Psoriasis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients must meet the following criteria: • Adults older than 18 year of age • Patients with plaque psoriasis • Patients who are on Dovobet treatment (betamethasone dipropionate calcipotriol ointment) • Patients must be willing to discontinue their topical treatment of one plaque for 2 weeks and of one plaque for a maximum of 10 weeks • Patients must be willing to give a written informed consent • Patients must be able to adhere to the visit schedule
Exclusion criteria
Exclusion criteria: Patients will be wxcluded from this study shen any of the following criteria listed below are met: • Children or adolescents younger than 18 years of age • Patients with a history or signs of other inflammatory skin diseases, for example atopic dermatitis • Patients with relevant co-morbidities • Patients using varying doses of systemic antipsoriatic treatment like methotrexate or biologics. Doses have to be stable for at least 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study endpoints will be: (i) The visualization of vascular involvement in the pathogenesis of psoriasis with the TOPCam, preferably by showing the appearance of newly formed psoriatic plaques in the clinically uninvolved skin, predicted by change in the microcirculation. (ii) The detection of hot- and cold spots within a psoriatic lesion using the TOPCam, correlating them to immunohistochemical findings of inflammation and angiogenesis in both an untreated plaque and a plaque treated with Dovobet. (iii) The presence of inflammatory cells, like CD3 positive T-cells and polymorphonuclear leukocytes (PMNs) in the tissues with an increased microcirculation, obtained from patients with psoriasis. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study endpoints will be: (i) The visualization of vascular and histological changes as an effect of Dovobet ointment. (ii) Applicability of the TOPCam in daily clinical practice. | — |
Countries
Netherlands