ClinicalTrials.gg
CompletedNCT03421197Updated Apr 1, 2022Results posted

A Study to Assess the Efficacy and Safety of PPC-06 (Tepilamide Fumarate)

A Phase 2 interventional study of PPC-06 400 mg QD and PPC-06 400 mg BID in Psoriasis, sponsored by Dr. Reddy's Laboratories Limited. Completed at 74 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-01.

Sponsored by Dr. Reddy's Laboratories Limited · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
426
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomized, double-blind, placebo-controlled, multicenter study designed to assess the safety and efficacy of PPC-06 (tepilamide fumarate) extended release in subjects with moderate-to-severe plaque psoriasis.

Read the detailed description

This is a Phase 2, randomized, double-blind, placebo-controlled, multicenter study designed to assess the safety and efficacy of PPC-06 in subjects with moderate-to-severe plaque psoriasis. Study subjects will be enrolled at approximately 75 sites in the United States (US).

Approximately 400 subjects who meet the study entry criteria will be randomly assigned in a 1:1:1:1 ratio to 1 of the 4 treatment arms:

  1. PPC-06 400 mg once daily (QD)
  2. PPC-06 400 mg BID
  3. PPC-06 600 mg BID
  4. Placebo BID The maximum study duration for each subject will be approximately 29 weeks.
02

Conditions studied

  • Psoriasis

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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 426 is above the median of 75 across 1,565 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Dr. Reddy's Laboratories Limited is the lead sponsor of 224 studies on the registry; 2 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 11 (85%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Generally healthy males or non-pregnant females age ≥18 years at the time of screening (or who have reached the state minimum legal age of consent).
  • Stable, moderate-to-severe plaque psoriasis diagnosed for at least 6 months prior to randomization (no morphology changes or significant flares of disease activity in the last 6 months in the opinion of the investigator or as reported by the subject).
  • Severity of disease meeting all 3 of the following criteria prior to randomization (at the Baseline [Day 0] visit):

    1. PASI score of ≥12
    2. Total body surface area (BSA) affected by plaque psoriasis of ≥10%
    3. IGA score of >3
  • Must be a candidate for phototherapy and/or systemic therapy for psoriasis.

Exclusion criteria

Exclusion Criteria:

  • Subjects with non-plaque psoriasis (ie, predominantly inverse, erythrodermic, predominantly guttate, or pustular psoriasis).
  • Subjects with drug-induced psoriasis or subjects with drug-exacerbated psoriasis that has not resolved within 4 weeks prior to screening.
  • Subjects who have received systemic non-biologic psoriasis therapy or phototherapy (including either oral and topical psoralen and ultraviolet A (PUVA) light therapy, ultraviolet B, or self-treatment with tanning beds or therapeutic sunbathing) within 4 weeks prior to the Baseline Visit.
  • Subjects who had topical psoriasis treatment within the previous 2 weeks prior to the Baseline Visit.
  • Subjects with history of concurrent or recent use of any biologic agent within the following prior to baseline visit:

    • Etanercept - 35 days
    • Infliximab, adalimumab - 12 weeks
    • Ustekinumab - 24 weeks
    • Any other biologic agent \<5 half-lives prior to the Baseline Visit
  • Subjects with history of use of any drug within 28 days prior to randomization, or 5 pharmacokinetic/ pharmacodynamic half-lives (whichever is longer).
Terms in these criteria, in plain language(2)

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
426 participants (actual)

