Study to Evaluate the Efficacy of Etanercept Treatment in Adults Who Failed Therapy With Apremilast

Sponsor
Amgen (Industry)
Overall Status
Completed
CT.gov ID
NCT02749370
Collaborator
(none)
80
22
1
18.6
3.6
0.2

Study Details

Study Description

Brief Summary

To evaluate the efficacy of etanercept in adults with moderate to severe plaque psoriasis who have failed therapy with apremilast (Otezla).

Condition or Disease Intervention/Treatment Phase
Phase 4

Detailed Description

This is a multicenter, open-label, single-arm, phase 4, estimation study in adults with plaque psoriasis (PsO) who have failed apremilast. The study will consist of a screening period of up to 45 days, a 24-week treatment period with study visits every 4 weeks, and a 30-day follow-up period for safety. Etanercept dosing will follow the recommended label dosing for adults with plaque psoriasis.

Study Design

Study Type:
Interventional
Actual Enrollment :
80 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open Label Study to Evaluate the Efficacy of Etanercept Treatment in Subjects With Moderate to Severe Plaque Psoriasis Who Have Failed Therapy With Apremilast
Actual Study Start Date :
May 18, 2016
Actual Primary Completion Date :
Aug 14, 2017
Actual Study Completion Date :
Dec 6, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Etanercept

Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.

Drug: Etanercept
Administered subcutaneously twice weekly for 12 weeks then once weekly for an additional 12 weeks.
Other Names:
  • Enbrel
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With a PASI 75 Response at Week 12 [Baseline and week 12]

      A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    Secondary Outcome Measures

    1. Percentage of Participants With a PASI 75 Response at Each Visit [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    2. Percentage of Participants With a PASI 50 Response at Each Visit [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      A PASI 50 response is a 50% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    3. Percentage of Participants With a PASI 90 Response at Each Visit [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      A PASI 90 response is a 90% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.

    4. Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    5. Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at Each Visit [Weeks 4, 8, 12, 16, 20, and 24]

      The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).

    6. Percentage of Participants With an sPGA Score of 0, 1 or 2 at Each Visit [Weeks 4, 8, 12, 16, 20, and 24]

      The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with a score of 0 (clear), 1 (almost clear) or 2 (mild) is reported.

    7. Static Physician Global Assessment (sPGA) at Each Visit [Weeks 4, 8, 12, 16, 20, and 24]

      The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema).

    8. Percentage of Participants With at Least a 1 Grade Improvement in sPGA From Baseline [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 1 grade is reported.

    9. Percentage of Participants With at Least a 2 Grade Improvement in sPGA From Baseline [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 2 grades is reported.

    10. Percent Change From Baseline in the Percentage of Body Surface Area (BSA) Involved With Psoriasis at Each Visit [Baseline and weeks 4, 8, 12, 16, 20, and 24]

      A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The percent of BSA affected was estimated by assuming that the participant's palm, excluding the fingers and thumb, represented roughly 1% of the body's surface. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    11. Psoriasis Symptom Inventory (PSI) Total Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe). The total score is the sum of the 8 responses, and ranges from 0 to 32. Higher scores indicate more severe psoriasis.

    12. PSI "Itch From Psoriasis" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    13. PSI "Redness of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    14. PSI "Scaling of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    15. PSI "Burning of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    16. PSI "Stinging of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    17. PSI "Cracking of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    18. PSI "Flaking of Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    19. PSI "Pain From Skin Lesions" Component Score at Each Visit [Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24]

      Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).

    20. Patient Assessment of Treatment Satisfaction at Week 12 [Week 12]

      Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".

    21. Patient Assessment of Treatment Satisfaction at Week 24 [Week 24]

      Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".

    22. Percent Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Weeks 12 and 24 [Baseline and weeks 12 and 24]

      The dermatology life quality index (DLQI) is a skin disease-specific instrument to evaluate health-related quality of life. The DLQI questionnaire asks participants to evaluate the degree that psoriasis has affected their quality of life in the last week, and includes the following parameters: symptoms and feelings, daily activities, leisure activities, work or school activities, personal relationships and treatment related feelings. Participants answered 10 questions on a scale from 0 (not at all) to 3 (very much); the range of the total score is from 0 (best possible score) to 30 (worst possible score). Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.

