- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01474512
Et fase 3-studie i deltagere med moderat til svær psoriasis (UNCOVER-1)
17. september 2019 opdateret af: Eli Lilly and Company
Et multicenterstudie med en randomiseret, dobbeltblind, placebokontrolleret induktionsdoseringsperiode efterfulgt af en randomiseret vedligeholdelsesdoseringsperiode og en langsigtet forlængelsesperiode for at evaluere effektiviteten og sikkerheden af LY2439821 hos patienter med moderat til svær plaque-psoriasis
Denne undersøgelse vil vurdere sikkerheden og effektiviteten af LY2439821 sammenlignet med placebo hos deltagere med moderat til svær, kronisk plaque-psoriasis.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
1296
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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New South Wales
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Kogarah, New South Wales, Australien, 2217
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Queensland
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Benowa, Queensland, Australien, 4217
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Woolloogabba, Queensland, Australien, 4120
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South Australia
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Adelaide, South Australia, Australien, 5000
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Victoria
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Carlton, Victoria, Australien, 3053
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Parkville, Victoria, Australien, 3050
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Western Australia
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Fremantle, Western Australia, Australien, 6160
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British Columbia
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Surrey, British Columbia, Canada, V3R 6A7
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Manitoba
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Winnipeg, Manitoba, Canada, R3C 1R4
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New Brunswick
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Moncton, New Brunswick, Canada, E1C8X3
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Nova Scotia
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Halifax, Nova Scotia, Canada, B5H1Z4
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Ontario
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Ajax, Ontario, Canada, L1S7K8
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Barrie, Ontario, Canada, L4M6L2
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London, Ontario, Canada, N6A 3H7
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Newmarket, Ontario, Canada, L3Y6P5
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Richmond Hill, Ontario, Canada, L4B 1A5
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Waterloo, Ontario, Canada, N2J 1C4
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Windsor, Ontario, Canada, N8W 1E6
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Quebec
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Montreal, Quebec, Canada, H3Z 2S6
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Aarhus, Danmark, 8000
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Hellerup, Danmark, 2900
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Kobenhavn, Danmark, 2400
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Lanarkshire, Det Forenede Kongerige, ML6 0JS
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Manchester
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Salford, Manchester, Det Forenede Kongerige, M6 8HD
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North Lincolnshire
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Scunthorpe, North Lincolnshire, Det Forenede Kongerige, DN15 7BH
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Scotland
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Dundee, Scotland, Det Forenede Kongerige, DD1 9SY
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Warwickshire
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Nuneaton, Warwickshire, Det Forenede Kongerige, CV10 7BL
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Alabama
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Birmingham, Alabama, Forenede Stater, 35233
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California
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Anaheim, California, Forenede Stater, 92801
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Bakersfield, California, Forenede Stater, 93309
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Fremont, California, Forenede Stater, 94538
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Connecticut
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New Haven, Connecticut, Forenede Stater, 06511
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Florida
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Jacksonville, Florida, Forenede Stater, 32216
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Miami, Florida, Forenede Stater, 33175
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Miramar, Florida, Forenede Stater, 33027
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Ocala, Florida, Forenede Stater, 34471
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Ormond Beach, Florida, Forenede Stater, 32174
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Pinellas Park, Florida, Forenede Stater, 33781
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Tampa, Florida, Forenede Stater, 33624
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West Palm Beach, Florida, Forenede Stater, 33409
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Georgia
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Atlanta, Georgia, Forenede Stater, 30327
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Illinois
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Arlington Heights, Illinois, Forenede Stater, 60005
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Chicago, Illinois, Forenede Stater, 60611
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Indiana
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Evansville, Indiana, Forenede Stater, 47714
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Indianapolis, Indiana, Forenede Stater, 46256
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South Bend, Indiana, Forenede Stater, 46617
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Kentucky
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Owensboro, Kentucky, Forenede Stater, 42303
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Louisiana
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Baton Rouge, Louisiana, Forenede Stater, 70809
