Erythrodermic Psoriasis, Psoriasis Arthropathica, Psoriasis Vulgaris, Pustular Psoriasis
Conditions
Keywords
Infliximab, biosimilar
Brief summary
To collect information on the safety and effectiveness of Infliximab BS for Intravenous Drip Infusion 100 mg Pfizer against psoriasis vulgaris, psoriasis arthropathica, pustular psoriasis, or erythrodermic psoriasis under actual status of use.
Detailed description
This study will be conducted with all-case investigation system in patients with psoriasis vulgaris, psoriasis arthropathica, pustular psoriasis, or erythrodermic psoriasis. This study will be conducted in patients who used this drug after the day of approval of dosage and administration for psoriasis at contracted medical institutions. Patients who used this drug before conclusion of the contract with the medical institution will also be included in this study (retrospective patients will be included). Therefore, Time Perspective is retrospective and prospective.
Interventions
\<Psoriasis\> The usual dose is 5 mg as Infliximab (Genetical Recombination) \[Infliximab Biosimilar 3\] for every kg of body weight given as an intravenous infusion. After an initial dose is given, the subsequent doses are given at Weeks 2 and 6, and every 8 weeks thereafter. After a dose at Week 6 is given, the dose may be increased or the dosing interval may be reduced for patients who have an incomplete response or reduced effects. These adjustments should be made in a stepwise manner according to condition of patients. The maximum dose is 10 mg for every kg of body weight at the dosing interval of 8 weeks and 6 mg for every kg of body weight at a reduced dosing interval. The minimum dosing interval is 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with psoriasis vulgaris, psoriasis arthropathica, pustular psoriasis, or erythrodermic psoriasis who started treatment with this drug * Patients who received this drug for the first time at the medical institution after the day of launch of this drug.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Drug Reactions | 30 weeks from the day of initial dose | An adverse drug reaction (ADR) was a treatment-related adverse event, and any untoward medical occurrence attributed to Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\] in a participant who received this drug. A serious ADR was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\] was assessed by the physician. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a Psoriasis Area and Severity Index 75 (PASI75) Response | 30 weeks from the day of initial dose | Percentage of participants with a PASI75 response was presented along with the two-sided 95% confidence interval (exact method). The PASI quantifies the severity of lesions and the percentage of lesion area. It is the total score of the degree of erythema, infiltration/thickening, and scaling (evaluated for each skin finding) in each of the 4 body regions evaluated by the physician. The score was adjusted for the percentage of lesion area of skin rash in each body region and the percentage of the area of each body region to the whole body. The percent change (%) in PASI score from baseline to the study completion date was calculated for each participant, and the number and proportion of participants with ≥ 75% improvement were calculated as PASI75. |
| Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response | 30 weeks from the day of initial dose | Percentage of participants with a PASI90 response was presented along with the two-sided 95% confidence interval (exact method). The PASI quantifies the severity of lesions and the percentage of lesion area. It is the total score of the degree of erythema, infiltration/thickening, and scaling (evaluated for each skin finding) in each of the 4 body regions evaluated by the physician. The score was adjusted for the percentage of lesion area of skin rash in each body region and the percentage of the area of each body region to the whole body. The percent change (%) in PASI score from baseline to the study completion date was calculated for each participant, and the number and proportion of participants with ≥ 90% improvement were calculated as PASI90. |
| Change From Baseline in Body Surface Area Involvement (BSA) | 30 weeks from the day of initial dose | Summary statistics of the BSA at baseline, at study completion date, and the change in BSA from baseline to study completion date was presented. BSA was calculated from the percentage of skin rash to body surface area from baseline to study completion date, and change in severity of disease was evaluated. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] Participants with psoriasis vulgaris, psoriasis arthropathica, pustular psoriasis, or erythrodermic psoriasis who received Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\] as indicated in the approved local product document for the first time were observed for 30 weeks from the day of initial dose of this drug. The dosage can be adjusted as per physician's discretion. | 8 |
| Total | 8 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | No informed consent for publication of study results | 2 |
Baseline characteristics
| Characteristic | Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | — |
|---|---|---|
| Age, Customized ≥15 and <65 years | 5 Participants | — |
| Age, Customized <15 years | 0 Participants | — |
| Age, Customized ≥65 years | 3 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 2 Participants | — |
| Sex: Female, Male Male | 6 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 8 |
| other Total, other adverse events | 3 / 8 |
| serious Total, serious adverse events | 0 / 8 |
Outcome results
Number of Participants With Adverse Drug Reactions
An adverse drug reaction (ADR) was a treatment-related adverse event, and any untoward medical occurrence attributed to Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\] in a participant who received this drug. A serious ADR was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\] was assessed by the physician.
