ClinicalTrials.gg
CompletedNCT018997298400-201Updated Apr 7, 2022Results posted

A 12-week Dose-Ranging Trial in Patients With Moderate to Severe Plaque Psoriasis

A Phase 2 interventional study of IMO-8400 Regimen 1 and IMO-8400 Regimen 2 in Plaque Psoriasis, sponsored by Idera Pharmaceuticals, Inc.. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Idera Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 30 studies in Autoimmune Diseases with a site in Netherlands — 11 open to participants now, 12 under way, 5 of them phase 3. Autoimmune Diseases · Netherlands.

Enrollment
16th of 23
46 · median 109
Started
2013
with 1 other
Phase 2
7 of 30
1 open now
Registered
7th of 30
by date

Among the 30 studies in Autoimmune Diseases with a site in Netherlands, this one is the 16th largest by enrollment of the 23 interventional ones that give a count, is one of 2 that started in 2013, is one of 7 in phase 2, and was the 7th registered.

Autoimmune Diseases

803 studies on the registry are indexed under Autoimmune Diseases; 272 are open to participants now.

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Open to participants now

11 of the 30 studies in Autoimmune Diseases with a site in Netherlands are open now. Recruiting first, the newest first:

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All 11 open studies →

A study can be open while its sites in Netherlands have not opened yet or have stopped. Only those recruiting at a site in Netherlands →

Who these studies take

Of the 195 Autoimmune Diseases studies recruiting now, 90 (46%) set no upper age limit and 79 (41%) stop at 75 or younger; 55 take children under 18; 36 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

IMO 8400 is a second-generation oligonucleotide antagonist of endosomal Toll-like receptors (TLR) 7, TLR8 and TLR9. These TLR react to complexes of exogenous nucleic acids (as might be encountered during infection) and endogenous nucleic acids (as might be released during tissue damage during autoimmune disease). In vitro and in multiple animal models of autoimmune disease, IMO-8400 blocks immune activation mediated through TLR7, 8 and 9. In Phase 1 studies (Protocol 8400-001) IMO 8400 has been administered to healthy adults by SC injection at single-doses and multiple-doses (4 weeks) up to 0.6 mg/kg. All treatments were well-tolerated, with mild injection site reactions and no pattern of systemic reactions or laboratory changes.

The current study represents the first clinical trial of IMO-8400 in patients with active autoimmune disease. Moderate to severe plaque psoriasis was chosen for this 12-week proof of activity trial based on a prior 4-week study using a first generation TLR7 and 9 antagonist which demonstrated clinical improvement in this patient population.

Read the detailed description

Eligible subjects will be enrolled and randomized to receive one of the four treatments (three dose levels of IMO-8400 or Saline Placebo). Treatments will be administered once weekly by subcutaneous injections. Subjects will received treatment for 12 weeks and then be followed for an additional 6 weeks to assess the durability of the response.

03

Conditions studied

  • Plaque Psoriasis

Browse trials for

Keywords

  • plaque psoriasis
  • autoimmune disease
  • Toll like receptor
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Is age 18 to 70 years, inclusive
  2. Completes the procedure (see Section 15.2), including signing and dating the informed consent form
  3. Has moderate to severe plaque psoriasis meeting the criteria specified above
  4. Is willing and able to comply with the restrictions detailed above
  5. Female subjects must have a negative pregnancy test at screening and on Day 1 prior to start of treatment
  6. Female subjects of (see Section 8.2) and male subjects who have partners of childbearing potential must agree to use effective (contraception; see Section 8.2) from Screening through the treatment period and for ninety (90) days after the last injection of study drug

Exclusion criteria

Exclusion Criteria:

  1. Has known to any oligodeoxynucleotide
  2. Is nursing
  3. Has body weight \<50 kg
  4. Has >34.9 kg/m2
  5. Regularly consumes >3 drinks of alcoholic beverages (beer, wine, or distilled spirits) per day
  6. Has a positive test for antibody to (HIV-1 or -2) or virus (HCV)
  7. Has a positive test for surface antigen (HBsAg)
  8. Has at screening safety laboratory tests meeting one or more of the following criteria:

    • \<6.52 mmol/L (\<10.5 g/dL)
    • white blood cell count \<4x109/L ( \<4,000/mm3)
    • (ANC) \<1.5x109/L (\<1500/mm3)
    • count \<100x109/L (\<100,000/mm3 )
    • serum creatinine >1.3x ;
    • (ALT; SGPT) >2.5x ULN
    • aspartate transaminase (AST; SGOT) >2.5x ULN
    • serum total >1.4x ULN (except if consistent with Gilbert's disease: i.e., total bilirubin \<103 μmol/L (6 mg/dL) and conjugated bilirubin \<1.2x ULN)
  9. Has a history of allogeneic organ transplant (including bone marrow or stem cells)
  10. Has, within the past 10 years, had evidence of or required treatment for cancer (except for treated, non-invasive carcinoma of the skin or cured cervical carcinoma-in-situ)
  11. Has had within the past three months or is expected to have during the study period any of the following treatments:

    • surgery requiring general anesthesia
    • hematopoietic stimulating agents (e.g., erythropoietin, G-CSF, GM-CSF)
    • another drug;
  12. Has other significant medical conditions (chronic or active within the past 6 months), including, but not limited to: cardiac disease (e.g., unstable angina, myocardial infarction, congestive heart failure, ventricular arrhythmia); uncontrolled seizure disorder; liver disease; uncontrolled diabetes
  13. Has any other condition that would, in the opinion of the Investigator, potentially compromise the safety or compliance of the patient or may preclude the patient's successful completion of the clinical trial
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    IMO-8400 Regimen 1

    IMO 8400 at 0.075 mg/kq q wk x 12 wks

    Drug: IMO-8400 Regimen 1

  • Experimental
    IMO-8400 Regimen 2

    IMO-8400 at 0.15 mg/kg q wk x 12 wks

    Drug: IMO-8400 Regimen 2

  • Experimental
    IMO-8400 Regimen 3

    IMO_8400 at 0.3 mg/kg q wk x 12 wks

    Drug: IMO-8400 Regimen 3

  • Placebo comparator
    Placebo

    Saline (placebo) q wk x 12 wks

    Drug: Saline Placebo

  • Experimental
    IMO-8400 Regimen 4

    IMO_8400 at 0.6 mg/kg q wk x 12 wks

    Drug: IMO-8400 Regimen 4

Interventions

  • IMO-8400 0.075 mg/kg q wk x 12 wk by subcutaneous injection

  • IMO-8400 0.15 mg/kg q wk x 12 wk by subcutaneous injection

  • IMO-8400 0.3 mg/kg q wk x 12 wk by subcutaneous injection

  • DrugSaline Placebo

    Saline q wk x 12 wk by subcutaneous injection

  • IMO-8400 0.6 mg/kg q wk x 12 wk by subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability of IMO-8400 Compared With Placebo

    The number of adverse events related and not related to treatment

    Time frame: 19 weeks (12 weeks on treatment + 7 week follow up)

07

Results

Posted Aug 2, 2019

Participant flow

Participant flow — Overall Study
MilestoneIMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4Placebo
Started998911
Completed77699
Not completed22202
Withdrew: Adverse event10001
Withdrew: Withdrawal by subject12000
Withdrew: Lack of efficacy00201

Outcome measures

PrimarySafety and Tolerability of IMO-8400 Compared With Placebo

The number of adverse events related and not related to treatment

Time frame:
19 weeks (12 weeks on treatment + 7 week follow up)
Reported as:
Number · adverse events
Safety and Tolerability of IMO-8400 Compared With Placebo
adverse eventsIMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4Placebo
AE Related to Treatment66656
AE Not Related to Treatment33245
Statistical analysis
  • IMO-8400 Regimen 1 vs IMO-8400 Regimen 2 vs IMO-8400 Regimen 3 vs IMO-8400 Regimen 4 vs Placebo · Mixed Models Analysis · p = 0.06

