A Study of Ixekizumab (LY2439821) in Chinese Participants With Moderate-to-Severe Plaque Psoriasis

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT03364309
Collaborator
(none)
438
17
3
25.3
25.8
1

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the efficacy and safety of the study drug ixekizumab in Chinese participants with moderate-to-severe plaque psoriasis.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Study I1F-MC-RHBH is a phase 3, multicenter, randomized, double-blind, placebo controlled, parallel-group study examining the effect of 2 dose regimens of ixekizumab versus placebo in participants with moderate-to-severe plaque psoriasis (Ps) during an induction dosing period with dosing for 12 weeks and the primary endpoint measured at 12 weeks, followed by a randomized, 48-week maintenance dosing period. During the maintenance dosing period, the study will evaluate the maintenance of response/remission, as well as relapse or rebound following treatment withdrawal, and response to retreatment following relapse.

Study Design

Study Type:
Interventional
Actual Enrollment :
438 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter Study With a Randomized, Double-Blind, Placebo-Controlled Induction Dosing Period Followed by a Randomized Maintenance Dosing Period to Evaluate the Efficacy and Safety of LY2439821 in Chinese Patients With Moderate-to-Severe Plaque Psoriasis
Actual Study Start Date :
Apr 26, 2018
Actual Primary Completion Date :
Jun 4, 2020
Actual Study Completion Date :
Jun 4, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ixekizumab 80mg Q4W

Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period.

Drug: Ixekizumab
Administered SC
Other Names:
  • LY2439821
  • Experimental: Ixekizumab 80mg Q2W

    Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period.

    Drug: Ixekizumab
    Administered SC
    Other Names:
  • LY2439821
  • Drug: Placebo
    Administered SC

    Placebo Comparator: Placebo

    Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period.

    Drug: Placebo
    Administered SC

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With a Static Physician Global Assessment (sPGA) Score of Clear (0) or Minimal (1) With at Least a 2 Point Improvement [Week 12]

      The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline.

    2. Percentage of Participants Achieving a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75) [Week 12]

      The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).

    Secondary Outcome Measures

    1. Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of Clear (0) (Remission) [Week 12]

      The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA assessed as 0, indicates complete resolution of plaque Ps.

    2. Percentage of Participants Achieving a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90) [Week 12]

      The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).

    3. Percentage of Participants Achieving a 100% Improvement in Psoriasis Area and Severity Index (PASI 100) [Week 12]

      The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).

    4. Percentage of Participants Achieving an Itch Numeric Rating Scale (NRS) ≥4 Point Reduction From Baseline for Participants Who Had Baseline Itch NRS ≥4 [Week 12]

      The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 (no itch) and 10 (worst itch imaginable). Overall severity of a participant's itching from Ps is indicated by circling the number that best describes the worst level of itching in the past 24 hours.

    5. Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score [Baseline, Week 12]

      The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and unanswered ("not relevant") responses scored as "0." Totals range from 0 to 30 (less to more impairment). A score of 0 or 1 indicates no impact of disease on a participants quality of life. Least Square Mean (LS Mean) was calculated using Mixed Model Repeated Measures (MMRM) model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    6. Change From Baseline in Nail Psoriasis Severity Index (NAPSI) Score in Participants With Baseline Fingernail Involvement [Baseline, Week 12]

      NAPSI is a numeric, reproducible, objective tool for evaluation of fingernail(fn) Ps. This scale is used to evaluate severity of fn bed Ps & fn matrix Ps by area of involvement in the fn unit. fn is divided with imaginary horizontal & longitudinal lines into quadrants. Each fn is given a score for fn bed Ps 0(none) to 4(Ps in 4 quadrants of the fn) & fn matrix Ps 0(none) to 4(Ps in 4 quadrants in matrix), depending on presence (score of 1) or absence (score of 0) of any of the features of fn bed or matrix Ps in each quadrant.NAPSI score of a fn is sum of scores in fn bed & fn matrix from each quadrant (maximum of 8). Each fn is evaluated, then the sum of all fn equals the total NAPSI score with a range from range 0 to 80. Higher scores indicate more severe ps. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    7. Change From Baseline in Percent of Body Surface Area (BSA) Involvement of Psoriasis [Baseline, Week 12]

      The percentage involvement of psoriasis on each participant's body surface area was assessed by the investigator on a scale from 0% (no involvement) to 100% (full involvement), in which 1% corresponds to the size of the participant's hand including palm, fingers and thumb. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    8. Change From Baseline in Psoriasis Scalp Severity Index (PSSI) Score in Participants With Baseline Scalp Involvement [Baseline, Week 12]

      The PSSI is a physician assessment of erythema, induration and desquamation and percent of scalp that is covered with a scores range from 0 (none) to 4 (very severe). The composite score is derived from the sum of scores for erythema, induration, and desquamation multiplied by the score recorded for the extent of the scalp area involved, 1 (<10%) to 6 (90%-100%) with a total score ranging from 0 (less severity) to 72 (more severity). LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    9. Change From Baseline in Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) Score [Baseline, Week 12]

      The SF-36 is a participant-reported outcome measure evaluating participant's health status. It comprises 36 items covering 8 domains: physical functioning, role physical, role emotional, bodily pain, vitality, social functioning, mental health, and general health. Items are answered on Likert scales of varying lengths. Items from 8 domains contribute to the PCS. The summary scores range from 0 to 100, with higher scores indicating better levels of function and/or better health. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    10. Change From Baseline in Medical Outcomes Study SF-36 Mental Component Summary (MCS) Score [Baseline, Week 12]

      The SF-36 is a participant-reported outcome measure evaluating participant's health status. It comprises 36 items covering 8 domains: physical functioning, role physical, role emotional, bodily pain, vitality, social functioning, mental health, and general health. Items are answered on Likert scales of varying lengths. Items from 8 domains contribute to the PCS. The summary scores range from 0 to 100, with higher scores indicating better levels of function and/or better health. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    11. Change From Baseline on Patient Global Assessment of Disease Severity [Baseline, Week 12]

