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Clinical Trial to Investigate Efficacy of LAS41004 in Psoriasis

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
Experimental: LAS 41004 dosage 1
Experimental: LAS 41004 dosage 2
Experimental: LAS 41004 dosage 3
Placebo Comparator: placebo
Reference
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, topical, PPT

Eligibility Criteria

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

Inclusion Criteria:

  • • Male or female patients between 18 and 75 years of age with a diagnosis of stable plaque-type psoriasis (psoriasis vulgaris) for at least 6 month

    • Psoriasis plaques that are suitable to be defined as target area lesions by the following criteria:

      • Psoriasis plaques must be located at trunk and/or extremities. Plaques that are located on the head (incl. scalp), palms, sole of the feet, intertriginous or genitoanal areas are not suitable as target areas
      • Comparable psoriasis plaques with at least "2" in each score (Range 0-4) for the three distinct symptoms scaling; erythema; and induration
      • No more than 3 points difference in total score (= sum of scores for scaling, erythema and induration; Range 0-12) of the chosen comparable psoriasis plaques
      • Enough psoriatic surface area to define 5 clearly distinguishable (minimum distance between test areas: 1cm) test areas of at least 1 cm² plaque size
    • Patient is willing and able to comply with the requirements of the clinical study protocol. In particular, patient must adhere SCIderm GmbH Confidential Almirall Hermal GmbH Study protocol EudraCT No. 2010-022281-27 Protocol No. H553000-1005 Version 1.0 to concomitant therapy prohibitions of the test areas and must agree to avoid intense UV exposure of the test areas during the study
    • Written informed consent to participate in the study, prior to any study related procedures, indicating an understanding of the purpose of the study
    • A patient of childbearing potential agrees to use one of the following contraceptive methods for the duration of the study and the following 4 weeks after the end of study :

      • Strict abstinence (exception: male partner with a vasectomy for at least 3 months prior to study entry is allowed)
      • Combined oral, implanted or injectable contraceptives on a stable dose for at least 3 months prior to study entrance
      • Intrauterine device (IUD) inserted for at least 1 month prior to study entrance

Exclusion Criteria:

  • Too few body surface area covered with psoriasis plaques that meet the specified inclusion criteria to be defined as 5 clearly distinguishable test areas
  • Any condition that may interfere with the study assessments or sonographic measurements of the skin and/or may have an influence on skin immune response (incl. open wounds)
  • Known adverse reactions of any severity or hypersensitivity to any ingredient of the test products
  • No willingness to avoid induction of heavy sweating, e.g. due to sauna visits, excessive sports activities during the study course
  • No willingness to avoid swimming, bathing or wetting of the designated test areas between visits
  • Pregnant or breast-feeding women
  • A medical condition that may put the patient at a general risk and therefore would prevent participation in the clinical trial (including but not limited to: serious infectious diseases, major surgery within the last 4 weeks, coronary artery disease, renal impairment, hepatic impairment, uncontrolled metabolic diseases, disorders of the calcium metabolism, autoimmune diseases)
  • History or presence of malignant disease (other than surgically removed basal cell carcinoma) and/or auto immune diseases
  • Current diagnosis of guttate, erythrodermic or pustular psoriasis
  • Patients who did not respect the following wash-out periods prior or during the study:

Treatment Wash out period Topical treatment in the test area Any topical anti-psoriatic drug 2 weeks Systemic treatment Biologics 6 months Any other systemic treatment (corticosteroids, ciclosporin, MTX, fumaric acid esters) 3 months Procedures Phototherapy 4 weeks

  • Significant skin diseases other than plaque-type psoriasis (psoriasis vulgaris), incl. skin infections
  • Excessive sunlight exposure within 28 days prior to study entry and during the conduct of the study
  • Usage of any topical formulation (incl. cosmetics, emollients, etc) on the designated target areas during the course of the study
  • Vaccination 6 days prior to enrolment or during the study
  • Subjects who are - in the opinion of the investigator - unreliable, and/or non-compliant, and/or who present with any condition or treatment (including cosmetic products) that may interfere with psoriasis or the conduct of the trial
  • Participation in any other clinical trial within 30 days prior or during this trial
  • Subject is an adult under guardianship, hospitalised, deprived of freedom or unable to communicate or cooperate with the investigator due to language or mental problems

Sites / Locations

  • Almirall Investigational Sites#1

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

LAS 41004 dosage 1

LAS 41004 dosage 2

LAS 41004 dosage 3

placebo

Reference

Arm Description

dosage 1, once daily

dosage 2, once daily

dosage 3, once daily

once daily

once daily

Outcomes

Primary Outcome Measures

Decrease in thickness of infiltration
measurement will be performed by ultrasound, comparing data from baseline (day1) vs end of trial (day15)

Secondary Outcome Measures

Change in clinical score
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Change in erythema score
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Change in Induration score
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Change in Scaling score
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Number of skin reactions per patient as a measure of safety and tolerability
daily scoring will be performed by investigator
Number of AEs per patients as a measure of safety and tolerability
reporting will be performed by investigator

Full Information

First Posted
January 25, 2011
Last Updated
May 28, 2015
Sponsor
Almirall, S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01283698
Brief Title
Clinical Trial to Investigate Efficacy of LAS41004 in Psoriasis
Official Title
An Investigator-blind, Controlled Study to Assess the Efficacy of Distinct Combinations of LAS 41004 in Different Concentrations Compared to Placebo and to Active Control in a Psoriasis-Plaque-Test
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
March 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the study is to intra-individually compare the dose-related efficacy of LAS41004 in a Psoriasis Plaque Test (PPT)

