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Efficacy and Safety Study of CD 2027 Spray in Subjects With Plaque-type Psoriasis

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
CD 2027
Calcitriol Vehicle
Sponsored by
Galderma R&D
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring psoriasis, spray, calcitriol

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant has a diagnosis of plaque-type psoriasis up to 20% of body surface area (BSA) involved excluding the scalp, with a Global Severity Score of at least 3 (moderate) at Screening
  • Participant presents with a representative target lesion that is at least 16 cm² in area, is located on the non-bony areas of the skin, has a Scaling Score up to 2 (moderate), has a DSS of at least 4

Exclusion Criteria:

  • Other type of psoriasis (other than plaque)
  • Significant abnormal lab findings
  • Hypercalcemia

Sites / Locations

  • Minnesota Clinical Study Center
  • Tennessee Clinical Research Center
  • Stratica Medical
  • Ultranova Skincare
  • North Bay Dermatology Centre
  • K. Papp Clinical Research, Inc.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Calcitriol 3 mcg/g Spray

Calcitriol Vehicle

Arm Description

Outcomes

Primary Outcome Measures

Percentage of Participants With Success Rate 1 (SR1) at Week 8
Success Rate 1 was defined as percentage of participants who achieved at least 2-grade improvement from Baseline on Global Severity Score (GSS) at Week 8. GSS is a 5-point scale which ranges from 0-4, where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe, higher score indicated higher severity. All missing values were imputed by last observation carried forward (LOCF).
Percentage of Participants With Success Rate 2 (SR2) at Week 8
Success Rate 2 was defined as percentage of participants who achieved "clear" or "almost clear" on GSS at Week 8. GSS is a 5-point scale which ranges from 0-4, where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe, higher score indicated higher severity. All missing values were imputed by last observation carried forward (LOCF).
Change From Baseline in Dermatologic Sum Score (DSS) at Week 8
DSS is the sum of all the individual score of evaluated target lesion that includes plaque elevation (abnormal thickness of the psoriasis lesion), erythema (abnormal redness of the skin), and scaling (shedding of the stratum corneum). Each individual parameters evaluated the affected area by using a 5-point scale ranging from 0 to 4, that is, 0 = None; 1 = Mild; 2 = Moderate; 3 = Severe and 4 =Very severe, where higher score indicated worst condition. All missing values were imputed by last observation carried forward (LOCF). The total score of each parameter ranges from 0-12, where higher score indicated worst condition.
Percentage of Participants With at Least 1-Grade Improvement From Baseline in Erythema, Scaling and Plaque Elevation
Erythema (abnormal redness of skin) score is a 5-point scale: 0=None (No detectable erythema. Skin of normal color); 1=Mild (Slight pinkness present); 2=Moderate (Definite redness, easily recognized); 3=Severe (Intense redness) and 4=Severe (Very Intense redness). Scaling (shedding of stratum corneum) score is a 5- point scale: 0=None (No shedding); 1=Mild (Barely perceptible shedding, noticeable only on light scratching or rubbing); 2=Moderate (Obvious but not profuse shedding); 3=Severe (heavy scale production) and 4=Very severe (very thick scales). Plaque elevation (abnormal thickness of psoriasis lesion) score was a 5- point scale: 0=None (Normal skin thickness. No elevation of skin); 1=Mild (Barely perceptible elevation (by touching) of psoriasis plaques); 2=Moderate (Obvious elevation above normal skin level; moderate thickening); 3=Severe (definite thick elevation above normal skin level) and 4=Severe (Very thick elevation).

