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Greek Study of the Quality of Life in Patients With Psoriasis Treated With Adalimumab

2014년 2월 19일 업데이트: AbbVie (prior sponsor, Abbott)

[E S] A Greek, Post-marketing, Observational Study of the quAlity of Life in Patients With Psoriasis Treated With Adalimumab - GOAL Study

Primary objective

  • To evaluate the quality of life of Adalimumab treated patients over a period of 12 months

Secondary objectives

  • To evaluate the long-term efficacy of Adalimumab in patients with moderate to severe chronic plaque psoriasis as prescribed by the dermatologists in day-to-day clinical practice and in accordance with the terms of the European marketing authorization.
  • To evaluate changes in patients quality of life according to treatment response over a 12-month period
  • To observe and assess the long term use and safety of Adalimumab as prescribed by the dermatologist in a normal clinical setting and in accordance with the terms of the European marketing authorization.

연구 개요

상태

완전한

정황

상세 설명

The aim of this post-marketing observational study in adult patients with moderate to severe chronic plaque psoriasis is to obtain further data on patient's Quality of Life and assess the impact of Adalimumab treatment on patient's quality of life in conditions of day-to-day clinical practice in Greece. This study will further assess the relationship between clinical outcomes and patient-reported outcomes. As this is an observational study, Abbott will not provide the study drug. Humira will be prescribed according to the routine medical practice. The participating physicians are free to determine the appropriate therapy for each patient and make treatment choices as deemed clinically necessary.

The Dermatology Life Quality Index (DLQI) will be used to assess patient quality of life. The Dermatology Life Quality Index (DLQI) total scores range from 0 to 30, with 0 corresponding to the best quality of life and 30 to the worst. The Dermatology Life Quality Index (DLQI) has well-established reliability and validity as determined in several studies. Moreover, it is frequently used in clinical trials of psoriasis.

The physician's global assessment of disease severity (PGA) will be used to measure patients' disease status at the time of assessment. It is a 6-point scale measuring the degree of overall psoriatic lesion severity, and scores range from 0 (clear) to 5 (very severe).

Complementary, European Quality of Life-5 Dimensions health questionnaire (EQ5D) will be used as a measure of health outcome. This is applicable to a wide range of health conditions and treatments and it provides a simple descriptive profile and a single index value for health status. Health economic data will be collected by using European Quality of Life-5 Dimensions health questionnaire (EQ5D) questionnaire and data regarding patients hospitalisation due to psoriasis. Hospitalisation data will be collected 6 months before the period and throughout the observation period.

Moreover, this study will observe the current medical practice in prescribing Adalimumab in Greece and more detailed data on prescription behavior will be collected. Guidelines have been developed in order to ensure that the new class of therapy (biologic agents) is introduced in a systematic and planned way to achieve the greatest possible benefit to people with psoriasis and to facilitate safe and effective prescribing. However, many issues are not fully addressed, such as recommendation regarding the amount of time for wash out of previous antipsoriatic drugs and combination therapies. Such issues remain at the discretion of the healthcare professional. Since this is an observational study the patient will be treated in accordance with the physician's usual and customary medical practice. Thus, the following information regarding the use of Adalimumab will be collected

  • the previous systemic treatment history will be recorded including previous biological therapies that patient received, if any,
  • wash out periods prior to initiating Adalimumab therapy, if any
  • reasons for stopping previous treatment,
  • combination of Adalimumab with other topical or systemic antipsoriatic agents, if applicable

Furthermore, demographic data of patients suffering from psoriasis in Greece will be collected (age, gender, ethnicity) and disease data such as duration of the disease, involvement of nails or joints, geographic distribution of the disease in Greece will be collected.

연구 유형

관찰

등록 (실제)

