CClinicalTrials.gg
Status unknownNCT02701205Updated Mar 8, 2016

Safety and Efficacy Study of Etanercept (Qiangke®) to Treat Moderate to Severe Plaque Psoriasis

A Phase 3 interventional study of etanercept and etanercept (half dose) in Plaque Psoriasis and Psoriasis, sponsored by Shanghai Celgen Bio-Pharmaceutical Co.,Ltd. Status unknown at 4 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-03-08.

Sponsored by Shanghai Celgen Bio-Pharmaceutical Co.,Ltd · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
216
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

This is a randomized, double-blind, multicentral clinical trial to investigate the efficacy and safety of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection (Qiangke®) in the treatment of Moderate to Severe Plaque Psoriasis. The primary purpose is to assess the different maintaining treatment programme in Moderate to Severe plaque psoriasis by Qiangke®. And the second purpose is to assess the efficacy and safety of Qiangke® in Moderate to Severe Plaque Psoriasis. The trial will include 216 Moderate to Severe plaque psoriasis patients,and at the first stage they will be randomized divided into three group: full-dose of Qiangke® group, half-dose of Qiangke® group and placebo group.And the blind stage will last for 12 weeks. Then at the second stage, all patients will receive 50mg qw of Qiangke® for additional 12 weeks.

Read the detailed description

Psoriasis is a chronic inflammatory skin disease that can lead to significant physical and psychologic distress for patients.Recombinant Human TNF Receptor-Ig Fusion Protein for Injection (Qiangke®) can block the role of the cytokine tumor necrosis factor (TNF)-alpha.

TNF-α plays a major role in the pathophysiology of both Psoriasis(PsO)and Psoriatic Arthritis (PsA). TNF-α levels are elevated in psoriatic skin lesions, serum samples, and synovial fluid. Anti-TNF-α therapy has shown efficacy in treating psoriatic skin lesions, joint pain and swelling, enthesitis, and dactylitis plus the ability to improve mobility, reduce radiographic progression of disease, and influence quality of life parameters.

Qiangke® is a dimeric, soluble fusion protein consisting of the extracellular ligand binding portion of the TNF receptor linked to the Fc portion of human Immunoglobulin gamma-1(IgG1). It is capable of binding and neutralizing soluble TNF and transmembrane TNF. It alters neutrophil migration and dendritic cell and T-cell maturation and migration, thus decreasing the local and systemic production of pro-inflammatory cytokines and their subsequent effects.

02

Conditions studied

  • Plaque Psoriasis
  • Psoriasis

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Keywords

  • Plaque Psoriasis
  • Skin Disease
03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's planned enrollment of 216 is above the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

This is the only study on the registry with Shanghai Celgen Bio-Pharmaceutical Co.,Ltd as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or Female, age 18-65,Asian.
  2. Freely provides both verbal and written informed consent.
  3. Consent to use effective contraception during the trial period.
  4. Participant had a clinical diagnosis of psoriasis for at least 6 months, and had moderate to severe plaque psoriasis
  5. Participant must have a Psoriasis Area Severity Index score greater than or equal to 12 at the baseline visit and Body Surface Area involvement greater than or equal to 10% at the baseline visit.
  6. Participant has previous exposure to systemic psoriasis therapy or phototherapy, but not ideal.
  7. Meet the following criteria for Tuberculosis screening: A. has no prior history of occult or active tuberculosis. B. No signs or symptoms of active tuberculosis in history and / or physical examination. C. in the first 6 weeks of the trial, tuberculosis screening test meet the requirements of the trial.
  8. Laboratory screening results:Hemoglobin≥110g/L.White blood cell≥4 * 109 /L. Neutrophil≥1.5 * 109/L.Platelet≥100 * 109/L.Serum alanine aminotransferase and / or aspartate aminotransferase not more than 1.5 times of the upper limit of normal.Serum creatinine does not exceed 1.5 mg/dL (International units: ≤133 mol/L).
  9. During the first 2 weeks of the study, Participant must stop adjuvant therapy including traditional Chinese medicine and acupuncture.
  10. Hepatitis B (HBV) screening in compliance with the requirements of this test.
  11. Weight≥60Kg.