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Michigan
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Troy, Michigan, Forenede Stater, 48084
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Missouri
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Saint Louis, Missouri, Forenede Stater, 63117
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New York
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Bronx, New York, Forenede Stater, 10467
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New York, New York, Forenede Stater, 10021
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Rochester, New York, Forenede Stater, 14623
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North Carolina
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Raleigh, North Carolina, Forenede Stater, 27612
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Ohio
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Cleveland, Ohio, Forenede Stater, 44106
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Oregon
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Portland, Oregon, Forenede Stater, 97223
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Rhode Island
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Johnston, Rhode Island, Forenede Stater, 02919
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Tennessee
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Knoxville, Tennessee, Forenede Stater, 37922
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Utah
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Salt Lake City, Utah, Forenede Stater, 84132
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Washington
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Bellingham, Washington, Forenede Stater, 98225
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Seattle, Washington, Forenede Stater, 98101
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Bergamo, Italien, 24128
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Bologna, Italien, 40100
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Padova, Italien, 35128
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Pisa, Italien, 56126
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Aichi, Japan, 467-0001
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Fukuoka, Japan, 814-0180
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Kochi, Japan, 783-8505
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Kyoto, Japan, 602-0841
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Shiga, Japan, 520-2192
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Shizuoka, Japan, 431-3125
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Tochigi, Japan, 329- 0498
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Tokyo, Japan, 169-0073
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Bialystok, Polen, 15-017
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Elblag, Polen, 82-300
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Krakow, Polen, 30-510
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Lodz, Polen, 90-265
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Lublin, Polen, 20-081
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Szczecin, Polen, 70-111
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Torun, Polen, 87-100
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Warsaw, Polen, 04-749
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Baia Mare, Rumænien, 430193
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Bucharest, Rumænien, 21155
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Craiova, Rumænien, 200642
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Iasi, Rumænien, 700125
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Berlin, Tyskland, 13125
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Darmstadt, Tyskland, 64283
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Frankfurt, Tyskland, 60596
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Hamburg, Tyskland, 22143
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Hanau, Tyskland, 63450
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Hannover, Tyskland, 30449
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Kiel, Tyskland, 24105
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Köln, Tyskland, 50937
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Mahlow, Tyskland, 39110
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Mainz, Tyskland, 55131
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Münster, Tyskland, 48149
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Quedlinburg, Tyskland, 06484
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Wuppertal, Tyskland, 42275
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Budapest, Ungarn, 1036
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Debrecen, Ungarn, 4032
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Miskolc, Ungarn, 3529
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Szeged, Ungarn, H-6720
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Szolnok, Ungarn, H-5000
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Szombathely, Ungarn, H-9700
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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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
Inklusionskriterier:
- Til stede med kronisk plaque psoriasis baseret på en bekræftet diagnose af kronisk psoriasis vulgaris i mindst 6 måneder før randomisering
- Mindst 10 % kropsoverfladeareal (BSA) af psoriasis ved screening og ved randomisering
- Static Physician Global Assessment (sPGA) score på mindst 3 og Psoriasis Area and Severity Index (PASI) score på mindst 12 ved screening og ved randomisering
- Kandidat til lysterapi og/eller systemisk terapi
- Mænd skal acceptere at bruge en pålidelig præventionsmetode under undersøgelsen
- Kvinder skal acceptere at bruge prævention eller forblive afholdende under undersøgelsen og i mindst 12 uger efter ophør af behandlingen
Ekskluderingskriterier:
- Pustulære, erytrodermiske og/eller guttate former for psoriasis
- Anamnese med lægemiddelinduceret psoriasis
- Klinisk signifikant opblussen af psoriasis i de 12 uger før randomisering
- Samtidig eller nylig brug af ethvert biologisk middel
- Modtaget systemisk psoriasisterapi [såsom psoralen og ultraviolet A (PUVA) lysterapi] eller fototerapi inden for de foregående 4 uger; eller havde topisk psoriasisbehandling inden for de foregående 2 uger før randomisering
- Kan ikke undgå overdreven soleksponering eller brug af solariekabiner i mindst 4 uger før randomisering og under undersøgelsen
- Har deltaget i enhver undersøgelse med interleukin (IL)-17-antagonister, inklusive LY2439821
- Alvorlig lidelse eller anden sygdom end plakpsoriasis
- Alvorlig infektion inden for de sidste 3 måneder
- Ammende eller ammende (ammende) kvinder.
