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Study in Patients With Mild to Moderate Psoriasis (AH-PSR-01)

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 1
Locations
Ireland
Study Type
Interventional
Intervention
B. Infantis 35624
Sponsored by
Alimentary Health Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring Pilot study

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects diagnosed with mild to moderate psoriasis as defined by the clinician,
  • Has a Psoriasis Area and Severity Index{PASI} of less than 20,
  • Male or female subjects,
  • Aged between 18-60 years of age,
  • Non-pregnant female and must agree to use adequate method of contraception during the study,
  • Is capable of giving written informed consent prior to study entry,
  • Be willing to refrain from taking dietary supplements or other foods that contain fermented live bacteria within 1 month prior to treatment and during the study,
  • Have not participated in a clinical drug study or used an investigational new drug during the past previous 30 days,
  • Clinical Chemistry and haematology results from Visit 1 are within normal limits,
  • Be willing to refrain from using any topical psoriactic cream 2 weeks prior to treatment and during the study.

Exclusion Criteria:

  • Are less than 18 years of age, and not more than 60 years of age,
  • History of sensitivity to lactose [eg, lactose intolerance] or other dairy products,
  • History of consumption of probiotics,1 month prior to treatment,
  • Being treated with steroids 2 weeks prior to entry, Diseases of the gastrointestinal tract,liver,pancreas and biliary tree[eg;gastritis,symptomatic gall stones,duodenal ulcer,gastroenteritis,diverticulitis.] Exceptions include haemorrhoids,hiatus hernia and asymptomatic gall stones.
  • History of major gastric,hepatic,pancreatic or intestinal surgery or perforation,excluding cholescystectomy,appendicectomy,haemorrhoidectomy or polypectomy.
  • Recent unexplained rectal bleeding and/or significant unexplained weight loss.
  • Antibiotic use within one month prior to Visit 1. have a significant acute or chronic coexisting illness{cardiovascular,gastrointestinal,immunological}or a condition, which contraindicates,in the investigators judgement entry to the study.
  • Patients with Diabetes Mellitus.
  • Individuals who, in the opinion of the investigator, are considered to be poor clinical attendees or unlikely for any reason to be able to comply with the trial.
  • Subjects currently receiving treatment involving experimental drugs.
  • If a subjects has been in a recent experimental trial,must be not less than 30 days prior to this study.
  • Have a concomitant end stage organ disease eg; cardiovascular,hepatic,pulmonary,renal,which , in the Investigators judgement,contraindicates participation in the study.
  • Have a history of malignancy in the past 5 years with the exception of Basal Cell Carcinoma.
  • Evidence of alcohol or drug abuse.
  • Evidence of unstable forms of psoriasis,including guttate, erthrodermic , exfoliative or pustular psoriasis.
  • Evidence of other inflammatory skin disease that may confound the evaluation of psoriasis.
  • Has had systematic antipsoriatic treatment or PUVA therapy within the previous 4 weeks.
  • Subject who has had UVB therapy with the previous 2 weeks.
  • If the subjects scores >20% on the PASI.

Sites / Locations

  • Alimentary Health Ltd

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

B Infantis 35624

Arm Description

Placebo sachets contained 5 grams of Maltodextrin only.

Each 5gram freeze-dried powder contained ≥1*1010 Colony forming units (CFU) of B. infantis 35624/sachet.

Outcomes

Primary Outcome Measures

Change in the Psoriasis area and severity index between baseline and end of feeding
The PASI score stands for Psoriasis Area and Severity Index. This tool allows researchers to put an objective number on what would otherwise be a very subjective idea: how bad is a person's psoriasis. To make up the score, the three features of a psoriatic plaque (redness) scaling and thickness are each assigned a number from 0 to 4 with 4 being worst. Then the extent of involvement of each region of the body is scored from 0 to 6. Adding up the scores give a range of 0 to 72

Secondary Outcome Measures

Psoriasis Disability Index[PDI}
The Psoriasis Disability Index questionnaire is designed for use in adults, i.e. patients over the age of 16. It is self explanatory and can be handed to the patient who is asked to fill it in without the need for a detailed explanation. It is usually completed in three or four minutes. There are two possible alternative formats of the PDI. One uses visual analogue scales for each answer, the other uses tick box choices for each answer

Full Information

First Posted
October 3, 2011
Last Updated
October 12, 2011
Sponsor
Alimentary Health Ltd
Collaborators
Whately-Smith Ltd, King's Langley,UK
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1. Study Identification

Unique Protocol Identification Number
NCT01451346
Brief Title
Study in Patients With Mild to Moderate Psoriasis
Acronym
AH-PSR-01
Official Title
B.Infantis 35624 in Patients With Mild to Moderate Chronic Plaque Psoriasis -a Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
January 2008 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
August 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alimentary Health Ltd
Collaborators
Whately-Smith Ltd, King's Langley,UK