Study arms

  • Experimental
    PPC-06 400 mg QD

    Tepilamide Fumarate 400 mg once per day

    Drug: PPC-06 400 mg QD

  • Experimental
    PPC-06 400 mg BID

    Tepilamide Fumarate 400 mg twice per day

    Drug: PPC-06 400 mg BID

  • Experimental
    PPC-06 600 mg BID

    Tepilamide Fumarate 600 mg twice per day

    Drug: PPC-06 600 mg

  • Placebo comparator
    Placebo BID

    White placebo tablet to mimic Tepilamide Fumarate

    Drug: Placebo

Interventions

  • DrugPPC-06 400 mg QD

    Tepilamide Fumarate 400 mg tablet once per day

    Also known as: Tepilamide Fumarate 400 mg

  • DrugPPC-06 400 mg BID

    Tepilamide Fumarate tablets 400 mg twice per day

    Also known as: Tepilamide Fumarate 400 mg

  • DrugPPC-06 600 mg

    Tepilamide Fumarate tablets 600 mg twice per day

    Also known as: Tepilamide Fumarate 600 mg

  • DrugPlacebo

    white tablet with no active ingredient manufactured to mimic Tepilamide Fumarate tablets

    Also known as: Placebo tablets twice per day

06

What researchers measure

Primary outcomes

  1. Achieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 24

    The percentage of subjects who achieve a reduction of 75% or greater from Baseline in the Psoriasis Area and Severity Index (PASI-75) The PASI is a measure of the average redness, thickness, and scaliness of the lesions (each graded on a 0-4 scale) and is weighted by the area of involvement. The minimum possible score on this scale is '0', while the maximum score on this scale is 72. A lower score on this scale at the end of the study indicates an improvement in the condition of subject.

    Time frame: End of Week 24

  2. Achieving the Investigator's Global Assessment (IGA) Score of 0 or 1

    The Percentage of subjects who achieve the Investigator's Global Assessment (IGA) score of clear or almost clear (IGA score 0 or 1) Score Grade Definition 0 Clear: No signs of psoriasis 1. Almost clear: No thickening to minimal plaque elevation; Normal to slight pink coloration/faint erythema; Focal to minimal scaling 2. Mild: Slight elevation/thickening; Pink to light red coloration; Predominantly fine scaling partially or mostly covering lesions 3. Moderate: Clearly distinguishable/distinct thickening; Definite red coloration; Coarse scaling covering most plaques 4. Severe: Marked thickening with hard/sharp edges; Bright to deep dark red coloration; Thick/coarse scaling covering almost all or all lesions A lower score on this scale at the end of the study indicates an improvement in the disease condition.

    Time frame: End of Week 24

07

Results

Posted May 11, 2021

Participant flow

Participant flow — Overall Study
MilestonePPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BID
Started105107107107
Completed67685662
Not completed38395145

Outcome measures

PrimaryAchieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 24

The percentage of subjects who achieve a reduction of 75% or greater from Baseline in the Psoriasis Area and Severity Index (PASI-75) The PASI is a measure of the average redness, thickness, and scaliness of the lesions (each graded on a 0-4 scale) and is weighted by the area of involvement. The minimum possible score on this scale is '0', while the maximum score on this scale is 72. A lower score on this scale at the end of the study indicates an improvement in the condition of subject.

Time frame:
End of Week 24
Reported as:
Number · percentage of total participants
Achieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 24
percentage of total participantsPPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BID
Achieving Psoriasis Area and Severity Index (PASI) - 75 at the End of Week 2439.747.244.320.0
PrimaryAchieving the Investigator's Global Assessment (IGA) Score of 0 or 1

The Percentage of subjects who achieve the Investigator's Global Assessment (IGA) score of clear or almost clear (IGA score 0 or 1) Score Grade Definition 0 Clear: No signs of psoriasis 1. Almost clear: No thickening to minimal plaque elevation; Normal to slight pink coloration/faint erythema; Focal to minimal scaling 2. Mild: Slight elevation/thickening; Pink to light red coloration; Predominantly fine scaling partially or mostly covering lesions 3. Moderate: Clearly distinguishable/distinct thickening; Definite red coloration; Coarse scaling covering most plaques 4. Severe: Marked thickening with hard/sharp edges; Bright to deep dark red coloration; Thick/coarse scaling covering almost all or all lesions A lower score on this scale at the end of the study indicates an improvement in the disease condition.