500

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Agrinio, 그리스, 301 00
        • Site Reference ID/Investigator# 43746
      • Amaliada, 그리스
        • Site Reference ID/Investigator# 30197
      • Argos, 그리스, 21200
        • Site Reference ID/Investigator# 30039
      • Argyroupoli, 그리스
        • Site Reference ID/Investigator# 29903
      • Athens, 그리스, 10673
        • Site Reference ID/Investigator# 29819
      • Athens, 그리스, 11526
        • Site Reference ID/Investigator# 29949
      • Athens, 그리스, 16121
        • Site Reference ID/Investigator# 30804
      • Athens, 그리스, 16121
        • Site Reference ID/Investigator# 30806
      • Athens, 그리스, 16121
        • Site Reference ID/Investigator# 38324
      • Athens, 그리스
        • Site Reference ID/Investigator# 22385
      • Athens, 그리스
        • Site Reference ID/Investigator# 29826
      • Athens, 그리스
        • Site Reference ID/Investigator# 29966
      • Athens, 그리스
        • Site Reference ID/Investigator# 29991
      • Athens, 그리스
        • Site Reference ID/Investigator# 30106
      • Athens, 그리스
        • Site Reference ID/Investigator# 30107
      • Athens, 그리스
        • Site Reference ID/Investigator# 30181
      • Athens, 그리스
        • Site Reference ID/Investigator# 30470
      • Chania, Crete, 그리스, 73136
        • Site Reference ID/Investigator# 30086
      • Chania, Crete, 그리스
        • Site Reference ID/Investigator# 43744
      • Crete, 그리스, 71409
        • Site Reference ID/Investigator# 30794
      • Crete, 그리스
        • Site Reference ID/Investigator# 29937
      • Crete, 그리스
        • Site Reference ID/Investigator# 29959
      • Crete, 그리스
        • Site Reference ID/Investigator# 29969
      • Drama, 그리스
        • Site Reference ID/Investigator# 38334
      • Florina, 그리스, 53100
        • Site Reference ID/Investigator# 30801
      • Giannitsa, 그리스, 58100
        • Site Reference ID/Investigator# 29919
      • Giannitsa, 그리스
        • Site Reference ID/Investigator# 30202
      • Glyfada, 그리스, 16675
        • Site Reference ID/Investigator# 29970
      • Glyfada, 그리스, 16675
        • Site Reference ID/Investigator# 30013
      • Glyfada, 그리스
        • Site Reference ID/Investigator# 29823
      • Halandri, 그리스
        • Site Reference ID/Investigator# 30193
      • Kalamaria, 그리스
        • Site Reference ID/Investigator# 30083
      • Kallithea, 그리스, 17672
        • Site Reference ID/Investigator# 30143
      • Katerini, 그리스, 60100
        • Site Reference ID/Investigator# 47262
      • Keratsini, 그리스
        • Site Reference ID/Investigator# 38329
      • Kolonaki, 그리스, 10675
        • Site Reference ID/Investigator# 30108
      • Kosmos, 그리스
        • Site Reference ID/Investigator# 30009
      • Larissa, 그리스, 41100
        • Site Reference ID/Investigator# 38323
      • Larissa, 그리스
        • Site Reference ID/Investigator# 38340
      • Livadeia, 그리스
        • Site Reference ID/Investigator# 29822
      • Makri, 그리스
        • Site Reference ID/Investigator# 30180
      • Mitilini, 그리스
        • Site Reference ID/Investigator# 29834
      • Mitilini, 그리스
        • Site Reference ID/Investigator# 30469
      • N.Heraklion, 그리스
        • Site Reference ID/Investigator# 38326
      • Neapoli, 그리스
        • Site Reference ID/Investigator# 30032
      • Pagkrati, 그리스, 11634
        • Site Reference ID/Investigator# 30104
      • Patras, 그리스
        • Site Reference ID/Investigator# 29817
      • Peiraius, 그리스
        • Site Reference ID/Investigator# 29967
      • Peristeri, 그리스
        • Site Reference ID/Investigator# 38327
      • Petralona, 그리스
        • Site Reference ID/Investigator# 30109
      • Smyrni, 그리스
        • Site Reference ID/Investigator# 29824
      • Thessaloniki, 그리스, 54643
        • Site Reference ID/Investigator# 38325
      • Thessaloniki, 그리스, 564 29
        • Site Reference ID/Investigator# 30769
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 30170
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 38331
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 38332
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 38333
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 38335
      • Thessaloniki, 그리스
        • Site Reference ID/Investigator# 38337
      • Vari, 그리스, 16672
        • Site Reference ID/Investigator# 30203
      • Volos, 그리스
        • Site Reference ID/Investigator# 29921

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

샘플링 방법

비확률 샘플

연구 인구

Patients treated with Adalimumab according to routine medical practice from hospital and private physicians.

