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Heavier psoriasis patients may need a stronger dose of brodalumab
NCT ID NCT04306315
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a higher dose of the drug brodalumab works better than the standard dose for people with moderate-to-severe plaque psoriasis who weigh at least 120 kg. The trial involved 385 adults and lasted 52 weeks. The main goal was to see if more patients on the higher dose achieved at least 90% clearer skin by week 40.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- brodalumab (a biologic drug that blocks inflammation in the skin)
- What this could lead to
- If successful, this could lead to a better dosing strategy for psoriasis patients who weigh over 120 kg, helping more of them achieve clear or nearly clear skin.
- What could go wrong
- This is a Phase 4 study, so the drug is already approved. However, the adjusted dose may not work better than the standard dose, and higher doses could increase side effects like infections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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385 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Jan 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 74 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Signed and dated informed consent has been obtained prior to any protocol-related procedures. * Age ≥18 to \<75 years at the time of screening. * Diagnosed with chronic plaque psoriasis at least 6 months before randomisation. * Body weight ≥120 kg at the time of screening. * Moderate-to-severe plaque psoriasis as defined by: BSA ≥10% and PASI ≥12 at screening and baseline. * No evidence of active or latent tuberculosis according to local standard of care. Key Exclusion Criteria: * Diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, or other skin conditions (e.g., eczema) that would interfere with evaluations of the effect of the investigational medicinal product (IMP) on participants with plaque psoriasis. * Clinically important active infections or infestations, chronic, recurrent or latent infections or infestations, or is immunocompromised (e.g., human immunodeficiency virus, hepatitis B, and hepatitis C). * Any systemic disease considered by the investigator to be uncontrolled and either immunocompromising the participants and/or placing the participant at undue risk of intercurrent diseases (including, but not limited to, renal failure, heart failure, liver disease, diabetes, and anaemia). * History of Crohn's disease. * Myocardial infarction or stroke, or unstable angina pectoris within the past 12 months. * Any active malignancy. * History of malignancy within 5 years, except for treated and considered cured cutaneous squamous or basal cell carcinoma, in situ cervical cancer, or in situ breast ductal carcinoma. * History of suicidal behaviour (i.e., 'actual suicide attempt', 'interrupted attempt', 'aborted attempt', or 'preparatory acts or behaviour') based on the Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire at screening or at baseline. * Any suicidal ideation of category 4 or 5 ('active suicidal ideation with some intent to act, without specific plan' or ' active suicidal ideation with specific plan and intent') based on the C-SSRS questionnaire at screening or at baseline. * A Patient Health Questionnaire (PHQ)-8 score of ≥10 corresponding to moderate-to-severe depression at screening or at baseline.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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LEO Pharma Investigational Site
Brussels, 1200, Belgium
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LEO Pharma Investigational Site
Ham-sur-Heure-Nalinnes, 6120, Belgium
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LEO Pharma Investigational Site
Leuven, 3000, Belgium
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LEO Pharma Investigational Site
Liège, B-4000, Belgium
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LEO Pharma Investigational Site
Kutná Hora, 284 01, Czechia
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LEO Pharma Investigational Site
Nový Jičín, 741 01, Czechia
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LEO Pharma Investigational Site
Plzen-Bory, 305 99, Czechia
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LEO Pharma Investigational Site
Amiens, Somme, 80054, France
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LEO Pharma Investigational Site
Saint-Priest-en-Jarez, 42270, France
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LEO Pharma Investigational Site
Toulouse, 31059, France
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LEO Pharma Investigational Site
Valence, 13616, France
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LEO Pharma Investigational Site
Langenau, Baden-Wurttemberg, 89129, Germany
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LEO Pharma Investigational Site
Limburg an der Lahn, Hesse, 56242, Germany
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LEO Pharma Investigational Site
Wiesbaden, Hesse, 65189, Germany
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LEO Pharma Investigational Site
Lohne, Lower Saxony, 49393, Germany
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LEO Pharma Investigational Site
Mainz, Rhineland-Palatinate, 55128, Germany
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LEO Pharma Investigational Site
Kiel, Schleswig-Holstein, 24105, Germany
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LEO Pharma Investigational Site
Berlin, State of Berlin, 10117, Germany
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LEO Pharma Investigational Site
Bad Bentheim, 48455, Germany
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LEO Pharma Investigational Site
Bielefeld, 33647, Germany
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LEO Pharma Investigational Site
Hamburg, 20246, Germany
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LEO Pharma Investigational Site
Memmingen, 87700, Germany
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LEO Pharma Investigational Site
Münster, 48149, Germany
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LEO Pharma Investigational Site
Oldenburg, 26133, Germany
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LEO Pharma Investigational Site
Osnabrück, 49074, Germany
