- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02899962
LEO 90100 Twice Weekly Maintenance Regimen for Psoriasis Vulgaris
A phase 3 trial comparing the efficacy and safety of LEO 90100 aerosol foam with the aerosol foam vehicle used twice weekly as long-term maintenance therapy in subjects with psoriasis vulgaris.
A 12-month, international, multi-centre, randomised, vehicle controlled, double-blind, 2-arm, parallel group trial.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
After an initial 4-week period of once-daily treatment with open-label active LEO 90100 aerosol foam, subjects who qualify for randomisation will continue into a 52-week maintenance treatment period with twice-weekly application of randomised LEO 90100 aerosol foam / LEO 90100 aerosol foam vehicle.
If the subject experiences a relapse of psoriasis, the active lesions will be treated for 4 weeks with open-label active LEO 90100 aerosol foam.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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British Columbia
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Surrey, British Columbia, Canada, V3R 6A7
- Dr. Chih-ho Hong Medical
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Vancouver, British Columbia, Canada, V6E 4M3
- Pacific Dermaesthetics
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Manitoba
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Winnipeg, Manitoba, Canada, R3M 3Z4
- Wiseman Dermatology Research
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New Brunswick
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Bathurst, New Brunswick, Canada, E2A 4Z9
- Maritime Medical Research Centre
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Fredericton, New Brunswick, Canada, E3B 1G9
- Brunwick Dermatology Center
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Ontario
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Ajax, Ontario, Canada, L1S 7K8
- CCA Medical Research
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Hamilton, Ontario, Canada, L8N 1V6
- Dermatrials Research Incorporated
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London, Ontario, Canada, N6A 3B4
- The Guenther Dermatology Research Centre
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Markham, Ontario, Canada, L3P 1X2
- Lynderm Research
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Peterborough, Ontario, Canada, K9J 5K2
- Skin Center for Dermatology
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Waterloo, Ontario, Canada, N2J 1C4
- K. Papp Clinical Research
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Quebec
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Quebec City, Quebec, Canada, J2B 5L4
- Clinique du Dre Isabelle Delorme Inc
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Salford, Det Forenede Kongerige, M6 8HD
- Dermatopharmacology Department
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Cambridgeshire
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Wansford, Cambridgeshire, Det Forenede Kongerige, PE8 6PL
- Wansford and Kings Cliffe Prac
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Derbyshire
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Chesterfield, Derbyshire, Det Forenede Kongerige, S40 4AA
- Ashgate Medical Practice
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Leicstershire
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Burbage, Leicstershire, Det Forenede Kongerige, LE10 2SE
- Burbage Surgery
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Northamptonshire
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Wellingborough, Northamptonshire, Det Forenede Kongerige, NN8 4RW
- Albany House Medical Centre
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Warwickshire
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Leamington Spa, Warwickshire, Det Forenede Kongerige, CV32 4RA
- Sherbourne Medical Centre
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West Yorkshire
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Leeds, West Yorkshire, Det Forenede Kongerige, LS7 4SA
- Chapel Allerton Hospital
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California
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Fremont, California, Forenede Stater, 94538
- Center for Dermatology Clinical Research
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Santa Monica, California, Forenede Stater, 90404
- Clinical Science Institute
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Colorado
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Denver, Colorado, Forenede Stater, 80210
- Colorado Medical Research Center
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Florida
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Miami, Florida, Forenede Stater, 33144
- International Dermatology Research
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Illinois
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Arlington Heights, Illinois, Forenede Stater, 60005
- Arlington Dermatology
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Kentucky
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Louisville, Kentucky, Forenede Stater, 40217
- Derm Research
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Maryland
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Rockville, Maryland, Forenede Stater, 20850
- DermAssociates
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Michigan
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Clarkston, Michigan, Forenede Stater, 48346
- Clarkston Skin Research
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Detroit, Michigan, Forenede Stater, 48202
- Henry Ford Medical Center - New Center One
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Kalamazoo, Michigan, Forenede Stater, 49009
- Beyer Research
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New Jersey
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East Windsor, New Jersey, Forenede Stater, 08520
- Psoriasis Treatment Center of Central NJ
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New York
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New York, New York, Forenede Stater, 10029
- Mount Sinai School of Medicine
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New York, New York, Forenede Stater, 10075
- Sadick Research Group
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Rochester, New York, Forenede Stater, 14623
