Studio Clinico sui Dispositivi Medici PROXERA PSOMED 20 e PROXERA PSOMED 40 per il Trattamento della Psoriasi a Placche e della Psoriasi Palmoplantare Non Pustolosa (PASI)
Valutazione dell'Efficacia e della Sicurezza del Dispositivo Medico PROXERA PSOMED 20 nella Riduzione delle Placche Psoriasiche e del Dispositivo Medico PROXERA PSOMED 40 nella Riduzione dei Difetti della Psoriasi Palmoplantare Non Pustolosa in Pazienti con Psoriasi a Placche: uno Studio Sponsorizzato, Interventistico, Monocentrico, Randomizzato, in Singolo Cieco, Controllato Intra-paziente (PASI)
Questo studio interventistico monocentrico è stato progettato per valutare l'efficacia e la sicurezza di due dispositivi medici topici marchiati CE: PROXERA PSOMED 20 viene studiato in partecipanti con psoriasi a placche non palmoplantare, mentre PROXERA PSOMED 40 viene studiato in partecipanti con psoriasi palmoplantare non pustolosa.
Lo studio mira a determinare se il trattamento di un'area target con il dispositivo medico assegnato porti a un miglioramento clinico maggiore rispetto all'area di controllo controlaterale non trattata nello stesso partecipante. Per PROXERA PSOMED 20, la valutazione primaria viene eseguita dopo 4 settimane di trattamento. Per PROXERA PSOMED 40, la valutazione primaria viene eseguita dopo 8 settimane di trattamento.
Gli obiettivi secondari includono la valutazione della sicurezza, della tollerabilità locale, del progresso complessivo della psoriasi, del suo impatto sulla qualità della vita e di ulteriori parametri dell'attività della malattia locale nelle aree target. I partecipanti applicheranno il dispositivo di studio assegnato una volta al giorno sull'area target selezionata, si sottoporranno a valutazioni cliniche durante le visite programmate e forniranno informazioni sulla sicurezza e sulla tollerabilità durante tutto lo studio.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Paolo Amerio, Professore Ordinario
- Numero di telefono: + 39 0871358032
- Email: paolo.amerio@unich.it
Luoghi di studio
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Italia
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Chieti, Italia, Italia, 66100
- Reclutamento
- Clinica Dermatologica Dipartimento di Medicina e Scienze dell'Invecchiamento Università G. D' Annunzio
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Contatto:
- Paolo Amerio, Prof.
- Numero di telefono: + 39 0871358032
- Email: paolo.amerio@unich.it
-
-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Criteri di inclusione:
PROXERA PSOMED 20 - crema normalizzante, urea 20%
- Diagnosi di psoriasi a placche (non palmoplantare) da almeno 1 anno PROXERA PSOMED 40 - gel esfoliante intensivo, urea 40%
- Diagnosi di psoriasi palmoplantare non pustolosa da almeno 1 anno
Criteri di inclusione comuni:
- Età 18-65 anni
- Gravità della psoriasi "lieve" secondo:
- Indice di gravità dell'area della psoriasi (PASI) <10
- Indice di qualità della vita dermatologica (DLQI) <10
- Area della superficie corporea (BSA) <10
Criteri di esclusione:
- Intolleranza al prodotto
- Terapia concomitante con farmaci immunomodulatori sistemici (es. metotrexato, ciclosporina, apremilast)
- Terapia concomitante con farmaci biologici come anti-TNFα, anti-IL17 o anti-IL23.
- Terapia topica concomitante con corticosteroidi topici (TCS), inibitori topici della calcineurina (TCI), analoghi della vitamina D e combinazioni.
- Donne in gravidanza o allattamento
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Trattamento Intra-paziente Con PROXERA PSOMED 20
Studio a braccio singolo, randomizzato, in singolo cieco, controllato intra-paziente.
I partecipanti sono assegnati al trattamento in base alla diagnosi: i partecipanti con psoriasi a placche non palmoplantare ricevono PROXERA PSOMED 20 una volta al giorno per 4 settimane su una placca bersaglio, mentre i partecipanti con psoriasi palmoplantare non pustolosa ricevono PROXERA PSOMED 40 una volta al giorno per 8 settimane su un'area bersaglio del palmo o della pianta del piede.
