A Study of Subcutaneous Risankizumab Injection for Pediatric Participants With Moderate to Severe Plaque Psoriasis to Assess Change in Disease Symptoms (OptIMMize-1)

2023-504156-10-00 Protocol M19-977 Therapeutic confirmatory (Phase III) Ended

Start 13 Aug 2021 · End 15 Oct 2024 · Status Ended · 3 EU/EEA countries · 16 sites · Protocol M19-977

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 143
Countries 3
Sites 16

Plaque Psoriasis.

The objective of this study is to evaluate the PK, safety, and efficacy of risankizumab in subjects from 6 to less than 18 years of age with moderate to severe plaque Ps. The hypothesis corresponding to the primary objective is that the safety and efficacy of treatment with risankizumab for moderate to severe Ps in the…

Key facts

Sponsor
Abbvie Deutschland GmbH & Co. KG
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
13 Aug 2021 → 15 Oct 2024
Decision date (initial)
2023-07-28
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
AbbVie Inc

External identifiers

EU CT number
2023-504156-10-00
EudraCT number
2019-004141-32
ClinicalTrials.gov
NCT04435600

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Efficacy, Safety

The objective of this study is to evaluate the PK, safety, and efficacy of risankizumab in subjects from 6 to less than 18 years of age with moderate to severe plaque Ps. The hypothesis corresponding to the primary objective is that the safety and efficacy of treatment with risankizumab for moderate to severe Ps in the pediatric population is similar to the response observed in the adult population.

Secondary objectives 1

  1. Not applicable.

Conditions and MedDRA coding

Plaque Psoriasis.

VersionLevelCodeTermSystem organ class
20.0 PT 10037153 Psoriasis 100000004858

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-001776-PIP01-15
Plan to share IPD
Yes
IPD plan description
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information. To learn more about the process, or to submit a request, visit https://www.abbvieclinicaltrials.com/hcp/data-sharing/. For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/
EU CT numberTitleSponsor
2022-500408-22-00 OptIMMize-2: A Phase 3 Multicenter, Single-arm, Open-label Extension Study to Assess the Safety, Tolerability, and Efficacy of Risankizumab in Subjects With Moderate to Severe Plaque Psoriasis Who Have Completed Participation in Study M19-977 (OptIMMize-1). Abbvie Deutschland GmbH & Co. KG

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Diagnosis of chronic plaque psoriasis for at least 6 months before the Baseline Visit.
  2. Stable severe or moderate to severe plaque psoriasis as defined in each study part by body surface area (BSA) psoriasis involvement and scores on the PASI and sPGA.
  3. Candidate for systemic therapy as assessed by the investigator and meet the disease activity criteria at both the Screening and Baseline Visits per the protocol.

Exclusion criteria 1

  1. Concurrent clinically significant medical conditions other than the indication being studied or any other reason that the investigator determines would interfere with the participant's participation in this study, would make the participant an unsuitable candidate to receive study drug, or would put the participant at risk by participating in the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Co-primary Endpoints: - Achievement of PASI 75 (defined as at least 75% improvement from baseline in PASI) at Week 16 of initial treatment.
  2. Achievement of sPGA clear or almost clear (0 or 1) at Week 16 of initial treatment

Secondary endpoints 15

  1. Ranked Secondary Endpoints: Achievement of PASI 90 (defined as at least 90% improvement from baseline in PASI) at Week 16 of initial treatment.
  2. Achievement of PASI 100 (defined as 100% improvement from baseline in PASI) at Week 16 of initial treatment.
  3. Achievement of sPGA clear or almost clear at (0 or 1) at Week 0 and Week 16 of the retreatment phase in Part 2.
  4. Non-ranked Secondary Efficacy Endpoints: Achievement of PASI 50 (defined as at least 50% improvement from baseline in PASI) at Week 16 of initial treatment
  5. Achievement of PASI 50 (defined as at least 50% improvement from baseline in PASI) at Week 0 and Week 16 of the re-treatment phase in Part 2.
  6. Achievement of PASI 90 (defined as at least 90% improvement from baseline in PASI) at Week 0 and Week 16 of the retreatment phase in Part 2.
  7. Achievement of PASI 100 (defined as 100% improvement from baseline in PASI) at Week 0 and Week 16 of the retreatment phase in Part 2.
  8. Achievement of a PASI 75 (defined as at least 75% improvement from baseline in PASI) at Week 0 and Week 16 of the retreatment phase in Part 2
  9. Change in Children's Dermatology Life Quality Index (CDLQI) from Week 0 to Week 16 of initial treatment in Part 2
  10. Change in CDLQI from Week 0 to Week 16 of re-treatment phase of Part 2
  11. Change in Family Dermatology Life Quality Index (FDLQI) from Week 0 to Week 16 of initial treatment in Part 2
  12. Change in FDLQI from Week 0 to Week 16 of re-treatment phase of Part 2
  13. Change in Itch Numerical Rating Scale (Itch NRS) from Week 0 to Week 16 of initial treatment in Part 2
  14. Change in Itch NRS from Week 0 to Week 16 of re-treatment phase in Part 2
  15. Achievement of ≥ 4-point improvement from baseline in the Itch Numerical Rating Scale (in patients with Baseline score ≥ 4) at Week 16 of initial treatment in Part 2

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Risankizumab

PRD9422583 · Product

Active substance
Risankizumab
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS
Max daily dose
00 mg milligram(s)
Max total dose
275 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

