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CompletedNCT03614078Updated Mar 30, 2020Results posted

A Study of PRCL-02 in Moderate to Severe Chronic Plaque Psoriasis

A Phase 2 interventional study of PRCL-02 and Placebo in Psoriasis Vulgaris and Plaque Psoriasis, sponsored by PRCL Research Inc.. Completed at 16 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-03-30.

Sponsored by PRCL Research Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The aim of this study is to evaluate safety, tolerability, and efficacy of PRCL-02 in moderate to severe chronic plaque psoriasis

02

Conditions studied

  • Psoriasis Vulgaris
  • Plaque Psoriasis

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03

In context

Psoriasis

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

This study's enrollment of 92 is above the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

PRCL Research Inc. is the lead sponsor of 2 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 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Presents with moderate to severe psoriasis vulgaris based on:

    • Chronic psoriasis vulgaris for at least 6 months
    • Plaque psoriasis involving at least 10% body surface area (BSA)
    • Psoriasis Area and Severity Index (PASI) total score of at least 12
  • Have at least 2 evaluable plaques located in 2 different body regions. (Also for participants who elect to have plaques biopsied, should be suitable for a total of 4 punch biopsies each, and one lesion, preferably on a region of the body that is not normally exposed (e.g., trunk), should be selected for biopsy)
  • Have a Static Physician's Global Assessment (sPGA) score of greater than or equal to (≥)3
  • Are candidates for systemic therapy
  • Have a body mass index (BMI) within the range of 18 to 40 kilograms per square meter (kg/m2)
  • Women who are of childbearing potential must agree to use 1 highly effective method of contraception, or a combination of 2 effective methods of contraception for the entirety of the study
  • Women of non childbearing potential are defined as women who are:

    • Infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as mullerian agenesis; or
    • Post-menopausal, defined as either:

      • A woman at least 50 years of age with an intact uterus, not on hormone therapy, who has had either: cessation of menses for at least 1 year; or at least 6 months of spontaneous amenorrhea with a follicle stimulating hormone greater than (>)40 milli-international units per milliliter (mIU/mL); or
      • A woman 55 years or older not on hormone therapy, who has had at least 6 months of spontaneous amenorrhea; or
      • A woman at least 55 years of age with a diagnosis of menopause prior to staring hormone replacement therapy

Exclusion criteria

Exclusion Criteria:

  • Currently enrolled in any other clinical trial involving a study drug or device, or any other type of medical research judged not compatible with this study (Participants in the previous PRCL study (SMAD) will be allowed to be included in this study, provided that they meet all inclusion and none of the exclusion criteria)
  • Participated in a clinical study within last 30 days
  • Present with pustular, erythrodermic psoriasis, generalized pustular psoriasis, or acute guttate psoriasis
  • Have current serious or unstable illnesses including hepatic, renal, gastroenterologic, respiratory, cardiovascular (including a history of ischemic or structural heart disease, conduction system disease or history of clinically significant arrhythmia), endocrinologic, neurologic, psychiatric, immunologic, hematologic, or dermatologic disease
  • Have a history of clinically significant severe drug allergies or severe post treatment hypersensitivity reactions
  • Have received inactivated vaccine within 4 weeks prior to dosing in this study, or a live vaccine within the last 3 months
  • A history of clinically significant opportunistic infection (for example, invasive candidiasis or Pneumocystis pneumonia)
  • Had symptomatic herpes zoster within last 3 months or other recent or ongoing infection
  • Present with any of the following laboratory test results:

    • Positive QuantiFERON®-tuberculosis test
    • For women, positive serum pregnancy test
    • Evidence of Human Immunodeficiency Virus (HIV) infection or are positive for HIV antibodies
    • Positive test for active hepatitis B
    • Positive of anti-hepatitis C antibody with confirmed presence of hepatitis C virus, or chronic liver disease
  • Evidence of clinically significant hepatic or renal impairment
  • Clinically significant ECG (electrocardiogram) abnormalities or personal or family history of heart disease, including:

    • Confirmed corrected QT interval with Frederica's correction (QTcF) >450 milliseconds (msec) for both men and women
    • Specific bundle branch blocks, irregular rhythms, history of unexplained syncope, or family history of unexplained death
  • Are receiving any of the following therapies for psoriasis:

