Psoriatic Arthritis
Conditions
Keywords
Psoriatic arthritis, psoriasis, Alefacept
Brief summary
Randomized, double-blind, 24-week study of patients with psoriatic arthritis comparing alefacept + methotrexate (MTX) vs. placebo + MTX followed by a 24-week open-label extension with only alefacept + MTX treatment.
Detailed description
Patients who completed the initial 24-week treatment course and met the inclusion and exclusion criteria for the 24 week open-label extension continued on their stable MTX dose and also received alefacept throughout this extension.
Interventions
Intramuscular
Oral
Intramuscular
Sponsors
Study design
Eligibility
Inclusion criteria
* Psoriatic arthritis * MTX treatment for 3 months prior to enrollment with continuing disease * Normal T-cell count
Exclusion criteria
* Other types of psoriasis * History of malignancy or lymphoproliferative disorder * Serious infection or fever * Antibody positive for Hepatitis C, HIV or TB * Hepatic transaminases \> 2X normal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients achieving a score in the assessment system of the American College of Rheumatology Core Set Measurements of ACR 20, ACR 50 and ACR 70 | 12 Weeks and at any time |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients achieving a score in the Psoriasis Area and Severity Index of PASI 75, PASI 50 and PASI 25 | Each scheduled efficacy visit |
| Proportion of patients achieving a classification in the Physician's Global Assessment (PGA) of clear/almost clear | Each scheduled efficacy visit |
| Sharp -VanDen Heijde Modified Score of Joint Damage (X-ray) | Baseline, 24 Weeks and 48 Weeks |
Countries
Canada, Germany, Poland, Russia, United States