Efficacy and Safety of Calcipotriol Plus Betamethasone Dipropionate Gel Compared With Tacalcitol Ointment and the Gel Vehicle Alone in Patients With Psoriasis Vulgaris
A Phase 3 Study Comparing a Gel Containing Calcipotriol 50 mcg/g Plus Betamethasone 0.5 mg/g (as Dipropionate) With Tacalcitol Ointment (4 mcg/g) and Gel Vehicle, Used Once Daily in the Treatment of Psoriasis Vulgaris
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
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 1Z4
- Eastern Canada Cutaneous Research Associates Ltd.
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed and dated informed consent to be obtained prior to any trial related procedure, including wash-out
- Clinical diagnosis of psoriasis vulgaris involving trunk and/or arms and/or legs amenable to treatment with a maximum of 100 g of LEO 80185 gel per week or 10 g per day of tacalcitol ointment
- Disease severity graded moderate, severe or very severe according to the Investigator's global assessment (IGA) of disease severity
- A minimum PASI score for extent of 2 in at least one body region (i.e.psoriasis affecting at least 10% of arms, and/or 10% of trunk, and/or 10% of legs)
- Subjects aged 18 years or above
- Either sex
- Any ethnic origin
- Attending hospital outpatient clinic or the private practice of a dermatologist
Exclusion Criteria:
- Systemic treatment with biological therapies (marketed or not marketed), with a possible effect on psoriasis vulgaris (e.g., alefacept, efalizumab, etanercept, infliximab, adalimumab) within 3 months prior to randomisation
- Systemic treatment with all other therapies than biologics, with a possible effect on psoriasis vulgaris (e.g., corticosteroids, retinoids, immunosuppressants) within 4 weeks prior to randomisation
- Systemic treatment with Vitamin D preparations above 500 IU per day
- PUVA or Grenz ray therapy within 4 weeks prior to randomization
- UVB therapy within 2 weeks prior to randomisation
- Any topical treatment of the trunk/limbs (except for emollients) within 2 weeks prior to randomisation
- Topical treatment for other relevant skin disorders on the face and flexures (e.g., facial and flexural psoriasis, eczema) with potent or very potent (WHO group III-IV) corticosteroids or vitamin D analogues within 2 weeks prior to randomisation
- Topical treatment for other relevant skin disorders on the scalp (e.g. scalp psoriasis) with very potent (WHO group IV) corticosteroids or vitamin D analogues within 2 weeks prior to randomisation
- Planned initiation of, or changes to concomitant medication that could affect psoriasis vulgaris (e.g., beta blockers, ACE inhibitors, anti-malaria drugs, lithium) during the study
- Current diagnosis of erythrodermic, exfoliative or pustular psoriasis
- Subjects with any of the following conditions present on the treatment area: viral (e.g., herpes or varicella) lesions, fungal and bacterial skin infections, parasitic infections, skin manifestations in relation to syphilis or tuberculosis, rosacea, perioral dermatitis, acne vulgaris, atrophic skin, striae atro-phicae, fragility of skin veins, ichthyosis, acne rosacea, ulcers and wounds
- Known or suspected disorders of calcium metabolism associated with hypercalcaemia
- Known or suspected severe renal insufficiency or severe hepatic disorders
- Known or suspected hypersensitivity to component(s) of the Investigational Products
- Current participation in any other interventional clinical study
- Subjects who have received treatment with any non-marketed drug substance (i.e. an agent which has not yet been made available for clinical use following registration) within the 4-week period prior to randomisation, except for biologics (3 months)
- Planned exposure to sun during the study that may affect psoriasis vulgaris
- Previously randomised to this study
- Subjects known or suspected of not being able to comply with a trial protocol (e.g. due to alcoholism, drug dependency or psychotic state)
- Females of child-bearing potential wishing to become pregnant during the study, or are breast-feeding, or not using an adequate method of contraception during the study
- Females of child-bearing potential with positive pregnancy test at Visit 1
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 |
|---|---|
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Active Comparator: 2
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Once daily application
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Active Comparator: 1
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Once daily application
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Placebo Comparator: 3
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Once daily application
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Subjects With "Controlled Disease" ("Clear" or "Almost Clear" Disease) According to Investigator's Global Assessment of Disease Severity at Week 8
Time Frame: Week 8
|
Week 8
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjects With "Controlled Disease" According to the Investigator's Global Assessment of Disease Severity at Week 4
Time Frame: Week 4
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Week 4
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|
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The Percentage Change in PASI From Baseline to Week 8
Time Frame: Baseline, Week 4 and 8
|
PASI is Psoriasis Area and Severity Index and is based on the investigator's assessment of extent and severity of the disease.
It can range from 0 (best) to 64.8 (worst).
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Baseline, Week 4 and 8
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Subjects With Relapse During the Study
Time Frame: Week 8-16
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Among subjects with controlled disease at week 8 relapse was defined as PASI exceeding the baseline PASI value minus 50% of the reduction in PASI obtained from the baseline visit to the last on-treatment visit
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Week 8-16
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Subjects With Rebound During the Study
Time Frame: Week 8-16
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Week 8-16
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Richard Langley, MD, Eastern Canada Cutaneous Research Associates Ltd.
Publications and helpful links
Helpful Links
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
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Dermatologic Agents
- Respiratory System Agents
- Anti-Asthmatic Agents
- Betamethasone
- Calcipotriene
- 1 alpha,24-dihydroxyvitamin D3
Other Study ID Numbers
Other Study ID Numbers
- LEO 80185-G21
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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