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This study will compare how well adalimumab works versus methotrexate (MTX) in children with moderate to severe psoriasis in the short term. It will also study how safe and how well adalimumab works in the long term and how long disease response can be maintained after stopping therapy.

A Multicentre, Randomised, Double-Dummy, Double-Blind Study Evaluating Two Doses of Adalimumab versus Methotrexate (MTX) in Paediatric Subjects with Chronic Plaque Psoriasis (Ps)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2009-013072-52-DE
Enrollment
111
Registered
2010-09-09
Start date
2011-05-09
Completion date
Unknown
Last updated
2015-11-16

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

Conditions

Chronic Plaque Psoriasis MedDRA version: 16.1 Level: PT Classification code 10037153 Term: Psoriasis System Organ Class: 10040785 - Skin and subcutaneous tissue disorders

Interventions

Trade Name: Humira Pharmaceutical Form: Solution for injection INN or Proposed INN: ADALIMUMAB CAS Number: 331731-18-1 Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Conce

Sponsors

AbbVie Deutschland GmbH & Co. KG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Subject is = 4 years and 20% • Very thick lesions with BSA > 10% • PASI > 20 • PASI > 10 and at least one of the following: • Active psoriatic arthritis unresponsive to non-steroid anti-inflammatory drugs (NSAIDs) • Clinically relevant facial involvement • Clinically relevant genital involvement • Clinically relevant hand and/or foot involvement • CDLQI > 10 5. If subject is =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Prior biologic use other than prior treatment with etanercept; 2. Treatment with etanercept therapy within 4 weeks prior to the Baseline visit; 3. MTX use within the past year or prior MTX use at any time where the subject did not respond, or did not tolerate MTX; 4. Contraindication for treatment with MTX during the study; 5. Erythrodermic Ps, generalized or localized pustular Ps, medication-induced or medication exacerbated Ps or new onset guttate Ps; 6. Infection(s) requiring treatment with intravenous (IV) anti-infectives within 30 days prior to the Baseline Visit or oral anti-infectives within 14 days prior to the Baseline Visit; 7. Treatment of Ps with topical therapies such as corticosteroids, vitamin D analogs, or retinoids within 7 days prior to the Baseline visit; 8. Treatment of Ps with UVB phototherapy, excessive sun exposure, or the use of tanning beds within 7 days prior to the Baseline visit; 9. Treatment of Ps with PUVA phototherapy, non-biologic systemic therapies for the treatment of Ps, or systemic therapies known to improve Ps within 14 days prior to the Baseline visit;

Design outcomes

Primary

MeasureTime frame
Main Objective: To determine the safety and efficacy of two doses of adalimumab versus methotrexate in pediatric subjects with chronic plaque psoriasis.;Secondary Objective: To determine the time to loss of disease control and the ability to regain response upon retreatment, and to examine the pharmacokinetics and immunogenicity of adalimumab following subcutaneous administration in this subject population.;Primary end point(s): The proportion of subjects achieving a >= PASI 75 response standard dose versus MTX. ;Timepoint(s) of evaluation of this end point: Week 16, Period A

Secondary

MeasureTime frame
Secondary end point(s): The proportion of subjects achieving a PASI 90, standard dose versus MTX; The proportion of subjects achieving a PASI 90, standard dose versus MTX;Change from baseline in the Children's Dermatology Life Quality Index (CDLQI) scores, standard dose versus MTX; Change from baseline in the Paediatric Quality of Life Inventory (PedsQL), standard dose versus MTX;The proportion of subjects achieving PGA 0, 1 upon completion of retreatment (Period C) according to the original randomised group assignment in Period A (standard dose adalimumab versus low dose adalimumab);Time to loss of disease control (Period B) according to the original randomised group assignment in Period A (standard dose adalimumab versus low dose adalimumab and MTX).;Timepoint(s) of evaluation of this end point: Week 16, Period A

Countries

Belgium, Canada, Czech Republic, Germany, Hungary, Italy, Mexico, Netherlands, Poland, Spain, Switzerland, Turkey

Contacts

Public ContactClinical Trials Helpdesk

AbbVie Ltd.

euclinicaltrials@abbott.com+441628644475

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026