| 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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