    23. Number of Participants With Adverse Events [From first dose of etanercept to 30 days after last dose, up to 28 weeks.]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subject has provided informed consent prior to initiation of any study specific activities/procedures

    • Male or female subject is ≥ 18 years of age at time of screening

    • Subject is a candidate for systemic therapy or phototherapy in the opinion of the investigator

    • Subject has moderate to severe plaque psoriasis (PsO) with involved body surface area (BSA) ≥ 10%, psoriasis area and severity index (PASI) ≥ 10 and static physician's global assessment (sPGA) ≥ 3 at screening and baseline

    • Subject is currently receiving treatment with apremilast for moderate to severe plaque PsO or subject has discontinued treatment with apremilast for PsO within the past 3 months prior to screening

    • Subject has failed therapy with apremilast for moderate to severe plaque PsO defined as either (1) failure to achieve adequate clinical response in the opinion of the investigator, (2) loss of adequate clinical response in the opinion of the investigator or (3) intolerability to apremilast in the opinion of the investigator

    • Subject has received at least 4 weeks of apremilast treatment for moderate to severe plaque PsO (this only applies for subjects who are qualifying by failure to achieve adequate clinical response or loss of adequate clinical response, this does not apply for subjects who are qualifying by intolerability to apremilast)

    • Subject has not had significant known weight increase or decrease (≥ 10%) during apremilast treatment

    • Subject is < 264 lbs at screening and baseline -Subject has a negative test for hepatitis B surface antigen, hepatitis B core antibody and hepatitis C antibody

    • Subject has no known history of tuberculosis.

    Exclusion Criteria:

    Skin disease related

    -Subject has active erythrodermic, pustular, guttate psoriasis, or medication induced psoriasis, or other skin conditions at the time of the screening visit (for example, eczema) that would interfere with evaluations of the effect of investigational product on PsO.

    Other Medical Conditions

    • Subject has one or more significant concurrent medical conditions per investigator judgment, including the following

    • Poorly controlled diabetes

    • Chronic kidney disease stage IIIb, IV, or V

    • Symptomatic heart failure (New York Heart Association class II, III, or IV)

    • Myocardial infarction or unstable angina pectoris within the past 12 months prior to randomization

    • Uncontrolled hypertension

    • Severe chronic pulmonary disease (eg, requiring oxygen therapy)

    • Multiple sclerosis or any other demyelinating disease

    • Liver disease

    • Anemia

    • Major chronic inflammatory disease or connective tissue disease other than psoriasis and/or psoriatic arthritis (for example, systemic lupus erythematosus with the exception of secondary Sjogren's syndrome)

    • Subject has active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma, Merkel cell carcinoma or history of cancer (other than fully resected and surgically cured cutaneous basal cell and squamous cell carcinoma) within 5 years before the first dose of investigational product.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Research Site Scottsdale Arizona United States 85254
    2 Research Site Beverly Hills California United States 90211
    3 Research Site Fountain Valley California United States 92708
    4 Research Site Newport Beach California United States 92663
    5 Research Site San Ramon California United States 94583
    6 Research Site Santa Monica California United States 90404
    7 Research Site Coral Gables Florida United States 33134
    8 Research Site Jacksonville Florida United States 32204
    9 Research Site Macon Georgia United States 31217
    10 Research Site Louisville Kentucky United States 40217
    11 Research Site Rockville Maryland United States 20850
    12 Research Site Ann Arbor Michigan United States 48103
    13 Research Site Clarkston Michigan United States 48346
    14 Research Site Fort Gratiot Michigan United States 48059
    15 Research Site Saint Louis Missouri United States 63117
    16 Research Site Henderson Nevada United States 89052
    17 Research Site East Windsor New Jersey United States 08520
    18 Research Site Verona New Jersey United States 07044
    19 Research Site New York New York United States 10075
    20 Research Site Greenville North Carolina United States 27834
    21 Research Site Houston Texas United States 77082
    22 Research Site San Antonio Texas United States 78218

    Sponsors and Collaborators

    • Amgen

    Investigators

    • Study Director: MD, Amgen

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    Responsible Party:
    Amgen
    ClinicalTrials.gov Identifier:
    NCT02749370
    Other Study ID Numbers:
    • 20150252
    First Posted:
    Apr 25, 2016
    Last Update Posted:
    May 13, 2020
    Last Verified:
    May 1, 2020
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details This study was conducted at 22 centers in the United States from 18 May 2016 to 06 December 2017.
    Pre-assignment Detail
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Period Title: Overall Study
    STARTED 80
    COMPLETED 66
    NOT COMPLETED 14

