Scalp Psoriasis
Conditions
Keywords
maintenance, scalp psoriasis, Galderma
Brief summary
The objective of the study was to assess the maintenance effect on scalp psoriasis of Clobex® Shampoo 0.05% when used twice weekly.
Detailed description
Psoriasis was a chronic disease that was affecting skin, the scalp and joints. Scalp psoriasis was very common and was having an important impact on people's life. Primary objective of scalp psoriasis treatments was to gain initial and rapid control of the disease process with a minimum of side-effects and improve patient quality of life. Still, one of the unmet needs of scalp psoriasis therapies was the maintenance of a long-term remission. For corticosteroids in particular, one of the drawbacks was the disease recurrences after cessation of the treatment. Therefore, the establishment of a modified corticosteroid dosing regimen that would allow remission with minimal side-effects was suitable. The purpose of this study was to assess how long a patient successfully maintained in a good condition after use of Clobex® shampoo only twice a week.
Interventions
Clobex® Shampoo 0.05 % (W/W) topically to scalp for 4 weeks.
Clobex® Vehicle Shampoo 0.05 % (W/W) topically to scalp up to 6 months.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female subjects aged 18 years or older. * Subjects with moderate to severe scalp psoriasis
Exclusion criteria
* Subjects who needed systemic treatment for their body psoriasis * Subjects with a washout period for topical treatment(s) on the scalp less than: * Corticosteroids 2 weeks * All other anti-psoriasis medications 2 weeks * Subjects with a washout period for systemic treatment(s) less than: * PUVA therapy 4 weeks * Biological therapies 12 weeks * Treatments other than biologicals with a possible efficacy on psoriasis 4 weeks * Treatment known to worsen psoriasis 2 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maintenance Phase: Time to First Relapse | Baseline up to 24 Weeks | Time to first relapse was defined as the duration between baseline of maintenance phase and the visit where the relapse occurred. The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Initial Phase: Percentage of Participants With Pruritus Scores | Baseline, Weeks 2 and 4 LOCF | Pruritus (itching sensation) score of were evaluated on a scale from 0 - 3 (0 = None \[no itching\], 1 = Mild \[slight itching\], not really bothersome), 2 = Moderate \[definite itching that is somewhat bothersome; without loss of sleep\], and 3 = severe \[intense itching that has caused pronounced discomfort; night rest interrupted and excoriations of the skin from scratching may be present\]) , where 0 indicates best and 3 indicates worst. Percentage of participants with pruritus score was reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF). |
| Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Baseline, Weeks 2 and 4 LOCF | Individual sign scores of erythema (abnormal redness of skin), scaling (scales attached to the scalp), plaque thickening (a thickening or elevation of a circumscribed lesion or plaque) were evaluated on a scale of 0-4; 0= none , 1= mild , 2=moderate , 3= severe, 4= very severe, where 0 indicates best and 4 indicates worst. Percentage of participants with individual signs (erythema, scaling, and plaque thickening) scores were reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF). |
| Maintenance Phase: Percentage of Participants Who Had First Relapse | Baseline, Weeks 4, 8, 12, 16, 20, and 24 | The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2. Relapse was categorized into relapse or no relapse. Percentage of participants with relapse were reported. |
| Initial Phase: Percentage of Participants With Global Severity Scores | Baseline, Weeks 2 and 4 LOCF | Global severity score was evaluated on a scale of 0-4 and it was categorized as; Clear (score 0); no clinical signs or symptoms detected (hyperpigmentation or residual red coloration might be present), very mild (score 1); only very slight signs or symptoms detected (e.g., very fine scaling or slight erythema), mild (score 2); slight signs or symptoms detected (e.g., mild erythema and scaling, eventually associated to some barely detectable plaque elevation), moderate (score 3); moderate or clearly detectable signs or symptoms (e.g., definite redness with obvious scaling on a plaque that was elevated above skin level), severe (score 4); severe signs or symptoms detected (e.g., intense redness, profuse shedding, definite plaque thickness was most often present) where 0 indicates best and 4 indicates worst. Percentage of participants with GSS was reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF). |
| Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Baseline up to Week 24 | The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2. Individual sign scores of erythema were evaluated on a scale of 0-4 (0= none, 1= mild, 2=moderate, 3= severe, 4= very severe), where 0 indicates best and 4 indicates worst. Percentage of participants with individual signs (erythema, scaling and plaque thickening) scores were reported. There were no participants in scaling category with 0 score. |
| Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | Baseline up to Week 28 | Number of relapses of participants were categorized as 0; zero relapse, 1; one relapse, 2; two relapse, 3; three relapse, 4; two consecutive relapses. Percentage of participants with total number of relapses experienced during maintenance period was reported. |
| Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | Baseline up to Week 24 | Pruritus (itching sensation) score of were evaluated on a scale from 0 - 3 (0 = None \[no itching\], 1 = Mild \[slight itching, not really bothersome\], 2 = Moderate \[definite itching that is somewhat bothersome; without loss of sleep\], and 3 = severe \[intense itching that has caused pronounced discomfort; night rest interrupted and excoriations of the skin from scratching may be present\]) , where 0 indicates best and 3 indicates worst. Percentage of participants with scalp psoriasis pruritus score at first relapse was reported. |
Countries
Canada
Participant flow
Recruitment details
The study was conducted at 12 sites in Canada from 29 September 2006 (first participant first visit) to 20 August 2007 (last participant last visit).
Pre-assignment details
A total of 288 participants were enrolled in initial phase of the study, of which 225 participants were eligible to enter maintenance phase after completion of initial phase. Out of 225 eligible participants, only 217 participants (as 8 participants withdrew consent) were randomized and received treatment in the maintenance phase either in Clobetasol Propionate Shampoo group or Vehicle group.
Participants by arm
| Arm | Count |
|---|---|
| All Participants In initial open-label phase, participants were applied Clobetasol Propionate shampoo 0.05% topically to the scalp once daily (twice a week) for 4 weeks (wherein weekly dose was not more than 50 grams \[50 milliliter\]). In maintenance double-blind phase, participants presented with a good efficacy (GSS \<= 2) in initial phase were randomized to apply Clobetasol Propionate Shampoo 0.05% (W/W) or Clobex® Vehicle Shampoo twice weekly up to 6 months (wherein weekly dose was not more than 50 grams \[50 milliliter\]). In case of relapse (i.e., GSS \> 2) participants were re-entered to 4-week daily treatment with Clobetasol Propionate Shampoo 0.05%. After this 4-week period of daily treatment, if GSS \<= 2, participants were re-entering the maintenance regimen (twice a week). | 288 |
| Total | 288 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Initial Phase (up to 4 Weeks) | Adverse Event | 1 | 0 | 0 |
| Initial Phase (up to 4 Weeks) | Lost to Follow-up | 1 | 0 | 0 |
| Initial Phase (up to 4 Weeks) | Other | 1 | 0 | 0 |
| Initial Phase (up to 4 Weeks) | Withdrawal by Subject | 14 | 0 | 0 |
| Maintenance Phase (up to 6 Months) | Adverse Event | 0 | 2 | 4 |
| Maintenance Phase (up to 6 Months) | Lack of Efficacy | 0 | 1 | 0 |
| Maintenance Phase (up to 6 Months) | Lost to Follow-up | 0 | 1 | 2 |
| Maintenance Phase (up to 6 Months) | Other | 0 | 1 | 2 |
| Maintenance Phase (up to 6 Months) | Withdrawal by Subject | 0 | 11 | 21 |
Baseline characteristics
| Characteristic | All Participants |
|---|---|
| Age, Continuous | 50.4 years STANDARD_DEVIATION 16.1 |
| Race/Ethnicity, Customized Race Asian | 13 Participants |
| Race/Ethnicity, Customized Race Black | 1 Participants |
| Race/Ethnicity, Customized Race Caucasian | 265 Participants |
| Race/Ethnicity, Customized Race Hispanic | 6 Participants |
| Race/Ethnicity, Customized Race Other | 3 Participants |
| Sex: Female, Male Female | 166 Participants |
| Sex: Female, Male Male | 122 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 288 | 0 / 106 | 0 / 111 |
| other Total, other adverse events | 39 / 288 | 44 / 106 | 45 / 111 |
| serious Total, serious adverse events | 3 / 288 | 2 / 106 | 5 / 111 |
Outcome results
Maintenance Phase: Time to First Relapse
Time to first relapse was defined as the duration between baseline of maintenance phase and the visit where the relapse occurred. The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2.
