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A Study to Assess Treatment Satisfaction, Patient-reported Outcomes, Effectiveness, and Safety of a Fixed-dose Combination of Calcipotriene/Betamethasone Dipropionate PAD Cream in the Treatment of Mild-to-moderate Plaque Psoriasis of the Scalp in Adults

An International, Prospective, Observational Cohort Study to Assess Patient Treatment Satisfaction, Patient-reported Outcomes, Effectiveness, and Safety of a Fixed-dose Combination of Calcipotriene/Betamethasone Dipropionate PAD Cream in the Treatment of Mild-to-moderate Plaque Psoriasis of the Scalp in Adults (PRO-SCALP)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05811234
Acronym
PRO-SCALP
Enrollment
291
Registered
2023-04-13
Start date
2023-06-13
Completion date
2024-10-01
Last updated
2025-09-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Plaque Psoriasis

Keywords

Mild-to-moderate plaque psoriasis, Prospective, Psoriasis, PRO-SCALP, Plaque psoriasis of the scalp

Brief summary

The main aim of this study is to assess treatment satisfaction, quality of life, treatment preference, adherence and convenience, psychosocial effects of scalp psoriasis, sleep quality, and effectiveness, and safety of Calcipotriene/Betamethasone Dipropionate (CAL/BDP) PAD cream in a real-world setting.

Interventions

DRUGCAL/BDP PAD Cream

As provided in real-world clinical practice.

Sponsors

Almirall, S.A.
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Adult (greater than or equal to \[\>=\] 18 years) male or female participants with mild-to-moderate plaque psoriasis of the scalp (defined as scalp-PGA score of 2 or 3 at baseline) with or without involvement of the trunk and limbs, and who may or may not have been previously treated (treatment-naive participants) with other anti-psoriatic therapies. 2. Participants who have been prescribed CAL/BDP PAD cream (Wynzora®) treatment to manage plaque psoriasis of the scalp according to SmPC in routine clinical practice. 3. Willingness and ability to participate in the study; participants must give their written consent to participate.

Exclusion criteria

1. Participants with severe plaque psoriasis, per physician global assessment. 2. Participants with erythrodermic, exfoliative or pustular psoriasis. 3. Participants previously treated with systemic drugs for psoriasis (conventional or biologic) within the last 12 weeks prior to inclusion. 4. Concomitant systemic treatment with anti-psoriatic drugs. 5. Concomitant treatment of any type for plaque psoriasis of the scalp. 6. Hypersensitivity to the active substances or to any of the excipients of CAL/BDP PAD cream (Wynzora®). 7. Participants with known disorders of calcium metabolism. 8. Participants with viral (e.g., herpes or varicella) lesions of the skin, fungal or bacterial skin infections, parasitic infections, skin manifestations in relation to tuberculosis, perioral dermatitis, atrophic skin, striae atrophicae, fragility of skin veins, ichthyosis, acne vulgaris, acne rosacea, rosacea, ulcers, and wounds. 9. Pregnant or breastfeeding women, except when the potential benefit justifies the potential risk. 10. Participants unable to comply with the requirements of the study or who in the opinion of the study physician should not participate in the study. 11. Participants for whom medical chart is inaccessible to physicians to complete baseline data collection.

Design outcomes

Primary

MeasureTime frameDescription
Absolute Treatment Satisfaction Questionnaire for Medication Version 9 (TSQM-9) Domain Total Score at Week 12At end of study observation period (Week 12)TSQM-9 was a 9-item clinically validated psychometric instrument developed from the TSQM 1.4. TSQM-9 measures participant satisfaction with the medication in 3 domains: Effectiveness, convenience, and global satisfaction. The scores were computed by adding items for each domain, i.e., 1 to 3 for effectiveness, 4 to 6 for convenience, and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) x 3 items = 18 for effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. TSQM-9 domain scores range from 0 to 100, with higher scores indicating greater satisfaction for that domain.