    Baseline Characteristics

    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Overall Participants 80
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    50.4
    (14.8)
    Age, Customized (Count of Participants)
    < 65 years
    63
    78.8%
    ≥ 65 years
    17
    21.3%
    Sex: Female, Male (Count of Participants)
    Female
    33
    41.3%
    Male
    47
    58.8%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    19
    23.8%
    Not Hispanic or Latino
    61
    76.3%
    Unknown or Not Reported
    0
    0%
    Race/Ethnicity, Customized (Count of Participants)
    American Indian or Alaska Native
    4
    5%
    Asian
    11
    13.8%
    Black or African American
    2
    2.5%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    White
    60
    75%
    Other
    3
    3.8%
    Psoriasis Area Severity Index (PASI) Score (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    16.4
    (6.5)
    Percent of Body Surface Area (BSA) Involved in Psoriasis (Percentage of BSA) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Percentage of BSA]
    16.4
    (10.5)
    Static Physician Global Assessment (sPGA) of Psoriasis (Count of Participants)
    0 = Clear
    0
    0%
    1 = Almost clear
    0
    0%
    2 = Mild
    0
    0%
    3 = Moderate
    51
    63.8%
    4 = Severe
    28
    35%
    5 = Very Severe
    1
    1.3%
    Dermatology Life Quality Index (DLQI) (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    12.5
    (7.4)
    Psoriasis Symptom Inventory (PSI) (units on a scale) [Mean (Standard Deviation) ]
    Total score
    16.6
    (6.6)
    Itch from psoriasis
    2.5
    (1.0)
    Redness of skin lesions
    2.6
    (0.9)
    Scaling of skin lesions
    2.6
    (0.8)
    Burning of skin lesions
    1.4
    (1.2)
    Stinging of skin lesions
    1.5
    (1.2)
    Cracking of skin lesions
    2.0
    (1.0)
    Flaking of skin lesions
    2.5
    (1.9)
    Pain from skin lesions
    1.5
    (1.1)
    Patient Assessment of Treatment Satisfaction (Count of Participants)
    Very dissatisfied
    33
    41.3%
    Dissatisfied
    13
    16.3%
    Neither satisfied nor dissatisfied
    30
    37.5%
    Satisfied
    4
    5%
    Very satisfied
    0
    0%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With a PASI 75 Response at Week 12
    Description A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.
    Time Frame Baseline and week 12