      The Patient Global Assessment of Disease Severity is a single-item participant-reported outcome measure on which participants are asked to rate the severity of their psoriasis "today" from 0 (Clear) = no psoriasis, to 5 (Severe) = the worst their psoriasis has ever been. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    12. Change From Baseline in Palmoplantar PASI (PPASI) in Participants With Baseline Palmoplantar Involvement [Baseline, Week 12]

      The Palmoplantar PASI is a composite score derived from the sum scores for erythema, induration, and desquamation multiplied by a score for the extent of palm and sole area involvement, ranging from 0 (no Ps) to 72. (the most severe disease) The PPASI was only assessed if participants have palmoplantar psoriasis at baseline. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    13. Change From Baseline on the Joint Pain Visual Analog Scale (VAS) [Baseline, Week 12]

      The Joint Pain VAS is a participant-administered scale designed to measure current joint pain from PsA using a 100-mm horizontal VAS. Overall severity of a participant's joint pain from PsA is indicated by placing a single mark on the horizontal scale (0 = none; 100 = as severe as you can imagine). LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.

    14. Percentage of Participants With Anti-Ixekizumab Antibodies [Baseline through Week 12]

      Percentage was calculated based on the number of evaluable participants and was calculated by number of participants with treatment-emergent positive anti-ixekizumab antibodies / number of evaluable participants * 100%.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Present with chronic plaque Ps based on a confirmed diagnosis of chronic Ps vulgaris for at least 6 months prior to baseline.

    • Have ≥10% BSA involvement at screening and baseline.

    • Have both an sPGA score ≥3 and PASI score ≥12 at screening and baseline.

    • Are candidates for phototherapy and/or systemic therapy.

    Exclusion Criteria:
    • Forms of psoriasis other than chronic plaque-type (e.g., pustular, erythrodermic and/or guttate psoriasis) at screening or baseline.

    • Drug-induced psoriasis.

    • Ongoing use of prohibited treatments.

    • Have previously completed or withdrawn from this study, or have previously exposed to ixekizumab or any other biologic drug directly targeting interleukin-17 (IL-17) (such as secukinumab) or the IL-17 receptor.

    • Have concurrent or recent use of any biologic agent within washout periods or <5 half-lives prior to baseline, whichever is longer.

    • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin (hCG) laboratory test.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Peking University People's Hospital Beijing Beijing China 100044
    2 Peking University Third Hospital Beijing Beijing China 100191
    3 Guangdong Province People's Hospital Guangzhou Guangdong China 510080
    4 The Second Xiangya Hospital of Central South University Changsha Hunan China 410011
    5 YanCheng First People's Hospital Yancheng Jiangsu China 224005
    6 The Second Hospital of Jilin University Changchun Jilin China 130022
    7 The First Hospital of China Medical University Shenyang Liaoning China 110001
    8 The First Affiliated Hospital with Nanjing Medical University Nanjing Nanjing China 210029
    9 The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China 710004
    10 First Hospital of Shanxi Medical University Taiyuan Shan XI China 030001
    11 West China Hospital of Sichuan University Chengdu Sichuan China 610041
    12 Second Affiliate Hospital of Zhejiang Medical University Hangzhou Zhejiang China 310009
    13 Zhejiang Provincial People's Hospital Hangzhou Zhejiang China 310014
    14 Beijing Chao Yang Hospital Beijing China 100020
    15 Peking University First Hospital Beijing China 100034
    16 Ruijin Hospital Affiliated to Shanghai Jiao Tong University Shanghai China 200025
    17 Shanghai Dermatology Hospital Shanghai China 200443

    Sponsors and Collaborators

    • Eli Lilly and Company

    Investigators

    • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT03364309
    Other Study ID Numbers:
    • 14438
    • I1F-MC-RHBH
    First Posted:
    Dec 6, 2017
    Last Update Posted:
    Jun 25, 2021
    Last Verified:
    Jun 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    Yes
    Keywords provided by Eli Lilly and Company
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Responders were defined as achieving an sPGA score of 0 or 1. Non-responders were defined as having an sPGA score of >1. Responders were monitored for relapse, relapse (loss of response) occurring after Week 12 (Visit 7) was defined as an sPGA score of ≥3. In Re-treatment (Maintenance) Period, participants who relapsed received continued treatment of ixekizumab 80 mg Q4W, regardless of their treatment assignment.
    Pre-assignment Detail Induction Dosing Period: Week 0 (baseline) to Week 12. Maintenance Dosing Period and Re-treatment (Maintenance) Period: Week 12 to Week 60. Post-Treatment Follow-Up Period: Occurred from last treatment period visit or Early Termination Visit (ETV) up to a minimum of 12 weeks following that visit.
    Arm/Group Title PBO-Induction Dosing Period IXE80Q4W-Induction Dosing Period IXE80Q2W-Induction Dosing Period IXE80Q4W(Res)/PBO-Maintenance Dosing Period IXE80Q4W(Res)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(Res)/PBO-Maintenance Dosing Period IXE80Q2W(Res)/IXE80Q4W-Maintenance Dosing Period PBO(Res)/PBO-Maintenance Dosing Period PBO(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q4W(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(NonResp)/IXE80Q4W-Maintenance Dosing Period PBO(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period PBO-Follow-up Period IXE80Q4W-Follow-up Period IXE80Q2W-Follow-up Period
    Arm/Group Description Participants received placebo (PBO) every two weeks (Q2W) by subcutaneous (SC) injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab (IXE) at week 0 followed by 80mg Ixekizumab once every four weeks (80Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (80Q2W) by subcutaneous injection during induction period Participants who received Ixekizumab 80mg Q4W in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q4W in induction period and classified as responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received placebo in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received placebo in induction period and classified as Non-responders (NonResp) received Ixekizumab 80 mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q4W in induction period and classified as Non-responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as non-responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who were classified as placebo responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q4W responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q4W responders and received Ixekizumab 80mg Q4W during maintenance dosing period and after relapse received Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q2W responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q2W responders and received Ixekizumab 80mg Q4W during maintenance dosing period and after relapse received Ixekizumab 80mg Q4W by SC injection. Participants did not receive any intervention in post treatment follow-up period Participants did not receive any intervention in post treatment follow-up period Participants did not receive any intervention in post treatment follow-up period
    Period Title: Induction Period
    STARTED 88 174 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    Received at Least One Dose of Study Drug 88 174 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    COMPLETED 82 170 175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    NOT COMPLETED 6 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    Period Title: Induction Period
    STARTED 0 0 0 47 92 50 100 3 79 31 23 0 0 0 0 0 0 0 0
    Received at Least One Dose of Study Drug 0 0 0 47 92 50 100 3 79 31 23 0 0 0 0 0 0 0 0
    COMPLETED 0 0 0 3 80 4 84 1 73 27 17 0 0 0 0 0 0 0 0
    NOT COMPLETED 0 0 0 44 12 46 16 2 6 4 6 0 0 0 0 0 0 0 0
    Period Title: Induction Period
    STARTED 0 0 0 0 0 0 0 0 0 0 0 2 43 7 45 10 0 0 0
    COMPLETED 0 0 0 0 0 0 0 0 0 0 0 2 42 6 43 8 0 0 0
    NOT COMPLETED 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 0 0 0
    Period Title: Induction Period
    STARTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 375 2
    COMPLETED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 344 0
    NOT COMPLETED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 31 2

