A Registry Study of Palmoplantar Pustulosis (PPP) Treatment Patterns, Disease Burden and Treatment Outcomes in Japan (ProPuP)
Registry of Palmoplantar Pustulosis (PPP) Treatment Patterns, Disease Burden and Treatment Outcomes in Japan
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Study Contact
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study@its.jnj.com
Study Locations
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Akita, Japan, 010-8543
- Akita University Hospital
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Bunkyō City, Japan, 113 8431
- Juntendo University Hospital
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Fukuoka, Japan, 812 8582
- Kyushu University Hospital
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Fukushima, Japan, 960 1295
- Fukushima Medical University Hospital
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Hamamatsu, Japan, 431-3192
- Hamamatsu University Hospital
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Hirakata, Japan, 573 1191
- Kansai Medical University Hospital
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Hiroshima, Japan, 731-0293
- Hiroshima City Asa Citizens Hospital
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Hiroshima, Japan, 733-0032
- Seiwakai Hiroshima Clinic
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Hokkaido, Japan, 060-0033
- JR Sapporo Hospital
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Hyōgo, Japan, 6751392
- Kita-harima Medical Center
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Itabashi Ku, Japan, 173 8606
- Teikyo University Hospital
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Kita-ku, Japan, 700-8511
- Okayama Saiseikai General Hospital
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Kochi, Japan, 780-8522
- Chikamori Hospital
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Kochi, Japan, 783-8505
- Kochi Medical School Hospital
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Kofu, Japan, 400-8506
- Yamanashi Prefectural Central Hospital
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Kurashiki-shi, Japan, 710-8522
- Kurashiki Medical Center
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Kurume, Japan, 830-0011
- Kurume University Hospital
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Kuwana, Japan, 511 0061
- Kuwana City Medical Center
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Kyoto, Japan, 606-8507
- Kyoto University Hospital
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Kyoto, Japan, 612-8555
- National Hospital Organization Kyoto Medical Center
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Matsumoto, Japan, 390 8621
- Shinshu University Hospital
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Meguro-ku, Japan, 153-8515
- Toho University Medical Center, Ohashi Hospital
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Nagoya, Japan, 467 8602
- Nagoya City University Hospital
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Nishinomiya, Japan, 663-8501
- The Hospital of Hyogo College of Medicine
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Okayama, Japan, 700 8558
- Okayama University Hospital
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Sapporo, Japan, 060-8648
- Hokkaido University Hospital
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Sasebo, Japan, 857 1195
- Sasebo Chuo Hospital
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Sendai, Japan, 980 8574
- Tohoku University Hospital
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Shinjuku-ku, Japan, 160-8582
- Keio University Hospital
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Takamatsu, Japan, 760 0017
- Takamatsu Red Cross Hospital
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Tokyo, Japan, 160-0023
- Tokyo Medical University Hospital
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Tokyo, Japan, 193-0998
- Tokyo Medical University Hachioji Medical Center
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Tokyo, Japan, 104 8560
- St. Luke's International Hospital
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Toyoake, Japan, 470-1192
- Fujita Health University Hospital
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Tōon, Japan, 791-0295
- Ehime University Hospital
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Yokosuka, Japan, 238 8558
- Yokosuka Kyosai Hospital
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Ōita, Japan, 879-5593
- Oita University Hospital
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Ōsaka-sayama, Japan, 589-8511
- Kindai University Hospital
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Ōtsu, Japan, 520-2192
- Shiga University Of Medical Science Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Must have a confirmed diagnosis of palmoplantar pustulosis (PPP) and/or pustulotic arthro-osteitis (PAO) in accordance with local clinical practice
- Has previously been prescribed treatment for PPP/PAO
- A decision has been made by the treating physician and the participant to commence treatment with a systemic PPP/PAO therapy, having been deemed to have an inadequate response to previous therapy (New users are defined as those participants to commence treatment on baseline visit date. Existing users are defined as those who commenced treatment prior to the baseline visit since 01 November 2019.)
- Must sign a participation agreement/informed consent form allowing data collection and source data verification in accordance with local requirements
Exclusion Criteria:
- Are receiving, or have received within the past 3 months, anti-inflammatory or analgesic systemic therapy such as oral corticosteroid, disease modifying antirheumatic drug (DMARDs), non-steroidal anti-inflammatory drugs, opioids, phosphodiesterase 4 (PDE4) inhibitor, or biologics for any other indication (for example, psoriasis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and asthma)
- Received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 3 months before the start of the study or the first data collection time point
- Participation in an investigational study
- Participation in another observational study for guselkumab (including a post marketing surveillance study)
- If the only treatment they have received for PPP has been antibiotics
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Participants With Palmoplantar pustulosis (PPP)
Participants treated with a new systemic therapy for their PPP, having had an inadequate response to a prior PPP therapy either as their first systemic therapy or as a switch from, or addition to, a previous systemic therapy will be observed.
