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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

90 participants

Primary outcome timeframe

week 12

Results posted on

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

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

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 12

Population: 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

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 measures

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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 12

Population: 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

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

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Arm-2

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Arm-3

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

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

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

Divyesh Mandavia

Aurigene Discovery Technologies Limited

Phone: 9427181182

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60