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The study will assess the effectiveness of Pioglitazone on cellular and clinical levels in terms of improvement of both skin and systemic manifestations of psoriasis.
The investigators assume that pioglitazone (one of thiazolidinediones readily available in Egypt), can regulate keratinocytes' disordered proliferation observed in psoriasis, in addition to improving the insulin resistance in peripheral tissues observed in many psoriatic patients and causing metabolic syndrome. This will allow to give a safer therapy than the available ones for psoriasis and to treat the patient in a more global perspective.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| actozone A | Active Comparator | Pioglitazone 30 mg tablets daily |
|
| actozone B | Placebo Comparator | placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| actozone A | Drug | pioglitazone 30 mg tablet , once daily dose for 10 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment success detected as clinical improvement of skin condition | PASI improvement by at least 50% from baseline before treatment(Psoriasis Area and Severity Index)= PASI-50 | 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting serum insulin reduction from baseline before treatment | 10 weeks | |
| C-reactive protein titre reduction from baseline value before treatment | 10 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manal AW Bosseila, MD | Cairo University-Dermatology department | Study Chair |
| Mona RE Abdel Halim, MD | Cairo university- Dermatology department | Study Director |
| Mohamed I Sheta, MD | Cairo university- Internal medicine department | Study Director |
| Olfat G Shaker, MD | Cairo University- Biochemistry department | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dermatology department of cairo university faculty of medicine | Cairo | Egypt |
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| ID | Term |
|---|---|
| D011565 | Psoriasis |
| D007333 | Insulin Resistance |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006946 | Hyperinsulinism |
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| actozone B |
| Drug |
one tablet of vehicle without active ingredient pioglitazone |
|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |