A Study to Evaluate the Efficacy, Safety, and Tolerability of NDI-034858 in Subjects With Active Psoriatic Arthritis

Study Purpose

This study is designed to evaluate the efficacy, safety, and tolerability of NDI-034858 in subjects with active Psoriatic Arthritis (PsA).

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 70 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Subject has PsA on the basis of the Classification Criteria for Psoriatic Arthritis with peripheral symptoms at the screening visit.
  • - Subject has a history of PsA symptoms for ≥ 6 months prior to the screening visit.
  • - Subject has ≥ 3 tender joints and ≥ 3 swollen joints at screening and Day 1 visits.
  • - Subject has at least one lesion of plaque psoriasis ≥ 2 cm in diameter, nail changes characteristic of psoriasis, or a documented history of plaque psoriasis.
  • - Subject has active PsA despite previous standard doses of non-steroidal anti-inflammatory drug (NSAIDs) administered for ≥ 4 weeks, or traditional disease-modifying anti-rheumatic drug (DMARDs) (including methotrexate and sulfasalazine) administered for ≥ 3 months, or tumor necrosis factor inhibitor (TNFi) agents administered for ≥ 3 months, or subjects are intolerant to NSAIDs or DMARDs or TNFi agents.
  • - If subject is on concurrent PsA treatments, they must be on stable doses.
  • - All female subjects should followed the protocol defined contraceptive method.

Exclusion Criteria:

  • - Subject has other disease(s) that might confound the evaluations of benefit of NDI-034858 therapy, including but not limited to rheumatoid arthritis (RA), axial spondyloarthritis (this does not include a primary diagnosis of PsA with spondylitis), systemic lupus erythematosus, Lyme disease, or fibromyalgia.
  • - Subject has a history of lack of response to any therapeutic agent targeting IL-12, IL17, and/or IL23 at approved doses after at least 12 weeks of therapy, and/or received one of these therapies within 6 months prior to baseline (Day 1).
  • - Subject has a history of lack of response to > 1 therapeutic agent targeting tumor necrosis factor.
  • - Subject has received infliximab, golimumab, adalimumab, or certolizumab pegol, or any biosimilar of these agents, within 8 weeks prior to baseline (Day 1).
  • - Subject has received etanercept, or any biosimilar of etanercept, within 4 weeks prior to baseline (Day 1).
  • - Subject has received rituximab or any immune-cell-depleting therapy within 6 months prior to baseline (Day 1).
  • - Subject has received any marketed or investigational biological agent, other than those specified in other inclusion/exclusion criteria, within 12 weeks or 5 half-lives prior to baseline (Day 1).
  • - Subject is currently receiving a non-biological investigational product or device or has received one within 4 weeks prior to baseline (Day 1).
  • - Subject has received apremilast or other non-biologic systemic treatment for PsA within 4 weeks prior to baseline (Day 1), other than methotrexate (MTX), sulfasalazine, corticosteroids, NSAIDs, or paracetamol/acetaminophen, which are allowed at stable doses as described in Inclusion Criterion 7.
For subjects not receiving MTX and sulfasalazine at screening, MTX and sulfasalazine are excluded within 4 weeks prior to baseline (Day 1). Subject has received leflunomide within 8 weeks of baseline (Day 1) if no elimination procedure was followed or adhere to an elimination procedure. For subjects not receiving MTX and sulfasalazine at Screening, MTX and sulfasalazine are excluded within 4 weeks prior to baseline (Day 1).
  • - Subject has received intraarticular injection (including corticosteroids), intramuscular steroids, intralesional steroids, or intravenous steroids within 4 weeks prior to baseline (Day 1).
For subjects not receiving MTX and sulfasalazine at screening, MTX and sulfasalazine are excluded within 4 weeks prior to baseline (Day 1). For subjects not receiving MTX and sulfasalazine at screening, MTX and sulfasalazine are excluded within 4 weeks prior to baseline (Day 1).
  • - Subject has received high potency opioid analgesics (eg, methadone, hydromorphone, or morphine) within 2 weeks prior to baseline (Day 1).
  • - Subject has used any topical medication that could affect PsA or psoriasis (including corticosteroids, retinoids, vitamin D analogues (such as calcipotriol), JAK inhibitors, or tar) within 2 weeks prior to baseline (Day 1).
  • - Subject has used any systemic treatment that could affect PsA or psoriasis (including oral retinoids, immunosuppressive/immunomodulating medication, cyclosporine, oral JAK inhibitors, or apremilast) within 4 weeks prior to baseline (Day 1).
  • - Subject has received any ultraviolet (UV)-B phototherapy (including tanning beds) or excimer laser within 4 weeks prior to baseline (Day 1).
  • - Subject has had psoralen and UV A (PUVA) treatment within 4 weeks prior to baseline (Day 1).
  • - Subject has received Chinese traditional medicine within 4 weeks prior to baseline (Day 1) - Subject has received any live-attenuated vaccine, including for COVID-19, within 4 weeks prior to baseline (Day 1) or plans to receive a live-attenuated vaccine during the study and up to 4 weeks or 5 half-lives of the study drug, whichever is longer, after the last study drug administration.
  • - Subject is currently being treated with strong or moderate cytochrome P450 3A (CYP3A4) inhibitors, such as itraconazole or has received moderate or strong CYP3A4 inhibitors within 4 weeks prior to baseline (Day 1).
  • - Subject has consumed grapefruit or grapefruit juice within 1 week prior to baseline (Day 1).
  • - Subject has used tanning booths within 4 weeks prior to baseline (Day 1), has had excessive sun exposure, or is not willing to minimize natural and artificial sunlight exposure during the study.
  • - Subject is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
  • - Subject has evidence of erythrodermic, pustular, predominantly guttate psoriasis, or drug-induced psoriasis.
  • - Subject has a history of skin disease or presence of skin condition that, in the opinion of the investigator, would interfere with the study assessments.
  • - Subject has any clinically significant medical condition, evidence of an unstable clinical condition, psychiatric condition, or vital signs/physical/laboratory/ECG abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results.
  • - Subject had a major surgery within 8 weeks prior to baseline (Day 1 or has a major surgery planned during the study.
  • - Subject has a history of Class III or IV congestive heart failure as defined by New York Heart Association Criteria.
  • - Subject has an estimated creatinine clearance of < 40 mL/min based on the Cockcroft-Gault equation or a history of renal failure.
  • - Subject was hospitalized in the 3 months prior to screening for asthma, has ever required intubation for treatment of asthma, currently require oral corticosteroids for the treatment of asthma, or has required more than one short-term (≤ 2 weeks) course of oral corticosteroids for asthma within 6 months prior to baseline (Day 1).
  • - Subject has a history of cancer or lymphoproliferative disease within 5 years prior to baseline (Day 1).
Subjects with successfully treated nonmetastatic cutaneous squamous cell or basal cell carcinoma and/or localized carcinoma in situ of the cervix are not to be excluded.
  • - Subject has a history of fever, inflammation, or systemic signs of illness suggestive of systemic or invasive infection within 4 weeks prior to baseline (Day 1).
  • - Subject has an active bacterial, viral, fungal, mycobacterial infection, or other infection (including TB or atypical mycobacterial disease), or any major episode of infection that required hospitalization or treatment with intravenous antibiotics within 12 weeks prior to baseline (Day 1), or oral antibiotics within 4 weeks prior to baseline (Day 1).
  • - Subject has a history of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic chest infection, recurrent urinary tract infection, fungal infection (with the exception of superficial fungal infection of the nailbed), or infected skin wounds or ulcers.
  • - Subject has a history of an infected joint prosthesis or has received antibiotics for a suspected infection of a joint prosthesis, if that prosthesis has not been removed or replaced.
  • - Subject has active herpes infection, including herpes simplex 1 and 2 and herpes zoster within 8 weeks prior to Day 1.
  • - Subject has a history of known or suspected congenital or acquired immunodeficiency state or condition that would compromise the subject's immune status (eg, history of splenectomy, primary immunodeficiency).
  • - Subject has positive results for hepatitis B surface antigens (HBsAg), antibodies to hepatitis B core antigens (anti-HBc), hepatitis C virus (HCV), or human immunodeficiency virus (HIV).
Samples testing positive for HCV antibodies will require polymerase chain reaction (PCR) qualitative testing for HCV RNA.
  • - Subject has clinical or laboratory evidence of active or latent TB infection at screening as assessed by QuantiFERON-TB Gold (or a purified protein derivative [PPD] skin test or equivalent, or both if required per local guidelines) and chest X-ray.
The PPD skin test should be utilized only when a QuantiFERON-TB Gold Test is not possible for any reason (unless local guidelines require both tests). Chest X-ray may be taken at screening or completed within 3 months prior to the screening visit, with documentation showing no evidence of infection or malignancy as read by a qualified physician.
  • - Subject has a known or suspected allergy to NDI-034858 or any component of the investigational product, or any other significant drug allergy (such as anaphylaxis or hepatotoxicity).
  • - Subject has a known history of clinically significant drug or alcohol abuse in the last year prior to baseline (Day 1).