Secondary

MeasureTime frameDescription
Absolute Scalpdex Questionnaire Domine (Symptoms, Emotions, and Functioning) ScoresAt end of study observation period (Week 12)Scalpdex is a scalp dermatitis-specific quality of life (QoL) instrument that can be used to determine which aspect of the disease most bothers the participant and to evaluate QoL as one variable of responsiveness to the therapeutic intervention. It has 23 items, with possible answers scoring on a 5-point Likert-type scale of 0 to 100 (never = 0, rarely = 25, sometimes = 50, often = 75, and all the time = 100). The final domine scores (symptoms, emotions, and functioning) are calculated by the mean of the item scores pertaining to each scale is the average of the scores of the 23 items with range of 0 to 100. A lower score on symptoms, emotions, and functioning represents a better related-QoL for each scale.
Percentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12At Week 4 and End of study observation period (Week 12)Scalp-PGA treatment success was defined as a scalp-PGA score of 0 (clear) or 1 (almost clear) and with a minimum 2 points improvement from baseline, on the scalp.
Absolute Scalp Worst Itch Numerical Rating Scale (WI-NRS) Questionnaire ScoreBaseline, End of study observation period (Week 12)WI-NRS is a self-administered scale to assess participants worst level of itching on the scalp (in the last week). The scale has a single-item that describes the worst level of itching on the scalp due to psoriasis in the last week on an 11-point scale anchored at 0 (no itching) and 10 (worst itching imaginable).

Countries

Germany, Spain, United Kingdom

Participant flow

Recruitment details

This study was conducted at 33 sites across three European countries (Germany, Spain, and the United Kingdom) from 13 June 2023 to 01 October 2024.

Pre-assignment details

A total of 291 participants were enrolled in this study.

Participants by arm

ArmCount
CAL/BDP PAD Cream
Participants who have been prescribed a fixed dose of Calcipotriene/Betamethasone Dipropionate PAD cream (CAL/BDP PAD cream) treatment to manage plaque psoriasis of the scalp according to summary of product characteristic (SmPC) in routine clinical practice settings were observed for up to 8-12 weeks.
291
Total291

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event4
Overall StudyDisease progression1
Overall StudyLoss of Effectiveness2
Overall StudyLost to Follow-up13
Overall StudyPersonal reason, or the patient stops taking the study treatment1
Overall StudyPregnancy1
Overall StudyWithdrawal by Subject4

Baseline characteristics

CharacteristicCAL/BDP PAD Cream
Age, Continuous47.88 years
STANDARD_DEVIATION 17.4
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
11 Participants
Race (NIH/OMB)
Black or African American
2 Participants
Race (NIH/OMB)
More than one race
8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
Race (NIH/OMB)
White
265 Participants
Sex: Female, Male
Female
187 Participants
Sex: Female, Male
Male
104 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 291
other
Total, other adverse events
13 / 291
serious
Total, serious adverse events
2 / 291

Outcome results

Primary

Absolute Treatment Satisfaction Questionnaire for Medication Version 9 (TSQM-9) Domain Total Score at Week 12

TSQM-9 was a 9-item clinically validated psychometric instrument developed from the TSQM 1.4. TSQM-9 measures participant satisfaction with the medication in 3 domains: Effectiveness, convenience, and global satisfaction. The scores were computed by adding items for each domain, i.e., 1 to 3 for effectiveness, 4 to 6 for convenience, and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) x 3 items = 18 for effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. TSQM-9 domain scores range from 0 to 100, with higher scores indicating greater satisfaction for that domain.

Time frame: At end of study observation period (Week 12)

Population: FAS included all those participants in the safety population that had at least one post-baseline assessment for primary endpoint.