In entrambe le coorti, un'area bersaglio controlaterale comparabile rimane non trattata come controllo.
Per PROXERA PSOMED 40, il trattamento viene interrotto per 3 giorni ogni 14 giorni.
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Proxera Psomed 20: Dispositivo medico topico in formulazione crema contenente il 20% di urea, fornito in tubo da 200 mL. Viene autoapplicato dal partecipante una volta al giorno alla stessa ora sulla placca bersaglio selezionata per 4 settimane, secondo la regola dell'unità polpastrello. L'area bersaglio comparabile controlaterale rimane non trattata come controllo. Proxera Psomed 40: Dispositivo medico topico in formulazione gel contenente il 40% di urea, fornito in tubo da 100 mL. Viene autoapplicato dal partecipante una volta al giorno alla stessa ora sull'area del palmo o della pianta del piede bersaglio selezionata per 8 settimane, secondo la regola dell'unità polpastrello. Il trattamento viene interrotto per 3 giorni ogni 14 giorni. L'area bersaglio comparabile controlaterale rimane non trattata come controllo.
Altri nomi:
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Sperimentale: Trattamento Intra-paziente Con PROXERA PSOMED 40
I partecipanti con psoriasi palmoplantare non pustolosa applicano autonomamente PROXERA PSOMED 40 una volta al giorno alla stessa ora su un'area bersaglio del palmo o della pianta del piede per 8 settimane.
La dose viene applicata secondo la regola dell'unità di punta delle dita.
Un'area bersaglio controlaterale comparabile rimane non trattata come controllo.
Il trattamento viene interrotto per 3 giorni ogni 14 giorni.
|
Proxera Psomed 20: Dispositivo medico topico in formulazione crema contenente il 20% di urea, fornito in tubo da 200 mL. Viene autoapplicato dal partecipante una volta al giorno alla stessa ora sulla placca bersaglio selezionata per 4 settimane, secondo la regola dell'unità polpastrello. L'area bersaglio comparabile controlaterale rimane non trattata come controllo. Proxera Psomed 40: Dispositivo medico topico in formulazione gel contenente il 40% di urea, fornito in tubo da 100 mL. Viene autoapplicato dal partecipante una volta al giorno alla stessa ora sull'area del palmo o della pianta del piede bersaglio selezionata per 8 settimane, secondo la regola dell'unità polpastrello. Il trattamento viene interrotto per 3 giorni ogni 14 giorni. L'area bersaglio comparabile controlaterale rimane non trattata come controllo.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Target Lesion Score at Week 4
Lasso di tempo: Baseline to Week 4 (end of treatment)
|
The Target Lesion Score assesses the severity of a representative psoriatic plaque based on erythema, induration (thickness), and scaling.
Each component is scored from 0 to 4, and the total score ranges from 0 to 12, with higher scores indicating greater lesion severity.
In participants treated with PROXERA PSOMED 20, the outcome compares the change from baseline to Week 4 in the treated target plaque with the change in the contralateral untreated control plaque.
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Baseline to Week 4 (end of treatment)
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Difference Between Treated and Untreated Target Areas in Change From Baseline in Local Modified Palmoplantar Psoriasis Area and Severity Index at Week 8
Lasso di tempo: Baseline to Week 8 (end of treatment)
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The local modified Palmoplantar Psoriasis Area and Severity Index (mPPPASI) assesses erythema, induration, scaling, and extent of involvement in each target palm or sole area.
Erythema, induration, and scaling are each scored from 0 to 4, while extent of involvement is scored from 0 to 6.
For each target site, the local score is calculated as (erythema + induration + scaling) × extent and ranges from 0 to 72, with higher scores indicating more severe disease.
In participants treated with PROXERA PSOMED 40, the primary analysis compares the change from baseline to Week 8 in the treated target area with the change in the contralateral untreated control area.
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Baseline to Week 8 (end of treatment)
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Target Lesion Score at Week 8
Lasso di tempo: Baseline to Week 8 (4 weeks after the end of treatment)
|
The Target Lesion Score assesses the severity of a representative psoriatic plaque based on erythema, induration (thickness), and scaling.