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline PASI value. Last observation carried forward (LOCF) imputation was used for participants with missing data at week 12.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Number (95% Confidence Interval) [percentage of participants]
    41.6
    52%
    2. Secondary Outcome
    Title Percentage of Participants With a PASI 75 Response at Each Visit
    Description A PASI 75 response is a 75% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline PASI value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    6.6
    8.3%
    Week 8
    23.4
    29.3%
    Week 12
    41.6
    52%
    Week 16
    42.9
    53.6%
    Week 20
    42.9
    53.6%
    Week 24
    45.5
    56.9%
    3. Secondary Outcome
    Title Percentage of Participants With a PASI 50 Response at Each Visit
    Description A PASI 50 response is a 50% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline PASI value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    23.7
    29.6%
    Week 8
    50.6
    63.3%
    Week 12
    70.1
    87.6%
    Week 16
    68.8
    86%
    Week 20
    74.0
    92.5%
    Week 24
    62.3
    77.9%
    4. Secondary Outcome
    Title Percentage of Participants With a PASI 90 Response at Each Visit
    Description A PASI 90 response is a 90% or greater improvement (reduction) from baseline in PASI score. The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline PASI value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    1.3
    1.6%
    Week 8
    6.5
    8.1%
    Week 12
    13.0
    16.3%
    Week 16
    16.9
    21.1%
    Week 20
    23.4
    29.3%
    Week 24
    22.1
    27.6%
    5. Secondary Outcome
    Title Percent Change From Baseline in Psoriasis Area and Severity Index (PASI)
    Description The PASI measures the average redness (erythema), thickness (induration), and scaliness (each graded on a 0 to 4 scale) of psoriasis lesions, weighted by the area of involvement in the four main body areas (i.e., head and neck, trunk, upper extremities, and lower extremities). PASI scores can range from 0 to 72, with higher scores indicating greater severity and/or more extensive psoriasis. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline PASI value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    22.03
    (33.58)
    Week 8
    43.51
    (40.53)
    Week 12
    55.47
    (48.16)
    Week 16
    57.41
    (40.79)
    Week 20
    60.42
    (39.12)
    Week 24
    57.67
    (40.20)
    6. Secondary Outcome
    Title Percentage of Participants With an sPGA Score of 0 (Clear) or 1 (Almost Clear) at Each Visit
    Description The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). A sPGA response is defined as a sPGA value of clear (score 0) or almost clear (score 1).
    Time Frame Weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline sPGA value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    3.9
    4.9%
    Week 8
    15.6
    19.5%
    Week 12
    23.4
    29.3%
    Week 16
    28.6
    35.8%
    Week 20
    29.9
    37.4%
    Week 24
    33.8
    42.3%
    7. Secondary Outcome
    Title Percentage of Participants With an sPGA Score of 0, 1 or 2 at Each Visit
    Description The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with a score of 0 (clear), 1 (almost clear) or 2 (mild) is reported.
    Time Frame Weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline sPGA value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    21.1
    26.4%
    Week 8
    55.8
    69.8%
    Week 12
    62.3
    77.9%
    Week 16
    59.7
    74.6%
    Week 20
    55.8
    69.8%
    Week 24
    57.1
    71.4%
    8. Secondary Outcome
    Title Static Physician Global Assessment (sPGA) at Each Visit
    Description The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema).
    Time Frame Weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline sPGA value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    2.9
    (0.7)
    Week 8
    2.4
    (0.9)
    Week 12
    2.2
    (1.0)
    Week 16
    2.2
    (1.1)
    Week 20
    2.2
    (1.1)
    Week 24
    2.2
    (1.2)
    9. Secondary Outcome
    Title Percentage of Participants With at Least a 1 Grade Improvement in sPGA From Baseline
    Description The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 1 grade is reported.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline sPGA value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    40.8
    51%
    Week 8
    70.1
    87.6%
    Week 12
    75.3
    94.1%
    Week 16
    72.7
    90.9%
    Week 20
    74.0
    92.5%
    Week 24
    74.0
    92.5%
    10. Secondary Outcome
    Title Percentage of Participants With at Least a 2 Grade Improvement in sPGA From Baseline
    Description The sPGA is a 6-point scale ranging from 0 (clear) to 5 (very severe) used to measure the severity of disease (induration, scaling, and erythema). The percentage of participants with an improvement from baseline of ≥ 2 grades is reported.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least I post-baseline sPGA value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    7.9
    9.9%
    Week 8
    31.2
    39%
    Week 12
    32.5
    40.6%
    Week 16
    37.7
    47.1%
    Week 20
    36.4
    45.5%
    Week 24
    39.0
    48.8%
    11. Secondary Outcome
    Title Percent Change From Baseline in the Percentage of Body Surface Area (BSA) Involved With Psoriasis at Each Visit
    Description A measurement of psoriasis involvement, given as the physician's assessment of the percentage of the participant's total body surface area (BSA) involved with psoriasis. The percent of BSA affected was estimated by assuming that the participant's palm, excluding the fingers and thumb, represented roughly 1% of the body's surface. Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.