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: 80 milligram (mg) Ixekizumab doseringsregime 1 (Q2W)
Indgivet som to 80 mg subkutane (SC) injektioner i uge 0, derefter en 80 mg SC injektion pr. doseringsregime 1 [hver 2. uge (Q2W)] til og med uge 10.
I uge 12 bliver armen re-randomiseret til placebo, doseringsregime 2 [hver 4. uge (Q4W)] eller doseringsregime 3 [hver 12. uge Q12W)].
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Administreret SC
Andre navne:
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Eksperimentel: 80 mg Ixekizumab doseringsregime 2 (Q4W)
Indgivet som to 80-mg SC-injektioner i uge 0, derefter en 80-mg SC-injektion pr. doseringsregime 2 (Q4W) til og med uge 10.
I uge 12 bliver armen re-randomiseret til placebo, doseringsregime 2 (Q4W) eller doseringsregime 3 (Q12W).
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Administreret SC
Andre navne:
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Eksperimentel: 80 mg Ixekizumab doseringsregime 3 (Q12W)
Doseringsregime 3 (Q12W) anvendes først i uge 12.
I uge 12 fik deltagere, der blev re-randomiseret til denne arm, givet en 80 mg SC-injektion Q12W.
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Administreret SC
Andre navne:
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Placebo komparator: Placebo
Indgivet som 2 SC-injektioner i uge 0, derefter 1 SC-injektion pr. doseringsregime 1 (Q2W) til og med uge 10.
I uge 12 bliver armen re-randomiseret til placebo eller doseringsregime 2 (Q4W).
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Administreret SC
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Procentdel af deltagere med Static Physician Global Assessment (sPGA) på 0 eller 1 (Ixekizumabs effekt hos deltagere med moderat til svær plak Ps-mål: sPGA)
Tidsramme: Uge 12
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SPGA er lægens bestemmelse af deltagerens Ps-læsioner samlet på et givet tidspunkt.
Læsioner blev kategoriseret efter beskrivelser for induration, erytem og skældannelse.
Deltagernes Ps blev vurderet som 0 (klar), 1 (minimal), 2 (mild), 3 (moderat), 4 (alvorlig) eller 5 (meget alvorlig).
En sPGA-responder blev defineret som havende en post-baseline sPGA-score på "0" eller "1" med mindst en 2-points forbedring fra baseline.
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Uge 12
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Procentdel af deltagere, der opnår ≥75 % forbedring i Ps Area and Severity Index (PASI75) (Ixekizumabs effekt hos deltagere med moderat til svær plakpsoriasis-mål: PASI)
Tidsramme: Uge 12
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PASI kombinerer omfanget af kropsoverflade involvering i 4 anatomiske regioner (hoved, krop, arme og ben).
For hver region blev det procentvise hudområde estimeret fra 0 (0 %) til 6 (90 %-100 %), og sværhedsgraden blev estimeret ved kliniske tegn på erytem, induration og skalering med en score fra 0 (ingen involvering) til 4 (alvorlig involvering).
Hvert område scores separat, og pointene kombineres derefter for den endelige PASI.
Endelig PASI beregnet som: summen af sværhedsgradsparametre for hver region * områdescore * vejefaktor [hoved (0,1), øvre lemmer (0,2), krop (0,3), underekstremiteter (0,4)].
Samlet score spænder fra 0 (ingen Ps) til 72 (den mest alvorlige sygdom).
Deltagere, der opnåede PASI75, blev defineret som at have en forbedring på ≥75 % i PASI-score sammenlignet med baseline.
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Uge 12
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Procentdel af deltagere, der opnår en sPGA på 0 (effekt af Ixekizumab hos deltagere med moderat til svær plak Ps-mål: sPGA)
Tidsramme: Uge 12
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SPGA er lægens bestemmelse af deltagerens Ps-læsioner samlet på et givet tidspunkt.
Læsioner blev kategoriseret efter beskrivelser for induration, erytem og skældannelse.
Deltagernes Ps blev vurderet som 0 (klar), 1 (minimal), 2 (mild), 3 (moderat), 4 (alvorlig) eller 5 (meget alvorlig).