Time frame:
End of Week 24
Reported as:
Number · percentage of total participants
Achieving the Investigator's Global Assessment (IGA) Score of 0 or 1
percentage of total participantsPPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BID
Achieving the Investigator's Global Assessment (IGA) Score of 0 or 135.741.444.422.0

Adverse events

Collected over Adverse events were collected from the time of signing the informed consent, up to 30 days after the last dose.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PPC-06 400 mg QD0/105 (0%)3/105 (2.9%)30/105 (28.6%)
PPC-06 400 mg BID0/107 (0%)3/107 (2.8%)42/107 (39.3%)
PPC-06 600 mg BID0/106 (0%)0/106 (0%)68/106 (64.2%)
Placebo BID0/107 (0%)2/107 (1.9%)9/107 (8.4%)
Most frequent serious events
Most frequent serious events
EventPPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BID
Dyspnoea/Shortness of BreathRespiratory, thoracic and mediastinal disorders1/1050/1070/1060/107
DiverticulitisGastrointestinal disorders1/1050/1070/1060/107
DiverticulitisInfections and infestations1/1050/1070/1060/107
HypersensitivityImmune system disorders0/1051/1070/1060/107
Femur fractureInjury, poisoning and procedural complications0/1051/1070/1060/107
HypokalaemiaMetabolism and nutrition disorders0/1051/1070/1060/107
Cervical cord compressionNervous system disorders0/1050/1070/1061/107
Staphylococcal skin infectionInfections and infestations0/1050/1070/1061/107
Most frequent other events
Most frequent other events
EventPPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BID
DiarrheaGastrointestinal disorders7/10519/10724/1065/107
Abdominal PainGastrointestinal disorders4/1055/10712/1060/107
NauseaGastrointestinal disorders7/1057/10711/1062/107
LymphopeniaBlood and lymphatic system disorders4/1054/10710/1060/107
Urinary Tract InfectionInfections and infestations3/1051/1076/1062/107
EosinophiliaBlood and lymphatic system disorders5/1056/1075/1060/107

Baseline characteristics

Age, Continuous
Age, Continuous(years)PPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BIDTotal
Mean48.0 ± 13.1851.0 ± 12.2950.2 ± 13.7449.3 ± 12.5949.6 ± 12.96
Sex: Female, Male
Sex: Female, Male(Participants)PPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BIDTotal
Female40434343169
Male65646464257
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BIDTotal
American Indian or Alaska Native12014
Asian13217
Native Hawaiian or Other Pacific Islander01001
Black or African American6411526
White97969297382
More than one race00000
Unknown or Not Reported01236
Region of Enrollment
Region of Enrollment(participants)PPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BIDTotal
United States105107107107426
Psoriasis Area and Severity Index (PASI)
Psoriasis Area and Severity Index (PASI)(units on a scale)PPC-06 400 mg QDPPC-06 400 mg BIDPPC-06 600 mg BIDPlacebo BIDTotal
Mean18.41 ± 6.37718.56 ± 8.00418.00 ± 6.68017.26 ± 6.16918.05 ± 6.842
08

