Psoriasis MedDRA version: 12.0 Level: LLT Classification code 10037153 Term: Psoriasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients must be 18 years or older. 2. Patients must fulfill the criteria for biological treatment of the Dutch Society of Dermatology and Venereology and the criteria for reimbursement. They must have a PASI of 10 or higher, or a PASI of 8 or higher in combination with a Skindex-29 > 35 at the time of screening and must have failed to respond to phototherapy and cyclosporin or methotrexate, or have a contraindication to or an intolerance for these treatments. 3. Patients must be willing to give written informed consent and be able to adhere to dose and visit schedules. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Contra-indications: 1. Hypersensitivity to the active substance or to any of the excipients. 2. Sepsis or risk of sepsis. 3. Active infections including chronic or localised infections. 4. Immunocompromised persons and patients treated with immunosuppressive drugs. 5. Patients with a history of a demyelinating disease. 6. Patients with a history of tuberculosis. 7. Pregnancy. Relative contraindications: 1. Congestive heart failure. 2. Blood dyscrasias. 3. Recent malignancies. 4. Antinuclear antibody (ANA)-positive autoimmune diseases. 5. Chronic exposure to actinic radiation in the past. 6. Possible tuberculosis infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To prospectively compare the effectiveness of two biological therapies for patients with psoriasis in daily clinical practice: etanercept and adalimumab. ;Secondary Objective: To prospectively compare the safety and costs of two biological therapies for patients with psoriasis in daily clinical practice: etanercept and adalimumab. ;Primary end point(s): The main study endpoint is the percentage of patients with a reduction of the PASI of at least 50% after 3 months. Primary endpoints of the economic evaluation are costs, proportion relevant reduction in PASI (PASI 50) and QALYs (measured with the EQ-5D). | — |
Countries
Netherlands