Participants will be treated in accordance with routine clinical practice in Japan in the outpatient specialist care setting.
The primary data source for this study will be the medical records of each participant.
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No intervention will be administered as a part of this study.
Both retrospective and prospective data will be collected.
The retrospective data will be collected through participant charts and prospective data will be collected in accordance with clinical practice at the participant's clinic visits.
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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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Percentage of Participants who Remain on Their 'Index Systemic' Therapy
Time Frame: Up to 4.5 Years
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Percentage of participants who remain on their 'index systemic' therapy will be reported.
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Up to 4.5 Years
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Percentage of Participants Ceasing Their 'Index Systemic' Therapy
Time Frame: Up to 4.5 Years
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Percentage of participants ceasing their 'index systemic' therapy will be reported.
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Up to 4.5 Years
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Time to Cessation of Index Systemic Therapy From Baseline
Time Frame: Baseline, Up to 4.5 Years
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Time to cessation of index systemic therapy from baseline will be reported.
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Baseline, Up to 4.5 Years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Receiving Each 'Index Systemic' Therapy
Time Frame: Baseline
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Percentage of participants receiving each 'Index Systemic' therapy will be reported.
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Baseline
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Mean and Distribution of Dermatology Life Quality Index (DLQI) Scores at Baseline
Time Frame: Baseline
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Mean and distribution of DLQI scores at baseline will be reported.
DLQI instrument consists of 10 questions covering six domains (symptoms and feelings, daily activities, leisure, work and school, personal relationships, and bother with psoriasis treatment).
The response options range from 0, not affected at all, to 3, very much affected.
This gives an overall range of 0 to 30 where lower scores mean better quality of life.
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Baseline
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Mean and Distribution of European Quality of Life (EuroQol) Group, 5-Dimension, 5-Level (EQ-5D-5L) Scores at Baseline
Time Frame: Baseline
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Mean and distribution of EQ-5D-5L scores at baseline will be reported.
EQ-5D-5L is a descriptive system of health-related quality of life states consisting of five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which can take one of five responses.
The responses record five levels of severity (no problems/slight problems/moderate problems/severe problems/extreme problems) within a particular EQ-5D dimension.
A lower score indicates worse health.
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Baseline
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Mean and Distribution of Work Productivity and Activity Impairment: General Health (WPAI:GH) Scores at Baseline
Time Frame: Baseline
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Mean and distribution of WPAI:GH scores at baseline will be reported.
WPAI:GH questionnaire is a validated instrument to measure impairments in both paid work and unpaid work.
It measures absenteeism, presenteeism as well as the impairments in unpaid activity because of health problem during the past seven days.
It consists of 6-item questionnaire looks at the effect of health problems on ability to work and perform regular activities.
The WPAI yields 4 types of scores: absenteeism (work time missed), presenteeism (impairment at work / reduced on-the-job effectiveness), work productivity loss (overall work impairment / absenteeism plus presenteeism) and activity impairment.
WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes.
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Baseline
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Percentage of Participants Adding a Concurrent Systemic Treatment to their 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants adding a concurrent systemic treatment to their 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Ceasing a Concurrent Systemic Treatment to their 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants ceasing a concurrent systemic treatment to their 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Time to Addition of a Concurrent Systemic Treatment to 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Time to addition of a concurrent systemic treatment to 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Time to Ceasing of a Concurrent Systemic Treatment to 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Time to ceasing of a concurrent systemic treatment to 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Changing the Dosage of their 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants changing the dosage of their 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Adding a Concurrent Non-Systemic Therapy to their 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants adding a concurrent non-systemic therapy to their 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Ceasing a Concurrent Non-Systemic Therapy to their 'Index Systemic' Therapy
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants ceasing a concurrent non-systemic therapy to their 'index systemic' therapy will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Switching to a First Subsequent Systemic Therapy Within the Follow-up Period
Time Frame: Every 6 Months Up to 4.5 Years
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Percentage of participants switching to a first subsequent systemic therapy within the follow-up period will be reported.
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Every 6 Months Up to 4.5 Years
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Time to Commencement of First Subsequent Systemic Therapy From Baseline
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Time to commencement of first subsequent systemic therapy from baseline will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants Switching to a Second Subsequent Systemic Therapy Within the Follow-up Period
Time Frame: Every 6 Months Up to 4.5 Years
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Percentage of participants switching to a second subsequent systemic therapy within the follow-up period will be reported.
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Every 6 Months Up to 4.5 Years
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Time to Commencement of Second Subsequent Systemic Therapy From Baseline
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Time to commencement of second subsequent systemic therapy from baseline will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Mean and Distribution of Health Assessment Questionnaire-Disability Index (HAQ-DI) Scores at Baseline
Time Frame: Baseline
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Mean and distribution of HAQ-DI scores at baseline will be reported.
