Trial Outcomes & Findings for A Phase II Study to Evaluate Efficacy & Safety of AUR101 in Patients of Moderate-to-Severe Psoriasis (NCT NCT04207801)
NCT ID: NCT04207801
Last Updated: 2023-08-14
Results Overview
Proportion of patients achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% reduction from baseline PASI score). (Scores range from 0 (minimum) to 30 (maximum)); The PASI is a scoring system to evaluate the baseline and response of therapy in psoriasis. Regulators commonly accept PASI 75 for measuring primary response of psoriasis in patients with Psoriasis. PASI 75 is a binary outcome that indicates a 75% or greater improvement in PASI from baseline
COMPLETED
PHASE2
90 participants
week 12
2023-08-14
Participant Flow
90 patients were enrolled.. Out of these 90, 30 patients each were enrolled in 400 mg PO BID arm, 600 mg BID arm and placebo BID arm.
Participant milestones
| Measure |
Arm-1
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Overall Study
STARTED
|
30
|
30
|
30
|
|
Overall Study
COMPLETED
|
26
|
26
|
23
|
|
Overall Study
NOT COMPLETED
|
4
|
4
|
7
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
A Phase II Study to Evaluate Efficacy & Safety of AUR101 in Patients of Moderate-to-Severe Psoriasis
Baseline characteristics by cohort
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
Total
n=90 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
30 Participants
n=99 Participants
|
30 Participants
n=107 Participants
|
30 Participants
n=206 Participants
|
90 Participants
n=7 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Age, Continuous
|
45.3 years
STANDARD_DEVIATION 12.24 • n=99 Participants
|
44.7 years
STANDARD_DEVIATION 9.72 • n=107 Participants
|
44.4 years
STANDARD_DEVIATION 10.37 • n=206 Participants
|
44.8 years
STANDARD_DEVIATION 10.71 • n=7 Participants
|
|
Sex: Female, Male
Female
|
9 Participants
n=99 Participants
|
8 Participants
n=107 Participants
|
5 Participants
n=206 Participants
|
22 Participants
n=7 Participants
|
|
Sex: Female, Male
Male
|
21 Participants
n=99 Participants
|
22 Participants
n=107 Participants
|
25 Participants
n=206 Participants
|
68 Participants
n=7 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Asian
|
30 Participants
n=99 Participants
|
30 Participants
n=107 Participants
|
30 Participants
n=206 Participants
|
90 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
White
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Region of Enrollment
India
|
30 participants
n=99 Participants
|
30 participants
n=107 Participants
|
30 participants
n=206 Participants
|
90 participants
n=7 Participants
|
|
Psoriasis Area and Severity Index (PASI)
|
26.1 units on a scale
STANDARD_DEVIATION 8.62 • n=99 Participants
|
25.8 units on a scale
STANDARD_DEVIATION 10.7 • n=107 Participants
|
24.2 units on a scale
STANDARD_DEVIATION 7.46 • n=206 Participants
|
25.4 units on a scale
STANDARD_DEVIATION 8.97 • n=7 Participants
|
PRIMARY outcome
Timeframe: week 12Population: ITT Population
Proportion of patients achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% reduction from baseline PASI score). (Scores range from 0 (minimum) to 30 (maximum)); The PASI is a scoring system to evaluate the baseline and response of therapy in psoriasis. Regulators commonly accept PASI 75 for measuring primary response of psoriasis in patients with Psoriasis. PASI 75 is a binary outcome that indicates a 75% or greater improvement in PASI from baseline
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
|
18 Participants
|
19 Participants
|
8 Participants
|
SECONDARY outcome
Timeframe: Week 4 and Week 8 from study drug initiation for these secondary outcomes measuresPopulation: PASI-75 Response at Week 8 for ITT population
Proportion of patients achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% reduction from baseline PASI score). (Scores range from 0 (minimum) to 30 (maximum)); The PASI is a scoring system to evaluate the baseline and response of therapy in psoriasis. PASI 75 is a binary outcome that indicates a 75% or greater improvement in PASI from baseline. These secondary measures are measured as Week 4 and Week 8 from the initiation of study drug therapy.
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
PASI-75 Response at Week 8
|
10 Participants
|
4 Participants
|
5 Participants
|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 75 (i.e. 75% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
PASI-75 Response at Week 4
|
1 Participants
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Week 4, Week 8 and Week 12Population: PASI-50 at week 12
Proportion of patients achieving Psoriasis Area and Severity Index (PASI) 50 (i.e. 50% reduction from baseline PASI score). (Scores range from 0 (minimum) to 30 (maximum)); The PASI is a scoring system to evaluate baseline and response of therapy in psoriasis. Like PASI 75, the PASI-50 is a binary outcome that indicates a 50% or greater improvement in PASI from baseline. PASI-50 is measured at Week 4, Week 8 and Week 12, as part of this secondary outcome measure.
