ClinicalTrials.gg
CompletedNCT02630901Updated May 4, 2018

Multiple Ascending Dose Study of PRX003 in Subjects With Psoriasis

A Phase 1 interventional study of PRX003 and Placebo in Psoriasis, sponsored by Prothena Biosciences Limited. Completed at 9 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-05-04.

Sponsored by Prothena Biosciences Limited · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This multiple ascending dose study is to determine safety, tolerability, pharmacokinetics and immunogenicity of PRX003 in approximately 56 patients with Psoriasis.

02

Conditions studied

  • Psoriasis

Browse trials for

03

In context

Psoriasis

2,028 studies on the registry are indexed under Psoriasis; 275 are open to participants now.

This study's enrollment of 48 is below the median of 75 across 1,565 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Prothena Biosciences Limited is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 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. Male or female, 18 to 80 years of age (inclusive), body weight range of ≥ 45 kg (99 lbs) to ≤ 120 kg (264 lbs) and a (BMI) of 18 - 35 kg/m2
  2. Provide written
  3. PASI score of ≥12
  4. Plaque psoriasis covering ≥10% of BSA
  5. s-PGA score of 3 or 4
  6. Able to perform all protocol-specified assessments and comply with the study visit schedule
  7. Female subjects who are not or surgically sterile must use physician approved for at least 60 days prior to Baseline (Day 1/Visit 2) to 12 weeks following the last study drug administration. Unless they are at least 2 years postmenopausal or surgically sterile, women must have a pregnancy test with follicle stimulating hormone (FSH) >40 IU/L and estradiol \<20 pg/mL (unless on hormone-replacement therapy). Women of must be non lactating and have a negative serum pregnancy test (beta human chorionic gonadotropin [β HCG]) at Screening (Visit 1).
  8. If male, must be surgically sterile or must agree to use physician-approved contraception from Baseline (Day 1/Visit 2) to 12 weeks following the last study drug administration

Exclusion criteria

Exclusion Criteria:

  1. Presents with psoriasis that is predominantly guttate, erythrodermic, inverse, pustular or palmo-plantar, or an unstable form of psoriasis
  2. Receipt of any of the following within the specified time frame prior to Baseline (Day 1/Visit 2):

    • Topical psoriasis treatments (other than low-potency topical or emollients, which are permitted during the study) within 2 weeks
    • Systemic (nonbiologic) psoriasis treatments within 4 weeks or 5 half-lives (whichever is longer)
    • Biologic psoriasis treatments within 12 weeks or 5 half-lives (whichever is longer)
    • Drugs that appear to have a strong causal relationship to psoriasis (e.g., beta-blockers and lithium) within 4 weeks or 5 half-lives (whichever is longer)
    • Phototherapy within 4 weeks
  3. Participation in recreational sunbathing or use of a sun-bed (e.g., tanning salon) within 7 days prior to Baseline (Day 1)
  4. Any major medical illness or unstable medical condition that, in the opinion of the Investigator or Sponsor, may interfere with the subject's ability to comply with study procedures or abide by study restrictions, or with the ability to interpret safety data, including, but not limited to:

    • Within 5 years of Screening (Visit 1)
    • History of cancer with the exception of fully excised non-melanoma skin cancer
    • History of stroke
    • History of epilepsy or seizure disorder other than febrile seizures as a child, or any seizure or loss of consciousness
    • History of or active disease (other than psoriasis or PsA)
    • Within 2 years of Screening (Visit 1)
    • Myocardial infarction
    • cardiovascular disease including any of the following: unstable angina, decompensated congestive heart failure, clinically significant arrhythmias
    • Vascular diseases, including, but not limited to, blood clotting disorders, atherosclerosis, aneurysms, and renal artery disease
  5. Hypotension (systolic blood pressure [BP] ≤85 millimeters of mercury [mmHg]) at Baseline (Day 1/Visit 2) predose or a known history or documentation of hypotension on more than one occasion within 3 months prior to Baseline (Day 1/Visit 2)
  6. Uncontrolled hypertension as indicated by a resting systolic BP ≥150 mmHg or diastolic BP ≥95 mmHg at Screening (Visit 1) or Baseline (Day 1/Visit 2) predose or a known history or documentation of uncontrolled hypertension on more than one occasion within 3 months prior to Baseline (Day 1/Visit 2)
  7. Clinically significant systemic infection (e.g., chronic or acute infection, urinary tract infection, upper respiratory infection) within 30 days of Baseline (Day 1/ Visit 2), or a history or presence of recurrent or chronic infection (e.g., viral infections [including or C, (HIV)], bacterial infections, systemic fungal infections, or syphilis)
  8. History of any inflammatory bowel disease
  9. Any current psychiatric diagnosis according to IV Text Revision (DSM-IV-TR) that may interfere with the subject's ability to perform the study and all assessments (e.g., alcohol or drug-related abuse or alcohol dependence, or alcohol or drug-related dementia, major depression, developmental disability, schizophrenia, bipolar disorder). Note: Subjects with adequately controlled depression for at least 6 months are not excluded; however, suicidal ideation or attempt at any time within the past year is exclusionary.
  10. A positive tuberculosis skin test (TST) or a positive interferon-gamma release assay (IGRA) during Screening (Visit 1).

