Psoriasis
Conditions
Keywords
Plaque-type Psoriasis, infliximab, Remicade, biologics
Brief summary
The purpose of the study is to evaluate the effectiveness and safety of infliximab (Remicade) in patients with plaque-type psoriasis.
Detailed description
The purpose of this study is to investigate the safety and possible usefulness of infliximab therapy for patients with severe plaque psoriasis. In a previous small study of infliximab in 33 patients with psoriasis, about 80% of patients treated with infliximab showed improvement in their psoriasis symptoms after the first 3 infusions, while 20% of patients who received placebo showed improvement. The patients will receive infusions of infliximab either 3 or 5 mg/kg or placebo at weeks 0,2,6. Patients who have significant psoriasis at week 26 will receive an additional infusion.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Must be 18 years of age or older at time of enrollment * may be male or female * Have had a diagnosis of plaque-type psoriasis at least 6 months prior to screening * Have plaque-type psoriasis covering at least 10% of total BSA at baseline * Have previously received PUVA and/or other systemic treatment for psoriasis
Exclusion criteria
* Have non-plaque forms of psoriasis * Have a history of drug-induced psoriasis * Are pregnant, nursing, or planning pregnancy within 12 months of enrollment * Have had any previous treatment with infliximab or any therapeutic agent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients achieving a = 75% improvement in PASI score from baseline at week 10 | — |
Secondary
| Measure | Time frame |
|---|---|
| The proportion of patients positive for antibodies to infliximab;The proportion of patients with infusion reactions at week 26;The proportion of infliximab-treated patients with infusion reaction at week 26 by antibodies to infliximab status at week 26 | — |