Time frame: Baseline up to 24 Weeks
Population: ITT Population included the entire population who were enrolled and randomized (i.e., assigned a kit number).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Time to First Relapse | 93.5 days | Standard Error 6.5 |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Time to First Relapse | 56.8 days | Standard Error 4.7 |
Initial Phase: Percentage of Participants With Global Severity Scores
Global severity score was evaluated on a scale of 0-4 and it was categorized as; Clear (score 0); no clinical signs or symptoms detected (hyperpigmentation or residual red coloration might be present), very mild (score 1); only very slight signs or symptoms detected (e.g., very fine scaling or slight erythema), mild (score 2); slight signs or symptoms detected (e.g., mild erythema and scaling, eventually associated to some barely detectable plaque elevation), moderate (score 3); moderate or clearly detectable signs or symptoms (e.g., definite redness with obvious scaling on a plaque that was elevated above skin level), severe (score 4); severe signs or symptoms detected (e.g., intense redness, profuse shedding, definite plaque thickness was most often present) where 0 indicates best and 4 indicates worst. Percentage of participants with GSS was reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF).
Time frame: Baseline, Weeks 2 and 4 LOCF
Population: ITT Population included the entire population who were enrolled and randomized. (i.e., assigned a kit number).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Baseline: Score 0 (Clear) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Baseline: Score 1 (Very mild) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Baseline: Score 2 (Mild) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Baseline: Score 3 (Moderate) | 58.3 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Baseline: Score 4 (Severe) | 41.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 2-LOCF: Score 0 (Clear) | 2.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 2-LOCF: Score 1 (Very mild) | 10.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 2-LOCF: Score 2 (Mild) | 35.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 2-LOCF: Score 3 (Moderate) | 43.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 2-LOCF: Score 4 (Severe) | 9.0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 4-LOCF: Score 0 (Clear) | 7.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 4-LOCF: Score 1 (Very mild) | 25.3 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 4-LOCF: Score 2 (Mild) | 45.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 4-LOCF: Score 3 (Moderate) | 18.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Global Severity Scores | Week 4-LOCF: Score 4 (Severe) | 3.5 percentage of participants |
Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores
Individual sign scores of erythema (abnormal redness of skin), scaling (scales attached to the scalp), plaque thickening (a thickening or elevation of a circumscribed lesion or plaque) were evaluated on a scale of 0-4; 0= none , 1= mild , 2=moderate , 3= severe, 4= very severe, where 0 indicates best and 4 indicates worst. Percentage of participants with individual signs (erythema, scaling, and plaque thickening) scores were reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF).