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LEO Pharma Investigational Site
Heraklion, Crete, 711 10, Greece
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LEO Pharma Investigational Site
Athens, 115 25, Greece
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LEO Pharma Investigational Site
Athens, 16121, Greece
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LEO Pharma Investigational Site
Piraeus, 185 36, Greece
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LEO Pharma Investigational Site
Thessaloniki, 546 43, Greece
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LEO Pharma Investigational Site
Thessaloniki, 54643, Greece
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LEO Pharma Investigational Site
Thessaloniki, 56403, Greece
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LEO Pharma Investigational Site
Debrecen, 4032, Hungary
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LEO Pharma Investigational Site
Orosháza, 5900, Hungary
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LEO Pharma Investigational Site
Szolnok, 5000, Hungary
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LEO Pharma Investigational Site
Veszprém, 8200, Hungary
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LEO Pharma Investigational Site
Ancona, 60020, Italy
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LEO Pharma Investigational Site
Bologna, 40138, Italy
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LEO Pharma Investigational Site
Brescia, 25123, Italy
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LEO Pharma Investigational Site
Coppito, 67100, Italy
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LEO Pharma Investigational Site
Modena, 41124, Italy
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LEO Pharma Investigational Site
Naples, 80131, Italy
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LEO Pharma Investigational Site
Parma, 43126, Italy
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LEO Pharma Investigational Site
Pavia, 27100, Italy
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LEO Pharma Investigational Site
Roma, 00133, Italy
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LEO Pharma Investigational Site
Roma, 00168, Italy
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LEO Pharma Investigational Site
Rozzano, 20089, Italy
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LEO Pharma Investigational Site
Beek, 6191 JW, Netherlands
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LEO Pharma Investigational Site
Iwonicz-Zdrój, 38-440, Poland
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LEO Pharma Investigational Site
Lodz, 90-242, Poland
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LEO Pharma Investigational Site
Lodz, 90-436, Poland
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LEO Pharma Investigational Site
Lublin, 20-362, Poland
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LEO Pharma Investigational Site
Lublin, 20-412, Poland
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LEO Pharma Investigational Site
Poznan, 60-529, Poland
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LEO Pharma Investigational Site
Skierniewice, 96-100, Poland
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LEO Pharma Investigational Site
Warsaw, 02-482, Poland
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LEO Pharma Investigational Site
Warsaw, 02-758, Poland
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LEO Pharma Investigational Site
Warsaw, 02-801, Poland
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LEO Pharma Investigational Site
Wroclaw, 50-566, Poland
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LEO Pharma Investigational Site
Wroclaw, 51-318, Poland
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LEO Pharma Investigational Site
Wroclaw, 52-416, Poland
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LEO Pharma Investigational Site
Alicante, 03010, Spain
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LEO Pharma Investigational Site
Badalona, 08916, Spain
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LEO Pharma Investigational Site
Barcelona, 08025, Spain
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LEO Pharma Investigational Site
Barcelona, 08035, Spain
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LEO Pharma Investigational Site
Granada, 18014, Spain
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LEO Pharma Investigational Site
Manises, 46940, Spain
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LEO Pharma Investigational Site
Pontevedra, 36001, Spain
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LEO Pharma Investigational Site
Pozuelo de Alarcón, 28223, Spain
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LEO Pharma Investigational Site
Santiago de Compostela, 15706, Spain
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LEO Pharma Investigational Site
Valencia, 46014, Spain
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LEO Pharma Investigational Site
Villajoyosa, 03570, Spain
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LEO Pharma Investigational Site
Chorley, PR7 7NA, United Kingdom
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LEO Pharma Investigational Site
Corby, NN17 2UR, United Kingdom
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LEO Pharma Investigational Site
Corby, NN18 9EZ, United Kingdom
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LEO Pharma Investigational Site
Coventry, CV3 4FJ, United Kingdom
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LEO Pharma Investigational Site
Liverpool, L22 0LG, United Kingdom
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LEO Pharma Investigational Site
London, BR5 3QG, United Kingdom
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LEO Pharma Investigational Site
London, E1 2ES, United Kingdom
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LEO Pharma Investigational Site
Northwood, HA6 2RN, United Kingdom
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LEO Pharma Investigational Site
Shipley, BD18 35A, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Small study to uncover how psoriasis drug tames the immune system
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- Blood test may end guesswork in psoriasis dosing