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Uge 12
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Procentdel af deltagere, der opnår PASI 90 % (PASI90) eller 100 % (PASI100) (Ixekizumabs effekt hos deltagere med moderat til svær plak Ps Mål: PASI)
Tidsramme: Uge 12
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PASI kombinerer omfanget af kropsoverflade involvering i 4 anatomiske regioner (hoved, krop, arme og ben).
For hver region blev det procentvise hudområde estimeret fra 0 (0 %) til 6 (90 %-100 %), og sværhedsgraden blev estimeret ved kliniske tegn på erytem, induration og skalering med en score fra 0 (ingen involvering) til 4 (alvorlig involvering).
Hvert område scores af sig selv, og pointene blev derefter kombineret til den endelige PASI.
Endelig PASI beregnet som: summen af sværhedsgradsparametre for hver region * områdescore * vejefaktor [hoved (0,1), øvre lemmer (0,2), krop (0,3), underekstremiteter (0,4)].
Samlet score spænder fra 0 (ingen Ps) til 72 (den mest alvorlige sygdom).
Deltagere, der opnåede PASI90 eller PASI100, blev defineret som havende en forbedring på henholdsvis ≥90 % eller 100 % i PASI-score sammenlignet med baseline.
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Uge 12
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Procentdel af deltagere, der opretholder sPGA 0 eller 1 efter re-randomisering ved start af vedligeholdelsesdoseringsperiode
Tidsramme: Uge 60
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SPGA er lægens bestemmelse af deltagerens Ps-læsioner samlet på et givet tidspunkt.
Læsioner blev kategoriseret efter beskrivelser for induration, erytem og skældannelse.
Deltagernes Ps blev vurderet som 0 (klar), 1 (minimal), 2 (mild), 3 (moderat), 4 (alvorlig) eller 5 (meget alvorlig).
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Uge 60
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Procentdel af deltagere med kløe numerisk vurderingsskala (Itch NRS) score ≥4 point reduktion fra baseline
Tidsramme: Baseline, uge 12
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Itch NRS er en deltageradministreret, 11-punkts horisontal skala forankret ved 0 (ingen kløe) og 10 (værst tænkelige kløe).
Den overordnede sværhedsgrad af en deltagers kløe fra Ps er angivet ved at sætte en cirkel om det tal, der bedst beskriver det værste niveau af kløe i de seneste 24 timer.
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Baseline, uge 12
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Ændring fra baseline i dermatologi-specifikt livskvalitetsindeks (DLQI)-score
Tidsramme: Baseline, uge 12
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DLQI er et deltageradministreret, 10-spørgsmål, valideret, livskvalitetsspørgeskema, der dækker 6 domæner, herunder symptomer og følelser, daglige aktiviteter, fritid, arbejde og skole, personlige relationer og behandling.
Svarkategorier inkluderer 0 (slet ikke), 1 (lidt), 2 (meget) og 3 (meget) og ubesvarede ("ikke relevant") svar blev scoret som "0".
Samlede scorer varierer fra 0 til 30, med højere score, der indikerer større livskvalitet er svækkelse.
En 5-punkts ændring fra baseline anses for at være klinisk relevant.
Mindste kvadraters (LS) gennemsnitlig ændring fra baseline blev beregnet ved brug af gentagne foranstaltninger med blandet model (MMRM).
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Baseline, uge 12
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Ændring fra baseline i Nail Psoriasis Severity Index (NAPSI)
Tidsramme: Baseline, uge 12
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NAPSI er et numerisk, reproducerbart, objektivt værktøj til evaluering af fingernegle-Ps.
Denne skala bruges til at evaluere sværhedsgraden af fingernegleleje Ps og fingerneglematrix Ps efter involveringsområde i fingernegleenheden.
Fingerneglen er opdelt med imaginære vandrette og langsgående linjer i kvadranter.
Hver fingernegl får en score for fingernegleleje Ps 0 (ingen) til 4 (Ps i 4 kvadranter af fingerneglen) og fingerneglematrix Ps 0 (ingen) til 4 (Ps i 4 kvadranter af matrixen), afhængigt af tilstedeværelsen ( score på 1) eller fravær (score på 0) af nogen af funktionerne i fingerneglelejet eller matrix Ps i hver kvadrant.
