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Efficacy and Tolerability of LAS41004 Formulations in a Non-occlusive Psoriasis Plaque Test (PPT4)

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
LAS41004
Sponsored by
Almirall, S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring Psoriasis Plaque Test, topical, ointment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 to 75 years of age
  • Caucasian men and women
  • Suffering from mild to moderate plaque psoriasis of at least 6 months duration that is amenable to local therapy
  • With at least one stable psoriatic plaque in an area sufficient for product application meeting the following criteria:

    1. located at trunk and/or extremities (plaques located on the head, palms, or sole of feet, intertriginous or genitoanal areas are not suitable)
    2. Where more than one plaque is to be used, plaques that are comparable, with at least "2" in each score for scaling, erythema and induration.
    3. No more than 3 points difference in total score (sum of scores for scaling, erythema and induration)
    4. Negative urine pregnancy test (in female patients of child bearing potential)
  • In the case of women of childbearing potential, using reliable methods of contraception which result in a low failure rate i.e. less than 1% per year (eg contraceptive implants or injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomized partner)

Exclusion Criteria:

  • Patients who need systemic treatment for their psoriasis
  • Severe forms of psoriasis or forms of psoriasis other than chronic plaque psoriasis, including:
  • guttate
  • erythroderma
  • exfoliative or
  • pustular psoriasis
  • psoriatic arthritis
  • Changes in the expression of psoriasis within the last 6 weeks prior screening
  • Intensive UV light exposure within two weeks before the beginning of the test as well as during the study and four weeks after the end of the study at the test area
  • Systemic treatment (see table below):

Corticosteroids, antibiotics 4 weeks prior to study day 1 and during conduct of study Retinoids Ciclosporin Methotrexate Fumaric acid esters 3 months prior to study day 1 and during conduct of study Anti-inflammatory substances, NSAIDs 2 weeks prior to study day 1 and during conduct of study Biologics 6 months prior to study day 1 and during conduct of study Planned initiation of, or changes to concomitant medication that could affect Psoriasis (e.g. beta blockers, anti-malaria drugs, lithium) 8 weeks before study start and during study

  • Topical treatment of all other body regions with corticosteroids or immunosuppressants where more than 20 % of the body surface area is treated
  • Treatment with any non-marketed drug substance within 4 weeks prior to study day 1
  • Topical treatment of the test area without adequate time for washout
  • Diseases:

Skin infections caused by bacteria, viruses or fungi, including but not limited to tuberculosis, syphilis or varicella zoster infection Parasitic infections Rosacea, perioral dermatitis in test area Moderate or severe illness within the last two weeks before first exposure Other known infectious diseases (e.g. hepatitis or AIDS) Other skin diseases that may confound the evaluation of psoriasis

  • Known hypersensitivity to any ingredients of the study drugs,
  • Known calcium metabolism disorders
  • History of malignancy of any organ system
  • Severe impairment of liver or kidney function
  • Pregnancy or lactation
  • Participation in a clinical trial within the last 30 days prior to the start of this study

Sites / Locations

  • Investigational site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

variant1

variant 2

variant 3

variant4

variant 5

variant 6

control positive

Arm Description

topical ointment, once daily application

topical ointment, once daily application

topical ointment, once daily application

topical ointment, once daily application

topical ointment, once daily application

topical ointment, once daily application

topical ointment,once daily application

Outcomes

Primary Outcome Measures

Decrease of skin thickness(AUC, area under the curve)
Measurement of skin thickness will be performed by ultrasound (distance between lower border of entry echo and lower border of dermis). The area under the curve, AUC, from day 1 to day 22 will be compared to the reference formulations.

Secondary Outcome Measures

Decrease in scaling
scoring of scaling (score 0-4) will be performed by investigator
decrease in erythema
scoring of erythema (score 0-4) wil be performed by investigator
decrease of induration
scoring of induration (score 0-4) will be performed by investigator
assessment of (s)AE
a daily record will be performed and if needed the severity and causality assessed

Full Information

First Posted
October 4, 2011
Last Updated
October 28, 2011
Sponsor
Almirall, S.A.
Collaborators
proDERM GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01462643
Brief Title
Efficacy and Tolerability of LAS41004 Formulations in a Non-occlusive Psoriasis Plaque Test
Acronym
PPT4
Official Title
A 22 Day Controlled, Randomized Clinical Study (PPT) Investigating the Anti-psoriatic Efficacy and the Tolerability of an Ointment Containing a Retinoid and a Steroid in Different Concentrations
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Almirall, S.A.
Collaborators
proDERM GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the exploratory study is to compare dose related effects of LAS41004 formulations in a non-occlusive PPT.
Detailed Description
Going for a non-occlusive application design will allow to draw practical conclusions as being similar to a real treatment situation (compared with a occluded design to maximise effects)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
Psoriasis Plaque Test, topical, ointment