Exclusion criteria

Exclusion Criteria:

  1. Pustular, erythrodermic, and/or guttate forms of psoriasis.
  2. Participant had treated with TNF antagonists within 6 weeks prior to the Baseline visit.
  3. Participant had treated with Other biological agents within 6 weeks prior to the Baseline visit.
  4. Participant had treated with Phototherapy or systemic antipsoriatic treatment (such as:Methotrexate(MTX), acitretin, cyclosporine, Total Glucosides of Paeony(TGP), treatment of psoriasis related Chinese medicines, etc.) and systemic corticosteroid treatment within 4 weeks prior to the Baseline visit.
  5. Participant had treated with Topical corticosteroid therapy, vitamin A or D analogue or Anthralin within 2 weeks prior to the Baseline visit.
  6. Participant received any drug that the drug's metabolism was less than 7 half lives before the Baseline visit.
  7. Participant plans to pregnant or breast feeding or father during the study.
  8. The history of occult or active granuloma infections, including histoplasmosis, coccidioidomycosis.
  9. Participant has suffered from Non Mycobacterium tuberculosis infection or opportunistic infections (such as cytomegalovirus sense of dyeing, Pneumocystis carinii pneumonia, aspergillosis) within 6 weeks prior to the Baseline visit.
  10. The close contact history of active tuberculosis patients or Tuberculosis screening results do not meet the requirements.
  11. Participant has suffered from severe infection (for example hepatitis, pneumonia, acute pyelonephritis or sepsis), or participant use intravenous antibiotics now because of infection within 6 weeks prior to the Baseline visit.
  12. Participant has suffered from chronic or recurrent infections before or at present, including (but not limited to) chronic kidney infection disease and chronic chest infectious diseases (such as bronchial dilation), sinusitis, recurrent urinary tract infections (such as recurrent pyelonephritis and chronic non remission cystitis), open, overflow liquid or infection of skin wound or ulcer.
  13. Human immunodeficiency virus (HIV) antibody positive.
  14. Hepatitis B virus (HBV) screening results do not meet the requirements.
  15. Hepatitis C virus (HCV) antibody positive.
  16. Participant has demyelinating diseases such as multiple sclerosis or optic neuritis.
  17. A history of congestive heart failure, including asymptomatic congestive heart failure.
  18. A history or sign of a lymph node hyperplasia, including lymphoma or suggestive of a possible sign such as the size and location of an enlarged lymph node or a history of clinically significant enlargement of the spleen.
  19. Participant has symptoms or signs of severe, progressive or uncontrolled kidney, liver, blood, gastrointestinal, endocrine, lung, heart, nerve, mental or brain diseases.
  20. There is a history of malignancy or previous history.
  21. Joint prosthesis has not yet been removed or replaced.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
216 participants (estimated)

Study arms

  • Experimental
    etanercept

    Recombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 50mg twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week from Week 12 to Week 24

    Biological: etanercept

  • Experimental
    etanercept (half dose)

    One vial of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 25mg and one vial of placebo twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week from Week 12 to Week 24

    Biological: etanercept (half dose)

  • Placebo comparator
    Placebo

    Two vials of Placebo twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 25mg twice a week from Week 12 to Week 24

    Drug: placebo

Interventions

  • Biologicaletanercept

    Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50mg twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

    Also known as: Qiangke®

  • Biologicaletanercept (half dose)

    Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

    Also known as: Qiangke®

  • Drugplacebo

    two vials of placebo twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving a Psoriasis Area and Severity Index Greater Than or Equal to 75% Reduction (PASI 75) Response at Week 12

    Time frame: Week 12

Secondary outcomes

  1. Proportion of subjects achieving PASI 90 & 50

    Time frame: Week 12

  2. Proportion of subjects achieving PASI 90 & 50 & 75

    Time frame: Week 24

  3. Physician's Global Assessment (PGA)

    Time frame: Week 12 & 24

  4. Nail Psoriasis Severity Index (NAPSI)

    Time frame: Week 12 & 24

  5. Dermatology Life Quality Index (DLQI)

    Time frame: Week 12 & 24

  6. Patient's Global Assessment (PGA)

    Time frame: Week 12 & 24

Other outcomes

  1. Safety parameters - Number of Participants With Abnormal Laboratory Values and/or Adverse Events

    Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment.