NAPSI-score for en fingernegl er summen af score i fingernegleleje og fingerneglematrix fra hver kvadrant (maksimalt 8).
Hver fingernegl evalueres, hvorefter summen af alle fingernegle svarer til den samlede NAPSI-score med et interval fra 0 til 80 med højere score, der indikerer mere alvorlig psoriasis.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af MMRM.
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Baseline, uge 12
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Procent af kropsoverfladeareal (BSA) involvering af Ps
Tidsramme: Uge 12
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BSA er en lægevurdering af procentdelen af involvering af Ps for hver deltager.
BSA vurderes på en kontinuerlig skala fra 0% (ingen involvering) til 100% (fuld involvering), hvor 1% svarer til størrelsen på deltagerens hånd (inklusive håndflade, fingre og tommelfinger).
Total BSA er summen af håndaftryk fra de berørte områder.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af MMRM.
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Uge 12
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Ændring fra baseline i Psoriasis Scalp Severity Index (PSSI)
Tidsramme: Baseline, uge 12
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PSSI er en lægevurdering af erytem, induration og afskalning og procent af hovedbunden, der er dækket med en score fra 0 (ingen) til 4 (meget alvorlig).
Den sammensatte score er afledt af summen af score for erytem, induration og afskalning multipliceret med scoren registreret for omfanget af det involverede hovedbundsområde, 1 (<10%) til 6 (90%-100%) med en samlet score spænder fra 0 til 72, med lavere score, der indikerer mindre alvorlighed.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af MMRM.
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Baseline, uge 12
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Ændring fra baseline i alle resultater af arbejdet Produktivitet Aktivitet Svækkelse spørgeskema-Psoriasis (WPAI-PSO) livskvalitet og resultatvurderinger. Mål: Deltagerrapporterede resultater (PRO)
Tidsramme: Baseline, uge 12
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WPAI-PSO er et deltageradministreret, 6-element instrument, der bruges til at vurdere virkningen af Ps på produktivitetsvækkelsen inden for de seneste 7 dage.
WPAI-PSO har 4 domæner: fravær, tilstedeværelse (reduceret produktivitet, mens du er på arbejde), en samlet arbejdsnedsættelsesscore og svækkelse i daglige aktiviteter, der udføres uden for arbejdet.
Fire scores udledes som procenter: fravær, tilstedeværelse (nedsat produktivitet under arbejdet), generel arbejdsnedsættelse (fravær og tilstedeværelse) og svækkelse af aktiviteter, der udføres uden for arbejdet.
Procentdelen beregnes som: hver score * 100 med højere score, der indikerer større værdiforringelse.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af analyse af kovarians (ANCOVA).
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Baseline, uge 12
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Ændring fra baseline i hurtig opgørelse over depressiv symptomatologi-selvrapporteret 16 elementer (QIDS-SR16)
Tidsramme: Baseline, uge 12
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QIDS-SR16 er et deltageradministreret instrument med 16 stoffer beregnet til at vurdere eksistensen og sværhedsgraden af symptomer på depression.
En deltager bliver bedt om at overveje hvert udsagn, som det relaterer sig til den måde, de har følt de sidste 7 dage og vurdere hver udsagn på en 4-trins skala: 0 (bedst) til 3 (dårligst).
Summen af de 16 punkter svarende til 9 depressionsdomæner [trist humør, koncentration, selvkritik, selvmordstanker, interesse, energi/træthed, søvnforstyrrelser (indledende, mellem- og sen søvnløshed eller hypersomni), fald/øgning i appetit/vægt og psykomotorisk agitation/retardering] for at give en enkelt total score fra 0 til 27, med højere score, der indikerer større symptomsværhed.
LS gennemsnitlig ændring fra baseline blev beregnet ved anvendelse af ANCOVA.
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Baseline, uge 12
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Ændring fra baseline i medicinske resultater Undersøgelse 36-element Short Form Health Survey (SF-36) og Physical Component Summary (PCS) og Mental Component Summary (MCS)
Tidsramme: Baseline, uge 12
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SF-36 er et selvrapporteret instrument, der måler deltagerens helbredstilstand i løbet af de foregående 7 dage.