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
variant1
Arm Type
Experimental
Arm Description
topical ointment, once daily application
Arm Title
variant 2
Arm Type
Experimental
Arm Description
topical ointment, once daily application
Arm Title
variant 3
Arm Type
Experimental
Arm Description
topical ointment, once daily application
Arm Title
variant4
Arm Type
Experimental
Arm Description
topical ointment, once daily application
Arm Title
variant 5
Arm Type
Experimental
Arm Description
topical ointment, once daily application
Arm Title
variant 6
Arm Type
Placebo Comparator
Arm Description
topical ointment, once daily application
Arm Title
control positive
Arm Type
Active Comparator
Arm Description
topical ointment,once daily application
Intervention Type
Drug
Intervention Name(s)
LAS41004
Other Intervention Name(s)
fixed combinations of retinoid and steroid
Intervention Description
once daily, topical ointment, 100 microgram per day
Primary Outcome Measure Information:
Title
Decrease of skin thickness(AUC, area under the curve)
Description
Measurement of skin thickness will be performed by ultrasound (distance between lower border of entry echo and lower border of dermis). The area under the curve, AUC, from day 1 to day 22 will be compared to the reference formulations.
Time Frame
day 1 to day 22
Secondary Outcome Measure Information:
Title
Decrease in scaling
Description
scoring of scaling (score 0-4) will be performed by investigator
Time Frame
baseline vs day 22
Title
decrease in erythema
Description
scoring of erythema (score 0-4) wil be performed by investigator
Time Frame
baseline vs day 22
Title
decrease of induration
Description
scoring of induration (score 0-4) will be performed by investigator
Time Frame
baseline vs day 22
Title
assessment of (s)AE
Description
a daily record will be performed and if needed the severity and causality assessed
Time Frame
from baseline to day 22

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 to 75 years of age Caucasian men and women Suffering from mild to moderate plaque psoriasis of at least 6 months duration that is amenable to local therapy With at least one stable psoriatic plaque in an area sufficient for product application meeting the following criteria: located at trunk and/or extremities (plaques located on the head, palms, or sole of feet, intertriginous or genitoanal areas are not suitable) Where more than one plaque is to be used, plaques that are comparable, with at least "2" in each score for scaling, erythema and induration. No more than 3 points difference in total score (sum of scores for scaling, erythema and induration) Negative urine pregnancy test (in female patients of child bearing potential) In the case of women of childbearing potential, using reliable methods of contraception which result in a low failure rate i.e. less than 1% per year (eg contraceptive implants or injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomized partner) Exclusion Criteria: Patients who need systemic treatment for their psoriasis Severe forms of psoriasis or forms of psoriasis other than chronic plaque psoriasis, including: guttate erythroderma exfoliative or pustular psoriasis psoriatic arthritis Changes in the expression of psoriasis within the last 6 weeks prior screening Intensive UV light exposure within two weeks before the beginning of the test as well as during the study and four weeks after the end of the study at the test area Systemic treatment (see table below): Corticosteroids, antibiotics 4 weeks prior to study day 1 and during conduct of study Retinoids Ciclosporin Methotrexate Fumaric acid esters 3 months prior to study day 1 and during conduct of study Anti-inflammatory substances, NSAIDs 2 weeks prior to study day 1 and during conduct of study Biologics 6 months prior to study day 1 and during conduct of study Planned initiation of, or changes to concomitant medication that could affect Psoriasis (e.g. beta blockers, anti-malaria drugs, lithium) 8 weeks before study start and during study Topical treatment of all other body regions with corticosteroids or immunosuppressants where more than 20 % of the body surface area is treated Treatment with any non-marketed drug substance within 4 weeks prior to study day 1 Topical treatment of the test area without adequate time for washout Diseases: Skin infections caused by bacteria, viruses or fungi, including but not limited to tuberculosis, syphilis or varicella zoster infection Parasitic infections Rosacea, perioral dermatitis in test area Moderate or severe illness within the last two weeks before first exposure Other known infectious diseases (e.g. hepatitis or AIDS) Other skin diseases that may confound the evaluation of psoriasis Known hypersensitivity to any ingredients of the study drugs, Known calcium metabolism disorders History of malignancy of any organ system Severe impairment of liver or kidney function Pregnancy or lactation Participation in a clinical trial within the last 30 days prior to the start of this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christoph Willers, MD
Organizational Affiliation
Almirall Hermal
Official's Role
Study Director
Facility Information:
Facility Name
Investigational site
City
Schenefeld
ZIP/Postal Code
22869
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Tolerability of LAS41004 Formulations in a Non-occlusive Psoriasis Plaque Test

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