Each component is scored from 0 to 4, and the total score ranges from 0 to 12, with higher scores indicating greater lesion severity.
In participants treated with PROXERA PSOMED 20, the outcome compares the change from baseline to Week 8 in the treated target plaque with the change in the contralateral untreated control plaque.
|
Baseline to Week 8 (4 weeks after the end of treatment)
|
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Difference Between Treated and Untreated Target Areas in Change From Baseline in Local Modified Palmoplantar Psoriasis Area and Severity Index at Week 12
Lasso di tempo: Baseline to Week 12 (4 weeks after the end of treatment)
|
The local modified Palmoplantar Psoriasis Area and Severity Index (mPPPASI) assesses erythema, induration, scaling, and extent of involvement in each target palm or sole area.
Erythema, induration, and scaling are each scored from 0 to 4, while extent of involvement is scored from 0 to 6.
For each target site, the local score is calculated as (erythema + induration + scaling) × extent and ranges from 0 to 72, with higher scores indicating more severe disease.
In participants treated with PROXERA PSOMED 40, the outcome compares the change from baseline to Week 12 in the treated target area with the change in the contralateral untreated control area.
|
Baseline to Week 12 (4 weeks after the end of treatment)
|
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Change From Baseline in Psoriasis Area and Severity Index Score at Week 4 in the PROXERA PSOMED 20 Cohort
Lasso di tempo: Baseline to Week 4 (end of treatment)
|
The Psoriasis Area and Severity Index (PASI) assesses overall psoriasis severity by combining the extent of body surface involvement with the severity of erythema, induration, and scaling across different body regions.
The total PASI score ranges from 0 to 72, with higher scores indicating greater overall psoriasis severity.
This outcome measures the change in PASI score from baseline to Week 4 in participants with non-palmoplantar plaque psoriasis treated with PROXERA PSOMED 20.
The assessment is used to determine whether changes observed in the target plaque occur independently of, or in parallel with, changes in overall psoriasis severity.
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Baseline to Week 4 (end of treatment)
|
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Change From Baseline in Psoriasis Area and Severity Index Score at Week 8 in the PROXERA PSOMED 40 Cohort
Lasso di tempo: Baseline to Week 8 (end of treatment)
|
The Psoriasis Area and Severity Index (PASI) assesses overall psoriasis severity by combining the extent of body surface involvement with the severity of erythema, induration, and scaling across different body regions.
The total PASI score ranges from 0 to 72, with higher scores indicating greater overall psoriasis severity.
This outcome measures the change in PASI score from baseline to Week 8 in participants with non-pustular palmoplantar psoriasis treated with PROXERA PSOMED 40.
The assessment is used to determine whether changes observed in the target palm or sole area occur independently of, or in parallel with, changes in overall psoriasis severity.
|
Baseline to Week 8 (end of treatment)
|
|
Change From Baseline in Psoriasis Area and Severity Index Score at Week 8 in the PROXERA PSOMED 20 Cohort
Lasso di tempo: Baseline to Week 8 (4 weeks after the end of treatment)
|
The Psoriasis Area and Severity Index (PASI) assesses overall psoriasis severity by combining the extent of body surface involvement with the severity of erythema, induration, and scaling across different body regions.
The total PASI score ranges from 0 to 72, with higher scores indicating greater overall psoriasis severity.
This outcome measures the change in PASI score from baseline to Week 8 in participants with non-palmoplantar plaque psoriasis treated with PROXERA PSOMED 20.
The assessment evaluates overall psoriasis severity 4 weeks after the end of treatment.
|
Baseline to Week 8 (4 weeks after the end of treatment)
|
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Change From Baseline in Psoriasis Area and Severity Index Score at Week 12 in the PROXERA PSOMED 40 Cohort
Lasso di tempo: Baseline to Week 12 (4 weeks after the end of treatment)
|
The Psoriasis Area and Severity Index (PASI) assesses overall psoriasis severity by combining the extent of body surface involvement with the severity of erythema, induration, and scaling across different body regions.
