- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05938361
Efficacy of Tildrakizumab in Difficult-to-treat Areas in Psoriasis (ZODIPSO)
Efficacy of Tildrakizumab in Difficult-to-treat Areas in Psoriasis - ZODIPSO Study
Psoriasis is a chronic inflammatory disease that affects between 2% and 4% of the French population.Some specific localizations are more difficult to manage, such as the scalp, nails, genital region and palmoplantar localizations.
Tildrakizumab, an anti-interleukin-23 (IL-23) monoclonal antibody, has demonstrated efficacy and safety in the treatment of patients with moderate to severe psoriasis.
Real-life data on the efficacy of Tildrakizumab in unselected patients with these difficult-to-treat locations are still limited.
The aim of the ZODIPSO study is to evaluate the efficacy and safety of Tildrakizumab in patients presented difficult to treat locations in psoriasis : nail, scalp, genital and palmoplantar.
The main objective is to assess the overall response and the specific response to Tildrakizumab at these specific areas up to W52.
Study Overview
Status
Conditions
Detailed Description
Psoriasis is a chronic inflammatory disease that affects between 2% and 4% of the French population. Some specific localizations are more difficult to manage, such as the scalp, nails, genital region and palmoplantar localizations. They are reported at least once during the course of psoriatic disease in more than 80%, 50%, 60%, 12% of patients, respectively.
Despite recent progress in the management of the disease, these localizations remain a challenge for psoriasis patients because of their impact on quality of life and the difficulty of treating them.
Tildrakizumab, an anti-interleukin-23 (IL-23) monoclonal antibody, has already demonstrated efficacy and safety in the treatment of patients with moderate to severe psoriasis in two international multicenter randomized clinical trials : reSURFACE 1 and reSURFACE 2. However, real-life data on the efficacy of Tildrakizumab in unselected patients with these difficult-to-treat locations are still limited.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Mariem RAHO
- Phone Number: +33663227688
- Email: mariem.raho@clin4all.com
Study Locations
-
-
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Paris, France, 75014
- Recruiting
- Service de Dermatologie- Hopital Saint Joseph
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Contact:
- ZARAA Dr Ines
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient with a diagnosis of moderate to severe chronic plaque psoriasis documented in the medical record,
- Disease diagnosis > 6 months (regardless of severity at diagnosis)
- Involvement of at least one of the following areas: nails, scalp, genital, palmoplantar (non-pustular)
- Indication for treatment by IL-23 inhibitor. Tildrakizumab must be the selected IL-23 inhibitor therapy prior to enrolling the patient in the study. Patients who have previously received previous treatment by IL-23 inhibitors may be included.
- Patient 18 years of age or older at the inclusion visit
- French social security beneficiary
Exclusion Criteria:
- Patient unable to comply with study requirements (i.e.complete study questionnaires)
- Patient who, in the opinion of the investigator, should not participate in the study. This opinion should be documented in the patient's record.
- Patient included in an interventional clinical trial at inclusion.
- Vulnerable patient or patient under court protection
- Patients with known hypersensitivity to IL-23 inhibitors
- Patients with HIV or active HBV or HCV infection at the time of inclusion
- Patient with a history of untreated latent tuberculosis or active tuberculosis at inclusion
- Patient with any other serious active infection present at inclusion that contraindicates IL23 inhibitors use.
- Pregnant or lactating woman
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Single group
Cohort of patients with difficult-to-treat psoariasis locations on the nail, scalp, genital and/or palmoplantar area.
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Global evaluation of psoriasis and specific evaluation by areas
DLQI questionnaire at each visit
Visual analogic scale at W16, W28, W52
Visual analogic scale at each visit
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Specific response to Tildrakizumab at W28
Time Frame: Week 28
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Percentage of response based on specific assessment on target area (75% improvement of the specific score compared to Baseline visit)
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Week 28
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall response to Tildrakizumab
Time Frame: Each visit (Week16-Week 28-Week 52)
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Percentage of response based on global assessment compared to Baseline visit
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Each visit (Week16-Week 28-Week 52)
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Specific response to Tildrakizumab
Time Frame: Week 16, week 28 and week 52
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Percentage of response based on specific assessment by area compared to Baseline Visit
|
Week 16, week 28 and week 52
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Adverse events
Time Frame: From baseline visit to Week 52
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Describe adverse events throughout follow-up
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From baseline visit to Week 52
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Evaluation of pruritus under treatment
Time Frame: Each visit (Baseline,Week 16, Week 28, Week 52)
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Variation in visual analogic scale (VAS) value
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Each visit (Baseline,Week 16, Week 28, Week 52)
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Evaluation of quality of life under treatement
Time Frame: Each visit (Baseline, Week16, Week 28, Week 52)
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Dermatology Life Quality Index (DLQI) score compared to Baseline Visit
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Each visit (Baseline, Week16, Week 28, Week 52)
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Evaluation of satisfaction under treatement
Time Frame: Each follow-up visit (Week 16, Week 28, Week 52)
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Variation in visual analogic scale (VAS) value
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Each follow-up visit (Week 16, Week 28, Week 52)
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Ines ZARAA, MD, Saint Joseph Hospital Paris
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022-A02735-38
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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