- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01006096
Erlotinib for Treatment of Psoriasis
7. november 2014 opdateret af: Northwestern University
Phase II Randomized, Double-blind, Placebo-controlled, Two-arm Study to Evaluate the Safety and Efficacy of Erlotinib in the Treatment of Moderate to Severe Psoriasis
The purpose of this study is to determine whether erlotinib is effective in the treatment of psoriasis.
Studieoversigt
Status
Trukket tilbage
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Psoriasis vulgaris is a disease that affects 25 million people in North America and Europe.
It often presents in late adolescence and usually persists for life.
Current therapies target specific immune molecules that are implicated in the cause of this disease.
For example, biologic agents that are used in severe psoriasis are aimed at inflammatory mediators.
These therapies have been proven to be effective but also have their limitations.
Undersøgelsestype
Interventionel
Fase
- Fase 2
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Northwestern University Feinberg School of Medicine Department of Dermatology
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Clinical diagnosis of moderate to severe psoriasis
- Must have documented moderate to severe psoriasis by the Physician's Global Assessment (PGA) and the Psoriasis Area Severity Index (PASI)
- Must be able to swallow tablets
- Must be able to provide written informed consent
- Subjects with reproductive potential (menopausal for less than 1 year and not surgically sterilized) must practice effective contraceptive measures throughout the study and thirty days after discontinuation of study drug. Women of childbearing potential must provide negative pregnancy test (serum or urine) within 14 days prior to randomization.
Exclusion Criteria:
- Use of concurrent agents/therapies for psoriasis
- Bilirubin > 3 X ≥ ULN or moderate to severe hepatic impairment
- Pregnant or breast-feeding females
- Subjects currently receiving other anticancer treatments
- Subjects currently receiving other biologic treatments
- Subjects currently receiving blood thinners (warfarin or heparin)
- Subjects who currently smoke
- Subjects with other skin disease which in the opinion of the investigator, would inhibit the ability to use the PGA and PASI evaluation methods
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Erlotinib
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100mg tablet, once daily for 16 weeks
Andre navne:
|
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Placebo komparator: Placebo tabletter
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placebo tablet (lactose), once daily for 16 weeks
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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To determine efficacy of erlotinib in treatment of moderate to severe psoriasis measured by the Psoriasis Area and Severity Index (PASI) and the Physician's Global Assessment (PGA).
Tidsramme: week 4, 8, 12, 16, and 24
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week 4, 8, 12, 16, and 24
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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To determine the rate of dose reduction or interruption as a result of adverse events.
Tidsramme: week 4, 8, 12, 16, and 24
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week 4, 8, 12, 16, and 24
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To determine quality of life using the Dermatology Life Quality Index (DLQI).
Tidsramme: week 4, 8, 12, 16, and 24
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week 4, 8, 12, 16, and 24
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Anne E Laumann, MBChB, MRCP (UK), Northwestern University
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.
- Lacouture ME. Mechanisms of cutaneous toxicities to EGFR inhibitors. Nat Rev Cancer. 2006 Oct;6(10):803-12. doi: 10.1038/nrc1970.
- Lowes MA, Bowcock AM, Krueger JG. Pathogenesis and therapy of psoriasis. Nature. 2007 Feb 22;445(7130):866-73. doi: 10.1038/nature05663.
- Wierzbicka E, Tourani JM, Guillet G. Improvement of psoriasis and cutaneous side-effects during tyrosine kinase inhibitor therapy for renal metastatic adenocarcinoma. A role for epidermal growth factor receptor (EGFR) inhibitors in psoriasis? Br J Dermatol. 2006 Jul;155(1):213-4. doi: 10.1111/j.1365-2133.2006.07299.x. No abstract available.
- Ben-Bassat H, Vardi DV, Gazit A, Klaus SN, Chaouat M, Hartzstark Z, Levitzki A. Tyrphostins suppress the growth of psoriatic keratinocytes. Exp Dermatol. 1995 Apr;4(2):82-8. doi: 10.1111/j.1600-0625.1995.tb00227.x.
- Powell TJ, Ben-Bassat H, Klein BY, Chen H, Shenoy N, McCollough J, Narog B, Gazit A, Harzstark Z, Chaouat M, Levitzki R, Tang C, McMahon J, Shawver L, Levitzki A. Growth inhibition of psoriatic keratinocytes by quinazoline tyrosine kinase inhibitors. Br J Dermatol. 1999 Nov;141(5):802-10. doi: 10.1046/j.1365-2133.1999.03152.x.
- Ben-Bassat H, Klein BY. Inhibitors of tyrosine kinases in the treatment of psoriasis. Curr Pharm Des. 2000 Jun;6(9):933-42. doi: 10.2174/1381612003400182.
- Ben-Bassat H, Levitzki A. Inhibitors of tyrosine kinases in the treatment of psoriasis. Isr Med Assoc J. 2000 Jul;2 Suppl:69-73. No abstract available.
- Halin C, Fahrngruber H, Meingassner JG, Bold G, Littlewood-Evans A, Stuetz A, Detmar M. Inhibition of chronic and acute skin inflammation by treatment with a vascular endothelial growth factor receptor tyrosine kinase inhibitor. Am J Pathol. 2008 Jul;173(1):265-77. doi: 10.2353/ajpath.2008.071074. Epub 2008 Jun 5.
