Psoriasis Vulgaris
Conditions
Brief summary
The purpose of the study is to evaluate the anti-psoriatic effect of LEO 35299 in different formulations, compared to Daivonex® ointment and Daivonex® ointment vehicle, using the psoriasis plaque test modified from the method developed by KJ Dumas and JR Scholtz.
Interventions
once daily application, 3 weeks
once daily application, 3 weeks
once daily application, 3 weeks
once daily application, 3 weeks
once daily application, 3 weeks
once daily application, 3 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
1. Following verbal and written information about the trial, the subject must provide signed and dated informed consent before any study related activities are carried out. 2. Age 18 years or above. 3. Males, or females of non-child bearing potential. 4. Subjects with, in the opinion of the investigator, stable psoriasis based on Total Plaque Score evaluated at screening visit and at visit 2 (Baseline).
Exclusion criteria
1. Male subjects who are not willing to use a local contraception (such as condom) from the time of study entry and for three months following the last study drug application. 2. Female subjects who are pregnant, of child-bearing potential or who are breast feeding. 3. Systemic treatment with biological therapies (marketed or not marketed) with a possible effect on psoriasis vulgaris within 4 weeks (etanercept), 2 months(adalimumab, alefacept, infliximab), 4 months(ustekinumab) or 4 weeks/5 half-lives (which-ever islonger) for experimental biological products prior to randomisation and during the study. 4. Systemic treatments with all other therapies than biologicals, with a potential effect on psoriasis vulgaris (e.g., corticosteroids, retinoids, immune suppressants) within the 4-week period prior to randomisation and during the study. 5. Subjects using one of the following topical drugs for the treatment of psoriasis within the 4 week period prior to randomisation and during the study: \- Potent or very potent (WHO group III-IV) corticosteroids. 6. Subjects using of phototherapy within the following time periods prior to randomisation and during the study: * PUVA (4 weeks) * UVB (2 weeks) 7. Subjects using one of the following topical drugs for the treatment of psoriasis within two weeks prior to randomisation and during the study: * WHO group I-II corticosteroids (except if used for treatment of scalp and/or facial psoriasis) * Topical retinoids * Vitamin D analogues * Topical immunomodulators (e.g. macrolides) * Anthracen derivatives * Tar, * Salicylic acid. 8. Subjects with current diagnosis of guttate, erythrodermic, exfoliative or pustular psoriasis 9. Subjects with known/suspected disorders of calcium metabolism associated with hypercalcemia within the last 10 years, based on medical history and/or subject interview 10. Subjects who have received treatment with any non-marketed drug substance (i.e., an agent which has not yet been made available for clinical use following registration) within the 4 week period prior to randomisation or longer, if the class of the substance requires a longer washout as defined above (e.g., biological treatments) 11. Subjects with current participation in any other interventional clinical, based on interview of the subject
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Total Clinical Score From Baseline to Day 22 | Baseline to Day 22 | Investigator's rating of the clinical appearance of a psoriatic lesion. Maximum score is 9 (most severe); minimum score is 0 (least severe). The single items erythema, scaling, and infiltration (maximum score 3 each) are summed to obtain the Total Clinical Score. Total Clinical Score range from 0 (all symptoms absent) to 9 (all symptoms severe) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Erythema From Baseline to Day 22 | Baseline to Day 22 | Investigator's rating of the clinical appearance of erythema. Maximum score is 3 (most severe); minimum score is 0 (absent). |
| Change in Infiltration From Baseline to Day 22 | Baseline to Day 22 | Investigator's rating of the clinical appearance of infiltration. Maximum score is 3 (most severe); minimum score is 0 (absent). |
| Change in Scaling From Baseline to Day 22 | Baseline to Day 22 | Investigator's rating of the clinical appearance of scaling . Maximum score is 3 (most severe); minimum score is 0 (absent). |
| Change in Lesion Thickness From Baseline to Day 22 | Baseline to Day 22 | Change in total skin thickness measured by ultrasound from baseline to end of treatment |
| Change in Skin Thickness From Baseline to Day 22 | Baseline to Day 22 | Change in skin thickness - echo-poor band measured by ultrasound from baseline to end of treatment |
Countries
France
Participant flow
Recruitment details
First subject first visit, start date: 24-Apr-2012 Last subject last visit, completion date: 05-Jun-2012
Pre-assignment details
Prior to randomisation, the subjects entered a washout phase of up to 21 days (if required) where antipsoriatic treatment and other relevant medications or treatments had to be discontinued as defined by the exclusion criteria
Participants by arm
| Arm | Count |
|---|---|
| All Study Participants | 24 |
| Total | 24 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | All Study Participants |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 1 Participants |
| Age, Categorical Between 18 and 65 years | 23 Participants |
| Age, Continuous | 47.8 years STANDARD_DEVIATION 11.1 |
| Region of Enrollment France | 24 participants |
| Sex: Female, Male Female | 5 Participants |
| Sex: Female, Male Male | 19 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 24 | 0 / 24 | 0 / 24 | 0 / 24 | 2 / 24 | 1 / 24 |
| serious Total, serious adverse events | 0 / 24 | 0 / 24 | 0 / 24 | 0 / 24 | 0 / 24 | 0 / 24 |
Outcome results
Change in the Total Clinical Score From Baseline to Day 22
Investigator's rating of the clinical appearance of a psoriatic lesion. Maximum score is 9 (most severe); minimum score is 0 (least severe). The single items erythema, scaling, and infiltration (maximum score 3 each) are summed to obtain the Total Clinical Score. Total Clinical Score range from 0 (all symptoms absent) to 9 (all symptoms severe)
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in the Total Clinical Score From Baseline to Day 22 | -2.8 units on a scale | Standard Deviation 1.5 |
| C LEO 35299 20 mg/g | Change in the Total Clinical Score From Baseline to Day 22 | -1.9 units on a scale | Standard Deviation 1.5 |
| E LEO 35299 10 mg/g | Change in the Total Clinical Score From Baseline to Day 22 | -1.5 units on a scale | Standard Deviation 1.5 |
| F LEO 35299 10 mg/g | Change in the Total Clinical Score From Baseline to Day 22 | -1.8 units on a scale | Standard Deviation 1.7 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in the Total Clinical Score From Baseline to Day 22 | -4.0 units on a scale | Standard Deviation 1.5 |
| Daivonex® Ointment | Change in the Total Clinical Score From Baseline to Day 22 | -3.3 units on a scale | Standard Deviation 1.5 |
Change in Erythema From Baseline to Day 22
Investigator's rating of the clinical appearance of erythema. Maximum score is 3 (most severe); minimum score is 0 (absent).
