~1120 spots leftby Nov 2028

ESK-001 for Plaque Psoriasis

(ONWARD3 Trial)

Recruiting in Palo Alto (17 mi)
+35 other locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 3
Recruiting
Sponsor: Alumis Inc
Must be taking: ESK-001
Disqualifiers: Pregnant, Unstable condition, others
Pivotal Trial (Near Approval)
Prior Safety Data

Trial Summary

What is the purpose of this trial?

The objective of the ESK-001-018 long term extension is to evaluate the safety and efficacy of ESK-001 over time. The scientific questions it aims to answer are: * How safe is taking ESK-001 long-term in people with moderate to severe plaque psoriasis? * Does taking ESK-001 long-term reduce the severity of people's plaque psoriasis? Patients will enter the long-term extension study following completion of one of the parent studies (ESK-001-016 or ESK-001-017) and will receive open-label ESK-001 twice daily for 24 weeks. After 24 weeks, the first 200 patients meeting at least PASI-75 clinical response will be randomly assigned to receive ESK-001 or placebo. At any point during this time, the patients losing the initial clinical response may return to the open-label ESK-001 treatment. Patients who complete Week 48 will return to open-label ESK-001 treatment and they will receive ESK-001 until the end of the study or discontinuation. All the remaining patients not meeting the entry criteria for the randomized withdrawal phase will continue to receive open-label ESK-001 for the remainder of the study. Patients taking part in the study must be men or women aged at least 18 years old and have completed a previous (parent) study of ESK-001 in moderate to severe plaque psoriasis. Patients must consent and agree to: * ensure drug daily compliance until end of study or discontinuation. * visit the clinic for checkups and assessments. * provide blood and urine samples.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

Research Team

Eligibility Criteria

This trial is for adults over 18 who have moderate to severe plaque psoriasis and completed a prior ESK-001 study. Participants must commit to daily medication, regular clinic visits, and providing blood and urine samples.

Inclusion Criteria

I am 18 years old or older.
Completed either of the two previous (parent) studies of ESK-001 (ESK-001-016 or ESK-001-017)
I tolerated the ESK-001 treatment well in a previous study.
See 1 more

Exclusion Criteria

Pregnant, lactating, or planning to get pregnant during the study period
I don't have any health conditions that make it unsafe for me to receive ESK-001 treatment.
Deemed by the Investigator to be inappropriate for the study or unable to comply with the protocol

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Open-label Treatment

Participants receive open-label ESK-001 twice daily for 24 weeks

24 weeks
Regular clinic visits for checkups and assessments

Randomized Withdrawal

First 200 patients meeting PASI-75 response are randomized to ESK-001 or placebo; others continue open-label treatment

24 weeks
Regular clinic visits for monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Open-label Extension

Participants return to open-label ESK-001 treatment until the end of the study or discontinuation

Until study completion

Treatment Details

Interventions

  • ESK-001 (Biological)
Trial OverviewThe trial tests the long-term safety and effectiveness of ESK-001 in reducing plaque psoriasis severity. Initially, all participants receive open-label ESK-001; after 24 weeks, some may switch to placebo or continue with the drug based on their response.
Participant Groups
3Treatment groups
Experimental Treatment
Placebo Group
Group I: Open-Label ESK-001Experimental Treatment1 Intervention
Open-Label ESK-001 administered as an oral tablet
Group II: Blinded ESK-001Experimental Treatment1 Intervention
Blinded ESK-001 administered as an oral tablet
Group III: PlaceboPlacebo Group1 Intervention
Matching placebo administered as an oral tablet

Find a Clinic Near You

Who Is Running the Clinical Trial?

Alumis Inc

Lead Sponsor

Trials
9
Recruited
4,200+