Secondary Outcome Measures

Number of Participants With Adverse Events (AEs)
AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily had a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Percentage of Participants With a Local Tolerability Score Worse Than Baseline Score
Local tolerability skin assessments were performed by the investigator and based on 5-point scale which ranges from 0 to 4. 0 = none (no evidence of local intolerance); 1=mild (minimal erythema and/or edema, slight glazed appearance); 2 = moderate (definite erythema and/or edema with peeling and/or cracking but needs no adaptation of posology); 3 = severe (erythema, edema glazing with fissures, few vesicles or papules) and 4 = very severe (strong reaction spreading beyond the treated area, bullous reaction, erosions). Higher grades indicated worsening of condition. Percentage of participants with increase in score by Week 8 from baseline has been presented here, where the row titles indicate participant's new scores by Week 8.
Change From Baseline in Calcitriol Plasma Levels
Change from baseline in calcitriol plasma levels were reported.
Change From Baseline in Serum Calcium Homeostasis Parameter: Albumin
Change from baseline in serum calcium homeostasis parameter (Albumin) were reported.
Change From Baseline in Serum Calcium Homeostasis Parameter: Albumin-adjusted Calcium
Change from baseline in serum calcium homeostasis parameter (Albumin-adjusted calcium) were reported.
Change From Baseline in Serum Calcium Homeostasis Parameter: Calcium
Change from baseline in serum calcium homeostasis parameter (Calcium) were reported.
Change From Baseline in Serum Calcium Homeostasis Parameter: Phosphorus
Change from baseline in serum calcium homeostasis parameter (Phosphorus) were reported.
Change From Baseline in Serum Calcium Homeostasis Parameter: Parathyroid Hormone (PTH) Intact
Change from baseline in serum calcium homeostasis parameter (PTH intact) were reported.
Change From Baseline in Blood Chemistry: Alkaline Phosphatase, Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT)
Change from baseline in Blood Chemistry: Alkaline Phosphatase, AST and ALT were reported.
Change From Baseline in Blood Chemistry: Bilirubin Direct, Bilirubin Total, Blood Urea Nitrogen (BUN) and Creatinine
Change from baseline in Blood Chemistry: Bilirubin Direct, Bilirubin Total, BUN and Creatinine were reported.
Change From Baseline in Vital Sign Parameter: Heart Rate
Change from baseline in vital sign parameter: heart rate was reported.
Change From Baseline in Vital Sign Parameter: Systolic Blood Pressure and Diastolic Blood Pressure
Change from baseline in vital sign parameter: Systolic Blood Pressure and Diastolic Blood Pressure was reported.

Full Information

First Posted
September 30, 2008
Last Updated
July 26, 2022
Sponsor
Galderma R&D
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1. Study Identification

Unique Protocol Identification Number
NCT00763555
Brief Title
Efficacy and Safety Study of CD 2027 Spray in Subjects With Plaque-type Psoriasis
Official Title
A Multicenter, Randomized, Vehicle-controlled, Efficacy and Safety Study of CD2027 3µg/g Oily Spray Applied Twice Daily for 8 Weeks in Subjects With Plaque-type Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
September 2008 (undefined)
Primary Completion Date
January 2009 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galderma R&D

