Response to Inhibition of Receptor‐Interacting Protein Kinase 1 (RIPK1) in Active Plaque Psoriasis: A Randomized Placebo‐Controlled Study

Receptor‐interacting protein kinase 1 (RIPK1), a regulator of inflammation and cell death, is a potential therapeutic target in immune‐mediated inflammatory diseases (IMIDs). The objective of this phase IIa multicenter, randomized, double‐blind, placebo‐controlled study was to evaluate safety, toler...

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Veröffentlicht in:Clinical pharmacology and therapeutics 2020-10, Vol.108 (4), p.808-816
Hauptverfasser: Weisel, Kathleen, Berger, Scott, Papp, Kim, Maari, Catherine, Krueger, James G., Scott, Nicola, Tompson, Debra, Wang, Susanne, Simeoni, Monica, Bertin, John, Peter Tak, Paul
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container_end_page 816
container_issue 4
container_start_page 808
container_title Clinical pharmacology and therapeutics
container_volume 108
creator Weisel, Kathleen
Berger, Scott
Papp, Kim
Maari, Catherine
Krueger, James G.
Scott, Nicola
Tompson, Debra
Wang, Susanne
Simeoni, Monica
Bertin, John
Peter Tak, Paul
description Receptor‐interacting protein kinase 1 (RIPK1), a regulator of inflammation and cell death, is a potential therapeutic target in immune‐mediated inflammatory diseases (IMIDs). The objective of this phase IIa multicenter, randomized, double‐blind, placebo‐controlled study was to evaluate safety, tolerability pharmacokinetics, pharmacodynamics, and preliminary efficacy of GSK2982772, a RIPK1 inhibitor, in plaque‐type psoriasis. Psoriasis patients (N = 65) were randomized to 60 mg twice daily (b.i.d.) or three times daily (t.i.d.), or placebo for 84 days. Most adverse events (AEs) were mild with no severe drug‐related AEs reported. Plaque Lesion Severity Sum improved with b.i.d. treatment compared with placebo; interpretation of t.i.d. treatment results was complicated by a high placebo response. Reductions in epidermal thickness and infiltration by CD3+ T cells in the epidermis and dermis were observed compared with placebo. Results support the rationale for additional studies on RIPK1 inhibition in IMIDs.
doi_str_mv 10.1002/cpt.1852
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The objective of this phase IIa multicenter, randomized, double‐blind, placebo‐controlled study was to evaluate safety, tolerability pharmacokinetics, pharmacodynamics, and preliminary efficacy of GSK2982772, a RIPK1 inhibitor, in plaque‐type psoriasis. Psoriasis patients (N = 65) were randomized to 60 mg twice daily (b.i.d.) or three times daily (t.i.d.), or placebo for 84 days. Most adverse events (AEs) were mild with no severe drug‐related AEs reported. Plaque Lesion Severity Sum improved with b.i.d. treatment compared with placebo; interpretation of t.i.d. treatment results was complicated by a high placebo response. Reductions in epidermal thickness and infiltration by CD3+ T cells in the epidermis and dermis were observed compared with placebo. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Canada
CD3 Complex - metabolism
Dermis - drug effects
Dermis - enzymology
Dermis - immunology
Dermis - pathology
Double-Blind Method
Female
Humans
Male
Middle Aged
Oxazepines - adverse effects
Oxazepines - therapeutic use
Protein Kinase Inhibitors - adverse effects
Protein Kinase Inhibitors - therapeutic use
Psoriasis - diagnosis
Psoriasis - drug therapy
Psoriasis - enzymology
Psoriasis - immunology
Receptor-Interacting Protein Serine-Threonine Kinases - antagonists & inhibitors
Receptor-Interacting Protein Serine-Threonine Kinases - metabolism
Remission Induction
Signal Transduction
T-Lymphocytes - drug effects
T-Lymphocytes - immunology
T-Lymphocytes - metabolism
Time Factors
Treatment Outcome
Triazoles - adverse effects
Triazoles - therapeutic use
title Response to Inhibition of Receptor‐Interacting Protein Kinase 1 (RIPK1) in Active Plaque Psoriasis: A Randomized Placebo‐Controlled Study
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