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NCT03701763

Efficacy and Safety Study of Apremilast (CC-10004) in Pediatric Subjects From 6 Through 17 Years of Age With Moderate to Severe Plaque Psoriasis

Completed Phase 3 Results posted Last updated 16 December 2024
What this trial tests

Phase 3 trial testing Apremilast (CC-10004) in Psoriasis in 245 participants. Completed in 27 March 2023.

Timeline
19 December 2018
Primary endpoint
25 April 2022
27 March 2023

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment245
Start date19 December 2018
Primary completion25 April 2022
Estimated completion27 March 2023
Sites99 locations across France, Italy, Netherlands, Russia, Belgium, Israel, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 6 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 With a Static Physician Global Assessment (sPGA) Response at Week 16 Primary · Baseline to Week 16

The sPGA is the assessment by the Investigator of the overall disease severity of plaque psoriasis at the time of evaluation. The sPGA is a 5-point scale ranging from 0 (clear) to 4 (severe), incorporating an assessment of the severity of the three primary signs of the disease: erythema, scaling and plaque elevation. The results presented are for the percentage of participants with a sPGA response. An sPGA response was defined as a score of clear (0) or almost clear (1) with at least a 2-point reduction from baseline at Week 16.

GroupValue95% CI
Placebo11.5
Apremilast33.1
Percentage of Participants Who Achieved At Least 75% Reduction in Psoriasis Area Severity Index (PASI-75) From Baseline at Week 16 Secondary · Baseline and Week 16

The Psoriasis Area Severity Index (PASI) is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, thickness, and scaling) and degree of skin surface area involvement on defined anatomical regions. The PASI scores range from 0 to 72, with higher scores reflecting greater disease severity. The results presented are for the percentage of participants with PASI-75. PASI-75 was defined as at least a 75% reduction in PASI score from baseline.

GroupValue95% CI
Placebo16.1
Apremilast45.4
Percentage of Participants Who Achieved At Least 50% Reduction in Psoriasis Area Severity Index (PASI-50) From Baseline at Week 16 Secondary · Baseline and Week 16

The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, thickness, and scaling) and degree of skin surface area involvement on defined anatomical regions. The PASI scores range from 0 to 72, with higher scores reflecting greater disease severity. The results presented are for the percentage of participants with PASI-50. PASI-50 was defined as at least a 50% reduction in PASI score from baseline.

GroupValue95% CI
Placebo32.1
Apremilast70.5
Percentage Change From Baseline in Total PASI Score at Week 16 Secondary · Baseline and Week 16

The PASI is a measure of psoriatic disease severity taking into account qualitative lesion characteristics (erythema, thickness, and scaling) and degree of skin surface area involvement on defined anatomical regions. The PASI scores range from 0 to 72, with higher scores reflecting greater disease severity. Positive percentage change from baseline scores indicate a worsening of disease severity, and negative percentage change from baseline scores indicate an improvement in disease severity.

GroupValue95% CI
Placebo-37.49± 3.866
Apremilast-64.52± 2.543
Percentage Change From Baseline in Body Surface Area (BSA) Affected by Psoriasis at Week 16 Secondary · Baseline and Week 16

BSA is a measurement of involved skin of the whole body affected by psoriasis, which ranges from 0% to 100%. Positive percentage change from baseline indicates that a greater BSA was affected by psoriasis. A negative percentage change from baseline indicates that a lesser BSA was affected by psoriasis.

GroupValue95% CI
Placebo-20.56± 5.441
Apremilast-55.44± 3.428
Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16 Secondary · Week 16

The CDLQI is designed to measure the impact of skin disease on children's quality of life. The CDLQI measures how much the participant's psoriasis has affected them over the last week, and includes 10 questions with possible answers ranging from not at all (score of 0) to very much (score of 3). The CDLQI total score ranged from 0 (no effect on the participant's life) to 30 (extremely large effect on the participant's life). The results presented are for the percentage of participants who achieved a total CDLQI score of 0 or 1 at Week 16.