    Baseline Characteristics

    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W Total
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period Total of all reporting groups
    Overall Participants 88 174 176 438
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    41.9
    (12.38)
    41.2
    (11.59)
    39.2
    (10.53)
    40.5
    (11.37)
    Sex: Female, Male (Count of Participants)
    Female
    24
    27.3%
    45
    25.9%
    34
    19.3%
    103
    23.5%
    Male
    64
    72.7%
    129
    74.1%
    142
    80.7%
    335
    76.5%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    88
    100%
    174
    100%
    176
    100%
    438
    100%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    White
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (Count of Participants)
    China
    88
    100%
    174
    100%
    176
    100%
    438
    100%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With a Static Physician Global Assessment (sPGA) Score of Clear (0) or Minimal (1) With at Least a 2 Point Improvement
    Description The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA responder was defined as having a post-baseline sPGA score of "0" or "1" with at least a 2-point improvement from baseline.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants with baseline sPGA >=3 & received at least 1 dose of study drug and had a post-baseline measurement for sPGA. Participants who did not meet the clinical response criteria or had missing data at Week 12 were considered non-responders for Non-Responder Imputation (NRI) analysis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number (95% Confidence Interval) [Percentage of participants]
    3.4
    3.9%
    79.9
    45.9%
    86.4
    49.1%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.0001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 99.99
    Confidence Interval (2-Sided) 95%
    33.57 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 99.99
    Confidence Interval (2-Sided) 95%
    52.49 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Primary Outcome
    Title Percentage of Participants Achieving a ≥75% Improvement in Psoriasis Area and Severity Index (PASI 75)
    Description The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug and had a post-baseline measurement for PASI 75. Participants who did not meet the clinical response criteria or had missing data at Week 12 were considered non-responders for Non-Responder Imputation (NRI) analysis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number (95% Confidence Interval) [Percentage of participants]
    8.0
    9.1%
    87.4
    50.2%
    93.8
    53.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 79.95
    Confidence Interval (2-Sided) 95%
    32.76 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 99.99
    Confidence Interval (2-Sided) 95%
    64.87 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of Clear (0) (Remission)
    Description The sPGA is the physician's determination of the participant's Ps lesions overall at a given time point. Lesions were categorized by descriptions for induration, erythema, and scaling. Participants Ps were assessed as 0 (clear), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe), or 5 (very severe). An sPGA assessed as 0, indicates complete resolution of plaque Ps.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug and had a post-baseline measurement for sPGA (0). Participants who did not meet the clinical response criteria or had missing data at Week 12 were considered non-responders for Non-Responder Imputation (NRI) analysis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number (95% Confidence Interval) [Percentage of participants]
    0.0
    0%
    35.6
    20.5%
    36.4
    20.7%
    4. Secondary Outcome
    Title Percentage of Participants Achieving a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90)
    Description The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug and had baseline and post-baseline measurement for PASI 90. Participants who did not meet the clinical response criteria or had missing data were considered non-responders for Non-Responder Imputation (NRI) analysis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number (95% Confidence Interval) [Percentage of participants]
    2.3
    2.6%
    75.9
    43.6%
    82.4
    46.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 99.99
    Confidence Interval (2-Sided) 95%
    31.88 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 99.99
    Confidence Interval (2-Sided) 95%
    46.96 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Percentage of Participants Achieving a 100% Improvement in Psoriasis Area and Severity Index (PASI 100)
    Description The PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored by itself and the scores were then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor [head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)]. Overall scores range from 0 (no Ps) to 72 (the most severe disease).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug and had a post-baseline measurement for PASI 100. Participants who did not meet the clinical response criteria or had missing data at Week 12 were considered non-responders for Non-Responder Imputation (NRI) analysis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number (95% Confidence Interval) [Percentage of participants]
    0.0
    0%
    29.3
    16.8%
    33.0
    18.8%
    6. Secondary Outcome
    Title Percentage of Participants Achieving an Itch Numeric Rating Scale (NRS) ≥4 Point Reduction From Baseline for Participants Who Had Baseline Itch NRS ≥4
    Description The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 (no itch) and 10 (worst itch imaginable). Overall severity of a participant's itching from Ps is indicated by circling the number that best describes the worst level of itching in the past 24 hours.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline who had baseline Itch NRS ≥4.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 62 128 125
    Number (95% Confidence Interval) [percentage of participants]
    8.1
    9.2%
    76.6
    44%
    78.4
    44.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 37.24
    Confidence Interval (2-Sided) 95%
    13.68 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Logistic
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 41.38
    Confidence Interval (2-Sided) 95%
    15.09 to 99.99
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    7. Secondary Outcome
    Title Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score
    Description The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and unanswered ("not relevant") responses scored as "0." Totals range from 0 to 30 (less to more impairment). A score of 0 or 1 indicates no impact of disease on a participants quality of life. Least Square Mean (LS Mean) was calculated using Mixed Model Repeated Measures (MMRM) model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline and post baseline DLQI total score.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 82 170 175
    Least Squares Mean (Standard Error) [units on a scale]
    0.92
    (0.495)
    -8.60
    (0.346)
    -8.86
    (0.343)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -9.52
    Confidence Interval (2-Sided) 95%
    -10.71 to -8.33
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.604
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -9.78
    Confidence Interval (2-Sided) 95%
    -10.96 to -8.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.603
    Estimation Comments
    8. Secondary Outcome
    Title Change From Baseline in Nail Psoriasis Severity Index (NAPSI) Score in Participants With Baseline Fingernail Involvement
    Description NAPSI is a numeric, reproducible, objective tool for evaluation of fingernail(fn) Ps. This scale is used to evaluate severity of fn bed Ps & fn matrix Ps by area of involvement in the fn unit. fn is divided with imaginary horizontal & longitudinal lines into quadrants. Each fn is given a score for fn bed Ps 0(none) to 4(Ps in 4 quadrants of the fn) & fn matrix Ps 0(none) to 4(Ps in 4 quadrants in matrix), depending on presence (score of 1) or absence (score of 0) of any of the features of fn bed or matrix Ps in each quadrant.NAPSI score of a fn is sum of scores in fn bed & fn matrix from each quadrant (maximum of 8). Each fn is evaluated, then the sum of all fn equals the total NAPSI score with a range from range 0 to 80. Higher scores indicate more severe ps. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline fingernail involvement.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 66 132 130
    Least Squares Mean (Standard Error) [units on a scale]
    -1.26
    (1.365)
    -11.35
    (0.967)
    -10.07
    (0.974)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -10.09
    Confidence Interval (2-Sided) 95%
    -13.38 to -6.79
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.673
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -8.81
    Confidence Interval (2-Sided) 95%
    -12.11 to -5.51
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.677
    Estimation Comments
    9. Secondary Outcome
    Title Change From Baseline in Percent of Body Surface Area (BSA) Involvement of Psoriasis
    Description The percentage involvement of psoriasis on each participant's body surface area was assessed by the investigator on a scale from 0% (no involvement) to 100% (full involvement), in which 1% corresponds to the size of the participant's hand including palm, fingers and thumb. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had postbaseline BSA involvement.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 82 170 175
    Least Squares Mean (Standard Error) [Percent of BSA]
    -0.36
    (1.660)
    -35.32
    (1.157)
    -36.70
    (1.146)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -34.96
    Confidence Interval (2-Sided) 95%
    -38.94 to -30.98
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.023
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -36.34
    Confidence Interval (2-Sided) 95%
    -40.30 to -32.37
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.018
    Estimation Comments
    10. Secondary Outcome
    Title Change From Baseline in Psoriasis Scalp Severity Index (PSSI) Score in Participants With Baseline Scalp Involvement
    Description The PSSI is a physician assessment of erythema, induration and desquamation and percent of scalp that is covered with a scores range from 0 (none) to 4 (very severe). The composite score is derived from the sum of scores for erythema, induration, and desquamation multiplied by the score recorded for the extent of the scalp area involved, 1 (<10%) to 6 (90%-100%) with a total score ranging from 0 (less severity) to 72 (more severity). LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline scalp involvement.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 78 166 171
    Least Squares Mean (Standard Error) [units on a scale]
    -1.59
    (0.787)
    -18.33
    (0.544)
    -19.52
    (0.539)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -16.74
    Confidence Interval (2-Sided) 95%
    -18.62 to -14.86
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.957
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -17.93
    Confidence Interval (2-Sided) 95%
    -19.80 to -16.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.954
    Estimation Comments
    11. Secondary Outcome
    Title Change From Baseline in Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) Score
    Description The SF-36 is a participant-reported outcome measure evaluating participant's health status. It comprises 36 items covering 8 domains: physical functioning, role physical, role emotional, bodily pain, vitality, social functioning, mental health, and general health. Items are answered on Likert scales of varying lengths. Items from 8 domains contribute to the PCS. The summary scores range from 0 to 100, with higher scores indicating better levels of function and/or better health. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had post baseline SF-36 PCS score.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 82 170 175
    Least Squares Mean (Standard Error) [units on a scale]
    -1.812
    (0.5492)
    4.417
    (0.3815)
    4.724
    (0.3766)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value 6.228
    Confidence Interval (2-Sided) 95%
    4.915 to 7.541
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.6681
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value 6.536
    Confidence Interval (2-Sided) 95%
    5.225 to 7.847
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.6668
    Estimation Comments
    12. Secondary Outcome
    Title Change From Baseline in Medical Outcomes Study SF-36 Mental Component Summary (MCS) Score
    Description The SF-36 is a participant-reported outcome measure evaluating participant's health status. It comprises 36 items covering 8 domains: physical functioning, role physical, role emotional, bodily pain, vitality, social functioning, mental health, and general health. Items are answered on Likert scales of varying lengths. Items from 8 domains contribute to the PCS. The summary scores range from 0 to 100, with higher scores indicating better levels of function and/or better health. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had post baseline SF-36 MCS score.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 82 170 175
    Least Squares Mean (Standard Error) [units on a scale]
    -1.233
    (0.7798)
    3.960
    (0.5414)
    4.129
    (0.5342)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value 5.193
    Confidence Interval (2-Sided) 95%
    3.328 to 7.058
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.9489
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value 5.362
    Confidence Interval (2-Sided) 95%
    3.503 to 7.222
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.9460
    Estimation Comments
    13. Secondary Outcome
    Title Change From Baseline on Patient Global Assessment of Disease Severity
    Description The Patient Global Assessment of Disease Severity is a single-item participant-reported outcome measure on which participants are asked to rate the severity of their psoriasis "today" from 0 (Clear) = no psoriasis, to 5 (Severe) = the worst their psoriasis has ever been. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had postbaseline patient global assessment score.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 82 170 175
    Least Squares Mean (Standard Error) [units on a scale]
    -0.5
    (0.12)
    -3.1
    (0.08)
    -3.1
    (0.08)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -2.6
    Confidence Interval (2-Sided) 95%
    -2.9 to -2.4
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -2.6
    Confidence Interval (2-Sided) 95%
    -2.9 to -2.3
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments
    14. Secondary Outcome
    Title Change From Baseline in Palmoplantar PASI (PPASI) in Participants With Baseline Palmoplantar Involvement
    Description The Palmoplantar PASI is a composite score derived from the sum scores for erythema, induration, and desquamation multiplied by a score for the extent of palm and sole area involvement, ranging from 0 (no Ps) to 72. (the most severe disease) The PPASI was only assessed if participants have palmoplantar psoriasis at baseline. LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline palmoplantar psoriasis involvement.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 26 41 51
    Least Squares Mean (Standard Error) [units on a scale]
    -2.99
    (0.861)
    -6.34
    (0.688)
    -7.78
    (0.626)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -3.35
    Confidence Interval (2-Sided) 95%
    -5.56 to -1.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.110
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -4.79
    Confidence Interval (2-Sided) 95%
    -6.90 to -2.67
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.064
    Estimation Comments
    15. Secondary Outcome
    Title Change From Baseline on the Joint Pain Visual Analog Scale (VAS)
    Description The Joint Pain VAS is a participant-administered scale designed to measure current joint pain from PsA using a 100-mm horizontal VAS. Overall severity of a participant's joint pain from PsA is indicated by placing a single mark on the horizontal scale (0 = none; 100 = as severe as you can imagine). LS Mean was calculated using MMRM model includes treatment, baseline value, visit, baseline value-by-visit, and treatment-by-visit interaction as fixed factors.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had baseline psoriatic arthritis.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 3 8 12
    Least Squares Mean (Standard Error) [millimeter (mm)]
    -12.2
    (9.64)
    -39.6
    (5.48)
    -37.4
    (4.75)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q4W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -27.4
    Confidence Interval (2-Sided) 95%
    -50.5 to -4.3
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 11.07
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Ixekizumab 80mg Q2W
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.031
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LSMean Difference
    Estimated Value -25.2
    Confidence Interval (2-Sided) 95%
    -47.8 to -2.5
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 10.87
    Estimation Comments
    16. Secondary Outcome
    Title Percentage of Participants With Anti-Ixekizumab Antibodies
    Description Percentage was calculated based on the number of evaluable participants and was calculated by number of participants with treatment-emergent positive anti-ixekizumab antibodies / number of evaluable participants * 100%.
    Time Frame Baseline through Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug.
    Arm/Group Title Placebo Ixekizumab 80mg Q4W Ixekizumab 80mg Q2W
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period
    Measure Participants 88 174 176
    Number [percentage of participants]
    0
    0%
    19
    10.9%
    12.5
    7.1%

