fasted)3
Part I - BI 100 mg (Fasted)3
Part I - BI 200 mg (Fasted)8
Part II - Placebo (Fed)2
Part II - BI 400 mg Once Daily (Fed)12
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)11

Adverse events — posted to ClinicalTrials.gov

Time frame: Part I - Period 1: start till the end of treatment in period 1 (week 12) + 7 days residual effect period, up to 13 weeks. Part I - Period 1 and 2 only: start till the end of treatment (week 24) + 7 days residual effect period, up to 25 weeks. Part II: start till the end of treatment (week 12) + 7 days residual effect period, up to 13 weeks. All-cause mortality: start of treatment till the end of treatment + 4 weeks of follow up, up to 28 weeks for Part I and up to 16 weeks for part II.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part I - Period 1 - Fasted: Placebo
Serious: 0/5 (0%)
Deaths: 0/5
Part I - Period 1 - Fasted: BI 25 mg
Serious: 0/3 (0%)
Deaths: 0/3
Part I - Period 1 - Fasted: BI 50 mg
Serious: 0/8 (0%)
Deaths: 0/8
Part I - Period 1 - Fasted: BI 100 mg
Serious: 0/6 (0%)
Deaths: 0/6
Part I - Period 1 - Fasted: BI 200 mg
Serious: 0/3 (0%)
Deaths: 0/3
Part I - Period 1 and 2 - Fasted: Placebo - BI 200 mg
Serious: 0/15 (0%)
Deaths: 0/15
Part I - Period 1 and 2 - Fasted: BI 25 mg - BI 25 mg
Serious: 0/2 (0%)
Deaths: 0/2
Part I - Period 1 and 2 - Fasted: BI 25 mg - BI 50 mg
Serious: 2/35 (6%)
Deaths: 0/35
Part I - Period 1 and 2 - Fasted: BI 50 mg - BI 50 mg
Serious: 0/10 (0%)
Deaths: 0/10
Part I - Period 1 and 2 - Fasted: BI 50 mg - BI 100 mg
Serious: 1/21 (5%)
Deaths: 0/21
Part I - Period 1 and 2 - Fasted: BI 100 mg - BI 100 mg
Serious: 0/8 (0%)
Deaths: 0/8
Part I - Period 1 and 2 - Fasted: BI 100 mg - BI 200 mg
Serious: 0/25 (0%)
Deaths: 0/25
Part I - Period 1 and 2 - Fasted: BI 200 mg - BI 200 mg
Serious: 0/37 (0%)
Deaths: 0/37
Part II - Placebo (Fed)
Serious: 0/10 (0%)
Deaths: 0/10
Part II - BI 400 mg Once Daily (Fed)
Serious: 0/44 (0%)
Deaths: 0/44
Part II - BI 200 mg Twice Daily, 400 mg Total (Fed)
Serious: 0/42 (0%)
Deaths: 0/42

Serious adverse events (3 terms)

ReactionSystemPart I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part II - Placebo (Fed)Part II - BI 400 mg Once D…Part II - BI 200 mg Twice …
Comminuted fractureInjury, poisoning and procedural complications
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Other adverse events (69 terms — click to expand)

ReactionSystemPart I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 - Fasted…Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part I - Period 1 and 2 - …Part II - Placebo (Fed)Part II - BI 400 mg Once D…Part II - BI 200 mg Twice …
Upper respiratory tract infectionInfections and infestations
NauseaGastrointestinal disorders
InfluenzaInfections and infestations
NasopharyngitisInfections and infestations
BronchitisInfections and infestations
Urinary tract infectionInfections and infestations
Liver function test increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
PsoriasisSkin and subcutaneous tissue disorders
HypertensionVascular disorders
LeukocytosisBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
HypoacusisEar and labyrinth disorders
Tympanic membrane perforationEar and labyrinth disorders
PhotophobiaEye disorders
Visual impairmentEye disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Diverticulum intestinalGastrointestinal disorders
Food poisoningGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
BacteriuriaInfections and infestations
Chlamydial infectionInfections and infestations
CystitisInfections and infestations
Fungal infectionInfections and infestations
GingivitisInfections and infestations
Hand-foot-and-mouth diseaseInfections and infestations
Localised infectionInfections and infestations
Lyme diseaseInfections and infestations
Otitis mediaInfections and infestations
SinusitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Muscle strainInjury, poisoning and procedural complications
Nail avulsionInjury, poisoning and procedural complications
Skin lacerationInjury, poisoning and procedural complications
Activated partial thromboplastin time prolongedInvestigations

Most-reported serious reactions: Comminuted fracture, Basal cell carcinoma, Pneumonia aspiration.

Data from ClinicalTrials.gov NCT03635099 adverse events section.

Sponsor's own description

The primary objective is based on Week 12 co-primary endpoints of PASI (Psoriasis Area and Severity Index) 75 and sPGA (Static Physician's Global Assessment) 0/1, and overall safety Secondary objectives of Part 1 are to evaluate the efficacy and safety of BI 730357 through 24 weeks of treatment

Publications & conference data

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

  1. 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
  2. New and Emerging Oral/Topical Small-Molecule Treatments for Psoriasis.
    Carmona-Rocha E, Rusiñol L, Puig L. · · 2024 · cited 28× · PMID 38399292 · DOI 10.3390/pharmaceutics16020239
  3. Discovery of a Series of Pyrazinone RORγ Antagonists and Identification of the Clinical Candidate BI 730357.
    Harcken C, Csengery J, Turner M, Wu L, et al · · 2021 · cited 15× · PMID 33488976 · DOI 10.1021/acsmedchemlett.0c00575
  4. Bounded integer model-based analysis of psoriasis area and severity index in patients with moderate-to-severe plaque psoriasis receiving BI 730357.
    Ooi QX, Kristoffersson A, Korell J, Flack M, et al · · 2023 · cited 7× · PMID 36919398 · DOI 10.1002/psp4.12948
  5. Phase II Randomized Trial of BI 730357, an Oral RORγt Inhibitor, for Moderate-to-Severe Plaque Psoriasis.
    Gooderham MJ, Mrowietz U, Kadus W, Drda K, et al · · 2025 · cited 4× · PMID 39848568 · DOI 10.1016/j.jid.2024.12.025
  6. Leveraging Blockchain Technology for Informed Consent Process and Patient Engagement in a Clinical Trial Pilot.
    Mak BC, Addeman BT, Chen J, Papp KA, et al · · 2021 · cited 4× · PMID 36777482 · DOI 10.30953/bhty.v4.182

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Data sources for this page

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