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Clinical Trial Name - Moderate to Severe Plaque Psoriasis With Scalp Involvement

 
Original Study ID : 20080014
NCT ID : NCT00791765
Brief Title : Moderate to Severe Plaque Psoriasis With Scalp Involvement
Official Title : A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Etanercept in Treating Scalp Involvement in Subjects With Moderate to Severe Plaque Psoriasis
Brief Summary :

The purpose of this study is to determine if etanercept is effective in the treatment of scalp involvement in moderate to severe plaque psoriasis.

Source : Amgen
Overall Status : Recruiting
Start Date : October 2008
End Date : June 2010
Completion Date : June 2010
Official Title : Phase 4
Phase : Interventional
Study Design : Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Enrollment : 120
Verification Date : April 2009
First Received Date : November 14, 2008
Trial Eligibility
Criteria :
Inclusion Criteria:

- Must provide written informed consent before any study-specific procedure

- Be male or female greater than or equal to 18 years of age at time of screening

- Has stable moderate to severe plaque psoriasis for at least 6 months

- Affected body surface area (BSA) greater than or equal to 10%

- Psoriasis Area and Severity Index (PASI) score greater than or equal to 10

- At least 30 percent affected scalp surface area

- PSSI score greater than or equal to 15

- Candidate for systemic therapy or phototherapy in the opinion of the investigator

- Negative test for hepatitis B surface antigen, hepatitis C antibody, and HIV

- Negative serum pregnancy test for female subjects (unless 3 years post menopausal or
surgically sterile)

- Willing to use medically acceptable form of birth control for duration of study

- Negative PPD within 30 days prior to first dose of study drug

Exclusion Criteria:

- Any active infection

- Significant concurrent medical conditions, including: Insulin dependent diabetes
mellitus; Congestive heart failure; Myocardial infarction within last year; Unstable
angina pectoris; Uncontrolled hypertension; Severe pulmonary disease [requiring oxygen
therapy or hospitalization]; Systemic lupus erythematosus; Multiple sclerosis or any
other demyelinating disease; Active malignancy

- Any condition, in opinion of study doctor, that might cause this study to be
detrimental to subject

- History of cancer wthing 5 years before first dose of study drug

- Skin conditions other than psoriasis that would interfere with evaluations of the
effect of study medications on psoriasis

- Presence of guttate, erythrodermic or pustular psoriasis

- Use of topical cyclosporine or calcineurin inhibitors within 14 days of first dose of
study drug

- Use of tar shampoos within 14 days of first dose of study drug

- Use of following therapies within 28 days of first dose of study drug: IV or oral
cyclosporine or calcineurin inhibitors, Ultraviolet Light A therapy, Psoralen plus
ultraviolet A radiation, Oral retinoids, Ultraviolet Light B therapy, Topical steroids
or steroid shampoo, Topical vitamin A or D analog preparations, Anthralin, other
systemic psoriasis therapy, cyclophsphamide, sulfasalazine, anakinra

- Use of Alefacept (Amevive), Efalizumab (Raptiva), Anti-TNF biologic therapies within 3
months of the first dose of study drug. Prior anti-TNF use will not be permitted if
discontinued due to lack of efficacy, an adverse event, or non-compliance.

- Use of interleukin (IL)-12/IL-23 within 6 months of the first dose of study drug

- Participation in another clinical trial within 90 days or 5 half-lives (whichever is
longer) of randomization

- Laboratory abnormalities at screening: hemoglobin less than 11 g/dL, platelet count
less than 125,000/mm3, white blood cell count less than 3,500 cells/mm3, AST/ALT
greater than or equal to 1.5 x the upper limit of normal, any other laboratory
abnormality which will prevent subject from completing the study or interfere with
interpretation of study results

- Subject is pregnant or breast feeding

- Presence of any condition that could compromise the subject's ability to participate
in the study, ex: history of substance abuse or psychiatric condition
Gender : Both
Minimum Age : 18 Years
Maximum Age : N/A
Healthy Volunteers : No
Facilities
Facility Name : Research Site
Status : Recruiting
City : West Palm Beach
State : Florida
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Alpharetta
State : Georgia
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Skokie
State : Illinois
Country : United States
Facility Name : Research Site
Status : Recruiting
City : St. Louis
State : Missouri
Country : United States
Facility Name : Research Site
Status : Recruiting
City : East Windsor
State : New Jersey
Country : United States
Facility Name : Research Site
Status : Recruiting
City : New York
State : New York
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Philadelphia
State : Pennsylvania
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Greer
State : South Carolina
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Garland
State : Texas
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Webster
State : Texas
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Houston
State : Texas
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Seattle
State : Washington
Country : United States
Facility Name : Research Site
Status : Recruiting
City : Quebec
State : Washington
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : Victoria
State : British Columbia
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : Moncton
State : New Brunswick
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : Oakville
State : Ontario
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : London
State : Ontario
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : Markham
State : Ontario
Country : Canada
Facility Name : Research Site
Status : Recruiting
City : Montreal
State : Quebec
Country : Canada
OutComes
Primary OutComes
Measure : Percent change in the Psoriasis Scalp Severity Index [PSSI]
Time Frame : 12 weeks
Safety issue : No
Secondary OutComes
Measure : Proportion of subjects achieving at least a 75% response by PSSI
Time Frame : 12 Weeks
Safety issue : No
Measure : Percent change in PSSI from week 12 in subjects switching from placebo to etanercept at week 12
Time Frame : 24 Weeks
Safety issue : No
Measure : Patient satisfaction with treatment
Time Frame : 12 Weeks
Safety issue : No
Measure : Evaluation of the safety of etanercept in the studied population
Time Frame : 24 Weeks
Safety issue : Yes
Interventions
Type : Drug
Name : etanercept / placebo
Description : First 12 weeks: 50 mg SC (subcutaneous) via 2 injections twice per week Second 12 weeks: 50 mg SC via 2 injections once per week and placebo SC via 2 injections once per week
Type : Drug
Name : placebo / etanercept
Description : First 12 weeks: Placebo SC (subcutaneous) via 2 injections twice per week Second 12 weeks: 50 mg SC via 2 injections twice per week
 
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