- Skin Search of Rochester
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Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15213
- UPMC Department of Dermatology
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Tennessee
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Goodlettsville, Tennessee, Forenede Stater, 37072
- Rivergate Dermatology Clinical Research Center
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Knoxville, Tennessee, Forenede Stater, 37922
- The Skin Wellness Center
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Nashville, Tennessee, Forenede Stater, 37215
- Tennessee Clinical Research Center
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- Clinical Trials of Texas
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Webster, Texas, Forenede Stater, 77598
- Center for Clinical Studies
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Washington
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Spokane, Washington, Forenede Stater, 99202
- Premier Clinical Research
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Brest, Frankrig, 29609
- CHRU de Brest - Hopital Morvan
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Nice, Frankrig, 06202
- C.H.U. de nice, Hôpital de l'Archet II, Service de Dermatologie-Vénérologie
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Rennes, Frankrig, 35033
- CHU de Rennes - Hôpital Pontchaillou
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Valence, Frankrig, 26000
- Centre Hospitalier de Valence
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Saint-Etienne
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Saint Etienne, Saint-Etienne, Frankrig, 42055
- C.H.U. de Saint-Etienne Service de Dermatologie
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Kraków, Polen, 31-123
- Małopolskie Centrum Kliniczne
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Lublin, Polen, 20-079
- Nzoz Med-Laser
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Poznań, Polen, 60-425
- SOLUMED
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Rzeszów, Polen, 35-030
- Kliniczny Szpital Wojewódzki, Klinika Dermatologii
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Dresden, Tyskland, 01307
- Klinik und Poliklinik für Dermatologie
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Erlangen, Tyskland, 91054
- Universitätsklinikum Erlangen
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Essen, Tyskland, 54122
- Universitätsklinikum Essen (AöR), Klinik für Dermatologie
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Gera, Tyskland, 07548
- SRH Wald-Klinikum Gera
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Hamburg, Tyskland, 20354
- SCIderm GmbH
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Lubeck, Tyskland, 23538
- UKSH - Campus Lübeck
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Mahlow, Tyskland, 15831
- Michael Sebastian
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Munchen, Tyskland, 80337
- LMU Poliklinik Derma & Allergo
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Schweinfurt, Tyskland, 97421
- Gemein. Weber & Crainic
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
INCLUSION CRITERIA:
- A clinical diagnosis of psoriasis vulgaris for at least 6 months involving the trunk and/or limbs, amenable to treatment with maximum of 100 g of trial medication per week
- Psoriasis vulgaris on the trunk and/or limbs (excluding psoriasis on the genitals and skin folds) involving 2-30% of the body surface area (BSA)
- A target lesion/target location of at least 3 cm at its longest axis located on the body (i.e., not on the scalp, face or intertriginous areas), scoring at least 1 ('mild') for each of redness, thickness and scaliness, and at least 4 in total by the Investigator's Assessment of Severity of the Target Lesion/Location
For subjects participating in hypothalamic-pituitary-adrenal (HPA)-axis testing, furthermore:
- An extent of psoriasis vulgaris on trunk and/or limbs of disease severity (PGA) of at least 'moderate' affecting between 10 and 30% of the body surface area (BSA) excluding psoriatic lesions of genitals and skin folds at Visit 1.
EXCLUSION CRITERIA:
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:
- etanercept - within 4 weeks prior to Visit 1
- adalimumab, infliximab - within 8 weeks prior to Visit 1
- ustekinumab - within 16 weeks prior to Visit 1
- secukinumab - within 12 weeks prior to Visit 1
- other products - within 4 weeks/5 half-lives prior to Visit 1 (whichever is longer)
- Systemic treatment with all other therapies with a possible effect on psoriasis vulgaris (e.g. corticosteroids, retinoids, methotrexate, ciclosporin and other immunosuppressants) within 4 weeks prior to Visit 1
- Systemic treatment with apremilast within 4 weeks prior to Visit 1
- Psoralen combined with Ultraviolet A (PUVA) therapy within 4 weeks prior to Visit 1
- Ultraviolet B (UVB) therapy within 2 weeks prior to Visit 1
- Severe and/or extensive scalp psoriasis which, in the opinion of the investigator, requires treatment with potent or super-potent corticosteroids which will be prohibited during the trial
For subjects participating in HPA-axis testing, furthermore:
- Antidepressive medications within 4 weeks prior to Visit 1 or during the trial. Oestrogen therapy (including contraceptives), antidepressant medications and any other medication known to affect cortisol levels or HPA axis integrity within 4 weeks prior to baseline
Studieplan
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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Aktiv komparator: LEO 90100 aerosol foam
Topical application twice weekly for 52 weeks
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LEO 90100 aerosol foam twice weekly
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Placebo komparator: LEO 90100 aerosol foam vehicle
Topical application twice weekly for 52 weeks
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LEO 90100 aerosol foam vehicle twice weekly
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Time to First Relapse
Tidsramme: From Randomisation (Week 4) until first relapse or End of Treatment (Week 56 or early withdrawal)
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Time to first relapse (at least 'mild' according to the Physician's Global Assessment of disease severity [PGA]).