GroupValue95% CI
Placebo31.3
Apremilast35.4
Change From Baseline in CDLQI Score at Week 16 Secondary · Baseline and Week 16

The CDLQI is designed to measure the impact of skin disease on children's quality of life. The CDLQI measures how much the participant's psoriasis has affected them over the last week, and includes 10 questions with possible answers ranging from not at all (score of 0) to very much (score of 3). The CDLQI total score ranged from 0 (no effect on the participant's life) to 30 (extremely large effect on the participant's life). A positive change from baseline score indicates that a participant's quality of life has worsened. A negative change from baseline score indicates that a participant's qua

GroupValue95% CI
Placebo-2.7± 0.56
Apremilast-5.3± 0.44
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) During the Placebo-controlled Phase Secondary · 16 weeks

An adverse event (AE) was defined as any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of the study. A TEAE is any AE that occurred after first dose of the investigational product.

GroupValue95% CI
Placebo33
Apremilast 20mg58
Apremilast 30 mg48
Number of Participants Who Experienced a TEAE During the Apremilast Exposure Period Secondary · 52 weeks

An AE was defined as any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of the study. A TEAE is any AE that occurred after first dose of the investigational product.

GroupValue95% CI
Apremilast Exposure Period: Apremilast 20 mg BID88
Apremilast Exposure Period: Apremilast 30 mg BID80
Number of Participants Who Experienced a Treatment-emergent Serious Adverse Event (TESAE) During the Placebo-controlled Phase Secondary · 16 weeks

A TESAE is any AE occurring at any dose after first dose that results in death, is life-threatening (ie, in the opinion of the Investigator, the participant is at immediate risk of death from the AE), requires inpatient hospitalization or prolongation of existing hospitalization (hospitalization is defined as an inpatient admission, regardless of length of stay), results in persistent or significant disability/incapacity (a substantial disruption of the participant's ability to conduct normal life functions), is a congenital anomaly/birth defect, or constitutes an important medical event.

GroupValue95% CI
Placebo1
Apremilast 20mg2
Apremilast 30 mg0
Number of Participants Who Experienced a TESAE During the Apremilast Exposure Period Secondary · 52 weeks

A TESAE is any AE occurring at any dose after first dose that results in death, is life-threatening (ie, in the opinion of the Investigator, the participant is at immediate risk of death from the AE), requires inpatient hospitalization or prolongation of existing hospitalization (hospitalization is defined as an inpatient admission, regardless of length of stay), results in persistent or significant disability/incapacity (a substantial disruption of the participant's ability to conduct normal life functions), is a congenital anomaly/birth defect, or constitutes an important medical event.

GroupValue95% CI
Apremilast Exposure Period: Apremilast 20 mg BID2
Apremilast Exposure Period: Apremilast 30 mg BID1
Number of Participants Who Experienced a Treatment-related Adverse Event (TRAE) During the Placebo-controlled Phase Secondary · 16 weeks

A TREAE is any AE that is determined by the Investigator to have a possibly causal relationship to the investigational product.

GroupValue95% CI
Placebo12
Apremilast 20mg36
Apremilast 30 mg32

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to a maximum of 52 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo-Controlled Phase: Placebo BID
Serious: 1/80 (1%)
Deaths: 0/82
Placebo-Controlled Phase: Apremilast 20 mg BID
Serious: 2/80 (3%)
Deaths: 0/80
Placebo-Controlled Phase: Apremilast 30 mg BID
Serious: 0/83 (0%)
Deaths: 0/83
Placebo-Controlled Phase: Apremilast BID
Serious: 2/163 (1%)
Deaths: 0/163
Apremilast Extension Phase: Apremilast 20 mg BID
Serious: 0/110 (0%)
Deaths: 0/110
Apremilast Extension Phase: Apremilast 30 mg BID
Serious: 2/111 (2%)
Deaths: 0/111
Apremilast Extension Phase: Apremilast BID
Serious: 2/221 (1%)
Deaths: 0/221

Serious adverse events (8 terms)