Time frame: Baseline, Weeks 2 and 4 LOCF
Population: ITT Population included the entire population who were enrolled and randomized. (i.e., assigned a kit number).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 4-LOCF: Score 1 (Mild) | 50.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Baseline: Score 0 (None) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Baseline: Score 1 (Mild) | 1.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Baseline: Score 2 (Moderate) | 47.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Baseline: Score 3 (Severe) | 45.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Baseline: Score 4 (Very Severe) | 5.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 2 - LOCF: Score 0 (None) | 2.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 2 - LOCF: Score 1 (Mild) | 39.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 2 - LOCF : 2: Moderate | 44.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 2 - LOCF: Score 3 (Severe) | 13.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 2 - LOCF: Score 4 (Very Severe) | 0.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 4 - LOCF: Score 0 (None) | 12.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 4 - LOCF: Score 1 (Mild) | 51.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 4 - LOCF: Score 2 (Moderate) | 30.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 4 - LOCF: Score 3 (Severe) | 4.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Erythema at Week 4 - LOCF: Score 4 (Very Severe) | 0.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Baseline: Score 0 (None) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Baseline: Score 1 (Mild) | 0.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Baseline: Score 2 (Moderate) | 42.0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Baseline: Score 3 (Severe) | 49.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Baseline: Score 4: (Very Severe) | 7.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 2-LOCF: Score 0 (None) | 5.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 2-LOCF: Score 1 (Mild) | 35.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 2-LOCF: Score 2 (Moderate) | 45.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 2-LOCF: Score 3 (Severe) | 10.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 2-LOCF: Score 4 (Very Severe) | 2.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 4-LOCF: Score 0 (None) | 14.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 4-LOCF: Score 2 (Moderate) | 30.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 4-LOCF: Score 3 (Severe) | 3.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Scaling at Week 4-LOCF: Score 4 (Very Severe) | 1.0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Baseline: Score 0 (None) | 0.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Baseline: score 1 (Mild) | 4.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Baseline: Score 2 (Moderate) | 54.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Baseline: Score 3 (Severe) | 36.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Baseline: Score 4 (Very Severe) | 3.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 2-LOCF: Score 0 (None) | 10.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 2-LOCF: Score 1 (Mild) | 37.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 2-LOCF: Score 2 (Moderate) | 43.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 2-LOCF: Score 3 (Severe) | 6.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 2- LOCF: Score 4 (Very Severe) | 1.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 4- LOCF: Score 0 (None) | 23.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 4- LOCF: Score 1 (Mild) | 49.3 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 4-LOCF: Score 2 (Moderate) | 23.3 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 4- LOCF: Score 3 (Severe) | 2.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores | Plaque Thickening at Week 4- LOCF: Score 4 (Very Severe) | 1.0 percentage of participants |
Initial Phase: Percentage of Participants With Pruritus Scores
Pruritus (itching sensation) score of were evaluated on a scale from 0 - 3 (0 = None \[no itching\], 1 = Mild \[slight itching\], not really bothersome), 2 = Moderate \[definite itching that is somewhat bothersome; without loss of sleep\], and 3 = severe \[intense itching that has caused pronounced discomfort; night rest interrupted and excoriations of the skin from scratching may be present\]) , where 0 indicates best and 3 indicates worst. Percentage of participants with pruritus score was reported. Missing Clobex® shampoo data were imputed using last observation carried forward (LOCF).
Time frame: Baseline, Weeks 2 and 4 LOCF
Population: ITT Population included the entire population who were enrolled and randomized. (i.e., assigned a kit number).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Baseline: Score 0 (None) | 3.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Baseline: Score 1 (Mild) | 20.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Baseline: Score 2 (Moderate) | 51.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Baseline: Score 3 (Severe) | 23.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 2- LOCF: Score 0 (None) | 19.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 2- LOCF: Score 1 (Mild) | 53.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 2- LOCF: Score 2 (Moderate) | 23.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 2- LOCF: Score 3 (Severe) | 3.1 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 4- LOCF: Score 0 (None) | 35.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 4- LOCF: Score 1 (Mild) | 47.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 4- LOCF: Score 2 (Moderate) | 15.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Initial Phase: Percentage of Participants With Pruritus Scores | Week 4- LOCF: Score 3 (Severe) | 1.4 percentage of participants |
Maintenance Phase: Percentage of Participants Who Had First Relapse
The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2. Relapse was categorized into relapse or no relapse. Percentage of participants with relapse were reported.
Time frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
Population: ITT worstcase population signifies participants who prematurely discontinued before the time of first relapse were considered as relapse at following visit. Here, number analyzed refer to participants evaluable for this outcome at given timepoints.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 24 : Relapse | 68.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Maintenance Baseline : Relapse | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 4 : Relapse | 41 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 8 : Relapse | 52.8 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 12 : Relapse | 55.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 16 : Relapse | 62.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 20 : Relapse | 66.7 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 24 : Relapse | 91.9 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 12 : Relapse | 84.5 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Maintenance Baseline : Relapse | 0 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 20 : Relapse | 90.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 4 : Relapse | 64.5 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 16 : Relapse | 89.2 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants Who Had First Relapse | Week 8 : Relapse | 76.6 percentage of participants |
Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse
The first relapse was defined as the first time during the maintenance phase when participant presented with a GSS \>2. Individual sign scores of erythema were evaluated on a scale of 0-4 (0= none, 1= mild, 2=moderate, 3= severe, 4= very severe), where 0 indicates best and 4 indicates worst. Percentage of participants with individual signs (erythema, scaling and plaque thickening) scores were reported. There were no participants in scaling category with 0 score.