The investigator was to grade the severity of psoriasis of the trunk and limbs using Physician's global assessment of disease severity 5-point scale: Clear = 0; Almost clear = 1; Mild = 2; Moderate = 3; Severe = 4
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From Randomisation (Week 4) until first relapse or End of Treatment (Week 56 or early withdrawal)
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Proportion of Days in Remission During the Maintenance Phase
Tidsramme: From Randomisation (Week 4) until End of Treatment (Week 56 or early withdrawal)
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Remission defined as 'clear' or 'almost clear' according to the PGA.
The investigator was to grade using a global assessment of the disease severity of psoriasis of the trunk and limbs using the PGA 5-point scale: Clear = 0; Almost clear = 1; Mild = 2; Moderate = 3; Severe = 4
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From Randomisation (Week 4) until End of Treatment (Week 56 or early withdrawal)
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Number of Relapses During the Maintenance Phase
Tidsramme: From Randomisation (Week 4) until End of Treatment (Week 56)
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Defined as number of 4-week periods with use of once-daily rescue investigational medicinal product
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From Randomisation (Week 4) until End of Treatment (Week 56)
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Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Guenther L, Takhar A, Megna M, Sebastian M, Nyholm N, Thoning H, Levin LA. Impact of fixed-dose combination Cal/BD foam on the work productivity of patients with psoriasis: results from the 52-week randomized, double-blind, PSO-LONG trial. J Eur Acad Dermatol Venereol. 2022 Jul;36(7):1054-1063. doi: 10.1111/jdv.18053. Epub 2022 Mar 28.
- Lebwohl MG, Papp KA, Morch MH, Bernasconi MYJ, Warren RB. Long-Term Proactive Treatment of Plaque Psoriasis with Calcipotriene/Betamethasone Dipropionate Foam Prolongs Remission and Reduces Relapses Irrespective of Patient Baseline Characteristics. Dermatol Ther (Heidelb). 2021 Oct;11(5):1657-1665. doi: 10.1007/s13555-021-00585-x. Epub 2021 Aug 2.
- Stein Gold L, Alonso-Llamazares J, Lacour JP, Warren RB, Tyring SK, Kircik L, Yamauchi P, Lebwohl M; PSO-LONG Trial Investigators. PSO-LONG: Design of a Novel, 12-Month Clinical Trial of Topical, Proactive Maintenance with Twice-Weekly Cal/BD Foam in Psoriasis. Adv Ther. 2020 Nov;37(11):4730-4753. doi: 10.1007/s12325-020-01497-6. Epub 2020 Sep 23.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- LP0053-1004
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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Kliniske forsøg med Psoriasis Vulgaris
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Assiut UniversityIkke rekrutterer endnu
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Cairo UniversityIkke rekrutterer endnu
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Cairo UniversityIkke rekrutterer endnu
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Aswan UniversityRekrutteringPsoriasis VulgarisEgypten
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LEO PharmaAfsluttetPlaque Psoriasis | Psoriasis VulgarisTyskland
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SoligenixAfsluttetPsoriasis | Plaque Psoriasis | Psoriasis VulgarisForenede Stater
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University of Alabama at BirminghamCelgeneAfsluttetPsoriasis | Psoriasis Vulgaris | Psoriasis neglForenede Stater
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LEO PharmaAfsluttetPsoriasis | Plaque Psoriasis | Psoriasis VulgarisBelgien, Tyskland, Italien, Spanien, Danmark, Østrig, Frankrig, Grækenland, Schweiz, Det Forenede Kongerige, Holland, Sverige
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University Hospital, GhentBelgium Health Care Knowledge CentreRekrutteringPsoriasis VulgarisBelgien
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Chinese University of Hong KongIkke rekrutterer endnuPsoriasis Vulgaris
Kliniske forsøg med LEO 90100 aerosol foam
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LEO PharmaAfsluttet
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LEO PharmaAfsluttetPsoriasis VulgarisForenede Stater, Holland, Polen, Rumænien
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LEO PharmaAfsluttet
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LEO PharmaAfsluttet
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LEO PharmaAfsluttetHud- og bindevævssygdommeFrankrig
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LEO PharmaAfsluttetPsoriasis VulgarisForenede Stater
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LEO PharmaAfsluttetPsoriasis VulgarisFrankrig
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LEO PharmaAfsluttet
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LEO PharmaAfsluttet