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This was a randomized, double blind,fixed dose, placebo controlled, parallel-group pilot study to obtain data on size and variance of treatment effects in subjects with mild to moderate Psoriasis.
Detailed Description
This was a randomized, double blind,fixed dose, placebo controlled, parallel-group pilot study to obtain data on size and variance of treatment effects in subjects with mild to moderate Psoriasis. The target sample size of 60 was selected as a practical figure for recruitment purposes in one centre over 3 months.After a 2 week washout during which only emollients were applied to their psoriasis, patients attended for baseline assessment of psoriasis severity and blood tests.Subjects attended every 4 weeks for 12 weeks for clinical assessment and blood tests.Each patient once eligible{see inclusion & exclusion criteria} was allocated to either active treatment or placebo in identical packing for a total of 12 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
Pilot study

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo sachets contained 5 grams of Maltodextrin only.
Arm Title
B Infantis 35624
Arm Type
Experimental
Arm Description
Each 5gram freeze-dried powder contained ≥1*1010 Colony forming units (CFU) of B. infantis 35624/sachet.
Intervention Type
Dietary Supplement
Intervention Name(s)
B. Infantis 35624
Intervention Description
One sachet daily for 12 weeks
Primary Outcome Measure Information:
Title
Change in the Psoriasis area and severity index between baseline and end of feeding
Description
The PASI score stands for Psoriasis Area and Severity Index. This tool allows researchers to put an objective number on what would otherwise be a very subjective idea: how bad is a person's psoriasis. To make up the score, the three features of a psoriatic plaque (redness) scaling and thickness are each assigned a number from 0 to 4 with 4 being worst. Then the extent of involvement of each region of the body is scored from 0 to 6. Adding up the scores give a range of 0 to 72
Time Frame
At 12 weeks
Secondary Outcome Measure Information:
Title
Psoriasis Disability Index[PDI}
Description
The Psoriasis Disability Index questionnaire is designed for use in adults, i.e. patients over the age of 16. It is self explanatory and can be handed to the patient who is asked to fill it in without the need for a detailed explanation. It is usually completed in three or four minutes. There are two possible alternative formats of the PDI. One uses visual analogue scales for each answer, the other uses tick box choices for each answer
Time Frame
at 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects diagnosed with mild to moderate psoriasis as defined by the clinician, Has a Psoriasis Area and Severity Index{PASI} of less than 20, Male or female subjects, Aged between 18-60 years of age, Non-pregnant female and must agree to use adequate method of contraception during the study, Is capable of giving written informed consent prior to study entry, Be willing to refrain from taking dietary supplements or other foods that contain fermented live bacteria within 1 month prior to treatment and during the study, Have not participated in a clinical drug study or used an investigational new drug during the past previous 30 days, Clinical Chemistry and haematology results from Visit 1 are within normal limits, Be willing to refrain from using any topical psoriactic cream 2 weeks prior to treatment and during the study. Exclusion Criteria: Are less than 18 years of age, and not more than 60 years of age, History of sensitivity to lactose [eg, lactose intolerance] or other dairy products, History of consumption of probiotics,1 month prior to treatment, Being treated with steroids 2 weeks prior to entry, Diseases of the gastrointestinal tract,liver,pancreas and biliary tree[eg;gastritis,symptomatic gall stones,duodenal ulcer,gastroenteritis,diverticulitis.] Exceptions include haemorrhoids,hiatus hernia and asymptomatic gall stones. History of major gastric,hepatic,pancreatic or intestinal surgery or perforation,excluding cholescystectomy,appendicectomy,haemorrhoidectomy or polypectomy. Recent unexplained rectal bleeding and/or significant unexplained weight loss. Antibiotic use within one month prior to Visit 1. have a significant acute or chronic coexisting illness{cardiovascular,gastrointestinal,immunological}or a condition, which contraindicates,in the investigators judgement entry to the study. Patients with Diabetes Mellitus. Individuals who, in the opinion of the investigator, are considered to be poor clinical attendees or unlikely for any reason to be able to comply with the trial. Subjects currently receiving treatment involving experimental drugs. If a subjects has been in a recent experimental trial,must be not less than 30 days prior to this study. Have a concomitant end stage organ disease eg; cardiovascular,hepatic,pulmonary,renal,which , in the Investigators judgement,contraindicates participation in the study. Have a history of malignancy in the past 5 years with the exception of Basal Cell Carcinoma. Evidence of alcohol or drug abuse. Evidence of unstable forms of psoriasis,including guttate, erthrodermic , exfoliative or pustular psoriasis. Evidence of other inflammatory skin disease that may confound the evaluation of psoriasis. Has had systematic antipsoriatic treatment or PUVA therapy within the previous 4 weeks. Subject who has had UVB therapy with the previous 2 weeks. If the subjects scores >20% on the PASI.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Liam O Mahony, Dr.
Organizational Affiliation
Alimentary Health Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Alimentary Health Ltd
City
Cork
Country
Ireland

12. IPD Sharing Statement

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Study in Patients With Mild to Moderate Psoriasis

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