    • Systemic retinoids within last 12 weeks
    • Systemic psoriasis therapy, such as psoralen and ultraviolet A (PUVA) light therapy, cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate mofetil, thioguanine, hydroxyurea, sirolimus, azathioprine, or phototherapy (including ultraviolet B or self-treatment with tanning beds or therapeutic sunbathing) within last 4 weeks
    • Topical psoriasis treatment within last 2 weeks; or
    • Any biologic agent within the following washout periods: 30 days for anti-tumor necrosis factor (TNF) inhibitors, and 90 days for other agents
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
92 participants (actual)

Study arms

  • Experimental
    PRCL-02 Dose 1

    Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks

    Drug: PRCL-02

  • Experimental
    PRCL-02 Dose 2

    Loading dose followed by a once daily maintenance dose commencing on Day 2 and continuing for 12 weeks

    Drug: PRCL-02

  • Placebo comparator
    Placebo

    Loading dose followed by a once daily maintenance dose at matching treatment levels, commencing on Day 2 and continuing for 12 weeks

    Drug: Placebo

Interventions

  • DrugPRCL-02

    Oral tablets

  • DrugPlacebo

    Oral tablets

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement

    Following 12 weeks of treatment. The Psoriasis Area and Severity Index (PASI) scores the severity of disease on a scale from 0 to 72 (where a score of 72 indicates extreme disease severity). PASI 75 indicates 75% improvement from baseline to Week 12 in the Psoriasis Area and Severity Index

    Time frame: Baseline to week 12

Secondary outcomes

  1. Number of Participants With Any Treatment Emergent Adverse Event

    Following 12 weeks of treatment

    Time frame: Baseline up to week 18

  2. Area Under the Concentration Time Curve (AUC0-τ)

    Steady state after 12 weeks of treatment

    Time frame: Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84

  3. Maximum Observed Drug Concentration (Cmax)

    Steady state after 12 weeks of treatment

    Time frame: Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84

  4. Time to Reach Maximum Observed Drug Concentration (Tmax)

    Steady state after 12 weeks of treatment

    Time frame: Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84

07

Results

Posted Mar 30, 2020

Participant flow

Participant flow — Overall Study
MilestonePRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlacebo
Started313031
Completed282326
Not completed375
Withdrew: Withdrawal by subject223
Withdrew: Participant did not return for visit010
Withdrew: High neutrophils002
Withdrew: Patient did not meet eligibility100
Withdrew: Exacerbation of psoriasis010
Withdrew: Adverse event020
Withdrew: Dizziness and rash010

Outcome measures

PrimaryPercentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement

Following 12 weeks of treatment. The Psoriasis Area and Severity Index (PASI) scores the severity of disease on a scale from 0 to 72 (where a score of 72 indicates extreme disease severity). PASI 75 indicates 75% improvement from baseline to Week 12 in the Psoriasis Area and Severity Index

Time frame:
Baseline to week 12
Reported as:
Count of participants · Participants
Percentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement
ParticipantsPRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlacebo
Percentage of Participants Achieving Psoriasis Area and Severity Index ≥75% (PASI 75) Improvement410
SecondaryNumber of Participants With Any Treatment Emergent Adverse Event

Following 12 weeks of treatment

Time frame:
Baseline up to week 18
Reported as:
Count of participants · Participants
Number of Participants With Any Treatment Emergent Adverse Event
ParticipantsPRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlacebo
Number of Participants With Any Treatment Emergent Adverse Event141210
SecondaryArea Under the Concentration Time Curve (AUC0-τ)

Steady state after 12 weeks of treatment

Time frame:
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84
Reported as:
Geometric mean · h*mg/mL
Area Under the Concentration Time Curve (AUC0-τ)
h*mg/mLPRCL-02 25 Milligrams (mg)PRCL-02 50 mg
Area Under the Concentration Time Curve (AUC0-τ)165000 ± 627439000 ± 492
SecondaryMaximum Observed Drug Concentration (Cmax)

Steady state after 12 weeks of treatment

Time frame:
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84
Reported as:
Geometric mean · ng/mL
Maximum Observed Drug Concentration (Cmax)
ng/mLPRCL-02 25 Milligrams (mg)PRCL-02 50 mg
Maximum Observed Drug Concentration (Cmax)984 ± 2002220 ± 139
SecondaryTime to Reach Maximum Observed Drug Concentration (Tmax)

