Efficacy and Safety of Calcipotriol Plus Hydrocortisone Ointment Compared With Tacalcitol Ointment in Patients With Psoriasis on the Face and Skin Folds
A Phase 3 Study Comparing an Ointment Containing Calcipotriol 25 mcg/g Plus Hydrocortisone 10 mg g With Tacalcitol 4 mcg/g Ointment and the Ointment Vehicle Alone, All Applied Once Daily in the Treatment of Psoriasis Vulgaris on the Face and on the Intertriginous Areas
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Ontario
-
Waterloo, Ontario, Canada, N2J1C4
- Probity Medical Research
-
-
-
-
-
Nice, France, 06202
- Hôpital de l'Archet
-
-
-
-
-
Dundee, United Kingdom, DD1 9SY
- Ninewells Hospital & Medical School
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of psoriasis vulgaris involving the face
- Clinical signs of psoriasis vulgaris on the trunk and/or the limbs, or earlier diagnosed with psoriasis vulgaris on the trunk and/or the limbs
- An extent of psoriatic involvement of the face of at least 10 cm2 (the sum of all facial lesions)
- Treatment areas (the face and the intertriginous areas) amenable to topical treatment with a maximum of 10 g of ointment per day
- Disease severity graded as mild, moderate, severe or very severe according to the investigator's global assessment of disease severity of the face
Exclusion Criteria:
- Systemic treatments with all other therapies than biologicals, with a potential effect on psoriasis vulgaris (e.g., corticosteroids, vitamin D analogues, retinoids, immunosuppressants) within the 4-week period prior to randomisation
- Systemic use of biological treatments, whether marketed or not, directed against or with a potential effect on psoriasis vulgaris (e.g., alefacept, efalizumab, etanercept, infliximab, adalimumab) within 3 months prior to randomisation
- PUVA therapy or Grenz ray therapy within the 4-week period prior to randomisation
- UVB therapy within the 2-week period prior to randomisation
- Topical treatment of the face and the intertriginous areas within the 2-week period prior to randomisation (use of emollients is allowed on treatment areas during this 2-week period, but not during the study)
- Topical treatment with very potent WHO group IV corticosteroids within the 2-week period prior to randomisation
- Initiation of or expected changes in concomitant medication that may affect psoriasis vulgaris (e.g., beta blockers, anti-malaria drugs, lithium and ACE inhibitors) during the study
- Systemic treatment with vitamin D preparations above 500 IU per day
- Current diagnosis of erythrodermic, exfoliative, guttate or pustular psoriasis
- Patients with any of the following conditions present on the treatment area: viral (e.g., herpes or varicella) lesions of the skin, fungal and bacterial skin infections, parasitic infections, skin manifestations in relation to syphilis or tuberculosis, rosacea, perioral dermatitis, acne vulgaris, atrophic skin, striae atrophicae, fragility of skin veins, ichthyosis, acne rosacea, ulcers and wounds
- Other inflammatory skin diseases (e.g., seborrhoeic dermatitis, contact dermatitis and cutaneous mycosis) that may confound the evaluation of psoriasis vulgaris on the face or on the intertriginous areas
- Planned exposure to sun, UVA or UVB that may affect the psoriasis vulgaris during the study
- Known or suspected severe renal insufficiency or severe hepatic disorders
- Known or suspected disorders of calcium metabolism associated with hypercalcemia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Calcipotriol plus Hydrocortisone ointment
Calcipotriol plus Hydrocortisone ointment once daily for up to 8 weeks
|
Once daily application for up to 8 weeks
|
|
Active Comparator: Tacalcitol
Tacalcitol once daily for up to 8 weeks
|
Once daily application for up to 8 weeks
|
|
Placebo Comparator: Calcipotriol plus Hydrocortisone ointment vehicle
Calcipotriol plus Hydrocortisone ointment vehicle once daily for up to 8 weeks
|
Once daily application for up to 8 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Subjects With Controlled Disease According to the Investigator Assessment of the Face at Week 8
Time Frame: Week 8
|
Week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Disease Severity of the Face According to the Investigator's Assessment
Time Frame: Week 4
|
Week 4
|
|
Total Sign Score of the Face
Time Frame: Week 8
|
Week 8
|
|
Severity Scores for Redness, Thickness and Scaliness of the Face
Time Frame: Week 8
|
Week 8
|
|
Overall Disease Severity of the Intertriginous Areas According to the Investigator's Assessment
Time Frame: Week 8
|
Week 8
|
|
Total Sign Score of the Intertriginous Areas
Time Frame: Week 8
|
Week 8
|
|
Patients With Relapse During the Study and Time to Relapse
Time Frame: Week 8-16
|
Week 8-16
|
|
Patients With Rebound During the Study
Time Frame: Week 8-16
|
Week 8-16
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Colin Fleming, MD, Ninewells Hospital & Medical School
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases, Papulosquamous
- Skin Diseases
- Psoriasis
- Calcium-Regulating Hormones and Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Inflammatory Agents
- Dermatologic Agents
- Bone Density Conservation Agents
- Membrane Transport Modulators
- Micronutrients
- Vitamins
- Vasoconstrictor Agents
- Calcium Channel Agonists
- Hydrocortisone
- Hydrocortisone 17-butyrate 21-propionate
- Hydrocortisone acetate
- Hydrocortisone hemisuccinate
- Calcipotriene
- Calcitriol
- 1 alpha,24-dihydroxyvitamin D3
Other Study ID Numbers
Other Study ID Numbers
- LEO 80190-O22
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.