ABBV-066

PRD10369455 · Product

Active substance
Risankizumab
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS
Max daily dose
150 mg milligram(s)
Max total dose
750 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Comparator 2

Stelara (Ustekinumab)

PRD10370091 · Product

Active substance
Ustekinumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
90 mg milligram(s)
Max total dose
180 mg milligram(s)
Max treatment duration
4 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Stelara (Ustekinumab)

PRD10369914 · Product

Active substance
Ustekinumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
90 mg milligram(s)
Max total dose
180 mg milligram(s)
Max treatment duration
40 Week(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Abbvie Deutschland GmbH & Co. KG

Sponsor organisation
Abbvie Deutschland GmbH & Co. KG
Address
Knollstrasse
City
Ludwigshafen Am Rhein
Postcode
67061
Country
Germany

Scientific contact point

Organisation
Abbvie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Public contact point

Organisation
Abbvie Deutschland GmbH & Co. KG
Contact name
Global Clinical Trials Helpdesk

Third parties 4

OrganisationCity, countryDuties
Labcorp Endpoint Clinical Inc.
ORG-100040567
Wakefield, United States Interactive response technologies (IRT)
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Qd Solutions Inc.
ORG-100041849
Austin, United States Other

Locations

3 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 29 6
Poland Ended 28 5
Spain Ended 15 5
Rest of world
United States, United Kingdom, Canada
71

Investigational sites

Germany

6 sites · Ended
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
N/A, Fetscherstrasse 74, Johannstadt-Nord, Dresden
University Medical Centre Schleswig-Holstein
N/A, Arnold-Heller-Strasse 3, Brunswik, Kiel
Universitaetsmedizin Der Johannes Gutenberg-Universitaet Mainz
N/A, Langenbeckstrasse 1, Oberstadt, Mainz
Universitaetsklinikum Bonn AöR
N/A, Venusberg-Campus 1, Venusberg, Bonn
Universitaetsklinikum Muenster AöR
N/A, Albert-Schweitzer-Strasse 33, 48149, Muenster
Thermalsole- Und Schwefelbad Bentheim GmbH
N/A, Am Bade 1, 48455, Bad Bentheim

Poland

5 sites · Ended
Dermed Centrum Medyczne Sp. z o.o.
N/A, Ul. Piotrkowska 48, 90-265, Lodz
Dermoklinika-Medyczne Centrum s.c. M.Kierstan J.Narbutt A.Lesiak
N/A, Al. Tadeusza Kosciuszki 93, 90-436, Lodz
Uniwersytecki Szpital Kliniczny Im. Fryderyka Chopina W Rzeszowie
N/A, Ul. Fryderyka Szopena 2, 35-055, Rzeszow
Dorota Bystrzanowska High­ Med Przychodnia Specjalistyczna
N/A, Jana Kasprowicza 27/2, 01-817, Warsaw
Centrum Badan Klinicznych Pi-House Sp. z o.o.
N/A, Ul. Na Zaspe 3, 80-546, Gdansk

Spain

5 sites · Ended
Complexo Hospitalario Universitario De Pontevedra
N/A, Calle Mourente S/n, 36164, Pontevedra
Hospital Universitario Infanta Leonor
N/A, Avenida Gran Via Del Este 80, 28031, Madrid
Hospital General Universitario Gregorio Maranon
N/A, Calle Del Doctor Esquerdo 46, 28009, Madrid
Sant Joan De Deu Barcelona Hospital
N/A, Passeig De Sant Joan De Deu 2, 08950, Esplugues De Llobregat
Hospital Universitario 12 De Octubre
N/A, Bloque D, Avenida De Cordoba S/n, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2022-01-14 2024-10-01 2022-01-18 2023-09-11
Poland 2021-10-20 2024-09-16 2021-11-25 2023-09-04
Spain 2021-08-13 2024-08-05 2021-09-27 2023-07-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
CTIS M19-977 Final Results
SUM-78407
2025-04-09T17:25:11 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Results Lay Summary_M19-977 2025-04-01T17:40:22 Submitted Laypersons Summary of Results

Documents 10 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Results Lay Summary_M19-977_English 1
Laypersons summary of results (for publication) Results Lay Summary_M19-977_German 1
Laypersons summary of results (for publication) Results Lay Summary_M19-977_Polish 1
Laypersons summary of results (for publication) Results Lay Summary_M19-977_Spanish 1
Protocol (for publication) D1_m19977-protocol-redacted 5.0
Summary of Product Characteristics (SmPC) (for publication) smpc-ustekinumab 2
Summary of results (for publication) CTIS M19-977 final Results for approval 21Mar2025 1
Synopsis of the protocol (for publication) M19-977-EN-protocol-synopsis-Redacted 5.0
Synopsis of the protocol (for publication) M19-977-ES-protocol-synopsis -Redacted 5.0
Synopsis of the protocol (for publication) M19-977-PL-protocol-synopsis-Redacted 5.0

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-31 Spain Acceptable
2023-07-14
2023-07-14
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-10-18 Acceptable
2023-07-14
2023-10-18
3 SUBSTANTIAL MODIFICATION SM-1 2023-11-30 Spain Acceptable
2024-01-26
2024-01-26
4 SUBSTANTIAL MODIFICATION SM-2 2024-03-19 Spain Acceptable 2024-04-24
5 SUBSTANTIAL MODIFICATION SM-3 2024-08-27 Acceptable
2024-11-20
2024-11-25