ArmMeasureGroupValue (MEAN)
CAL/BDP PAD CreamAbsolute Treatment Satisfaction Questionnaire for Medication Version 9 (TSQM-9) Domain Total Score at Week 12Effectiveness Total Score: At Week 1273.56 Score on a scale
CAL/BDP PAD CreamAbsolute Treatment Satisfaction Questionnaire for Medication Version 9 (TSQM-9) Domain Total Score at Week 12Convenience Total Score: At Week 1272.07 Score on a scale
CAL/BDP PAD CreamAbsolute Treatment Satisfaction Questionnaire for Medication Version 9 (TSQM-9) Domain Total Score at Week 12Global Satisfaction Total Score: At Week 1275.97 Score on a scale
Secondary

Absolute Scalpdex Questionnaire Domine (Symptoms, Emotions, and Functioning) Scores

Scalpdex is a scalp dermatitis-specific quality of life (QoL) instrument that can be used to determine which aspect of the disease most bothers the participant and to evaluate QoL as one variable of responsiveness to the therapeutic intervention. It has 23 items, with possible answers scoring on a 5-point Likert-type scale of 0 to 100 (never = 0, rarely = 25, sometimes = 50, often = 75, and all the time = 100). The final domine scores (symptoms, emotions, and functioning) are calculated by the mean of the item scores pertaining to each scale is the average of the scores of the 23 items with range of 0 to 100. A lower score on symptoms, emotions, and functioning represents a better related-QoL for each scale.

Time frame: At end of study observation period (Week 12)

Population: FAS included all those participants in the safety population that had at least one post-baseline assessment for primary endpoint.

ArmMeasureGroupValue (MEAN)
CAL/BDP PAD CreamAbsolute Scalpdex Questionnaire Domine (Symptoms, Emotions, and Functioning) ScoresSymptoms: At Week 1222.66 Score on a scale
CAL/BDP PAD CreamAbsolute Scalpdex Questionnaire Domine (Symptoms, Emotions, and Functioning) ScoresEmotions: At Week 1229.53 Score on a scale
CAL/BDP PAD CreamAbsolute Scalpdex Questionnaire Domine (Symptoms, Emotions, and Functioning) ScoresFunctioning: At Week 1226.88 Score on a scale
Secondary

Absolute Scalp Worst Itch Numerical Rating Scale (WI-NRS) Questionnaire Score

WI-NRS is a self-administered scale to assess participants worst level of itching on the scalp (in the last week). The scale has a single-item that describes the worst level of itching on the scalp due to psoriasis in the last week on an 11-point scale anchored at 0 (no itching) and 10 (worst itching imaginable).

Time frame: Baseline, End of study observation period (Week 12)

Population: FAS included all those participants in the safety population that had at least one post-baseline assessment for primary endpoint.

ArmMeasureGroupValue (MEAN)
CAL/BDP PAD CreamAbsolute Scalp Worst Itch Numerical Rating Scale (WI-NRS) Questionnaire ScoreBaseline6.43 Score on a scale
CAL/BDP PAD CreamAbsolute Scalp Worst Itch Numerical Rating Scale (WI-NRS) Questionnaire ScoreAt Week 122.66 Score on a scale
Secondary

Percentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12

Scalp-PGA treatment success was defined as a scalp-PGA score of 0 (clear) or 1 (almost clear) and with a minimum 2 points improvement from baseline, on the scalp.

Time frame: At Week 4 and End of study observation period (Week 12)

Population: FAS included all those participants in the safety population that had at least one post-baseline assessment for primary endpoint. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure and number analyzed signifies who were evaluable at specific timepoints.

ArmMeasureGroupValue (NUMBER)
CAL/BDP PAD CreamPercentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12Scalp-PGA Success at Week 4: No52.00 Percentage of participants
CAL/BDP PAD CreamPercentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12Scalp-PGA Success at Week 12: Yes68.40 Percentage of participants
CAL/BDP PAD CreamPercentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12Scalp-PGA Success at Week 12: No31.60 Percentage of participants
CAL/BDP PAD CreamPercentage of Participants Achieved Scalp Physician's Global Assessment (Scalp-PGA) Treatment Success at Week 4 and 12Scalp-PGA Success at Week 4: Yes48.00 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Aug 12, 2026