A Study to Test How Well Different Doses of BI 765250 Are Tolerated by People With a Skin Disease Called Plaque Psoriasis

Study Overview
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Brief Summary
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This study is open to adults with plaque psoriasis. The main purpose of this study is to find out whether people with plaque psoriasis can tolerate a medicine called BI 765250. Another purpose is to check whether BI 765250 can improve participants' skin condition. Participants are divided into 4 groups. Each group gets a different dose of BI 765250 or placebo as an infusion or injection. Placebo infusions and injections look like BI 765250 but do not contain any medicine. It is decided by chance, who gets BI 765250 and who gets placebo. During the first 2 weeks, participants get the study medicine as an infusion into a vein once a week. Afterwards, they get the study medicine as an injection under the skin every 2 weeks. In total, every participant gets 5 injections. Participants are in the study for about 8 months. During this time, they visit the study site 23 times. On 2 of the visits, participants stay overnight at the study site, once for 2 nights and once for 1 night. The doctors collect information on any health problems of the participants. They also regularly check participants' skin condition.

Official Title
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Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Intravenous and Subcutaneous Multiple Rising Doses of BI 765250 Versus Placebo in Trial Participants With Moderate to Severe Plaque Psoriasis (Double-blind, Randomised, Placebo-controlled, Parallelgroup Design)

Conditions
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Psoriasis

Intervention / Treatment
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* Drug: BI 765250
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female participants of non-childbearing potential and male participants Age 18 to 75 years (both inclusive) at the time of informed consent Diagnosis of chronic plaque psoriasis for at least 6 months prior to randomisation, as confirmed by their medical record or history Moderate to severe plaque psoriasis, as defined by: Body surface area (BSA) ≥5% and <30% Static Physician's Global Assessment (sPGA) ≥3 Target lesions suitable for skin biopsy Body mass index (BMI) <35 kg/m2 Male participants able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria and instructions on the duration of their use is provided in the participant information Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial Exclusion Criteria: Non-plaque forms of psoriasis, current drug-induced psoriasis, or active ongoing inflammatory diseases other than psoriasis that might confound trial evaluations Major surgery (major according to the investigator's assessment, e.g. hip replacement) performed within 16 weeks prior to randomisation or planned during the trial (i.e. until the End of Study Visit) Women of childbearing potential (WOCBP), breastfeeding women, and men unwilling or unable to use highly effective methods of birth control Any documented active or suspected malignancy or history of malignancy within 5 years prior to screening Live or attenuated vaccination ≤6 weeks prior to randomisation, or any plan to receive a live vaccination during the conduct of this trial until the End of Treatment Visit Participants who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial Hepatic/renal impairment: Hepatic impairment defined as >3-fold Upper Limit of Normal (ULN) elevation in AST or ALT or alkaline phosphatase, or >2-fold ULN elevation in total bilirubin. Trial participants with Gilbert´s syndrome can be included unless total bilirubin elevation was >5-fold ULN at screening visit and unless proportions of bilirubin fractions are inconsistent with diagnosis of Gilbert´s syndrome. Renal impairment defined as estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2 Currently enrolled in an investigational drug or device study, or use of any investigational drug or device within 4 weeks prior to randomisation or 5 half-lives of the drug (whichever is longer) Further exclusion criteria apply

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: BI 765250 very low dose group<br> | Drug: BI 765250<br>* BI 765250<br>|
| Placebo Comparator: Placebo group<br> | Drug: Placebo<br>* placebo<br>|
| Experimental: BI 765250 low dose group<br> | Drug: BI 765250<br>* BI 765250<br>|
| Experimental: BI 765250 medium dose group<br> | Drug: BI 765250<br>* BI 765250<br>|
| Experimental: BI 765250 high dose group<br> | Drug: BI 765250<br>* BI 765250<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occurrence of any adverse events |  | Up to Day 239 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maximum measured concentration of the analyte in serum at steady state over a uniform dosing interval τ (Cmax,ss) |  | Up to Day 85 | 
| Time from last dosing to maximum concentration of the analyte in serum at steady state (tmax,ss) |  | Up to Day 85 | 
| Area under the concentration-time curve of the analyte in serum at steady state over a uniform dosing interval τ (AUCτ,ss) |  | Up to Day 85 | 
| Absolute change from baseline in the Static Physician's Global Assessment (sPGA) x Body Surface Area (BSA) score |  | At baseline and at week 12 | 
| Percentage change from baseline in the sPGA x BSA score |  | At baseline and at week 12 |