    Adverse Events

    Time Frame Up to 72 weeks
    Adverse Event Reporting Description All randomized participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
    Arm/Group Title PBO-Induction Dosing Period IXE80Q4W-Induction Dosing Period IXE80Q2W-Induction Dosing Period IXE80Q4W(Res)/PBO-Maintenance Dosing Period IXE80Q4W(Res)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(Res)/PBO-Maintenance Dosing Period IXE80Q2W(Res)/IXE80Q4W-Maintenance Dosing Period PBO(Res)/PBO-Maintenance Dosing Period PBO(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q4W(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(NonResp)/IXE80Q4W-Maintenance Dosing Period PBO(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period PBO-Follow-up Period IXE80Q4W-Follow-up Period IXE80Q2W-Follow-up Period
    Arm/Group Description Participants received placebo every two weeks (Q2W) by subcutaneous (SC)injection during induction period. Participants received starting dose of 160 milligrams (mg) Ixekizumab at week 0 followed by 80mg Ixekizumab once every four weeks (Q4W) by subcutaneous injection during induction period Participants received starting dose of 160mg Ixekizumab at week 0 followed by 80mg Ixekizumab once every two weeks (Q2W) by subcutaneous injection during induction period Participants who received Ixekizumab 80mg Q4W in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q4W in induction period and classified as responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received placebo in induction period and classified as responders received placebo Q4W by SC injection in maintenance dosing period. Participants who received placebo in induction period and classified as Non-responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q4W in induction period and classified as Non-responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who received Ixekizumab 80mg Q2W in induction period and classified as non-responders received Ixekizumab 80mg Q4W by SC injection in maintenance dosing period. Participants who were classified as placebo responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q4W responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q4W responders and received Ixekizumab 80mg Q4W during maintenance dosing period and after relapse received Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q2W responders and received PBO during maintenance dosing period and after relapse retreated with Ixekizumab 80mg Q4W by SC injection. Participants who were classified as Ixekizumab 80mg Q2W responders and received Ixekizumab 80mg Q4W during maintenance dosing period and after relapse received Ixekizumab 80mg Q4W by SC injection. Participants did not receive any intervention in post treatment follow-up period Participants did not receive any intervention in post treatment follow-up period Participants did not receive any intervention in post treatment follow-up period
    All Cause Mortality
    PBO-Induction Dosing Period IXE80Q4W-Induction Dosing Period IXE80Q2W-Induction Dosing Period IXE80Q4W(Res)/PBO-Maintenance Dosing Period IXE80Q4W(Res)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(Res)/PBO-Maintenance Dosing Period IXE80Q2W(Res)/IXE80Q4W-Maintenance Dosing Period PBO(Res)/PBO-Maintenance Dosing Period PBO(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q4W(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(NonResp)/IXE80Q4W-Maintenance Dosing Period PBO(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period PBO-Follow-up Period IXE80Q4W-Follow-up Period IXE80Q2W-Follow-up Period
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/88 (0%) 0/174 (0%) 0/176 (0%) 0/47 (0%) 0/92 (0%) 0/50 (0%) 0/100 (0%) 0/3 (0%) 1/79 (1.3%) 0/31 (0%) 0/23 (0%) 0/2 (0%) 0/43 (0%) 0/7 (0%) 0/45 (0%) 0/10 (0%) 0/11 (0%) 0/375 (0%) 0/2 (0%)
    Serious Adverse Events
    PBO-Induction Dosing Period IXE80Q4W-Induction Dosing Period IXE80Q2W-Induction Dosing Period IXE80Q4W(Res)/PBO-Maintenance Dosing Period IXE80Q4W(Res)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(Res)/PBO-Maintenance Dosing Period IXE80Q2W(Res)/IXE80Q4W-Maintenance Dosing Period PBO(Res)/PBO-Maintenance Dosing Period PBO(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q4W(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(NonResp)/IXE80Q4W-Maintenance Dosing Period PBO(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period PBO-Follow-up Period IXE80Q4W-Follow-up Period IXE80Q2W-Follow-up Period
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/88 (3.4%) 2/174 (1.1%) 1/176 (0.6%) 1/47 (2.1%) 5/92 (5.4%) 1/50 (2%) 2/100 (2%) 1/3 (33.3%) 5/79 (6.3%) 0/31 (0%) 1/23 (4.3%) 0/2 (0%) 1/43 (2.3%) 0/7 (0%) 2/45 (4.4%) 0/10 (0%) 0/11 (0%) 7/375 (1.9%) 0/2 (0%)
