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Comparison of efficacy and tolerability of two drugs named apremilast and methotrexate in patients of moderate to severe palmoplantar psoriasis

Comparative evaluation of efficacy and tolerability of Apremilast and Methotrexate in patients of moderate to severe palmoplantar psoriasis: a randomized, parallel, open-label clinical trial

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2020/05/025198
Enrollment
50
Registered
2020-05-15
Start date
Unknown
Completion date
Unknown
Last updated
2023-05-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: L408- Other psoriasis

Interventions

Intervention1: Apremilast: Day 1: 10 mg in AM, no evening dose Day 2: 10 mg AM and PM Day 3: 10 mg AM and 20 mg PM Day 4: 20 mg AM and PM Day 5: 20 mg AM and 30 mg PM Day 6 and 7: 30 mg AM and PM

Sponsors

Mitali Wagh
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: i. Patients of moderate to severe palmoplantar psoriasis (as diagnosed by the dermatologist)fulfilling one of the following criteria: 1)mPPPASI score >=12 2)Palmoplantar surface area involvement > 10% 3)Physician Global Assessment Scale score 3 or 4

Exclusion criteria

Exclusion criteria: i. Systemic therapy(conventional or biologics)within 12 weeks prior to randomization ii. Use of active topical agents for psoriasis within 2 weeks iii. Pregnant and lactating women & women of reproductive age group who are not practicing a reliable method of contraception iv. Psoriatic arthritis, pustular psoriasis v. Any other dermatological disease vi. Impaired Renal, hepatic function or abnormal CBC vii. Patients on the following drugs: β blockers, Aspirin,Chloroquine, Lithium viii. Patients suffering from any other chronic/systemic disorder

Design outcomes

Primary

MeasureTime frame
Reduction in mPPPASI score (modified Palmoplantar Psoriasis Area and Severity Index)Timepoint: after 1.5 years

Secondary

MeasureTime frame
Proportion of patients achieving sPGA(Static physician global assessment) score of 0 (clear) or 1 (almost clear)Timepoint: At the end of 16 weeks;Proportion of patients attaining mPPPASI 75 (modified Palmoplantar Psoriasis Area and Severity Index)Timepoint: At the end of 16 weeks;Proportion of patients showing atleast5-point reduction in DLQI(Dermatology life quality index) from baselineTimepoint: At the end of 16 weeks

Countries

India

Contacts

Public ContactMitali Shivaji Wagh

Government Medical College, Nagpur

smitaavanti@yahoo.co.in

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 8, 2026