4. Oversight

5. Study Description

Brief Summary
This was a multicenter, randomized, vehicle-controlled, double-blind parallel group study to evaluate the efficacy and safety of CD 2027 Oily Spray applied twice daily for 8 weeks in participants with plaque-type psoriasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
psoriasis, spray, calcitriol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
88 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Calcitriol 3 mcg/g Spray
Arm Type
Experimental
Arm Title
Calcitriol Vehicle
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
CD 2027
Other Intervention Name(s)
Calcitriol
Intervention Description
Participants applied Calcitriol 3 mcg/g spray topically to the affected areas twice daily for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Calcitriol Vehicle
Intervention Description
Participants applied placebo matched to Calcitriol 3 mcg/g spray topically to the affected areas twice daily for 8 weeks.
Primary Outcome Measure Information:
Title
Percentage of Participants With Success Rate 1 (SR1) at Week 8
Description
Success Rate 1 was defined as percentage of participants who achieved at least 2-grade improvement from Baseline on Global Severity Score (GSS) at Week 8. GSS is a 5-point scale which ranges from 0-4, where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe, higher score indicated higher severity. All missing values were imputed by last observation carried forward (LOCF).
Time Frame
Week 8
Title
Percentage of Participants With Success Rate 2 (SR2) at Week 8
Description
Success Rate 2 was defined as percentage of participants who achieved "clear" or "almost clear" on GSS at Week 8. GSS is a 5-point scale which ranges from 0-4, where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe, higher score indicated higher severity. All missing values were imputed by last observation carried forward (LOCF).
Time Frame
Week 8
Title
Change From Baseline in Dermatologic Sum Score (DSS) at Week 8
Description
DSS is the sum of all the individual score of evaluated target lesion that includes plaque elevation (abnormal thickness of the psoriasis lesion), erythema (abnormal redness of the skin), and scaling (shedding of the stratum corneum). Each individual parameters evaluated the affected area by using a 5-point scale ranging from 0 to 4, that is, 0 = None; 1 = Mild; 2 = Moderate; 3 = Severe and 4 =Very severe, where higher score indicated worst condition. All missing values were imputed by last observation carried forward (LOCF). The total score of each parameter ranges from 0-12, where higher score indicated worst condition.
Time Frame
Baseline, Week 8
Title
Percentage of Participants With at Least 1-Grade Improvement From Baseline in Erythema, Scaling and Plaque Elevation
Description
Erythema (abnormal redness of skin) score is a 5-point scale: 0=None (No detectable erythema. Skin of normal color); 1=Mild (Slight pinkness present); 2=Moderate (Definite redness, easily recognized); 3=Severe (Intense redness) and 4=Severe (Very Intense redness). Scaling (shedding of stratum corneum) score is a 5- point scale: 0=None (No shedding); 1=Mild (Barely perceptible shedding, noticeable only on light scratching or rubbing); 2=Moderate (Obvious but not profuse shedding); 3=Severe (heavy scale production) and 4=Very severe (very thick scales). Plaque elevation (abnormal thickness of psoriasis lesion) score was a 5- point scale: 0=None (Normal skin thickness. No elevation of skin); 1=Mild (Barely perceptible elevation (by touching) of psoriasis plaques); 2=Moderate (Obvious elevation above normal skin level; moderate thickening); 3=Severe (definite thick elevation above normal skin level) and 4=Severe (Very thick elevation).
Time Frame
Baseline, Week 8
Secondary Outcome Measure Information:
Title
Number of Participants With Adverse Events (AEs)
Description
AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily had a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Time Frame
up to Week 8
Title
Percentage of Participants With a Local Tolerability Score Worse Than Baseline Score
Description
Local tolerability skin assessments were performed by the investigator and based on 5-point scale which ranges from 0 to 4. 0 = none (no evidence of local intolerance); 1=mild (minimal erythema and/or edema, slight glazed appearance); 2 = moderate (definite erythema and/or edema with peeling and/or cracking but needs no adaptation of posology); 3 = severe (erythema, edema glazing with fissures, few vesicles or papules) and 4 = very severe (strong reaction spreading beyond the treated area, bullous reaction, erosions). Higher grades indicated worsening of condition. Percentage of participants with increase in score by Week 8 from baseline has been presented here, where the row titles indicate participant's new scores by Week 8.
Time Frame
up to Week 8
Title
Change From Baseline in Calcitriol Plasma Levels
Description
Change from baseline in calcitriol plasma levels were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Serum Calcium Homeostasis Parameter: Albumin
Description
Change from baseline in serum calcium homeostasis parameter (Albumin) were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Serum Calcium Homeostasis Parameter: Albumin-adjusted Calcium
Description
Change from baseline in serum calcium homeostasis parameter (Albumin-adjusted calcium) were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Serum Calcium Homeostasis Parameter: Calcium
Description
Change from baseline in serum calcium homeostasis parameter (Calcium) were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Serum Calcium Homeostasis Parameter: Phosphorus
Description
Change from baseline in serum calcium homeostasis parameter (Phosphorus) were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Serum Calcium Homeostasis Parameter: Parathyroid Hormone (PTH) Intact
Description
Change from baseline in serum calcium homeostasis parameter (PTH intact) were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Blood Chemistry: Alkaline Phosphatase, Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT)
Description
Change from baseline in Blood Chemistry: Alkaline Phosphatase, AST and ALT were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Blood Chemistry: Bilirubin Direct, Bilirubin Total, Blood Urea Nitrogen (BUN) and Creatinine
Description
Change from baseline in Blood Chemistry: Bilirubin Direct, Bilirubin Total, BUN and Creatinine were reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Vital Sign Parameter: Heart Rate
Description
Change from baseline in vital sign parameter: heart rate was reported.
Time Frame
Baseline, Week 8
Title
Change From Baseline in Vital Sign Parameter: Systolic Blood Pressure and Diastolic Blood Pressure
Description
Change from baseline in vital sign parameter: Systolic Blood Pressure and Diastolic Blood Pressure was reported.
Time Frame
Baseline, Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant has a diagnosis of plaque-type psoriasis up to 20% of body surface area (BSA) involved excluding the scalp, with a Global Severity Score of at least 3 (moderate) at Screening Participant presents with a representative target lesion that is at least 16 cm² in area, is located on the non-bony areas of the skin, has a Scaling Score up to 2 (moderate), has a DSS of at least 4 Exclusion Criteria: Other type of psoriasis (other than plaque) Significant abnormal lab findings Hypercalcemia
Facility Information:
Facility Name
Minnesota Clinical Study Center
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Tennessee Clinical Research Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Stratica Medical
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T5K1X3
Country
Canada
Facility Name
Ultranova Skincare
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M6L2
Country
Canada
Facility Name
North Bay Dermatology Centre
City
North Bay
State/Province
Ontario
ZIP/Postal Code
P1B3Z7
Country
Canada
Facility Name
K. Papp Clinical Research, Inc.
City
Waterloo
State/Province
Ontario
ZIP/Postal Code
N2J1C4
Country
Canada

12. IPD Sharing Statement

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Efficacy and Safety Study of CD 2027 Spray in Subjects With Plaque-type Psoriasis

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