The total PASI score ranges from 0 to 72, with higher scores indicating greater overall psoriasis severity.
This outcome measures the change in PASI score from baseline to Week 12 in participants with non-pustular palmoplantar psoriasis treated with PROXERA PSOMED 40.
The assessment evaluates overall psoriasis severity 4 weeks after the end of treatment.
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Baseline to Week 12 (4 weeks after the end of treatment)
|
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Change From Baseline in Dermatology Life Quality Index Score at Week 4 in the PROXERA PSOMED 20 Cohort
Lasso di tempo: Baseline to Week 4 (end of treatment)
|
The Dermatology Life Quality Index (DLQI) is a 10-item questionnaire that assesses the impact of skin disease on the participant's daily life, including symptoms, daily activities, leisure, work or school, personal relationships, and treatment.
Each item is scored from 0 to 3. The total score ranges from 0 to 30, with higher scores indicating a greater negative impact on quality of life.
This outcome measures the change in DLQI score from baseline to Week 4 in participants treated with PROXERA PSOMED 20.
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Baseline to Week 4 (end of treatment)
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Change From Baseline in Dermatology Life Quality Index Score at Week 8 in the PROXERA PSOMED 40 Cohort
Lasso di tempo: Baseline to Week 8 (end of treatment)
|
The Dermatology Life Quality Index (DLQI) is a 10-item questionnaire that assesses the impact of skin disease on the participant's daily life, including symptoms, daily activities, leisure, work or school, personal relationships, and treatment.
Each item is scored from 0 to 3. The total score ranges from 0 to 30, with higher scores indicating a greater negative impact on quality of life.
This outcome measures the change in DLQI score from baseline to Week 8 in participants treated with PROXERA PSOMED 40.
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Baseline to Week 8 (end of treatment)
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Change From Baseline in Dermatology Life Quality Index Score at Week 8 in the PROXERA PSOMED 20 Cohort
Lasso di tempo: Baseline to Week 8 (4 weeks after the end of treatment)
|
The Dermatology Life Quality Index (DLQI) is a 10-item questionnaire that assesses the impact of skin disease on the participant's daily life, including symptoms, daily activities, leisure, work or school, personal relationships, and treatment.
Each item is scored from 0 to 3. The total score ranges from 0 to 30, with higher scores indicating a greater negative impact on quality of life.
This outcome measures the change in DLQI score from baseline to Week 8 in participants treated with PROXERA PSOMED 20, 4 weeks after the end of treatment.
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Baseline to Week 8 (4 weeks after the end of treatment)
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Change From Baseline in Dermatology Life Quality Index Score at Week 12 in the PROXERA PSOMED 40 Cohort
Lasso di tempo: Baseline to Week 12 (4 weeks after the end of treatment)
|
The Dermatology Life Quality Index (DLQI) is a 10-item questionnaire that assesses the impact of skin disease on the participant's daily life, including symptoms, daily activities, leisure, work or school, personal relationships, and treatment.
Each item is scored from 0 to 3. The total score ranges from 0 to 30, with higher scores indicating a greater negative impact on quality of life.
This outcome measures the change in DLQI score from baseline to Week 12 in participants treated with PROXERA PSOMED 40, 4 weeks after the end of treatment.
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Baseline to Week 12 (4 weeks after the end of treatment)
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Transepidermal Water Loss at Week 4
Lasso di tempo: Baseline to Week 4 (end of treatment)
|
Transepidermal water loss (TEWL) is measured non-invasively using the DermaLab Combo system to assess epidermal barrier function.
Higher TEWL values indicate greater water loss and greater impairment of the skin barrier.
This outcome compares the change from baseline to Week 4 in the PROXERA PSOMED 20-treated target plaque with the change in the contralateral untreated control plaque.
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Baseline to Week 4 (end of treatment)
|
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Difference Between Treated and Untreated Target Areas in Change From Baseline in Transepidermal Water Loss at Week 8
Lasso di tempo: Baseline to Week 8 (end of treatment)
|
Transepidermal water loss (TEWL) is measured non-invasively using the DermaLab Combo system to assess epidermal barrier function.
