Optimising Outpatient Care in Mild to Moderate Psoriasis (PSO-TOP) (PSO-TOP)
Optimising Outpatient Care in Mild to Moderate Psoriasis by a Newly Developed 'Topical Treatment Optimising Programme' - an International Study Using Daivobet®/Dovobet® Gel
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Herning, Denmark
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Hobro, Denmark
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Roskilde, Denmark
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Vejle, Denmark
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Angers Cedex 9, France
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Auxerre, France
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Brest, France
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Lille Cedex, France
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Limeil Brevannes, France
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Marseille Cedex 08, France
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Martigues, France
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Paris Cedex 10, France
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Poitiers Cedex, France
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Saint Mande, France
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Saint Priest en Jarez, France
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Saint-Germain en Laye, France
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Tours Cedex 1, France
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Vienne, France
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Bad Bentheim, Germany
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Berlin, Germany
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Biberach, Germany
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Blaubeuren, Germany
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Bochum, Germany
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Buchholz, Germany
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Dessau, Germany
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Frankfurt, Germany
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Friedrichshafen, Germany
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Gilching, Germany
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Hamburg, Germany
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Hannover, Germany
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Kiel, Germany
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Köln, Germany
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Mahlow, Germany
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Osnabrück, Germany
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Pinneberg, Germany
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Selters, Germany
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Weißenfels, Germany
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Wolfenbüttel, Germany
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Wuppertal, Germany
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Brescia, Italy
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Catania, Italy
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Genova, Italy
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L'Aquila, Italy
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Lucca, Italy
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Messina, Italy
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Padova, Italy
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Palermo, Italy
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Parma, Italy
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Pavia, Italy
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Perugia, Italy
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Rome, Italy
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Trapani, Italy
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Verona, Italy
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Amsterdam, Netherlands
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Geldrop, Netherlands
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Maastricht, Netherlands
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Nijmegen, Netherlands
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Rotterdam, Netherlands
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Alicante, Spain
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Barcelona, Spain
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Barcelona,, Spain
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Fuenlabrada (Madrid), Spain
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Getafe (Madrid), Spain
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Madrid, Spain
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Palma de Mallorca, Spain
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Tarragona, Spain
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Valencia, Spain
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Zaragoza, Spain
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Eskilstuna, Sweden
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Göteborg, Sweden
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Kristianstad, Sweden
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Linköping, Sweden
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Uppsala, Sweden
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Örebrö, Sweden
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Bexhill, United Kingdom
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Bradford, United Kingdom
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Burbage, United Kingdom
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Canterbury, United Kingdom
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Cheshire, United Kingdom
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Chesterfield, United Kingdom
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Coventry, United Kingdom
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Darwen, United Kingdom
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East Sussex, United Kingdom
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Leamington Spa, United Kingdom
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London, United Kingdom
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Manchester, United Kingdom
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Merseyside, United Kingdom
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Middlesex, United Kingdom
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Nantwich, United Kingdom
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Nuneaton, United Kingdom
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Oldham, United Kingdom
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Tunbridge Wells, United Kingdom
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Warwickshire, United Kingdom
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West Sussex, United Kingdom
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male and female patients aged at least 18 years
- Mild to moderate active plaque psoriasis with PGA ≥ 2 on the 7-point scale by Langley and Ellis and a Body Surface Area (BSA) of ≤ 10%
- Topical psoriasis treatment with coal or tar preparations, tazarotene, steroids, or vitamin D analogues, or combinations of steroids and vitamin D analogues (except gel combination products containing 50 micrograms calcipotriol/0.5mg betamethasone/g) or dithranol and its combination preparations over the last 8 weeks prior to Visit 1 (week 0)
- Written informed consent to participate in the study has been given prior to any study related procedures
Exclusion Criteria:
- Severe renal insufficiency
- Severe hepatic disorders
- Known hyper calcaemia
- Erythrodermic, exfoliative, pustular or guttate psoriasis
- Facial or genital psoriasis
- Fulfilment of at least one contraindication according to the Summary of Product Characteristics of Daivobet®/Dovobet® Gel
- Pregnant and/or breast-feeding women
- Hypersensitivity to the active substances or to any of the excipients
- Suspected non-compliance with the clinical study procedures
- Current participation in another clinical study
Systemic treatment with biological therapies, whether marketed or not, with a possible effect on psoriasis vulgaris within the following time periods prior to Visit 1 (week 0):
- etanercept - within 4 weeks prior to Visit 1 (week 0)
- adalimumab, alefacept, infliximab - within 2 months prior to Visit 1 (week 0)
- ustekinumab - within 4 months prior to Visit 1 (week 0)
- experimental products - within 4 weeks/5 half-lives (whichever is longer) prior to Visit 1 (week 0)
Phototherapy within the following time periods prior to Visit 1 (week 0):
- PUVA - within 4 weeks prior to Visit 1 (week 0)
- UV-B - within 2 weeks prior to Visit 1 (week 0)
Study Plan
How is the study designed?
Design Details
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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OTHER: Topical Treatment Optimizing Program
Optimized care
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Patient is taken care of in an intensified, optimised manner
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OTHER: non-Topical Treatment Optimizing Program
Standard care
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Standard medical care
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Physician Global Assessment (PGA)
Time Frame: Up to 64 weeks; primary outcome assessed at week 8 after treatment start
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PGA (Physician Global Assessment) will be assessed at all study visits.
For week 8, the rate of patients with a PGA (as defined by Langley and Ellis 2004) of 0 or 1 will be calculated.
This is the primary study parameter.
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Up to 64 weeks; primary outcome assessed at week 8 after treatment start
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kristian Reich, MD Prof.
Publications and helpful links
General Publications
- Reich K, Zschocke I, Bachelez H, de Jong EM, Gisondi P, Puig L, Warren RB, Mrowietz U; TTOP study group. Efficacy of a fixed combination of calcipotriol/betamethasone dipropionate topical gel in adult patients with mild to moderate psoriasis: blinded interim analysis of a phase IV, multicenter, randomized, controlled, prospective study. J Eur Acad Dermatol Venereol. 2015 Jun;29(6):1156-63. doi: 10.1111/jdv.12774. Epub 2014 Oct 26.
- Reich K, Mrowietz U, Karakasili E, Zschocke I. Development of an adherence-enhancing intervention in topical treatment termed the topical treatment optimization program (TTOP). Arch Dermatol Res. 2014 Sep;306(7):667-76. doi: 10.1007/s00403-014-1475-5. Epub 2014 Jun 4.
- Zschocke I, Mrowietz U, Lotzin A, Karakasili E, Reich K. Assessing adherence factors in patients under topical treatment: development of the Topical Therapy Adherence Questionnaire (TTAQ). Arch Dermatol Res. 2014 Apr;306(3):287-97. doi: 10.1007/s00403-014-1446-x. Epub 2014 Feb 8.
- Reich K, Zschocke I, Bachelez H, de Jong EMGJ, Gisondi P, Puig L, Warren RB, Ortland C, Mrowietz U; PSO-TOP study group. A Topical Treatment Optimization Programme (TTOP) improves clinical outcome for calcipotriol/betamethasone gel in psoriasis: results of a 64-week multinational randomized phase IV study in 1790 patients (PSO-TOP). Br J Dermatol. 2017 Jul;177(1):197-205. doi: 10.1111/bjd.15466. Epub 2017 Jun 6.
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 (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
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
Other Study ID Numbers
Other Study ID Numbers
- 055-006
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