설명

Inclusion Criteria:

  • Patients with moderate to severe chronic plaque psoriasis who are newly prescribed Humira (adalimumab) therapy (have never been treated with adalimumab before) and for whom the treating physician has made the decision that they are eligible for treatment with adalimumab in accordance with the terms of the local marketing authorization
  • Patients with moderate to severe chronic plaque psoriasis for whom Adalimumab is indicated and has been prescribed according to the current approved local SPC as long as the first administration of adalimumab is not older than two months and they have not had dose interruptions since the initiation of adalimumab, and the Investigator can provide all the needed source documentation including a completed DLQI questionnaire at the start of Adalimumab treatment.
  • Patient age ≥ 18
  • Patient is willing to consent to data being collected and provided to Abbott

Exclusion Criteria:

  • Patients who meet contraindications as outlined in the latest version of the local approved SPC
  • Patients who participate in another clinical/observational study
  • Patients who are not willing to sign an Informed Consent Form

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

코호트 및 개입

그룹/코호트
Patients with psoriasis
All eligible patients with psoriasis treated with Adalimumab

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Mean Change of Dermatology Life Quality Index (DLQI) Scores
기간: 12-month period, (Month 0, Month 1, Month 4, Month 8, Month 12)
DLQI (Dermatology Life Quality Index) assesses symptoms and impacts of dermatologic diseases on quality of life. DLQI scores range from 0 to 30, with a higher score indicating a more impaired quality of life.
12-month period, (Month 0, Month 1, Month 4, Month 8, Month 12)

2차 결과 측정

결과 측정
측정값 설명
기간
Percentage of Patients Who Experienced an Improvement in Disease Severity as Determined by the Physician's Global Assessment of Disease Severity (PGA) Scores
기간: 12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
The Physician's Global Assessment of disease severity (PGA) was used to measure participants' disease status at the time of assessment. This tool is a horizontal visual analogue 6-point scale measuring the degree of overall psoriatic lesion severity, and scores range from 0 (clear) to 5 (very severe). The percentage of patients who showed an improvement from baseline in their PGA scores was recorded.
12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
Mean Change in the Dermatology Life Quality Index (DLQI) Score by Physician's Global Assessment of Disease Severity (PGA) Response Groups and by Geographical Region
기간: 12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
The average change in the Dermatology Life Quality Index (DLQI) score during the 12-month study was analyzed by the Physician's Global Assessment of disease severity (PGA) response and also by geographical location of study participants. DLQI scores range from 0 to 30, with a higher score indicating a more impaired quality of life. . In this table, a higher number means a greater improvement in the participants' quality of life.
12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
Percentage of Patients Reporting "No Problem" on the European Quality of Life-5 Dimensions Health Questionnaire (EQ-5D)
기간: 12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)

EQ-5D (European Quality of Life - 5 Dimensions Questionnaire) is a standardized instrument for use as a measure of health outcome.

It has two components:

  1. the EQ-5D descriptive system (i.e., the EQ-5D Index Score, comprised of five items), and
  2. the EQ-5D VAS. The EQ-5D Index Score has five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Patients reported either "problem" or "no problem" with each of the five dimensions of health. The EQ-5D VAS is a 20-cm scale with endpoints labeled "best imaginable health" and "worst imaginable health" anchored at 100 and 0, respectively.
12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
Mean Change From Baseline of European Quality of Life-5 Dimensions Health Questionnaire (EQ-5D) Visual Analogue Scale (VAS) Scores
기간: 12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)

EQ-5D (European Quality of Life - 5 Dimensions Questionnaire) is a standardized instrument for use as a measure of health outcome.

It has two components:

  1. the EQ-5D descriptive system (i.e., the EQ-5D Index Score, comprised of five items), and
  2. the EQ-5D VAS. EQ-5D Index Score has five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Patients reported either "problem" or "no problem" with each of the five dimensions of health. The EQ-5D VAS is a 20-cm scale with endpoints labeled "best imaginable health" and "worst imaginable health" anchored at 100 and 0, respectively.
12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
Assessment of Long Term Use and Safety of Adalimumab as Prescribed by the Dermatologist in a Normal Clinical Setting and in Accordance With the Terms of the European Marketing Authorization
기간: 12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)
An adverse event (AE) was defined as any untoward medical occurrence in a participant, which did not necessarily have a causal relationship with their treatment. Any worsening of a pre-existing condition or illness was considered an adverse event.
12-month period (Month 0, Month 1, Month 4, Month 8, Month 12)

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

수사관

  • 연구 의자: Athina Katsavou, MD, AbbVie Pharmaceuticals S.A.

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

유용한 링크

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2009년 9월 1일

기본 완료 (실제)

2012년 9월 1일

연구 완료 (실제)

2012년 9월 1일

연구 등록 날짜

최초 제출

2010년 2월 25일

QC 기준을 충족하는 최초 제출

2010년 2월 25일

처음 게시됨 (추정)

2010년 2월 26일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2014년 2월 21일

QC 기준을 충족하는 마지막 업데이트 제출

2014년 2월 19일

마지막으로 확인됨

2014년 2월 1일

추가 정보

이 연구와 관련된 용어

키워드

추가 관련 MeSH 약관

기타 연구 ID 번호

  • P11-984

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

구독하다