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Study to Evaluate Vectical in Combination With Clobex Spray to Treatment Plaque Psoriasis

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Calcitriol ointment
Clobetasol spray
Sponsored by
Emer, Jason, M.D.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring combination treatment, topical corticosteroid, vitamin D analogue, clobex, vectical, clobetasol, calcitriol

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subjects must be at least 18 years of age and in good general health as confirmed by a medical history.
  2. Females of childbearing potential must have a negative urine pregnancy test on Baseline/Day 0 and must agree to use adequate birth control methods during the entire study (a barrier method {condoms, diaphragm}; hormonal contraceptives {birth control pills, implants [Norplant] or injections [DepoProvera]}; intrauterine device {IUD}; or abstinence {no sexual activity}).
  3. Subjects must be diagnosed with plaque psoriasis affecting < 20% body surface area, with at least one discreet plaque on the each side of the body (excluding the face, scalp, groin, axillae or other intertriginous areas).
  4. Subjects must have at least 2 lesions suitable for evaluating response to test agents (one on the right side and one on the left side of the body). The severity of the disease for each target lesion at Baseline/Day 0 must be rated at least 2 (Mild) for each of the key psoriasis characteristics (scaling, erythema, and plaque elevation).
  5. Subjects must be able to understand the requirements of the study abide by the restrictions and return for the required examinations.

Exclusion Criteria:

  1. Female subjects who are pregnant, nursing or planning a pregnancy during the study.
  2. Subjects with known hypersensitivity to any components of the test medication.
  3. Subjects with non-plaque psoriasis (e.g. guttate, erythrodermic) or other related diseases not classified as plaque psoriasis.
  4. Subjects whose psoriasis involves only the scalp, face, groin, axillae, and/or other intertriginous areas.
  5. Subjects who have surface area involvement too large (>20% BSA) that would require more than 59 ml/week (50 g/week) of Clobex® spray and/or more than 200 g/week of Vectical® ointment.
  6. Subjects requiring any other medication (topical or systemic) that may affect the course of the disease during the study period as determined by the study investigators.
  7. Subjects using biologics or any other systemic treatment (e.g. immunosuppressants, acitretin) for psoriasis within 12 weeks of entering the study.
  8. Subjects using systemic corticosteroids within 28 days of entering the study
  9. Subjects using topical corticosteroids or other topical therapies (other than emollients) at the target area locations within 2 weeks of entering the study
  10. Subjects using phototherapy (UVB, PUVA) within 4 weeks of entering the study.
  11. Subjects with overt pre-existing telangiectasias or skin atrophy at intended treatment sites (target areas).
  12. Subjects with intakes of more than 2,000 IU/day (50 mcg/day) of vitamin D (tolerable upper intake level) and/or more than 1,000 mg/day of calcium (based on Dietary Reference Intakes developed by the Institute of Medicine of the National Academy of Sciences).
  13. Subjects who have participated in another investigational drug or device research study (at the target areas) within 30 days of enrollment.
  14. Subjects who are using any medication or has any disease which in the judgment of the investigator will interfere with the conduct or interpretation of the study.

Sites / Locations

  • Mount Sinai School of Medicine

Arms of the Study

Arm 1

Arm Type

Active Comparator

Arm Label

vectical ointment and clobex spray

Arm Description

patients were assigned to apply vectical ointment first then clobex spray on one target lesion and also apply clobex spray first then vectical ointment on a different target lesion on the opposite side of the body.

Outcomes

Primary Outcome Measures

improvement in target lesion severity score (TLSS)

Secondary Outcome Measures

Full Information

First Posted
September 17, 2010
Last Updated
September 20, 2010
Sponsor
Emer, Jason, M.D.
Collaborators
Galderma Laboratories
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1. Study Identification

Unique Protocol Identification Number
NCT01205880
Brief Title
Study to Evaluate Vectical in Combination With Clobex Spray to Treatment Plaque Psoriasis
Official Title
Spray® and Vectical Ointment® in the Treatment of Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2010
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Emer, Jason, M.D.
Collaborators
Galderma Laboratories

