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The purpose of this study is to investigate whether LEO 90100 and calcipotriol plus betamethasone are effective in the treatment of psoriasis vulgaris.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEO 90100 vehicle | Placebo Comparator | Aerosol foam with no active ingredient |
|
| Betamethasone plus calcipotriol | Active Comparator | Calcipotriol 50 mcg/g plus betamethasone 0.5 mg/g (as dipropionate) ointment |
|
| LEO 90100 | Experimental | LEO 90100 aerosol foam: calcipotriol 50 mcg/g and betamethasone 0.5 mg/g (as dipropionate) |
|
| Ointment vehicle | Placebo Comparator | Ointment with no active ingredients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LEO 90100 | Drug |
| ||
| Betamethasone plus calcipotriol |
| Measure | Description | Time Frame |
|---|---|---|
| Subjects With 'Controlled Disease' ('Clear'/'Almost Clear' for Subjects w. at Least Moderate Disease at Baseline, 'Clear' for Subjects With Mild Disease at Baseline) According to the Investigator's Global Assessment (IGA) on the Trunk and Limbs at Week 4. | Assessment of disease severity (Plaque thickening, Scaling and Erythema) using a 5-point scale (Clear, Almost clear, Mild, Moderate, Severe), based on the condition of the disease at the time of evaluation. | 4 weeks |
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Inclusion Criteria:
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 randomisation:
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 randomisation.
Subjects who have received treatment with any nonmarketed drug substance (i.e. a drug which has not yet been made available for clinical use following registration) within 4 weeks/5 half-lives (whichever is longer) prior to randomisation.
PUVA therapy within 4 weeks prior to randomisation.
UVB therapy within 2 weeks prior to randomisation.
Planned excessive exposure of area(s) to be treated with study medication to either natural or artificial sunlight (including tanning booths, sun lamps, etc.) during the study.
Planned initiation of, or changes to, concomitant medication that could affect psoriasis vulgaris (e.g. beta blockers, antimalarial drugs, lithium, ACE inhibitors) during the study.
Current diagnosis of guttate, erythrodermic, exfoliative or pustular psoriasis.
Subjects with any of the following conditions present on the treatment area: viral (e.g. herpes or varicella) lesions of the skin, fungal and bacterial skin infections, parasitic infections, skin manifestations in relation to syphilis or tuberculosis, acne vulgaris, atrophic skin, striae atrophicae, fragility of skin veins, icthyosis, ulcers and wounds.
Other inflammatory skin disorders (e.g. seborrhoeic dermatitis or contact dermatitis) on the treatment area that may confound the evaluation of psoriasis vulgaris.
Known or suspected disorders of calcium metabolism associated with hypercalcaemia.
Known or suspected severe renal insufficiency or severe hepatic disorders.
Known or suspected hypersensitivity to component(s) of the investigational products.
Current participation in any other interventional clinical study.
Previously randomised in this study.
Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding.
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| Name | Affiliation | Role |
|---|---|---|
| John Koo, MD | University of California, San Francisco School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Burke Pharmaceutical Research | Hot Springs | Arkansas | 71913 | United States | ||
| Dermatology Research Associates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Koo J, Tyring S, Werschler WP, Bruce S, Olesen M, Villumsen J, Bagel J. Superior efficacy of the fixed combination calcipotriene plus betamethasone dipropionate in a novel aerosol foam versus ointment in patients with psoriasis vulgaris. Semin Cutan Med Surg. 2015;34 S1:PA-42. | ||
| 32785881 | Derived | Iversen L, Kurvits M, Snel-Prento AM, Menter A. Calcipotriol/Betamethasone Dipropionate Cutaneous Foam Treatment for Psoriasis in Patients With BSA 5-15% and PGA >/= 3: Post-Hoc Analysis From Three Randomized Controlled Trials. Dermatol Ther (Heidelb). 2020 Oct;10(5):1111-1120. doi: 10.1007/s13555-020-00419-2. Epub 2020 Aug 12. |
| Label | URL |
|---|---|
| Clinical Trials at LEO Pharma | View source |
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Prior to random., the subjects entered a washout phase (if required) where antipsoriatic treatm. and other relevant medication/treatms. had to be discontinued as defined by the excl. criteria. Depending on prior use of disallowed treatms, the washout/screening phase could last for up to 4 w prior to the first admin. of investigational products.
