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Pharmacological conditioning as a drug dose reduction strategy in patients with psoriasis

Pharmacological conditioning as a drug dose reduction strategy in patients with psoriasis

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00034977
Enrollment
168
Registered
2024-10-18
Start date
2024-12-13
Completion date
Unknown
Last updated
2026-03-30

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

Conditions

L40.0

Interventions

Group 1: Pharmacological control: group 1
(TAU-treatment as usual) 300mg secukinumab (as in clinical routine, with weekly s.c. injections over 5 weeks (weeks 0-4), followed by three monthly injections (weeks 8, 12 and 16). Group 2: Partial re
acquisition phase lasting 2 weeks with two injections of 300mg secukinumab (weeks 0-1), followed by an experimental phase with alternating injections of placebo and 150mg secukinumab (weeks 2-4, 8, 12
acquisition phase lasting 2 weeks with two injections of 300mg secukinumab (weeks 0-1), followed by an experimental phase with injections of 75mg secukinumab (weeks 2-4, 8, 12 and 16).

Sponsors

Universitätsklinikum Essen (AöR) Allgemeine Poliklinik, Klinik für Dermatologie, Venerologie und Allergologie
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: - Patient has had a diagnosis of chronic plaque psoriasis with a Psoriasis Area and Severity Index (PASI) >10 - Patient is a candidate for systemic therapy - Women of childbearing potential: no pregnancy; negative serum pregnancy test before entering the study, agreement to use a highly effective method of contraception

Exclusion criteria

Exclusion criteria: - Forms of psoriasis other than chronic plaque psoriasis - Pregnancy or breast feeding - Insufficient ability to communicate in or understand German, dementia or (functional) analphabetism - Lacking capacity to consent to study participation - Existing contraindication to therapy with secukinumab according to the summary of product characteristics (like history of hypersensitivity to secukinumab or its excipients, chronic infections, like untreated (latent) tuberculosis, administration of live vaccines <6 weeks before therapy onset) - Any medical or psychiatric condition which, in the Investigator’s opinion, would preclude the participant from adhering to the protocol or completing the study per protocol - History of, respectively active, inflammatory bowel disease (IBD) - Ongoing use of systemic anti-psoriatic treatments (concomitant topical treatment is allowed) - Previous exposure to secukinumab

Design outcomes

Primary

MeasureTime frame
- Symptoms of itch (assessment via visual analogue scale VAS) - Reduction in quality of life due to the skin disease (assessment via the Dermatology Life Quality Index (DLQI)) Measurement takes place at each visit, the comparison from week 0 to week 20 represents the primary endpoint.

Secondary

MeasureTime frame
- Severity of psoriasis (assessment via the Psoriasis Area and Severity Index (PASI)). Measurement takes place at each visit, the comparison from week 0 to week 20 represents the primary endpoint. - The supplementary table "study outcomes" provides an overview of additional secondary outcomes, that are collected within the framework of the collaborative research center this project is a part of (SFB TRR 289).

Countries

Germany

Contacts

Public ContactWiebke Sondermann

Universitätsklinikum Essen (AöR) Allgemeine Poliklinik, Klinik für Dermatologie, Venerologie und Allergologie

wiebke.sondermann@uk-essen.de0049 201 7233647

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Apr 17, 2026