ReactionSystemPlacebo-Controlled Phase: …Placebo-Controlled Phase: …Placebo-Controlled Phase: …Placebo-Controlled Phase: …Apremilast Extension Phase…Apremilast Extension Phase…Apremilast Extension Phase…
Iron deficiency anaemiaBlood and lymphatic system disorders
Sinus tachycardiaCardiac disorders
Wandering pacemakerCardiac disorders
AppendicitisInfections and infestations
Autonomic nervous system imbalanceNervous system disorders
Status migrainosusNervous system disorders
Testicular appendage torsionReproductive system and breast disorders
PsoriasisSkin and subcutaneous tissue disorders
Other adverse events (12 terms — click to expand)

ReactionSystemPlacebo-Controlled Phase: …Placebo-Controlled Phase: …Placebo-Controlled Phase: …Placebo-Controlled Phase: …Apremilast Extension Phase…Apremilast Extension Phase…Apremilast Extension Phase…
DiarrhoeaGastrointestinal disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
HeadacheNervous system disorders
PsoriasisSkin and subcutaneous tissue disorders
NasopharyngitisInfections and infestations
DyspepsiaGastrointestinal disorders
PyrexiaGeneral disorders
Abdominal pain upperGastrointestinal disorders
COVID-19Infections and infestations
InfluenzaInfections and infestations

Most-reported serious reactions: Iron deficiency anaemia, Sinus tachycardia, Wandering pacemaker, Appendicitis, Autonomic nervous system imbalance, Status migrainosus, Testicular appendage torsion, Psoriasis.

Data from ClinicalTrials.gov NCT03701763 adverse events section.

Sponsor's own description

This is a Phase 3, multicenter, randomized, placebo-controlled, double-blind study of the efficacy and safety of apremilast (CC-10004) in pediatric subjects with moderate to severe plaque psoriasis. At least 230 pediatric subjects (ages 6 through 17 years) will be randomized 2:1 to receive either apremilast or placebo for the first 16 weeks and then all subjects will receive apremilast during the 36 week Extension Phase for a total of 52 weeks. Randomization to apremilast arm or placebo arm will be stratified by age group (6 to 11 years or 12 to 17 years). Subjects will receive apremilast treatment of either 20 mg twice daily (BID) or 30 mg BID, depending on weight. This Phase 3 study is being conducted to evaluate the safety and efficacy of apremilast in the treatment of pediatric subjects.

Publications & conference data

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

  1. An Overview of PDE4 Inhibitors in Clinical Trials: 2010 to Early 2022.
    Crocetti L, Floresta G, Cilibrizzi A, Giovannoni MP. · · 2022 · cited 85× · PMID 35956914 · DOI 10.3390/molecules27154964
  2. Phosphodiesterase-4 Inhibition in the Management of Psoriasis.
    Crowley EL, Gooderham MJ. · · 2023 · cited 24× · PMID 38258034 · DOI 10.3390/pharmaceutics16010023
  3. Efficacy and safety of apremilast in pediatric patients with moderate-to-severe plaque psoriasis: 16-week results from SPROUT, a randomized controlled trial.
    Fiorillo L, Becker E, de Lucas R, Belloni-Fortina A, et al · · 2024 · cited 18× · PMID 38266683 · DOI 10.1016/j.jaad.2023.11.068
  4. 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
  5. Summary of Research: Apremilast Improves Skin Outcomes in Pediatric Plaque Psoriasis of Shorter Disease Duration: 52-Week Results from the SPROUT Phase 3 Trial.
    Langley RG, Arkin L, Fiorillo L, Eichenfield LF, et al · · 2026 · PMID 42133282 · DOI 10.1007/s13555-026-01714-0
  6. Efficacy and safety of apremilast in paediatric patients with moderate-to-severe plaque psoriasis: 52-week results from the SPROUT randomized controlled trial.
    Paller AS, Fiorillo L, Becker E, Armesto S, et al · · 2025 · PMID 40737559 · DOI 10.1093/bjd/ljaf305
  7. Selected Poster Abstracts from MauiDerm 2023 for Dermatologists
    · 2023
  8. Elevate-Derm West Conference Selected Abstracts
    · 2025

Verify or expand the search:

Other trials of Apremilast (CC-10004)

Trials testing the same drug.

Other recruiting trials for Psoriasis

Currently open trials in the same condition.

Other Amgen trials

Trials by the same sponsor.

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