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 50 (i.e. 50% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
PASI-50 at Week 12
|
23 Participants
|
20 Participants
|
14 Participants
|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 50 (i.e. 50% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
PASI-50 at Week 8
|
16 Participants
|
13 Participants
|
10 Participants
|
|
Proportion of Patients Achieving Psoriasis Area and Severity Index (PASI) 50 (i.e. 50% Reduction From Baseline PASI Score). (Scores Range From 0 (Minimum) to 30 (Maximum))
PASI-50 at Week 4
|
10 Participants
|
3 Participants
|
3 Participants
|
SECONDARY outcome
Timeframe: Week 4, Week 8 and Week 12Population: ITT (Intention to Treat) population
The proportion of patients achieving Investigator Global Assessment (IGA) score of 0 or 1 (Scores range from 0 (0 or 1 clear to mild) to 4 (severe)); The 5-point IGA has a more stringent definition for a score of 1 ("almost clear"); This secondary measure is measured at Week 4, Week 8 and Week 12. The sponsor has represented the proportion in % form by multiplying by 100. The sponsor has done that in CSR (Clinical Study Report) as well
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Proportion of Patients Achieving Investigator Global Assessment (IGA) Score of 0 or 1
IGA Response of 0 or 1 at Week 12
|
17 Participants
|
16 Participants
|
8 Participants
|
|
Proportion of Patients Achieving Investigator Global Assessment (IGA) Score of 0 or 1
IGA Response of 0 or 1 at Week 8
|
7 Participants
|
4 Participants
|
2 Participants
|
|
Proportion of Patients Achieving Investigator Global Assessment (IGA) Score of 0 or 1
IGA Response of 0 or 1 at Week 4
|
0 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: week 4,8 and 12Population: ITT Population
The Psoriasis Area Severity Index (PASI) is an index used to express the severity of psoriasis. It combines the severity (erythema, induration and desquamation) and percentage of affected area. Percent change from baseline in Psoriasis Area and Severity Index (PASI) score. The PASI is a widely used instrument in psoriasis trials that assesses and grades the severity of psoriatic lesions and the patient's response to treatment. It produces a numeric score ranging from 0 to 72. This outcome measures the percentage decrease in PASI from baseline at various pre-specified timepoints
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score.
Percent Change in PASI at week12
|
-68.1 Percent change from baseline in PASI
Standard Deviation 33.68
|
-60.3 Percent change from baseline in PASI
Standard Deviation 43.04
|
-43.8 Percent change from baseline in PASI
Standard Deviation 36.19
|
|
Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score.
Percent Change in PASI at week 8
|
-52.4 Percent change from baseline in PASI
Standard Deviation 33.68
|
-39.9 Percent change from baseline in PASI
Standard Deviation 39.36
|
-32.6 Percent change from baseline in PASI
Standard Deviation 40.13
|
|
Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score.
Percent Change in PASI at week 4
|
-28.2 Percent change from baseline in PASI
Standard Deviation 27.84
|
-20.4 Percent change from baseline in PASI
Standard Deviation 26.76
|
-15.5 Percent change from baseline in PASI
Standard Deviation 20.35
|
SECONDARY outcome
Timeframe: week 4,8 and 12Population: ITT population
The 5-point IGA has a more stringent definition for a score of 1 ("almost clear") compared with 6-point IGA/Physician's Global Assessment (PGA) tools used in previous trials of other biologics in moderate-to-severe psoriasis. The IGA 0/1 rate is considered robust, demonstrating a strong association with PASI 90. The results for the 5-point IGA are expected to show the same association. This endpoint measures the percent change from baseline in Investigator Global Assessment (IGA) scale (Scores range from 0 (0 or 1 clear to mild) to 4 (severe)) at pre-specified time points.