Den består af 36 punkter, der dækker 8 domæner: fysisk funktion, fysisk rolle, følelsesmæssig rolle, kropslig smerte, vitalitet, social funktion, mental sundhed og generel sundhed.
Emner besvares på Likert-skalaer af varierende længde.
De 8 domæner er omgrupperet i PCS- og MCS-resultaterne.
Scoringer varierer fra 0 til 100, hvor højere score indikerer bedre funktionsniveauer og/eller bedre helbred.
LS gennemsnitlig ændring fra baseline blev beregnet ved anvendelse af ANCOVA.
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Baseline, uge 12
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Ændring fra baseline i patientens globale vurdering af sygdomssværhedsgrad (PatGA)
Tidsramme: Baseline, uge 12
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PatGA er et enkelt-element selvrapporteret instrument, der beder deltageren om at vurdere sværhedsgraden af deres psoriasis "i dag" ved at sætte en ring om et tal på den numeriske vurderingsskala fra 0 (Klar = ingen psoriasis) til 5 (alvorlig = den værste deres psoriasis nogensinde har været).
LS gennemsnitlig ændring fra baseline beregnet ved hjælp af MMRM.
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Baseline, uge 12
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Procentdel af deltagere, der opnår Palmoplantar PASI (PPASI) på ≥50 % (PPASI50), ≥75 % (PPASI75) eller 100 % (PPASI100) forbedring
Tidsramme: Uge 12
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Palmoplantar PASI er en sammensat score afledt af summen af score for erytem, induration og afskalning [score varierer fra 0 (ingen) til 4 (meget alvorlig) for hver] multipliceret med scoren for omfanget af involvering af håndfladen og sålområdet [scores varierer fra 0 (0%) til 6 (90 til 100%)], med en samlet score fra 0 til 72.
Deltagere, der opnåede PPASI50, PPASI75 eller PASI100, blev defineret som at have en forbedring på henholdsvis mindst 50 %, 90 % eller 100 % i PPASI-scorerne sammenlignet med baseline.
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Uge 12
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Farmakokinetik (PK): Lavkoncentration ved stabil tilstand (Ctrough ss)
Tidsramme: Uge 12: Dag 84 og uge 24: Dag 168
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Uge 12: Dag 84 og uge 24: Dag 168
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Procentdel af deltagere med anti-ixekizumab-antistoffer
Tidsramme: Baseline til og med uge 12
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Procentdel af deltagere med behandlingsfremkomne positive anti-ixekizumab-antistoffer blev opsummeret efter behandlingsgruppe.
Procentdelen blev beregnet ud fra antallet af evaluerbare deltagere og blev beregnet efter antal deltagere med behandlingsfremkomne positive anti-ixekizumab-antistoffer / antal evaluerbare deltagere * 100 %.
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Baseline til og med uge 12
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
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
- Elewski BE, Blauvelt A, Gallo G, Wolf E, McKean-Matthews M, Burge R, Merola JF, Gottlieb AB, Guenther LC. Simultaneous Nail and Skin Clearance in Ixekizumab Head-to-Head Trials for Moderate-to-Severe Psoriasis and Psoriatic Arthritis. Dermatol Ther (Heidelb). 2022 Apr;12(4):911-920. doi: 10.1007/s13555-022-00704-2. Epub 2022 Mar 13.
- Leonardi C, Reich K, Foley P, Torii H, Gerdes S, Guenther L, Gooderham M, Ferris LK, Griffiths CEM, ElMaraghy H, Crane H, Patel H, Burge R, Gallo G, Shrom D, Leung A, Lin CY, Papp K. Efficacy and Safety of Ixekizumab Through 5 Years in Moderate-to-Severe Psoriasis: Long-Term Results from the UNCOVER-1 and UNCOVER-2 Phase-3 Randomized Controlled Trials. Dermatol Ther (Heidelb). 2020 Jun;10(3):431-447. doi: 10.1007/s13555-020-00367-x. Epub 2020 Mar 21.