    Time Frame Baseline and weeks 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 4
    13.47
    (24.63)
    Week 8
    31.03
    (37.52)
    Week 12
    44.49
    (40.29)
    Week 16
    48.26
    (39.80)
    Week 20
    49.97
    (40.15)
    Week 24
    46.89
    (42.70)
    12. Secondary Outcome
    Title Psoriasis Symptom Inventory (PSI) Total Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe). The total score is the sum of the 8 responses, and ranges from 0 to 32. Higher scores indicate more severe psoriasis.
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    14.7
    (7.1)
    Week 2
    13.7
    (6.5)
    Week 3
    12.1
    (6.1)
    Week 4
    11.7
    (6.6)
    Week 8
    10.0
    (5.9)
    Week 12
    8.8
    (6.4)
    Week 16
    10.1
    (7.6)
    Week 20
    9.9
    (7.8)
    Week 24
    9.6
    (7.7)
    13. Secondary Outcome
    Title PSI "Itch From Psoriasis" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    2.2
    (1.0)
    Week 2
    2.0
    (0.9)
    Week 3
    1.9
    (0.8)
    Week 4
    1.8
    (0.9)
    Week 8
    1.5
    (0.9)
    Week 12
    1.3
    (0.9)
    Week 16
    1.5
    (1.0)
    Week 20
    1.5
    (1.1)
    Week 24
    1.5
    (1.0)
    14. Secondary Outcome
    Title PSI "Redness of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    2.4
    (0.9)
    Week 2
    2.2
    (0.9)
    Week 3
    2.0
    (0.8)
    Week 4
    1.8
    (0.9)
    Week 8
    1.7
    (0.9)
    Week 12
    1.5
    (1.0)
    Week 16
    1.7
    (1.1)
    Week 20
    1.5
    (1.1)
    Week 24
    1.5
    (1.1)
    15. Secondary Outcome
    Title PSI "Scaling of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    2.3
    (1.0)
    Week 2
    2.1
    (1.1)
    Week 3
    1.9
    (0.9)
    Week 4
    1.9
    (0.9)
    Week 8
    1.6
    (0.9)
    Week 12
    1.5
    (0.9)
    Week 16
    1.6
    (1.0)
    Week 20
    1.6
    (1.1)
    Week 24
    1.4
    (1.1)
    16. Secondary Outcome
    Title PSI "Burning of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    1.3
    (1.1)
    Week 2
    1.2
    (1.1)
    Week 3
    1.0
    (1.0)
    Week 4
    1.0
    (1.0)
    Week 8
    0.8
    (0.9)
    Week 12
    0.8
    (1.0)
    Week 16
    0.9
    (1.1)
    Week 20
    0.9
    (1.1)
    Week 24
    0.9
    (1.1)
    17. Secondary Outcome
    Title PSI "Stinging of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    1.2
    (1.2)
    Week 2
    1.1
    (1.0)
    Week 3
    1.0
    (1.0)
    Week 4
    1.0
    (1.1)
    Week 8
    0.8
    (0.9)
    Week 12
    0.7
    (0.9)
    Week 16
    0.9
    (1.1)
    Week 20
    0.9
    (1.1)
    Week 24
    0.8
    (1.1)
    18. Secondary Outcome
    Title PSI "Cracking of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    1.9
    (1.1)
    Week 2
    1.7
    (1.0)
    Week 3
    1.6
    (1.0)
    Week 4
    1.4
    (1.1)
    Week 8
    1.2
    (1.0)
    Week 12
    1.1
    (1.0)
    Week 16
    1.2
    (1.0)
    Week 20
    1.2
    (1.1)
    Week 24
    1.2
    (1.1)
    19. Secondary Outcome
    Title PSI "Flaking of Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    2.2
    (0.9)
    Week 2
    2.1
    (0.9)
    Week 3
    1.8
    (0.9)
    Week 4
    1.8
    (1.0)
    Week 8
    1.5
    (1.0)
    Week 12
    1.3
    (1.0)
    Week 16
    1.5
    (1.1)
    Week 20
    1.6
    (1.1)
    Week 24
    1.4
    (1.1)
    20. Secondary Outcome
    Title PSI "Pain From Skin Lesions" Component Score at Each Visit
    Description Participants rated the severity of their psoriasis signs and symptoms on an 8-item questionnaire (itch, redness, scaling, burning, stinging, cracking, flaking, pain) based on the past 7 days. Each item was scored on a 5-point scale from 0 (not at all severe) to 4 (very severe).
    Time Frame Weeks 1, 2, 3, 4, 8, 12, 16, 20, and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 77
    Week 1
    1.2
    (1.2)
    Week 2
    1.2
    (1.1)
    Week 3
    1.0
    (1.0)
    Week 4
    1.0
    (1.0)
    Week 8
    0.8
    (0.9)
    Week 12
    0.7
    (0.9)
    Week 16
    0.9
    (1.1)
    Week 20
    0.9
    (1.1)
    Week 24
    0.8
    (1.0)
    21. Secondary Outcome
    Title Patient Assessment of Treatment Satisfaction at Week 12
    Description Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 74
    Very dissatisfied
    4.1
    5.1%
    Dissatisfied
    13.5
    16.9%
    Neither satisfied nor dissatisfied
    21.6
    27%
    Satisfied
    32.4
    40.5%
    Very satisfied
    28.4
    35.5%
    22. Secondary Outcome
    Title Patient Assessment of Treatment Satisfaction at Week 24
    Description Participants indicated their level of satisfaction with the medication's control of psoriasis on a scale from "very dissatisfied" to "very satisfied".
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 75
    Very dissatisfied
    8.0
    10%
    Dissatisfied
    25.3
    31.6%
    Neither satisfied nor dissatisfied
    13.3
    16.6%
    Satisfied
    24.0
    30%
    Very satisfied
    29.3
    36.6%
    23. Secondary Outcome
    Title Percent Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Weeks 12 and 24
    Description The dermatology life quality index (DLQI) is a skin disease-specific instrument to evaluate health-related quality of life. The DLQI questionnaire asks participants to evaluate the degree that psoriasis has affected their quality of life in the last week, and includes the following parameters: symptoms and feelings, daily activities, leisure activities, work or school activities, personal relationships and treatment related feelings. Participants answered 10 questions on a scale from 0 (not at all) to 3 (very much); the range of the total score is from 0 (best possible score) to 30 (worst possible score). Percent change from baseline was calculated as (Baseline Value - Post-baseline Value) / Baseline Value * 100, hence a positive value indicates improvement.
    Time Frame Baseline and weeks 12 and 24