Steady state after 12 weeks of treatment

Time frame:
Predose and 1, 2, 4, 8, 336, 672, 1008, 1344 hours post dose, on Day 84
Reported as:
Median · hours
Time to Reach Maximum Observed Drug Concentration (Tmax)
hoursPRCL-02 25 Milligrams (mg)PRCL-02 50 mg
Time to Reach Maximum Observed Drug Concentration (Tmax)2.0 (0 to 8.12)4.00 (0 to 358)

Adverse events

Collected over 20 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PRCL-02 25 Milligrams (mg)0/31 (0%)1/31 (3.2%)3/31 (9.7%)
PRCL-02 50 mg0/30 (0%)0/30 (0%)3/30 (10%)
Placebo0/31 (0%)0/31 (0%)4/31 (12.9%)
Most frequent serious events
Most frequent serious events
EventPRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlacebo
MeaslesInfections and infestations1/310/300/31
Most frequent other events
Most frequent other events
EventPRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlacebo
NauseaGastrointestinal disorders1/312/300/31
DizzinessNervous system disorders2/312/300/31
Psoriatic arthritisMusculoskeletal and connective tissue disorders0/310/302/31
Recurrent psoriatic arthritisMusculoskeletal and connective tissue disorders0/310/302/31

Baseline characteristics

Safety population

Age, Categorical
Age, Categorical(Participants)PRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlaceboTotal
<=18 years0000
Between 18 and 65 years30292988
>=65 years1124
Sex: Female, Male
Sex: Female, Male(Participants)PRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlaceboTotal
Female1411833
Male17192359
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlaceboTotal
Hispanic or Latino0000
Not Hispanic or Latino31303192
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlaceboTotal
American Indian or Alaska Native1001
Asian1102
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White27293187
More than one race0000
Unknown or Not Reported2002
Region of Enrollment
Region of Enrollment(participants)PRCL-02 25 Milligrams (mg)PRCL-02 50 mgPlaceboTotal
Canada97622
Ukraine9101534
Slovakia13131036
08

Study locations

16 sites
  • Wiseman Dermatology Research Inc.
    Winnipeg, Manitoba R3M3Z4, Canada
  • SimcoDerm Medical and Surgical Dermatology
    Barrie, Ontario L4M 7G1, Canada
  • DermEffects
    London, Ontario N6H5L5, Canada
  • Lynderm Research Inc.
    Markham, Ontario L3P1X2, Canada
  • SKiN Centre for Dermatology
    Peterborough, Ontario K9J5K2, Canada
  • K. Papp Clinical Research
    Waterloo, Ontario N2J1C4, Canada
  • Carey-Wang - Dermatology & Dermatologic Surgery Center
    Westmount, Quebec H3Z2S6, Canada
  • Maxderm Dermatovenerologická ambulancia
    Bardejov, 085 01, Slovakia
  • SKINKLINIK Dermatovenerologická ambulancia
    Bratislava, 831 03, Slovakia
  • BeneDerma
    Bratislava, 841 02, Slovakia
  • Derma therapy, spol.
    Bratislava, 851 01, Slovakia
  • AHS Dermatology
    Nitra, 949 01, Slovakia
  • SANARE - Dermatovenerologická ambulancia
    Svidník, 089 01, Slovakia
  • Oleksandrivska Clinical Hospital, Department of Dermatology and Venereology
    Kiev, 01601, Ukraine
  • LLC MK BLAGOMED, Department of Dermatology
    Kyiv, 04050, Ukraine
  • Zaporizhzhya Regional Dermatovenereology Clinical Hospital
    Zaporizhzhya, 69063, Ukraine
09

References and documents

Study documents

  • Study protocol · Jul 20, 2018
  • Statistical analysis plan · Dec 3, 2018

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03614078
Lead sponsor
PRCL Research Inc.
Responsible party
Sponsor
First posted
Aug 3, 2018
Start date
Sep 25, 2018
Primary completion
Apr 29, 2019
Completion
Jul 8, 2019
Results posted
Mar 30, 2020
Last update
Mar 30, 2020

Study contacts

Study Director
study director · PRCL Research 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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