Psoriasis
Conditions
Keywords
Psoriasis, Stable plaque psoriasis, lesions, TNF-alpha, BCT194
Brief summary
This study will evaluate the pharmacokinetics and pharmacodynamics of BCT194 in psoriatic patients to better understand the skin penetration of topically applied BCT194.
Interventions
Topically applied BCT194 cream (0.5%)
Sponsors
Study design
Eligibility
Inclusion criteria
* Male patients and post menopausal or surgically sterile female patients aged 18 - 75 years. * Diagnosis of stable plaque psoriasis (with or without arthritis); diagnosed or history of psoriasis for at least 6 months prior to screening * Psoriatic plaques accessible for microperfusion at body sites (e.g. trunk) convenient for the patients.
Exclusion criteria
* Currently have any of the nonplaque forms of psoriasis: erythrodermic, guttate, or pustular. * Currently have drug-induced psoriasis (new onset or exacerbation of psoriasis from beta blockers, calcium channel blockers, or lithium). * Recent previous treatment with anti-TNF-α therapy (or other biological therapy), immunosuppressive agents such as cyclosporine, mycophenolate, pimecrolimus, or tacrolimus. * Current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic, cerebral, psychiatric, or other disease which would make the patient unsuitable for the trial. * Presence of major chronic inflammatory autoimmune diseases like rheumatoid arthritis, spondyloarthropathy, inflammatory bowel disease or systemic lupus erythematosus. * Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Maximum dermal interstitial concentration of BCT194 | Day 1 and day 8 | Interstitial fluid will be collected and concentrations of BCT194 determined determined on Day 1 and Day 8 at several timepoints |
| Area under the curve interstitial concentrations of BCT194 | day 1 and day 8 | Interstitial fluid will be collected and concentrations of BCT194 determined on Day 1 and Day 8 at several timepoints |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Concentrations of locally produced tumor necrosis factor-alpha (TNF-alpha) | day 1 and day 8 | Interstitial fluid will be collected and concentrations of Tumor Necrosis Factor alpha determined determined on Day 1 and Day 8 at several timepoints |
| Change in plaque PASI scores of psoriasis lesions | day 1 and day 8 | Treatment areas will be assessed clinically at baseline and Day 8 |
| BCT194 concentrations in skin biopsies | day 1 and day 8 | Biopsies of lesional and nonlesional skin will be collected 4 hours post dose on Day 1 and Day 8 for measurement of BCT194 concentration. |
| Change in Local tolerability score | Pre-dose, Day 1, Day 2, Day 3, Day 5, Day 8, Day 9 and Day 13 | Local tolerability assessed using a validated score (0-4) for each treatment area Safety Issue: Treatment sites will be visually assessed for visible reaction to the treatment. |
Countries
Austria