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study and with at least 1 post-baseline value. Last observation carried forward (LOCF) imputation was used.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 75
    Week 12
    53.60
    (35.46)
    Week 24
    36.95
    (92.77)
    24. Secondary Outcome
    Title Number of Participants With Adverse Events
    Description
    Time Frame From first dose of etanercept to 30 days after last dose, up to 28 weeks.

    Outcome Measure Data

    Analysis Population Description
    Participants who received at least 1 dose of etanercept during the study.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    Measure Participants 80
    All adverse events (AEs)
    19
    23.8%
    Serious adverse events
    2
    2.5%
    AEs leading to discontinuation of etanercept
    2
    2.5%
    Fatal adverse events
    0
    0%
    Treatment-related adverse events (TRAEs)
    10
    12.5%
    Treatment-related serious adverse events
    1
    1.3%
    TRAEs leading to discontinuation of etanercept
    1
    1.3%
    Fatal treatment-related adverse events
    0
    0%

    Adverse Events

    Time Frame From first dose of etanercept to 30 days after last dose, up to 28 weeks.
    Adverse Event Reporting Description Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
    Arm/Group Title Etanercept
    Arm/Group Description Participants received etanercept 50 mg subcutaneously twice weekly for 12 weeks followed by 50 mg once weekly for an additional 12 weeks.
    All Cause Mortality
    Etanercept
    Affected / at Risk (%) # Events
    Total 0/80 (0%)
    Serious Adverse Events
    Etanercept
    Affected / at Risk (%) # Events
    Total 2/80 (2.5%)
    General disorders
    Injection site reaction 1/80 (1.3%)
    Skin and subcutaneous tissue disorders
    Drug eruption 2/80 (2.5%)
    Other (Not Including Serious) Adverse Events
    Etanercept
    Affected / at Risk (%) # Events
    Total 18/80 (22.5%)
    Gastrointestinal disorders
    Diarrhoea 1/80 (1.3%)
    General disorders
    Injection site hypersensitivity 1/80 (1.3%)
    Injection site reaction 2/80 (2.5%)
    Injection site swelling 1/80 (1.3%)
    Pyrexia 1/80 (1.3%)
    Infections and infestations
    Nasopharyngitis 1/80 (1.3%)
    Pneumonia 1/80 (1.3%)
    Sinobronchitis 1/80 (1.3%)
    Sinusitis 1/80 (1.3%)
    Tonsillitis 1/80 (1.3%)
    Upper respiratory tract infection 2/80 (2.5%)
    Injury, poisoning and procedural complications
    Injection related reaction 2/80 (2.5%)
    Meniscus injury 1/80 (1.3%)
    Investigations
    Blood pressure increased 1/80 (1.3%)
    Musculoskeletal and connective tissue disorders
    Back pain 2/80 (2.5%)
    Exostosis 2/80 (2.5%)
    Psoriatic arthropathy 1/80 (1.3%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Benign neoplasm of bladder 1/80 (1.3%)
    Reproductive system and breast disorders
    Benign prostatic hyperplasia 1/80 (1.3%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 1/80 (1.3%)
    Cough 1/80 (1.3%)
    Oropharyngeal pain 1/80 (1.3%)
    Skin and subcutaneous tissue disorders
    Actinic keratosis 1/80 (1.3%)
    Vascular disorders
    Hypertension 1/80 (1.3%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.

    Results Point of Contact

    Name/Title Study Director
    Organization Amgen Inc.
    Phone 866-572-6436
    Email medinfo@amgen.com
    Responsible Party:
    Amgen
    ClinicalTrials.gov Identifier:
    NCT02749370
    Other Study ID Numbers:
    • 20150252
    First Posted:
    Apr 25, 2016
    Last Update Posted:
    May 13, 2020
    Last Verified:
    May 1, 2020