    Cardiac disorders
    Arteriosclerosis coronary artery 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Gastrointestinal disorders
    Anal fistula 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Gastric ulcer 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Hepatobiliary disorders
    Bile duct stone 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Cholangitis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Hepatic function abnormal 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Infections and infestations
    Anal abscess 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Appendicitis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Chronic tonsillitis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Infection 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 1/50 (2%) 1 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Pneumonia 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 1/23 (4.3%) 1 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Injury, poisoning and procedural complications
    Injury 0/88 (0%) 0 1/174 (0.6%) 1 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Multiple fractures 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Metabolism and nutrition disorders
    Hyperglycaemia 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Type 2 diabetes mellitus 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 1/47 (2.1%) 1 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Musculoskeletal and connective tissue disorders
    Jaw cyst 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 1/50 (2%) 1 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Osteonecrosis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Benign salivary gland neoplasm 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Eyelid naevus 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Invasive ductal breast carcinoma 0/88 (0%) 0 0/174 (0%) 0 1/176 (0.6%) 1 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Nervous system disorders
    Cerebral infarction 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 1/100 (1%) 2 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Generalised tonic-clonic seizure 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Pregnancy, puerperium and perinatal conditions
    Ectopic pregnancy 0/24 (0%) 0 0/45 (0%) 0 0/34 (0%) 0 0/10 (0%) 0 1/27 (3.7%) 1 0/14 (0%) 0 0/15 (0%) 0 0/1 (0%) 0 0/21 (0%) 0 0/5 (0%) 0 0/3 (0%) 0 0/1 (0%) 0 0/10 (0%) 0 0/3 (0%) 0 0/12 (0%) 0 0/1 (0%) 0 0/3 (0%) 0 0/84 (0%) 0 0/1 (0%) 0
    Renal and urinary disorders
    Ureterolithiasis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Reproductive system and breast disorders
    Hydrosalpinx 0/24 (0%) 0 0/45 (0%) 0 0/34 (0%) 0 0/10 (0%) 0 0/27 (0%) 0 0/14 (0%) 0 0/15 (0%) 0 1/1 (100%) 1 0/21 (0%) 0 0/5 (0%) 0 0/3 (0%) 0 0/1 (0%) 0 0/10 (0%) 0 0/3 (0%) 0 0/12 (0%) 0 0/1 (0%) 0 0/3 (0%) 0 0/84 (0%) 0 0/1 (0%) 0
    Skin and subcutaneous tissue disorders
    Erythrodermic psoriasis 2/88 (2.3%) 2 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Psoriasis 1/88 (1.1%) 1 1/174 (0.6%) 1 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Pustular psoriasis 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Vascular disorders
    Hypertension 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 1/47 (2.1%) 1 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Shock haemorrhagic 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Other (Not Including Serious) Adverse Events
    PBO-Induction Dosing Period IXE80Q4W-Induction Dosing Period IXE80Q2W-Induction Dosing Period IXE80Q4W(Res)/PBO-Maintenance Dosing Period IXE80Q4W(Res)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(Res)/PBO-Maintenance Dosing Period IXE80Q2W(Res)/IXE80Q4W-Maintenance Dosing Period PBO(Res)/PBO-Maintenance Dosing Period PBO(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q4W(NonResp)/IXE80Q4W-Maintenance Dosing Period IXE80Q2W(NonResp)/IXE80Q4W-Maintenance Dosing Period PBO(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q4W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/PBO-Re-treatment (Maintenance) Period IXE80Q2W(Resp)/IXE80Q4W-Re-treatment (Maintenance) Period PBO-Follow-up Period IXE80Q4W-Follow-up Period IXE80Q2W-Follow-up Period
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 25/88 (28.4%) 89/174 (51.1%) 97/176 (55.1%) 24/47 (51.1%) 68/92 (73.9%) 22/50 (44%) 66/100 (66%) 1/3 (33.3%) 58/79 (73.4%) 22/31 (71%) 14/23 (60.9%) 1/2 (50%) 24/43 (55.8%) 4/7 (57.1%) 27/45 (60%) 5/10 (50%) 0/11 (0%) 27/375 (7.2%) 0/2 (0%)