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in Erythema From Baseline to Day 22 | -0.91 units on a scale | Standard Deviation 0.56 |
| C LEO 35299 20 mg/g | Change in Erythema From Baseline to Day 22 | -0.67 units on a scale | Standard Deviation 0.6 |
| E LEO 35299 10 mg/g | Change in Erythema From Baseline to Day 22 | -0.54 units on a scale | Standard Deviation 0.47 |
| F LEO 35299 10 mg/g | Change in Erythema From Baseline to Day 22 | -0.70 units on a scale | Standard Deviation 0.6 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in Erythema From Baseline to Day 22 | -1.09 units on a scale | Standard Deviation 0.56 |
| Daivonex® Ointment | Change in Erythema From Baseline to Day 22 | -1.07 units on a scale | Standard Deviation 0.53 |
Change in Infiltration From Baseline to Day 22
Investigator's rating of the clinical appearance of infiltration. Maximum score is 3 (most severe); minimum score is 0 (absent).
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in Infiltration From Baseline to Day 22 | -0.87 units on a scale | Standard Deviation 0.59 |
| C LEO 35299 20 mg/g | Change in Infiltration From Baseline to Day 22 | -0.59 units on a scale | Standard Deviation 0.54 |
| E LEO 35299 10 mg/g | Change in Infiltration From Baseline to Day 22 | -0.46 units on a scale | Standard Deviation 0.58 |
| F LEO 35299 10 mg/g | Change in Infiltration From Baseline to Day 22 | -0.46 units on a scale | Standard Deviation 0.66 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in Infiltration From Baseline to Day 22 | -1.48 units on a scale | Standard Deviation 0.55 |
| Daivonex® Ointment | Change in Infiltration From Baseline to Day 22 | -1.11 units on a scale | Standard Deviation 0.54 |
Change in Lesion Thickness From Baseline to Day 22
Change in total skin thickness measured by ultrasound from baseline to end of treatment
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in Lesion Thickness From Baseline to Day 22 | -0.31 millimeters | Standard Deviation 0.37 |
| C LEO 35299 20 mg/g | Change in Lesion Thickness From Baseline to Day 22 | -0.18 millimeters | Standard Deviation 0.31 |
| E LEO 35299 10 mg/g | Change in Lesion Thickness From Baseline to Day 22 | -0.22 millimeters | Standard Deviation 0.45 |
| F LEO 35299 10 mg/g | Change in Lesion Thickness From Baseline to Day 22 | -0.24 millimeters | Standard Deviation 0.33 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in Lesion Thickness From Baseline to Day 22 | -0.36 millimeters | Standard Deviation 0.37 |
| Daivonex® Ointment | Change in Lesion Thickness From Baseline to Day 22 | -0.38 millimeters | Standard Deviation 0.36 |
Change in Scaling From Baseline to Day 22
Investigator's rating of the clinical appearance of scaling . Maximum score is 3 (most severe); minimum score is 0 (absent).
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in Scaling From Baseline to Day 22 | -1.09 units on a scale | Standard Deviation 0.49 |
| C LEO 35299 20 mg/g | Change in Scaling From Baseline to Day 22 | -0.74 units on a scale | Standard Deviation 0.6 |
| E LEO 35299 10 mg/g | Change in Scaling From Baseline to Day 22 | -0.61 units on a scale | Standard Deviation 0.64 |
| F LEO 35299 10 mg/g | Change in Scaling From Baseline to Day 22 | -0.67 units on a scale | Standard Deviation 0.6 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in Scaling From Baseline to Day 22 | -1.52 units on a scale | Standard Deviation 0.59 |
| Daivonex® Ointment | Change in Scaling From Baseline to Day 22 | -1.30 units on a scale | Standard Deviation 0.49 |
Change in Skin Thickness From Baseline to Day 22
Change in skin thickness - echo-poor band measured by ultrasound from baseline to end of treatment
Time frame: Baseline to Day 22
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B LEO 35299 20 mg/g | Change in Skin Thickness From Baseline to Day 22 | -0.40 millimeters | Standard Deviation 0.56 |
| C LEO 35299 20 mg/g | Change in Skin Thickness From Baseline to Day 22 | -0.29 millimeters | Standard Deviation 0.47 |
| E LEO 35299 10 mg/g | Change in Skin Thickness From Baseline to Day 22 | -0.24 millimeters | Standard Deviation 0.71 |
| F LEO 35299 10 mg/g | Change in Skin Thickness From Baseline to Day 22 | -0.40 millimeters | Standard Deviation 0.51 |
| Daivonex® Ointment: Calcipotriol 50 mcg/g Ointment | Change in Skin Thickness From Baseline to Day 22 | -0.57 millimeters | Standard Deviation 0.57 |
| Daivonex® Ointment | Change in Skin Thickness From Baseline to Day 22 | -0.49 millimeters | Standard Deviation 0.35 |