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Change From Baseline in Investigator Global Assessment (IGA) Scale
Percent Change from baseline in IGA at week 12
|
-50.8 % decrease in IGA score
Standard Deviation 31.74
|
-46.9 % decrease in IGA score
Standard Deviation 36.72
|
-28.9 % decrease in IGA score
Standard Deviation 29.18
|
|
Change From Baseline in Investigator Global Assessment (IGA) Scale
Percent Change from baseline in IGA at week 8
|
-34.2 % decrease in IGA score
Standard Deviation 24.4
|
-24.4 % decrease in IGA score
Standard Deviation 27.15
|
-19.4 % decrease in IGA score
Standard Deviation 19.74
|
|
Change From Baseline in Investigator Global Assessment (IGA) Scale
Percent Change from baseline in IGA at week 4
|
-12.5 % decrease in IGA score
Standard Deviation 18.41
|
-8.9 % decrease in IGA score
Standard Deviation 15.46
|
-3.1 % decrease in IGA score
Standard Deviation 9.41
|
SECONDARY outcome
Timeframe: week 4,8 and 12Population: ITT Population
BSA assessment measures the total area of the body affected by psoriasis. The body surface area (BSA) of involvement is an important indicator during the evaluation of psoriasis severity. In this secondary outcome measure, the change from baseline to week 4, 8 and 12 in percent Body Surface Area (BSA) involved is measured
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Change From Baseline to Week 4, 8 and 12 in Percent Body Surface Area (BSA) Involved
BSA % Change at Week 4
|
-8.3 % decrease in BSA (Body Surface Area)
Standard Deviation 19.18
|
-10.0 % decrease in BSA (Body Surface Area)
Standard Deviation 20.28
|
-8.8 % decrease in BSA (Body Surface Area)
Standard Deviation 17.72
|
|
Change From Baseline to Week 4, 8 and 12 in Percent Body Surface Area (BSA) Involved
BSA% change at Week 12
|
-57.6 % decrease in BSA (Body Surface Area)
Standard Deviation 35.03
|
-56.1 % decrease in BSA (Body Surface Area)
Standard Deviation 39.65
|
-29.9 % decrease in BSA (Body Surface Area)
Standard Deviation 34.33
|
|
Change From Baseline to Week 4, 8 and 12 in Percent Body Surface Area (BSA) Involved
BSA % Change at Week 8
|
-35.3 % decrease in BSA (Body Surface Area)
Standard Deviation 30.57
|
-30.2 % decrease in BSA (Body Surface Area)
Standard Deviation 35.15
|
-20.4 % decrease in BSA (Body Surface Area)
Standard Deviation 32.89
|
SECONDARY outcome
Timeframe: Week 4,8 and 12Population: ITT Population
The DLQI is a validated, 10-question, self-reported questionnaire to evaluate the patient's perception of the impact of psoriasis on their quality of life. The DLQI Scores range from 0 to 30, and higher scores indicate greater health-related quality-of-life impairment. The DLQI questionnaire is divided into 6 commonly identified categories and is rated on a 4-point scale. This secondary outcome measures the change from baseline to week 4, 8 and 12 in Dermatology Life Quality Index (DLQI) score. The minimum value is 0 and maximum is 4
Outcome measures
| Measure |
Arm-1
n=30 Participants
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 Participants
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 Participants
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Change From Baseline in Dermatology Life Quality Index (DLQI)
Percent Change from Baseline in DLQI score at week 8
|
-31.9 Percent change from baseline in DLQI
Standard Deviation 89.83
|
33.0 Percent change from baseline in DLQI
Standard Deviation 46.9
|
-25.6 Percent change from baseline in DLQI
Standard Deviation 48.36
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI)
Percent Change from Baseline in DLQI score at week 12
|
-47.1 Percent change from baseline in DLQI
Standard Deviation 89.45
|
-49.1 Percent change from baseline in DLQI
Standard Deviation 47.53
|
-32.7 Percent change from baseline in DLQI
Standard Deviation 49.46
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI)
Percent Change from Baseline in DLQI score at week 4
|
-9.9 Percent change from baseline in DLQI
Standard Deviation 82.47
|
-16.9 Percent change from baseline in DLQI
Standard Deviation 48.94
|
-14.1 Percent change from baseline in DLQI
Standard Deviation 33.16
|
Adverse Events
Arm-1
Arm-2
Arm-3
Serious adverse events
| Measure |
Arm-1
n=30 participants at risk
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 participants at risk
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 participants at risk
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
Infections and infestations
COVID-19 Infection
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
3.3%
1/30 • Number of events 1 • From enrolment to 2 week follow up
No difference
|
|
Immune system disorders
Psoriatic Erythroderma
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
3.3%
1/30 • Number of events 1 • From enrolment to 2 week follow up
No difference
|
Other adverse events
| Measure |
Arm-1
n=30 participants at risk
400 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-2
n=30 participants at risk
600 mg AUR101 twice daily
AUR101: Inhibitor of RORγ
|
Arm-3
n=30 participants at risk
Matching Placebo twice daily
Matching Placebo: Drug-Placebo of AUR101 tablet
|
|---|---|---|---|
|
General disorders
Pruritus
|
6.7%
2/30 • Number of events 2 • From enrolment to 2 week follow up
No difference
|
3.3%
1/30 • Number of events 1 • From enrolment to 2 week follow up
No difference
|
3.3%
1/30 • Number of events 1 • From enrolment to 2 week follow up
No difference
|
|
Psychiatric disorders
Depressed Mood
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
6.7%
2/30 • Number of events 2 • From enrolment to 2 week follow up
No difference
|
0.00%
0/30 • From enrolment to 2 week follow up
No difference
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: LTE60