    Blood and lymphatic system disorders
    Neutropenia 0/88 (0%) 0 0/174 (0%) 0 2/176 (1.1%) 2 0/47 (0%) 0 3/92 (3.3%) 3 1/50 (2%) 1 1/100 (1%) 1 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 1/7 (14.3%) 2 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Eye disorders
    Vitreous opacities 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 1/3 (33.3%) 1 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    General disorders
    Injection site hypersensitivity 0/88 (0%) 0 0/174 (0%) 0 1/176 (0.6%) 1 0/47 (0%) 0 2/92 (2.2%) 4 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 2/31 (6.5%) 2 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Injection site reaction 0/88 (0%) 0 13/174 (7.5%) 18 19/176 (10.8%) 43 0/47 (0%) 0 17/92 (18.5%) 62 0/50 (0%) 0 17/100 (17%) 64 0/3 (0%) 0 8/79 (10.1%) 40 3/31 (9.7%) 6 2/23 (8.7%) 12 0/2 (0%) 0 3/43 (7%) 5 1/7 (14.3%) 2 5/45 (11.1%) 20 1/10 (10%) 10 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Injection site swelling 0/88 (0%) 0 0/174 (0%) 0 3/176 (1.7%) 3 0/47 (0%) 0 1/92 (1.1%) 4 0/50 (0%) 0 3/100 (3%) 19 0/3 (0%) 0 2/79 (2.5%) 6 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 6 1/7 (14.3%) 5 2/45 (4.4%) 13 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Soft tissue inflammation 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Hepatobiliary disorders
    Hepatic function abnormal 2/88 (2.3%) 2 10/174 (5.7%) 10 4/176 (2.3%) 4 0/47 (0%) 0 1/92 (1.1%) 1 2/50 (4%) 2 5/100 (5%) 5 0/3 (0%) 0 4/79 (5.1%) 5 3/31 (9.7%) 3 3/23 (13%) 3 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 2/45 (4.4%) 2 0/10 (0%) 0 0/11 (0%) 0 5/375 (1.3%) 5 0/2 (0%) 0
    Infections and infestations
    Folliculitis 0/88 (0%) 0 4/174 (2.3%) 4 3/176 (1.7%) 3 0/47 (0%) 0 3/92 (3.3%) 3 1/50 (2%) 1 6/100 (6%) 7 0/3 (0%) 0 4/79 (5.1%) 4 2/31 (6.5%) 5 3/23 (13%) 4 0/2 (0%) 0 2/43 (4.7%) 2 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Nasopharyngitis 0/88 (0%) 0 4/174 (2.3%) 5 8/176 (4.5%) 10 2/47 (4.3%) 3 6/92 (6.5%) 7 2/50 (4%) 4 4/100 (4%) 4 0/3 (0%) 0 3/79 (3.8%) 6 1/31 (3.2%) 1 3/23 (13%) 4 0/2 (0%) 0 2/43 (4.7%) 2 1/7 (14.3%) 1 2/45 (4.4%) 2 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Pharyngitis 2/88 (2.3%) 2 5/174 (2.9%) 7 4/176 (2.3%) 4 0/47 (0%) 0 5/92 (5.4%) 5 1/50 (2%) 1 6/100 (6%) 6 0/3 (0%) 0 9/79 (11.4%) 9 0/31 (0%) 0 3/23 (13%) 3 1/2 (50%) 1 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Rhinitis 1/88 (1.1%) 1 1/174 (0.6%) 1 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 3/43 (7%) 4 0/7 (0%) 0 1/45 (2.2%) 2 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Skin infection 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 1/7 (14.3%) 1 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Tinea cruris 0/88 (0%) 0 0/174 (0%) 0 1/176 (0.6%) 1 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 2/100 (2%) 2 0/3 (0%) 0 1/79 (1.3%) 1 2/31 (6.5%) 3 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Tinea pedis 0/88 (0%) 0 9/174 (5.2%) 9 9/176 (5.1%) 9 3/47 (6.4%) 3 11/92 (12%) 12 3/50 (6%) 3 10/100 (10%) 11 0/3 (0%) 0 6/79 (7.6%) 11 4/31 (12.9%) 4 2/23 (8.7%) 2 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 2/45 (4.4%) 2 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Tonsillitis 0/88 (0%) 0 2/174 (1.1%) 2 2/176 (1.1%) 2 0/47 (0%) 0 0/92 (0%) 0 1/50 (2%) 1 2/100 (2%) 2 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 2/7 (28.6%) 2 1/45 (2.2%) 2 1/10 (10%) 1 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Upper respiratory tract infection 9/88 (10.2%) 10 25/174 (14.4%) 27 28/176 (15.9%) 34 7/47 (14.9%) 8 25/92 (27.2%) 35 6/50 (12%) 6 31/100 (31%) 42 0/3 (0%) 0 22/79 (27.8%) 24 8/31 (25.8%) 12 3/23 (13%) 4 1/2 (50%) 1 7/43 (16.3%) 8 2/7 (28.6%) 2 9/45 (20%) 11 0/10 (0%) 0 0/11 (0%) 0 4/375 (1.1%) 4 0/2 (0%) 0
    Investigations
    Blood glucose decreased 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 1/3 (33.3%) 1 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Blood glucose increased 2/88 (2.3%) 4 4/174 (2.3%) 4 3/176 (1.7%) 3 2/47 (4.3%) 2 3/92 (3.3%) 4 0/50 (0%) 0 2/100 (2%) 2 0/3 (0%) 0 5/79 (6.3%) 5 2/31 (6.5%) 3 4/23 (17.4%) 4 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 4/45 (8.9%) 4 0/10 (0%) 0 0/11 (0%) 0 4/375 (1.1%) 4 0/2 (0%) 0
    Blood immunoglobulin a increased 0/88 (0%) 0 0/174 (0%) 0 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 2/100 (2%) 2 0/3 (0%) 0 1/79 (1.3%) 1 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Blood triglycerides increased 1/88 (1.1%) 1 5/174 (2.9%) 5 2/176 (1.1%) 2 0/47 (0%) 0 1/92 (1.1%) 1 4/50 (8%) 5 2/100 (2%) 2 0/3 (0%) 0 0/79 (0%) 0 3/31 (9.7%) 4 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Blood uric acid increased 2/88 (2.3%) 3 1/174 (0.6%) 1 0/176 (0%) 0 1/47 (2.1%) 1 5/92 (5.4%) 5 0/50 (0%) 0 2/100 (2%) 2 0/3 (0%) 0 1/79 (1.3%) 2 3/31 (9.7%) 4 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 3/375 (0.8%) 3 0/2 (0%) 0