    Note: In the event a subject has had a TST or IGRA within 3 months before Baseline (Day 1/Visit 2), this does not need to be repeated during screening and the previous result can be carried forward and used in this study.

    Prior standard treatment for latent tuberculosis and prior exposure to tuberculosis with subsequent standard prophylactic treatment is allowed if recent (within ˂ 30 days) negative chest X-ray.

  11. Any of the following laboratory abnormalities at Screening (Visit 1):

    • Total (unless attributed to Gilbert's syndrome) >1.5 times the (× ULN), (ALT) or aspartate aminotransferase (AST) >2 × ULN
    • Serum creatinine >133 µmol/L (1.5 mg/dL)
    • \<11.5 g/dL for males or \<10.0 g/dL for females, of ˂1500/µL (with the exception of a documented history of a chronic benign neutropenia), or count of \<120,000/µL
  12. Use of an product or device or participation in a drug research study within a period of 30 days (or 5 half-lives of the drug, whichever is longer) prior to Screening (Visit 1); for investigational products or drug research studies relating to psoriasis or arthritis, the duration will be extended to 12 weeks (or 5 half-lives of the drug, whichever is longer) prior to Screening (Visit 1)
  13. Allergy to any of the components of PRX003 such as histidine, sucrose and polysorbate 20
  14. Receipt of any vaccine (with the exception of seasonal influenza) within 30 days prior to Screening (Visit 1)
  15. Donation of >500 mL of blood within 3 months prior to Screening (Visit 1)
Terms in these criteria, in plain language(18)

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.

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.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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.

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.

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.

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 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    PRX003

    Drug: PRX003

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • DrugPRX003
  • OtherPlacebo
06

What researchers measure

Primary outcomes

  1. Safety and tolerability as determined by number of subjects with adverse events

    Time frame: 6 months

  2. Determination of pharmacokinetics parameters

    time of the maximum measured concentration (Tmax)

    Time frame: 20 weeks

  3. Determination of pharmacokinetics parameters

    area under the concentration-time curve from time zero to the last quantifiable concentration time-point (AUClast)

    Time frame: 20 weeks

  4. Determination of pharmacokinetics parameters

    maximum concentration (Cmax)

    Time frame: 20 weeks

  5. Determination of pharmacokinetics parameters

    area under the concentration-time curve from time zero extrapolated to infinity (AUCinf)

    Time frame: 20 weeks

  6. Determination of pharmacokinetics parameters

    elimination rate constant

    Time frame: 20 weeks

  7. Determination of pharmacokinetics parameters

    terminal elimination half life (t½)

    Time frame: 20 weeks

  8. Determination of pharmacokinetics parameters

    clearance (CL)

    Time frame: 20 weeks

  9. Determination of pharmacokinetics parameters

    apparent volume of distribution (Vd)

    Time frame: 20 weeks

  10. Determination of pharmacokinetics parameters

    average concentration over a dosing interval (Cav)

    Time frame: 20 weeks

  11. Determination of pharmacokinetics parameters

    area under the plasma concentration-time curve for a dosing interval (AUCtau)

    Time frame: 20 weeks

  12. Determination of pharmacokinetics parameters

    minimum observed concentration (Cmin)

    Time frame: 20 weeks

Secondary outcomes

  1. Immunogenicity as determined by measurement of anti-PRX003 antibodies

    antibody titers will be listed and summarized

    Time frame: 20 weeks

07

Study locations

9 sites
  • TCR Medical Corporation
    San Diego, California 92123, United States
  • Universal Medical and Research Center, LLC
    Coral Gables, Florida, United States
  • Renstar Medical Research
    Ocala, Florida 34471, United States
  • University Hospitals Case Medical Center
    Cleveland, Ohio 44106, United States
  • Altoona Center for Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • UPMC Department of Dermatology
    Pittsburgh, Pennsylvania 15213, United States
  • Dermatology Treatment and Research Center, PA
    Dallas, Texas, United States
  • Clinical Trials of Texas, Inc.
    San Antonio, Texas, United States
  • Virginia Clinical Research Inc.
    Norfolk, Virginia 23502, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02630901
Lead sponsor
Prothena Biosciences Limited
Responsible party
Sponsor
First posted
Dec 15, 2015
Start date
Mar 17, 2016
Primary completion
Feb 28, 2018
Completion
Feb 28, 2018
Last update
May 4, 2018

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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