Study locations

74 sites
  • Site 144
    Glendale, Arizona 85308, United States
  • Site 167
    Phoenix, Arizona 85018, United States
  • Site 158
    Phoenix, Arizona 85053, United States
  • Site 170
    Tempe, Arizona 85283, United States
  • Site 157
    Bryant, Arkansas 72022, United States
  • Site 125
    Rogers, Arkansas 72758, United States
  • Site 133
    Fountain Valley, California 92708, United States
  • Site 107
    Fremont, California 94538, United States
  • Site 121
    Fresno, California 93720, United States
  • Site 153
    Fullerton, California 92835, United States
  • Site 176
    Los Angeles, California 90057, United States
  • Site 178
    Los Angeles, California 90057, United States
  • Site 182
    Los Angeles, California 90057, United States
  • Site 156
    Murrieta, California 92562, United States
  • Site 141
    San Diego, California 92123, United States
  • Site 155
    Santa Rosa, California 95405, United States
  • Site 137
    Clearwater, Florida 33761, United States
  • Site 130
    Coral Gables, Florida 33134, United States
  • Site 143
    Hialeah, Florida 33012, United States
  • Site 145
    Hialeah, Florida 33012, United States
  • Site 181
    Hialeah, Florida 33012, United States
  • Site 149
    Miami, Florida 33014, United States
  • Site 105
    Miami, Florida 33144, United States
  • Site 174
    Miami, Florida 33155, United States
  • Site 164
    Miami, Florida 33175, United States
  • Site 123
    Miami, Florida 33186, United States
  • Site 112
    Miramar, Florida 33027, United States
  • Site 172
    New Port Richey, Florida 34655, United States
  • Site 152
    Orange Park, Florida 32073, United States
  • Site 154
    Pembroke Pines, Florida 33028, United States
  • Site 110
    Sweetwater, Florida 33172, United States
  • Site 150
    Tampa, Florida 33609, United States
  • Site 113
    Tampa, Florida 33624, United States
  • Site 132
    Marietta, Georgia 30060, United States
  • Site 124
    Savannah, Georgia 31406, United States
  • Site 122
    Nampa, Idaho 83651, United States
  • Site 179
    Wheaton, Illinois 60189, United States
  • Site 115
    Indianapolis, Indiana 46256, United States
  • Site 171
    New Albany, Indiana 47150, United States
  • Site 139
    Overland Park, Kansas 66215, United States
  • Site 165
    Louisville, Kentucky 40202, United States
  • Site 131
    Louisville, Kentucky 40217, United States
  • Site 142
    Louisville, Kentucky 40241, United States
  • Site 119
    Baton Rouge, Louisiana 70808, United States
  • Site 126
    New Orleans, Louisiana 70115, United States
  • Site 128
    Clinton Township, Michigan 48038, United States
  • Site 129
    Fridley, Minnesota 55432, United States
  • Site 111
    Kansas City, Missouri 64114, United States
  • Site 109
    Omaha, Nebraska 68114, United States
  • Site 127
    Las Vegas, Nevada 89119, United States
  • Site 180-
    Las Vegas, Nevada 89148, United States
  • Site 103
    New York, New York 10012, United States
  • Site 177
    New York, New York 10075, United States
  • Site 104
    New York, New York 10155, United States
  • Site 161
    Rochester, New York 14623, United States
  • Site 146
    Stony Brook, New York 11790, United States
  • Site 108
    High Point, North Carolina 27262, United States
  • Site 116
    Wilmington, North Carolina 28405, United States
  • Site 118
    Beachwood, Ohio 44122, United States
  • Site 169
    Cincinnati, Ohio 45236, United States
  • Site 114
    Johnston, Rhode Island 02919, United States
  • Site 134
    Mount Pleasant, South Carolina 29464, United States
  • Site 100
    Rapid City, South Dakota 57702, United States
  • Site 148
    Austin, Texas 78745, United States
  • Site 160
    Bellaire, Texas 77401, United States
  • Site 162
    Houston, Texas 77004, United States
  • Site 102
    Houston, Texas 77056, United States
  • Site 106
    San Antonio, Texas 78229, United States
  • Site 101
    San Antonio, Texas 78281, United States
  • Site 159
    Sugar Land, Texas 77479, United States
  • Site 136
    Orem, Utah 84058, United States
  • Site 166
    Norfolk, Virginia 23507, United States
  • Site 135
    Burien, Washington 98168, United States
  • Site 147
    Spokane, Washington 99202, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03421197
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Jan 25, 2018
Primary completion
Mar 30, 2020
Completion
Mar 30, 2020
Results posted
May 11, 2021
Last update
Apr 1, 2022

Study contacts

Srinivas Sidgiddi, MD
study director · Dr. Reddy's Laboratories, Inc

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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

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