    Blood urine present 0/88 (0%) 0 2/174 (1.1%) 2 1/176 (0.6%) 1 1/47 (2.1%) 1 1/92 (1.1%) 1 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 5/79 (6.3%) 5 4/31 (12.9%) 4 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Lymphocyte count abnormal 0/88 (0%) 0 2/174 (1.1%) 2 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 1/31 (3.2%) 1 2/23 (8.7%) 2 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Protein urine present 1/88 (1.1%) 1 3/174 (1.7%) 3 5/176 (2.8%) 5 2/47 (4.3%) 2 4/92 (4.3%) 4 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 3/79 (3.8%) 3 2/31 (6.5%) 2 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Urine ketone body present 0/88 (0%) 0 0/174 (0%) 0 2/176 (1.1%) 2 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 1/79 (1.3%) 1 2/31 (6.5%) 2 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Urine leukocyte esterase positive 0/88 (0%) 0 0/174 (0%) 0 1/176 (0.6%) 1 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Metabolism and nutrition disorders
    Hyperlipidaemia 1/88 (1.1%) 1 6/174 (3.4%) 6 3/176 (1.7%) 3 2/47 (4.3%) 2 4/92 (4.3%) 4 0/50 (0%) 0 3/100 (3%) 4 0/3 (0%) 0 6/79 (7.6%) 6 1/31 (3.2%) 1 3/23 (13%) 3 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 2/375 (0.5%) 2 0/2 (0%) 0
    Hyperuricaemia 1/88 (1.1%) 1 3/174 (1.7%) 3 3/176 (1.7%) 4 1/47 (2.1%) 1 5/92 (5.4%) 7 1/50 (2%) 1 5/100 (5%) 6 0/3 (0%) 0 3/79 (3.8%) 5 1/31 (3.2%) 1 2/23 (8.7%) 2 0/2 (0%) 0 2/43 (4.7%) 2 1/7 (14.3%) 1 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 2/88 (2.3%) 2 4/174 (2.3%) 5 2/176 (1.1%) 2 2/47 (4.3%) 2 2/92 (2.2%) 2 2/50 (4%) 3 4/100 (4%) 4 0/3 (0%) 0 0/79 (0%) 0 1/31 (3.2%) 1 2/23 (8.7%) 2 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 3/375 (0.8%) 3 0/2 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 0/88 (0%) 0 4/174 (2.3%) 4 3/176 (1.7%) 4 0/47 (0%) 0 8/92 (8.7%) 9 2/50 (4%) 3 5/100 (5%) 5 0/3 (0%) 0 2/79 (2.5%) 2 1/31 (3.2%) 1 2/23 (8.7%) 2 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 2/45 (4.4%) 2 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Oropharyngeal pain 1/88 (1.1%) 1 6/174 (3.4%) 6 5/176 (2.8%) 5 4/47 (8.5%) 8 2/92 (2.2%) 2 5/50 (10%) 6 4/100 (4%) 4 0/3 (0%) 0 2/79 (2.5%) 2 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 5/45 (11.1%) 6 0/10 (0%) 0 0/11 (0%) 0 1/375 (0.3%) 1 0/2 (0%) 0
    Skin and subcutaneous tissue disorders
    Alopecia 0/88 (0%) 0 1/174 (0.6%) 1 0/176 (0%) 0 0/47 (0%) 0 0/92 (0%) 0 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 0/79 (0%) 0 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 0/45 (0%) 0 1/10 (10%) 1 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Dermatitis allergic 0/88 (0%) 0 2/174 (1.1%) 2 1/176 (0.6%) 1 0/47 (0%) 0 1/92 (1.1%) 1 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 4/79 (5.1%) 4 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 0/43 (0%) 0 1/7 (14.3%) 1 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Eczema 0/88 (0%) 0 1/174 (0.6%) 1 4/176 (2.3%) 5 1/47 (2.1%) 2 8/92 (8.7%) 8 0/50 (0%) 0 6/100 (6%) 8 0/3 (0%) 0 1/79 (1.3%) 1 2/31 (6.5%) 2 1/23 (4.3%) 1 0/2 (0%) 0 2/43 (4.7%) 2 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 2/375 (0.5%) 2 0/2 (0%) 0
    Pruritus 2/88 (2.3%) 2 8/174 (4.6%) 11 8/176 (4.5%) 9 4/47 (8.5%) 4 0/92 (0%) 0 0/50 (0%) 0 1/100 (1%) 1 0/3 (0%) 0 2/79 (2.5%) 3 0/31 (0%) 0 1/23 (4.3%) 1 0/2 (0%) 0 0/43 (0%) 0 0/7 (0%) 0 1/45 (2.2%) 1 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Urticaria 1/88 (1.1%) 1 5/174 (2.9%) 7 10/176 (5.7%) 10 1/47 (2.1%) 1 4/92 (4.3%) 5 0/50 (0%) 0 7/100 (7%) 10 0/3 (0%) 0 9/79 (11.4%) 12 2/31 (6.5%) 2 1/23 (4.3%) 1 0/2 (0%) 0 3/43 (7%) 3 0/7 (0%) 0 4/45 (8.9%) 5 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0
    Vascular disorders
    Hypertension 3/88 (3.4%) 3 5/174 (2.9%) 5 4/176 (2.3%) 4 1/47 (2.1%) 1 3/92 (3.3%) 3 0/50 (0%) 0 0/100 (0%) 0 0/3 (0%) 0 4/79 (5.1%) 4 0/31 (0%) 0 0/23 (0%) 0 0/2 (0%) 0 1/43 (2.3%) 1 0/7 (0%) 0 0/45 (0%) 0 0/10 (0%) 0 0/11 (0%) 0 0/375 (0%) 0 0/2 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Chief Medical Officer
    Organization Eli Lilly and Company
    Phone 800-545-5979
    Email ClinicalTrials.gov@lilly.com
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT03364309
    Other Study ID Numbers:
    • 14438
    • I1F-MC-RHBH
    First Posted:
    Dec 6, 2017
    Last Update Posted:
    Jun 25, 2021
    Last Verified:
    Jun 1, 2021