Higher TEWL values indicate greater water loss and greater impairment of the skin barrier.
This outcome compares the change from baseline to Week 8 in the PROXERA PSOMED 40-treated target palm or sole area with the change in the contralateral untreated control area.
|
Baseline to Week 8 (end of treatment)
|
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Transepidermal Water Loss at Week 8
Lasso di tempo: Baseline to Week 8 (4 weeks after the end of treatment)
|
Transepidermal water loss (TEWL) is measured non-invasively using the DermaLab Combo system to assess epidermal barrier function.
Higher TEWL values indicate greater water loss and greater impairment of the skin barrier.
This outcome compares the change from baseline to Week 8 in the PROXERA PSOMED 20-treated target plaque with the change in the contralateral untreated control plaque, 4 weeks after the end of treatment.
|
Baseline to Week 8 (4 weeks after the end of treatment)
|
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Difference Between Treated and Untreated Target Areas in Change From Baseline in Transepidermal Water Loss at Week 12
Lasso di tempo: Baseline to Week 12 (4 weeks after the end of treatment)
|
Transepidermal water loss (TEWL) is measured non-invasively using the DermaLab Combo system to assess epidermal barrier function.
Higher TEWL values indicate greater water loss and greater impairment of the skin barrier.
This outcome compares the change from baseline to Week 12 in the PROXERA PSOMED 40-treated target palm or sole area with the change in the contralateral untreated control area, 4 weeks after the end of treatment.
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Baseline to Week 12 (4 weeks after the end of treatment)
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Vascular Density at Week 4
Lasso di tempo: Baseline to Week 4 (end of treatment)
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Vascular density is assessed non-invasively by dermato-capillaroscopy and is recorded separately for the treated target plaque and the contralateral untreated control plaque.
This outcome compares the change in vascular density from baseline to Week 4 between the two target plaques in participants treated with PROXERA PSOMED 20.
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Baseline to Week 4 (end of treatment)
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Difference Between Treated and Untreated Target Plaques in Change From Baseline in Vascular Density at Week 8
Lasso di tempo: Baseline to Week 8 (4 weeks after the end of treatment)
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Vascular density is assessed non-invasively by dermato-capillaroscopy and is recorded separately for the treated target plaque and the contralateral untreated control plaque.
This outcome compares the change in vascular density from baseline to Week 8 between the two target plaques in participants treated with PROXERA PSOMED 20, 4 weeks after the end of treatment.
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Baseline to Week 8 (4 weeks after the end of treatment)
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Number of Participants With One or More Adverse Events in the PROXERA PSOMED 20 Cohort
Lasso di tempo: From first application through Week 8
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All solicited and unsolicited adverse events, adverse device effects, and serious adverse events occurring during treatment or follow-up will be recorded and assessed by the investigator.
Particular attention will be given to local reactions such as burning, erythema, itching, skin rash, irritation, and allergic contact dermatitis.
The outcome is the number and proportion of participants experiencing at least one adverse event.
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From first application through Week 8
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Number of Participants With One or More Adverse Events in the PROXERA PSOMED 40 Cohort
Lasso di tempo: From first application through Week 12
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All solicited and unsolicited adverse events, adverse device effects, and serious adverse events occurring during treatment or follow-up will be recorded and assessed by the investigator.
Particular attention will be given to local reactions such as burning, erythema, itching, skin rash, irritation, and allergic contact dermatitis.
The outcome is the number and proportion of participants experiencing at least one adverse event.
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From first application through Week 12
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Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- Indice di gravità dell'area della psoriasi
- Psoriasi a placche
- Urea
- Studio randomizzato
- Studio in singolo cieco
- Dispositivo Medico Topico
- Studio Controllato Intra-paziente
- Psoriasi Palmoplantare Non Pustolosa
- PROXERA PSOMED 20
- PROXERA PSOMED 40
- Punteggio della Lesione Bersaglio
- Indice di Qualità della Vita Dermatologico
- Indice di Severità dell'Area Psoriasica Palmoplantare modificato
- Perdita d'Acqua Trans Epidermica
- dermato-capillaroscopia
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- Id 286
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
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