- Forsberg S, Ostman A, Rollman O. Regeneration of human epidermis on acellular dermis is impeded by small-molecule inhibitors of EGF receptor tyrosine kinase. Arch Dermatol Res. 2008 Oct;300(9):505-16. doi: 10.1007/s00403-008-0853-2. Epub 2008 Apr 30.
- Neyns B, Meert V, Vandenbroucke F. Cetuximab treatment in a patient with metastatic colorectal cancer and psoriasis. Curr Oncol. 2008 Aug;15(4):196-7. doi: 10.3747/co.v15i4.228.
- Trivin F, Boucher E, Raoul JL. Complete sustained regression of extensive psoriasis with cetuximab combination chemotherapy. Acta Oncol. 2004;43(6):592-3. doi: 10.1080/02841860410020211. No abstract available.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Datoer for studieregistrering
Først indsendt
29. oktober 2009
Først indsendt, der opfyldte QC-kriterier
29. oktober 2009
Først opslået (Skøn)
1. november 2009
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
10. november 2014
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
7. november 2014
Sidst verificeret
1. november 2014
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- MEL-041509
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Psoriasis
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ProgenaBiomeTrukket tilbagePsoriasis | Psoriasis Vulgaris | Psoriasis i hovedbunden | Psoriatisk plak | Psoriasis Universalis | Psoriasis ansigt | Psoriasis negl | Psoriasis Diffusa | Psoriasis Punctata | Psoriasis Palmaris | Psoriasis Circinata | Psoriasis Annularis | Psoriasis Genital | Psoriasis GeographicaForenede Stater
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Clin4allAktiv, ikke rekrutterendePsoriasis i hovedbunden | Psoriasis negl | Psoriasis Palmaris | Psoriasis Genital | Psoriasis PlantarisFrankrig
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Alumis IncAktiv, ikke rekrutterendePsoriasis | Plaque Psoriasis | Psoriasis (PsO) | Moderat psoriasis | Alvorlig psoriasisForenede Stater, Canada, Australien, Tyskland, Spanien, Ungarn, Japan, Bulgarien, Polen, Tjekkiet, Estland, Letland, Puerto Rico, Portugal, Sydkorea, Frankrig
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AmgenAfsluttetPsoriasis-Psoriasis | Plaque-type psoriasisForenede Stater
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Centre of Evidence of the French Society of DermatologyRekrutteringPsoriasis | Psoriasis Vulgaris | Psoriasis i hovedbunden | Psoriatisk plak | Psoriasis Universalis | Psoriasis Palmaris | Psoriatisk erytrodermi | Psoriasis negl | Psoriasis Guttate | Psoriasis omvendt | Psoriasis pustulærFrankrig
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Innovaderm Research Inc.AfsluttetPsoriasis i hovedbunden | Pustulær Palmo-plantar Psoriasis | Ikke-pustulær Palmo-plantar Psoriasis | Albue Psoriasis | Psoriasis i underbenetCanada
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Chongqing Genrix Biopharmaceutical Co., LtdXiangya Hospital of Central South UniversityIkke rekrutterer endnuPlaque Psoriasis | Psoriasisgigt | Psoriasis i hovedbunden | Negle Psoriasis | Palmoplantar Psoriasis | Genital PsoriasisKina
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UCB Biopharma S.P.R.L.AfsluttetModerat til svær psoriasis | Generaliseret pustulær psoriasis og erytrodermisk psoriasisJapan
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Caja Costarricense de Seguro SocialIkke rekrutterer endnuPsoriasis | Psoriasis (PsO) | Psoriasis arthritisCosta Rica
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PfizerAfsluttetPsoriasis Vulgaris | Pustuløs psoriasis | Psoriasis Arthropathica | Erytrodermisk psoriasisJapan
Kliniske forsøg med erlotinib
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National Cancer Institute (NCI)University of Chicago; City of Hope Medical Center; University of Southern... og andre samarbejdspartnereAfsluttet
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PfizerAfsluttetKarcinom, ikke-småcellet lungeForenede Stater
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Fox Chase Cancer CenterMillennium Pharmaceuticals, Inc.AfsluttetIkke-småcellet lungekræft Metastatisk | Ikke-småcellet lungekræft tilbagevendendeForenede Stater
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M.D. Anderson Cancer CenterAfsluttetAvancerede kræftformerForenede Stater
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Grupo de Investigación Clínica en Oncología RadioterapiaAfsluttetPlanocellulært karcinom i hoved og halsSpanien
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University of ChicagoNational Cancer Institute (NCI)AfsluttetMalignt peritoneal mesotheliomForenede Stater
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Merck Sharp & Dohme LLCAfsluttet
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National Cancer Institute (NCI)AfsluttetCervikal planocellulært karcinom | Tilbagevendende livmoderhalskræftForenede Stater
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National Cancer Institute (NCI)AfsluttetStadie IIIB Ikke-småcellet lungekræft | Tilbagevendende ikke-småcellet lungekræft | Stadie IV Ikke-småcellet lungekræftForenede Stater
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National Cancer Institute (NCI)AfsluttetAdenocarcinom i den gastroøsofageale forbindelse | Planocellulært karcinom i spiserøret | Adenocarcinom i spiserøret | Tilbagevendende kræft i spiserøret | Stadium IV Spiserørskræft | Stadie III SpiserørskræftForenede Stater