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This investigator-blinded study is designed to assess whether the order of application affects the efficacy of the combination treatment Clobex® Spray (clobetasol propionate) and Vecitcal® (calcitriol) Ointment in plaque psoriasis.
Detailed Description
This is an investigator-blinded, bilateral comparison study. A total of up to 12 subjects with mild to moderate plaque psoriasis will be enrolled in this study, so that at least 10 subjects complete the 4 week trial. These 12 subjects will receive the combination therapy of Clobex® Spray and Vectical® Ointment to treat their psoriatic lesions (except those on the scalp, face, groin, axillae or other intertriginous areas). Half of the subjects will first apply the Clobex® Spray followed by the Vectical ointment to lesions on the right side of their bodies, and Vectical® Ointment first followed by Clobex® Spray to the lesions of the left side of their bodies. The other half of the subjects will first apply Clobex® Spray followed by Vectical® Ointment to the lesions of the left side of their bodies, and Vectical® Ointment first followed by Clobex® Spray to the lesions on right side of their bodies. Treatment will be applied twice daily for 4 weeks. One target area on each side of the subject's body will be chosen for target lesion assessment. All subjects will be consented prior to any study evaluations/procedures. Study evaluations including Target Lesion Severity Score (TLSS) and photography will be performed at Baseline/Day 0, week 2 and week 4.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
combination treatment, topical corticosteroid, vitamin D analogue, clobex, vectical, clobetasol, calcitriol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Masking
Investigator
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
vectical ointment and clobex spray
Arm Type
Active Comparator
Arm Description
patients were assigned to apply vectical ointment first then clobex spray on one target lesion and also apply clobex spray first then vectical ointment on a different target lesion on the opposite side of the body.
Intervention Type
Drug
Intervention Name(s)
Calcitriol ointment
Other Intervention Name(s)
Vectical Ointment
Intervention Description
twice daily
Intervention Type
Drug
Intervention Name(s)
Clobetasol spray
Other Intervention Name(s)
Clobex spray
Intervention Description
twice daily
Primary Outcome Measure Information:
Title
improvement in target lesion severity score (TLSS)
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must be at least 18 years of age and in good general health as confirmed by a medical history. Females of childbearing potential must have a negative urine pregnancy test on Baseline/Day 0 and must agree to use adequate birth control methods during the entire study (a barrier method {condoms, diaphragm}; hormonal contraceptives {birth control pills, implants [Norplant] or injections [DepoProvera]}; intrauterine device {IUD}; or abstinence {no sexual activity}). Subjects must be diagnosed with plaque psoriasis affecting < 20% body surface area, with at least one discreet plaque on the each side of the body (excluding the face, scalp, groin, axillae or other intertriginous areas). Subjects must have at least 2 lesions suitable for evaluating response to test agents (one on the right side and one on the left side of the body). The severity of the disease for each target lesion at Baseline/Day 0 must be rated at least 2 (Mild) for each of the key psoriasis characteristics (scaling, erythema, and plaque elevation). Subjects must be able to understand the requirements of the study abide by the restrictions and return for the required examinations. Exclusion Criteria: Female subjects who are pregnant, nursing or planning a pregnancy during the study. Subjects with known hypersensitivity to any components of the test medication. Subjects with non-plaque psoriasis (e.g. guttate, erythrodermic) or other related diseases not classified as plaque psoriasis. Subjects whose psoriasis involves only the scalp, face, groin, axillae, and/or other intertriginous areas. Subjects who have surface area involvement too large (>20% BSA) that would require more than 59 ml/week (50 g/week) of Clobex® spray and/or more than 200 g/week of Vectical® ointment. Subjects requiring any other medication (topical or systemic) that may affect the course of the disease during the study period as determined by the study investigators. Subjects using biologics or any other systemic treatment (e.g. immunosuppressants, acitretin) for psoriasis within 12 weeks of entering the study. Subjects using systemic corticosteroids within 28 days of entering the study Subjects using topical corticosteroids or other topical therapies (other than emollients) at the target area locations within 2 weeks of entering the study Subjects using phototherapy (UVB, PUVA) within 4 weeks of entering the study. Subjects with overt pre-existing telangiectasias or skin atrophy at intended treatment sites (target areas). Subjects with intakes of more than 2,000 IU/day (50 mcg/day) of vitamin D (tolerable upper intake level) and/or more than 1,000 mg/day of calcium (based on Dietary Reference Intakes developed by the Institute of Medicine of the National Academy of Sciences). Subjects who have participated in another investigational drug or device research study (at the target areas) within 30 days of enrollment. Subjects who are using any medication or has any disease which in the judgment of the investigator will interfere with the conduct or interpretation of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jason J Emer, MD
Organizational Affiliation
Icahn School of Medicine at Mount Sinai
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mount Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17186795
Citation
Jarratt MT, Clark SD, Savin RC, Swinyer LJ, Safley CF, Brodell RT, Yu K. Evaluation of the efficacy and safety of clobetasol propionate spray in the treatment of plaque-type psoriasis. Cutis. 2006 Nov;78(5):348-54.
Results Reference
background
PubMed Identifier
16673804
Citation
Beutner K, Chakrabarty A, Lemke S, Yu K. An intra-individual randomized safety and efficacy comparison of clobetasol propionate 0.05% spray and its vehicle in the treatment of plaque psoriasis. J Drugs Dermatol. 2006 Apr;5(4):357-60.
Results Reference
background
PubMed Identifier
19217694
Citation
Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb A, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R; American Academy of Dermatology. Guidelines of care for the management of psoriasis and psoriatic arthritis. Section 3. Guidelines of care for the management and treatment of psoriasis with topical therapies. J Am Acad Dermatol. 2009 Apr;60(4):643-59. doi: 10.1016/j.jaad.2008.12.032. Epub 2009 Feb 13.
Results Reference
background
PubMed Identifier
19702032
Citation
Abramovits W. Calcitriol 3 microg/g ointment: an effective and safe addition to the armamentarium in topical psoriasis therapy. J Drugs Dermatol. 2009 Aug;8(8 Suppl):s17-22.
Results Reference
background
PubMed Identifier
12639460
Citation
Bruner CR, Feldman SR, Ventrapragada M, Fleischer AB Jr. A systematic review of adverse effects associated with topical treatments for psoriasis. Dermatol Online J. 2003 Feb;9(1):2.
Results Reference
background

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Study to Evaluate Vectical in Combination With Clobex Spray to Treatment Plaque Psoriasis

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