The Disability Index of the Health Assessment Questionnaire (HAQ-DI) assesses the functional status of the participant.
This 20-question instrument assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and activities of daily living).
Responses in each functional area are scored from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area where lower scores are indicative of better functioning.
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Baseline
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Percentage of Participants with a Physician's Global Assessment (PGA) Score of 1 or Less (0 or 1)
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Percentage of participants with a PGA score of 1 or less (0 or 1) will be reported.
The PGA is used to determine the participant's overall palmoplantar pustulosis lesions at a given time point.
Overall lesions will be graded based on the scale where, 0 = clear;1 = almost clear; 2 = Mild; 3 = Moderate; 4 = Severe; 5 = Very severe.
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Baseline and Every 6 Months Up to 4.5 Years
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Change From Baseline in PGA Score
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Change From baseline in PGA score will be reported.
The PGA is used to determine the participant's overall palmoplantar pustulosis lesions at a given time point.
Overall lesions will be graded based on the scale where, 0 = clear;1 = almost clear; 2 = Mild; 3 = Moderate; 4 = Severe; 5 = Very severe.
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Baseline and Every 6 Months Up to 4.5 Years
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Change from Baseline in Palmoplantar Pustulosis Area and Severity Index (PPPASI) Score
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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The PPPASI assesses the severity of palmoplantar pustulosis lesions and their response to therapy.
In the PPPASI system, the palms and soles are divided into 4 regions: the right palm, left palm, right sole, and left sole, which account for 20 percent (%), 20%, 30%, and 30%, respectively, of the total surface area of the palms and soles.
Each of these areas is assessed separately for erythema, pustules/vesicle and desquamation/scale, which are each rated on a scale of 0 to 4. The PPPASI produces a numeric score that can range from 0 to 72.
A higher score indicates more severe disease.
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Baseline and Every 6 Months Up to 4.5 Years
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Change From Baseline in Pain Visual Analogue Scale (Pain-VAS) Score
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Change from baseline in Pain-VAS score will be reported.
Pain-VAS is used to measure subjective pain status.
It is a unilateral scale anchored at 0 (no pain) and 10 (worst pain imaginable).
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Baseline and Every 6 Months Up to 4.5 Years
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Change in Primary Location of Pain
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Change in primary location of pain will be reported.
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Baseline and Every 6 Months Up to 4.5 Years
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Change From Baseline in DLQI Score
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Change from baseline in DLQI score will be reported.
DLQI instrument consists of 10 questions covering six domains (symptoms and feelings, daily activities, leisure, work and school, personal relationships, and bother with psoriasis treatment).
The response options range from 0, not affected at all, to 3, very much affected.
This gives an overall range of 0 to 30 where lower scores mean better quality of life.
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Baseline and Every 6 Months Up to 4.5 Years
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Change From Baseline in EQ5D-5L Index Score
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
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Change from baseline in EQ5D-5L index score will be reported.
The EQ-5D-5L is a descriptive system of health-related quality of life states consisting of five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which can take one of five responses.
The responses record five levels of severity (no problems/slight problems/moderate problems/severe problems/extreme problems) within a particular EQ-5D dimension.
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Baseline and Every 6 Months Up to 4.5 Years
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Change from Baseline in HAQ-DI Index Score
Time Frame: Baseline and Every 6 Months Up to .4.5 Years
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Change from baseline in HAQ-DI score will be reported.
The HAQ-DI assesses the functional status of the participant.
This 20-question instrument assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and activities of daily living).
Responses in each functional area are scored from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area where lower scores are indicative of better functioning.
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Baseline and Every 6 Months Up to .4.5 Years
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Change from Baseline in Work Productivity and Activity Impairment questionnaire (WPAI)
Time Frame: Baseline and Every 6 Months Up to 4.5 Years
|
Change from baseline in WPAI will be reported.
WPAI questionnaire is a validated instrument to measure impairments in both paid work and unpaid work.
It measures absenteeism, presenteeism as well as the impairments in unpaid activity because of health problem during the past seven days.
The higher the score the greater impact on productivity.
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Baseline and Every 6 Months Up to 4.5 Years
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Percentage of Participants with Adverse Events (AEs) and serious Adverse Events (SAEs)
Time Frame: Up to 4.5 Years
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Percentage of participants with adverse events and serious Adverse Events will be reported.
An adverse event is any untoward medical occurrence in a participant administered a medicinal (investigational or non-investigational) product.
An adverse event does not necessarily have a causal relationship with the treatment.
An adverse event can be any unfavorable and unintended sign (including an abnormal finding or lack of expected pharmacological action), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product.
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Up to 4.5 Years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Pharmaceutical K.K., Japan Clinical Trial, Janssen Pharmaceutical K.K.
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- CR108811
- CNTO1959PAP4001 (Other Identifier: Janssen Research & Development, LLC)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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