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05153148
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Nimbus Lakshmi, Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Esha Gangolli, PhD
Principal Investigator Affiliation Nimbus Lakshmi, Inc.
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Psoriatic Arthritis
Additional Details

This is a Phase 2b, Randomized, Multi-center, Double-Blind, Placebo-Controlled, Multiple Dose Study . Randomization to one of the treatments with NDI-034858 Dose 1, 2, 3 or placebo once daily (QD) will be based on a 1:1:1:1 scheme. The maximum study duration per subject is approximately 20 weeks, including up to 30 days for the screening period, a 12-week treatment period, and a 4-week safety follow-up period. Efficacy will be assessed using the ACR20 composite measure (including tender and swollen joint count, patient assessment of PsA pain visual analog scale (VAS), patient global PsA assessment VAS, physician global PsA assessment, HAQ-DI, and hsCRP) as well as the additional components. Efficacy for psoriasis among subjects who have ≥ 3% BSA) involvement on Day 1, will be measured using PASI, PGAs, and BSA. Safety will be assessed by collecting AEs, recording vital signs, performing physical examinations, and evaluating clinical laboratory and ECGs results.

Arms & Interventions

Arms

Experimental: NDI-034858 study drug - Dose 1

NDI-034858 study drug will be orally administered QD for 12 weeks

Experimental: NDI-034858 study drug - Dose 2

NDI-034858 study drug will be orally administered QD for 12 weeks

Experimental: NDI-034858 study drug - Dose 3

NDI-034858 study drug will be orally administered QD for 12 weeks

Placebo Comparator: Placebo

Placebo will be orally administered QD for 12 weeks

Interventions

Drug: - NDI-034858

Randomized participants will receive NDI-034858 capsule orally

Other: - Placebo

Randomized participants will receive placebo orally

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Nimbus site #XYZ, Palm Desert, California

Status

Recruiting

Address

Nimbus site #XYZ

Palm Desert, California, 92260-9368

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Upland, California

Status

Not yet recruiting

Address

Nimbus site #XYZ

Upland, California, 91786

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Hollywood, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Hollywood, Florida, 33024

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, New Port Richey, Florida

Status

Not yet recruiting

Address

Nimbus site #XYZ

New Port Richey, Florida, 34652

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Ormond Beach, Florida

Status

Not yet recruiting

Address

Nimbus site #XYZ

Ormond Beach, Florida, 32174

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Plantation, Florida

Status

Not yet recruiting

Address

Nimbus site #XYZ

Plantation, Florida, 33324

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Saint Petersburg, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Saint Petersburg, Florida, 33705

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Tampa, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Tampa, Florida, 33613

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Tampa, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Tampa, Florida, 33614

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Winter Park, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Winter Park, Florida, 32789

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Zephyrhills, Florida

Status

Recruiting

Address

Nimbus site #XYZ

Zephyrhills, Florida, 33542

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Atlanta, Georgia

Status

Not yet recruiting

Address

Nimbus site #XYZ

Atlanta, Georgia, 30342

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Worcester, Massachusetts

Status

Recruiting

Address

Nimbus site #XYZ

Worcester, Massachusetts, 01605

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Albuquerque, New Mexico

Status

Not yet recruiting

Address

Nimbus site #XYZ

Albuquerque, New Mexico, 87102

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Charlotte, North Carolina

Status

Recruiting

Address

Nimbus site #XYZ

Charlotte, North Carolina, 28210

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Duncansville, Pennsylvania

Status

Recruiting

Address

Nimbus site #XYZ

Duncansville, Pennsylvania, 16635

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Wyomissing, Pennsylvania

Status

Not yet recruiting

Address

Nimbus site #XYZ

Wyomissing, Pennsylvania, 19610

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Jackson, Tennessee

Status

Recruiting

Address

Nimbus site #XYZ

Jackson, Tennessee, 38305

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Baytown, Texas

Status

Recruiting

Address

Nimbus site #XYZ

Baytown, Texas, 77521

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Corpus Christi, Texas

Status

Recruiting

Address

Nimbus site #XYZ

Corpus Christi, Texas, 78404

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Houston, Texas

Status

Recruiting

Address

Nimbus site #XYZ

Houston, Texas, 77089

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Mesquite, Texas

Status

Recruiting

Address

Nimbus site #XYZ

Mesquite, Texas, 75150

Site Contact

Study Coordinator

[email protected]

857-999-2009

Nimbus site #XYZ, Beckley, West Virginia

Status

Recruiting

Address

Nimbus site #XYZ

Beckley, West Virginia, 25801

Site Contact

Study Coordinator

[email protected]

857-999-2009

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