Time frame: Baseline up to Week 24
Population: ITT Population included the entire population who were enrolled and randomized (i.e., assigned a kit number). Here, overall number of participants analyzed refer to the participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 4 (Very Severe) | 2.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 4 (Very Severe) | 2.9 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 1 (Mild) | 13.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 0 (None) | 1.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 1 (Mild) | 4.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 1 (Mild) | 17.6 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 0 (None) | 1.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 2 (Moderate) | 64.7 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 2 (Moderate) | 57.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening : Score 3 (Severe) | 16.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 3 (Severe) | 25.0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 4 (Very Severe) | 0 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 3 (Severe) | 35.3 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 2 (Moderate) | 57.4 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 3 (Severe) | 30.9 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 2 (Moderate) | 54.6 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 0 (None) | 0 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 1 (Mild) | 13.4 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Erythema: Score 4 (Very Severe) | 1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 1 (Mild) | 4.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 2 (Moderate) | 64.9 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 3 (Severe) | 29.9 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Scaling: Score 4 (Very Severe) | 1.0 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 0 (None) | 2.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 1 (Mild) | 14.4 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 2 (Moderate) | 67.0 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening : Score 3 (Severe) | 14.4 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Individual Category of Scalp Psoriasis Individual Signs (Erythema, Scaling and Plaque Thickening) Scores at First Time of Relapse | Plaque Thickening: Score 4 (Very Severe) | 2.1 percentage of participants |
Maintenance Phase: Percentage of Participants With Number of Relapses Experienced
Number of relapses of participants were categorized as 0; zero relapse, 1; one relapse, 2; two relapse, 3; three relapse, 4; two consecutive relapses. Percentage of participants with total number of relapses experienced during maintenance period was reported.
Time frame: Baseline up to Week 28
Population: ITT worstcase population signifies participants who prematurely discontinued before the time of first relapse were considered as relapse at following visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 1: One Relapse | 26.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 3: Three Relapse | 7.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 2: Two Relapse | 9.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 4: Two Consecutive Relapses | 25.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 0: Zero Relapse | 31.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 4: Two Consecutive Relapses | 26.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 0: Zero Relapse | 8.1 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 1: One Relapse | 22.5 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 2: Two Relapse | 25.2 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Number of Relapses Experienced | 3: Three Relapse | 18.0 percentage of participants |
Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse
Pruritus (itching sensation) score of were evaluated on a scale from 0 - 3 (0 = None \[no itching\], 1 = Mild \[slight itching, not really bothersome\], 2 = Moderate \[definite itching that is somewhat bothersome; without loss of sleep\], and 3 = severe \[intense itching that has caused pronounced discomfort; night rest interrupted and excoriations of the skin from scratching may be present\]) , where 0 indicates best and 3 indicates worst. Percentage of participants with scalp psoriasis pruritus score at first relapse was reported.
Time frame: Baseline up to Week 24
Population: ITT worstcase population signifies participants who prematurely discontinued before the time of first relapse were considered as relapse at following visit. Overall number of participants analyzed refer to the participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 0: None | 13.2 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 1: Mild | 29.4 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 2: Moderate | 51.5 percentage of participants |
| Maintenance Phase: Clobex® Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 3: Severe | 5.9 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 3: Severe | 13.4 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 0: None | 7.2 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 2: Moderate | 52.6 percentage of participants |
| Maintenance Phase: Clobex® Vehicle Shampoo | Maintenance Phase: Percentage of Participants With Scalp Psoriasis Pruritus Score at First Time of Relapse | 1: Mild | 26.8 percentage of participants |