Time frame: 30 weeks from the day of initial dose
Population: The safety analysis set (8 participants) comprised of participants who satisfied the inclusion criteria and had received Infliximab BS for I.V. Infusion 100mg \[Pfizer\] \[Infliximab Biosimilar 3\]. Participants with no informed consent for publication of study results were excluded.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Number of Participants With Adverse Drug Reactions | 2 Participants |
Change From Baseline in Body Surface Area Involvement (BSA)
Summary statistics of the BSA at baseline, at study completion date, and the change in BSA from baseline to study completion date was presented. BSA was calculated from the percentage of skin rash to body surface area from baseline to study completion date, and change in severity of disease was evaluated.
Time frame: 30 weeks from the day of initial dose
Population: The efficacy analysis set (4 participants) comprised of participants in the safety analysis set who had effectiveness evaluation. Of the 4 participants, summary statistics and change from baseline in BSA as of the study completion date was calculated for the 1 participant whose BSA both at baseline and study completion date were available.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Change From Baseline in Body Surface Area Involvement (BSA) | At baseline | 0.00 Percentage of BSA |
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Change From Baseline in Body Surface Area Involvement (BSA) | At study completion date | 30.00 Percentage of BSA |
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Change From Baseline in Body Surface Area Involvement (BSA) | Change | 30.00 Percentage of BSA |
Percentage of Participants With a Psoriasis Area and Severity Index 75 (PASI75) Response
Percentage of participants with a PASI75 response was presented along with the two-sided 95% confidence interval (exact method). The PASI quantifies the severity of lesions and the percentage of lesion area. It is the total score of the degree of erythema, infiltration/thickening, and scaling (evaluated for each skin finding) in each of the 4 body regions evaluated by the physician. The score was adjusted for the percentage of lesion area of skin rash in each body region and the percentage of the area of each body region to the whole body. The percent change (%) in PASI score from baseline to the study completion date was calculated for each participant, and the number and proportion of participants with ≥ 75% improvement were calculated as PASI75.
Time frame: 30 weeks from the day of initial dose
Population: The efficacy analysis set (4 participants) comprised of participants in the safety analysis set who had effectiveness evaluation. Of the 4 participants, percentage of participants with a PASI75 response as of the study completion date was calculated for the 3 participants whose PASI scores both at baseline and study completion date were available.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Percentage of Participants With a Psoriasis Area and Severity Index 75 (PASI75) Response | 0.0 Percentage of Participants |
Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response
Percentage of participants with a PASI90 response was presented along with the two-sided 95% confidence interval (exact method). The PASI quantifies the severity of lesions and the percentage of lesion area. It is the total score of the degree of erythema, infiltration/thickening, and scaling (evaluated for each skin finding) in each of the 4 body regions evaluated by the physician. The score was adjusted for the percentage of lesion area of skin rash in each body region and the percentage of the area of each body region to the whole body. The percent change (%) in PASI score from baseline to the study completion date was calculated for each participant, and the number and proportion of participants with ≥ 90% improvement were calculated as PASI90.
Time frame: 30 weeks from the day of initial dose
Population: The efficacy analysis set (4 participants) comprised of participants in the safety analysis set who had effectiveness evaluation. Of the 4 participants, percentage of participants with a PASI90 response as of the study completion date was calculated for the 3 participants whose PASI scores both at baseline and study completion date were available.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infliximab BS for I.V. Infusion 100mg [Pfizer] [Infliximab Biosimilar 3] | Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response | 0.0 Percentage of Participants |