    Time frame: Week 12 & 24

07

Study locations

4 of 4 sites recruiting
  • Chinese Academy of Medical Sciences & Peking Union Medical College
    Beijing, Beijing 100730, China
    • Hongzhong Jin, M.D. · Contact
    Recruiting
  • Institute of Dermatology and Skin Disease Hospital Chinese Academy of Medical Sciences
    Nanjing, Jiangsu 210042, China
    • Heng Gu, M.D. · Contact
    Recruiting
  • Qilu Hospital of Shandong University
    Jinan, Shandong 250012, China
    • Qing Sun, M.D. · Contact
    Recruiting
  • Changhai Hospital of The Second Military Medical University
    Shanghai, Shanghai 200433, China
    • Jun Gu, M.D. · Contact
    Recruiting
08

References and documents

Publications

  • Gottlieb AB, Chamian F, Masud S, Cardinale I, Abello MV, Lowes MA, Chen F, Magliocco M, Krueger JG. TNF inhibition rapidly down-regulates multiple proinflammatory pathways in psoriasis plaques. J Immunol. 2005 Aug 15;175(4):2721-9. doi: 10.4049/jimmunol.175.4.2721. PubMed 16081850 ↗
  • Gudjonsson JE, Elder JT. Psoriasis: epidemiology. Clin Dermatol. 2007 Nov-Dec;25(6):535-46. doi: 10.1016/j.clindermatol.2007.08.007. PubMed 18021890 ↗
  • Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol. 1998 Nov;139(5):846-50. doi: 10.1046/j.1365-2133.1998.02511.x. PubMed 9892952 ↗
  • Leonardi CL, Powers JL, Matheson RT, Goffe BS, Zitnik R, Wang A, Gottlieb AB; Etanercept Psoriasis Study Group. Etanercept as monotherapy in patients with psoriasis. N Engl J Med. 2003 Nov 20;349(21):2014-22. doi: 10.1056/NEJMoa030409. PubMed 14627786 ↗
  • Kivelevitch D, Mansouri B, Menter A. Long term efficacy and safety of etanercept in the treatment of psoriasis and psoriatic arthritis. Biologics. 2014 Apr 17;8:169-82. doi: 10.2147/BTT.S41481. eCollection 2014. PubMed 24790410 ↗
  • Papp KA, Tyring S, Lahfa M, Prinz J, Griffiths CE, Nakanishi AM, Zitnik R, van de Kerkhof PC, Melvin L; Etanercept Psoriasis Study Group. A global phase III randomized controlled trial of etanercept in psoriasis: safety, efficacy, and effect of dose reduction. Br J Dermatol. 2005 Jun;152(6):1304-12. doi: 10.1111/j.1365-2133.2005.06688.x. PubMed 15948997 ↗
  • Sterry W, Ortonne JP, Kirkham B, Brocq O, Robertson D, Pedersen RD, Estojak J, Molta CT, Freundlich B. Comparison of two etanercept regimens for treatment of psoriasis and psoriatic arthritis: PRESTA randomised double blind multicentre trial. BMJ. 2010 Feb 2;340:c147. doi: 10.1136/bmj.c147. PubMed 20124563 ↗
  • Chiu HY, Wang TS, Cho YT, Tsai TF. Etanercept use for psoriasis in Taiwan: a case series study. Int J Dermatol. 2013 Jun;52(6):673-80. doi: 10.1111/j.1365-4632.2011.05273.x. Epub 2012 Feb 20. PubMed 22348620 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 8, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02701205
Lead sponsor
Shanghai Celgen Bio-Pharmaceutical Co.,Ltd
Responsible party
Sponsor
First posted
Mar 8, 2016
Start date
Jan 2015
Primary completion
Jan 2017 (estimated)
Completion
Dec 2017 (estimated)
Last update
Mar 8, 2016

Study contacts

Hongzhong Jin, M.D.
Contact
jinhongzhong@263.net
8613693583080
Hongzhong Jin, M.D.
principal investigator · Chinese Academy of Medical Sciences Peking Union Medical College

Oversight

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

Not currently enrolling

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

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