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
LAS 41004 dosage 1
Arm Type
Experimental
Arm Description
dosage 1, once daily
Arm Title
LAS 41004 dosage 2
Arm Type
Experimental
Arm Description
dosage 2, once daily
Arm Title
LAS 41004 dosage 3
Arm Type
Experimental
Arm Description
dosage 3, once daily
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
once daily
Arm Title
Reference
Arm Type
Active Comparator
Arm Description
once daily
Intervention Type
Drug
Intervention Name(s)
Experimental: LAS 41004 dosage 1
Intervention Description
dosage 1, once daily
Intervention Type
Drug
Intervention Name(s)
Experimental: LAS 41004 dosage 2
Intervention Description
LAS 41004 dosage 2, once daily
Intervention Type
Drug
Intervention Name(s)
Experimental: LAS 41004 dosage 3
Intervention Description
dosage 3, once daily
Intervention Type
Drug
Intervention Name(s)
Placebo Comparator: placebo
Intervention Description
once daily
Intervention Type
Drug
Intervention Name(s)
Reference
Intervention Description
Active Comparator,once daily
Primary Outcome Measure Information:
Title
Decrease in thickness of infiltration
Description
measurement will be performed by ultrasound, comparing data from baseline (day1) vs end of trial (day15)
Time Frame
15 days
Secondary Outcome Measure Information:
Title
Change in clinical score
Description
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Time Frame
15 days
Title
Change in erythema score
Description
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Time Frame
15 days
Title
Change in Induration score
Description
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Time Frame
15 days
Title
Change in Scaling score
Description
scoring will be performed by investigator, comparing data from baseline (day1) vs end of trial (day15)
Time Frame
15 days
Title
Number of skin reactions per patient as a measure of safety and tolerability
Description
daily scoring will be performed by investigator
Time Frame
15 days
Title
Number of AEs per patients as a measure of safety and tolerability
Description
reporting will be performed by investigator
Time Frame
15 days

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: • Male or female patients between 18 and 75 years of age with a diagnosis of stable plaque-type psoriasis (psoriasis vulgaris) for at least 6 month Psoriasis plaques that are suitable to be defined as target area lesions by the following criteria: Psoriasis plaques must be located at trunk and/or extremities. Plaques that are located on the head (incl. scalp), palms, sole of the feet, intertriginous or genitoanal areas are not suitable as target areas Comparable psoriasis plaques with at least "2" in each score (Range 0-4) for the three distinct symptoms scaling; erythema; and induration No more than 3 points difference in total score (= sum of scores for scaling, erythema and induration; Range 0-12) of the chosen comparable psoriasis plaques Enough psoriatic surface area to define 5 clearly distinguishable (minimum distance between test areas: 1cm) test areas of at least 1 cm² plaque size Patient is willing and able to comply with the requirements of the clinical study protocol. In particular, patient must adhere SCIderm GmbH Confidential Almirall Hermal GmbH Study protocol EudraCT No. 2010-022281-27 Protocol No. H553000-1005 Version 1.0 to concomitant therapy prohibitions of the test areas and must agree to avoid intense UV exposure of the test areas during the study Written informed consent to participate in the study, prior to any study related procedures, indicating an understanding of the purpose of the study A patient of childbearing potential agrees to use one of the following contraceptive methods for the duration of the study and the following 4 weeks after the end of study : Strict abstinence (exception: male partner with a vasectomy for at least 3 months prior to study entry is allowed) Combined oral, implanted or injectable contraceptives on a stable dose for at least 3 months prior to study entrance Intrauterine device (IUD) inserted for at least 1 month prior to study entrance Exclusion Criteria: Too few body surface area covered with psoriasis plaques that meet the specified inclusion criteria to be defined as 5 clearly distinguishable test areas Any condition that may interfere with the study assessments or sonographic measurements of the skin and/or may have an influence on skin immune response (incl. open wounds) Known adverse reactions of any severity or hypersensitivity to any ingredient of the test products No willingness to avoid induction of heavy sweating, e.g. due to sauna visits, excessive sports activities during the study course No willingness to avoid swimming, bathing or wetting of the designated test areas between visits Pregnant or breast-feeding women A medical condition that may put the patient at a general risk and therefore would prevent participation in the clinical trial (including but not limited to: serious infectious diseases, major surgery within the last 4 weeks, coronary artery disease, renal impairment, hepatic impairment, uncontrolled metabolic diseases, disorders of the calcium metabolism, autoimmune diseases) History or presence of malignant disease (other than surgically removed basal cell carcinoma) and/or auto immune diseases Current diagnosis of guttate, erythrodermic or pustular psoriasis Patients who did not respect the following wash-out periods prior or during the study: Treatment Wash out period Topical treatment in the test area Any topical anti-psoriatic drug 2 weeks Systemic treatment Biologics 6 months Any other systemic treatment (corticosteroids, ciclosporin, MTX, fumaric acid esters) 3 months Procedures Phototherapy 4 weeks Significant skin diseases other than plaque-type psoriasis (psoriasis vulgaris), incl. skin infections Excessive sunlight exposure within 28 days prior to study entry and during the conduct of the study Usage of any topical formulation (incl. cosmetics, emollients, etc) on the designated target areas during the course of the study Vaccination 6 days prior to enrolment or during the study Subjects who are - in the opinion of the investigator - unreliable, and/or non-compliant, and/or who present with any condition or treatment (including cosmetic products) that may interfere with psoriasis or the conduct of the trial Participation in any other clinical trial within 30 days prior or during this trial Subject is an adult under guardianship, hospitalised, deprived of freedom or unable to communicate or cooperate with the investigator due to language or mental problems
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christoph Willers, MD, MBA
Organizational Affiliation
Almirall Hermal GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Almirall Investigational Sites#1
City
Mahlow
Country
Germany

12. IPD Sharing Statement

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Clinical Trial to Investigate Efficacy of LAS41004 in Psoriasis

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