- Gordon KB, Blauvelt A, Papp KA, Langley RG, Luger T, Ohtsuki M, Reich K, Amato D, Ball SG, Braun DK, Cameron GS, Erickson J, Konrad RJ, Muram TM, Nickoloff BJ, Osuntokun OO, Secrest RJ, Zhao F, Mallbris L, Leonardi CL; UNCOVER-1 Study Group; UNCOVER-2 Study Group; UNCOVER-3 Study Group. Phase 3 Trials of Ixekizumab in Moderate-to-Severe Plaque Psoriasis. N Engl J Med. 2016 Jul 28;375(4):345-56. doi: 10.1056/NEJMoa1512711. Epub 2016 Jun 8.
- Armstrong AW, Lynde CW, McBride SR, Stahle M, Edson-Heredia E, Zhu B, Amato D, Nikai E, Yang FE, Gordon KB. Effect of Ixekizumab Treatment on Work Productivity for Patients With Moderate-to-Severe Plaque Psoriasis: Analysis of Results From 3 Randomized Phase 3 Clinical Trials. JAMA Dermatol. 2016 Jun 1;152(6):661-9. doi: 10.1001/jamadermatol.2016.0269.
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.
Studer store datoer
Studiestart (Faktiske)
16. november 2011
Primær færdiggørelse (Faktiske)
24. juni 2014
Studieafslutning (Faktiske)
20. september 2018
Datoer for studieregistrering
Først indsendt
15. november 2011
Først indsendt, der opfyldte QC-kriterier
17. november 2011
Først opslået (Skøn)
18. november 2011
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
3. oktober 2019
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
17. september 2019
Sidst verificeret
18. januar 2019
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 12972
- I1F-MC-RHAZ (Anden identifikator: Eli Lilly and Company)
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
-
Clin4allAktiv, ikke rekrutterendePsoriasis i hovedbunden | Psoriasis negl | Psoriasis Palmaris | Psoriasis Genital | Psoriasis PlantarisFrankrig
-
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
-
AmgenAfsluttetPsoriasis-Psoriasis | Plaque-type psoriasisForenede Stater
-
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
-
Innovaderm Research Inc.AfsluttetPsoriasis i hovedbunden | Pustulær Palmo-plantar Psoriasis | Ikke-pustulær Palmo-plantar Psoriasis | Albue Psoriasis | Psoriasis i underbenetCanada
-
Chongqing Genrix Biopharmaceutical Co., LtdXiangya Hospital of Central South UniversityIkke rekrutterer endnuPlaque Psoriasis | Psoriasisgigt | Psoriasis i hovedbunden | Negle Psoriasis | Palmoplantar Psoriasis | Genital PsoriasisKina
-
UCB Biopharma S.P.R.L.AfsluttetModerat til svær psoriasis | Generaliseret pustulær psoriasis og erytrodermisk psoriasisJapan
-
Caja Costarricense de Seguro SocialIkke rekrutterer endnuPsoriasis | Psoriasis (PsO) | Psoriasis arthritisCosta Rica
-
PfizerAfsluttetPsoriasis Vulgaris | Pustuløs psoriasis | Psoriasis Arthropathica | Erytrodermisk psoriasisJapan
Kliniske forsøg med Placebo
-
SamA Pharmaceutical Co., LtdUkendtAkut bronkitis | Akut øvre luftvejsinfektionKorea, Republikken
-
National Institute on Drug Abuse (NIDA)AfsluttetBrug af cannabisForenede Stater
-
AkesoIkke rekrutterer endnuAtopisk dermatitisKina
-
CellmedisMedical Network Sp. z o.o.Ikke rekrutterer endnu
-
Texas A&M UniversityNutraboltAfsluttetGlukose og insulinrespons
-
AstraZenecaParexel; Spandauer Damm 130; 14050; Berlin, GermanyAfsluttetMandlige forsøgspersoner med type II-diabetes (T2DM)Tyskland
-
Heptares Therapeutics LimitedAfsluttetFarmakokinetik | SikkerhedsproblemerDet Forenede Kongerige
-
LifeMine TherapeuticsRekruttering
-
Longeveron Inc.AfsluttetHypoplastisk venstre hjerte syndromForenede Stater