Adverse events

Collected over From first dose of study treatment to Study Day 113.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
IMO-8400 Regimen 10/9 (0%)0/9 (0%)8/9 (88.9%)
IMO-8400 Regimen 20/9 (0%)0/9 (0%)8/9 (88.9%)
IMO-8400 Regimen 30/8 (0%)0/8 (0%)7/8 (87.5%)
IMO-8400 Regimen 40/9 (0%)0/9 (0%)7/9 (77.8%)
Placebo0/11 (0%)0/11 (0%)9/11 (81.8%)
Most frequent other events
Showing 10 of 19
Most frequent other events
EventIMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4Placebo
HeadacheNervous system disorders4/93/92/84/95/11
Injection site hematomaGeneral disorders1/92/93/81/92/11
Influenza like illnessGeneral disorders1/93/92/81/91/11
FatigueGeneral disorders1/93/91/81/91/11
DiarrheaGastrointestinal disorders3/91/91/82/90/11
Injection site painGeneral disorders2/90/90/80/91/11
Injection site erythemaGeneral disorders2/90/90/80/90/11
NauseaGastrointestinal disorders2/90/91/80/90/11
Upper respiratory tract infectionInfections and infestations1/92/91/81/91/11
InsomniaPsychiatric disorders0/92/91/80/91/11

Baseline characteristics

Safety population

Age, Continuous
Age, Continuous(years)IMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4PlaceboTotal
Median53 (19 to 66)31 (20 to 66)42.5 (20 to 70)45 (23 to 65)44 (25 to 66)44 (19 to 70)
Sex: Female, Male
Sex: Female, Male(Participants)IMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4PlaceboTotal
Female4321212
Male5668934
Race (NIH/OMB)
Race (NIH/OMB)(Participants)IMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4PlaceboTotal
American Indian or Alaska Native000000
Asian002024
Native Hawaiian or Other Pacific Islander000000
Black or African American000000
White5869836
More than one race200013
Unknown or Not Reported210003
Region of Enrollment
Region of Enrollment(participants)IMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4PlaceboTotal
Netherlands99891146
Body Mass Index
Body Mass Index(kg/m^2)IMO-8400 Regimen 1IMO-8400 Regimen 2IMO-8400 Regimen 3IMO-8400 Regimen 4PlaceboTotal
Median26.5 (18.0 to 31.8)21.2 (19.2 to 33.8)27.15 (25.2 to 28.6)27.7 (19.6 to 40.4)30.9 (25.3 to 36.1)27.2 (18.0 to 40.4)
08

Study locations

1 site
  • Centre for Human Drug Research
    Leiden, Netherlands
09

References and documents

Publications

  • Balak DM, van Doorn MB, Arbeit RD, Rijneveld R, Klaassen E, Sullivan T, Brevard J, Thio HB, Prens EP, Burggraaf J, Rissmann R. IMO-8400, a toll-like receptor 7, 8, and 9 antagonist, demonstrates clinical activity in a phase 2a, randomized, placebo-controlled trial in patients with moderate-to-severe plaque psoriasis. Clin Immunol. 2017 Jan;174:63-72. doi: 10.1016/j.clim.2016.09.015. Epub 2016 Nov 20. PubMed 27876460 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2013, a primary completion of Apr 2014 and a completion of Apr 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Aug 2019, 5 years 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 2, 2013
First posted
Jul 15, 2013
Start
May 2013
Primary completionActual
Apr 2014
CompletionActual
Apr 2014
Results first posted
Aug 2, 2019
Last update
Apr 7, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01899729
Lead sponsor
Idera Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jul 15, 2013
Start date
May 2013
Primary completion
Apr 2014
Completion
Apr 2014
Results posted
Aug 2, 2019
Last update
Apr 7, 2022

Study contacts

Koos J Burggraaf, MSc, MD, PhD
principal investigator · Center Human Drug Research, Leiden, Netherlands

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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