First Subject First Visit: 10-May-2012 Last Subject Last Visit: 19-Sep-2012
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| ID | Title | Description |
|---|---|---|
| FG000 | LEO 90100 | LEO 90100 aerosol foam: calcipotriol 50 mcg/g and betamethasone 0.5 mg/g (as dipropionate) |
| FG001 | Calcipotriol Plus BDP Ointment | Calcipotriol 50 mcg/g plus betamethasone 0.5 mg/g (as dipropionate) ointment |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Ointment vehicle | Drug |
|
| LEO 90100 vehicle | Drug |
|
| Los Angeles |
| California |
| 90045 |
| United States |
| Dermatology Specialists, Inc. | Oceanside | California | 92056 | United States |
| Skin Surgery Medical Group, Inc | San Diego | California | 92117 | United States |
| University Clinical Trials, Inc. | San Diego | California | 92123 | United States |
| Clinical Science Institute | Santa Monica | California | 90404 | United States |
| About Skin Dermatology and DermSurgery, PC | Denver | Colorado | 80113 | United States |
| Colorado Medical Research Center, Inc | Denver | Colorado | 80210 | United States |
| Horizons Clinical Research Center | Denver | Colorado | 80220 | United States |
| Dermatology Associates and Research | Coral Gables | Florida | 33134 | United States |
| North Florida Dermatology Associates, PA | Jacksonville | Florida | 32204 | United States |
| International Dermatology Research, Inc. | Miami | Florida | 33144 | United States |
| Ameriderm Research | Ormond Beach | Florida | 32174 | United States |
| Gwinnett Clinical Research Ctr, Inc | Snellville | Georgia | 30078 | United States |
| Altman Dermatology Associates | Arlington Heights | Illinois | 60005 | United States |
| Glazer Dermatology | Buffalo Grove | Illinois | 60089 | United States |
| Clinical Research Advantage, Inc./Hudson Dermatology, LLC | Evansville | Indiana | 47714 | United States |
| Dawes Fretzin Clinical Research Group | Indianapolis | Indiana | 46256 | United States |
| The Indiana Clinical Trials Center | Plainfield | Indiana | 46168 | United States |
| Owensboro Dermatology Associates | Owensboro | Kentucky | 42303 | United States |
| David Fivenson, MD, PLC | Ann Arbor | Michigan | 48103 | United States |
| Great Lakes Research Group, Inc. | Bay City | Michigan | 48706 | United States |
| Derm Center | Troy | Michigan | 48084 | United States |
| Grekin Skin Institute | Warren | Michigan | 48008 | United States |
| Minnesota Clinical Study Center | Fridley | Minnesota | 55432 | United States |
| Psoriasis Treatment Center of Central NJ | East Windsor | New Jersey | 08520 | United States |
| The Dermatology Group, PC | Verona | New Jersey | 07044 | United States |
| Academic Dermatology Associates | Albuquerque | New Mexico | 87106-5239 | United States |
| Derm Research Center of New York | Stony Brook | New York | 11790 | United States |
| Philadelphia Institute of Dermatology | Fort Washington | Pennsylvania | 19034 | United States |
| Menter Dermatology Research Institute | Dallas | Texas | 75246 | United States |
| Suzanne Bruce and Associates, P.A.,The Center for Skin Research | Houston | Texas | 77056 | United States |
| Center for Clinical Studies | Houston | Texas | 77065 | United States |
| Clinical Trials of Texas, Inc | San Antonio | Texas | 78229 | United States |
| Dermatology Clinical Research Center of San Antonio | San Antonio | Texas | 78229 | United States |
| Progressive Clinical Research | San Antonio | Texas | 78229 | United States |
| Dermatology Research Center, Inc. | Salt Lake City | Utah | 84117 | United States |
| Virginia Clinical Research, Inc. | Norfolk | Virginia | 23507 | United States |
| Premier Clinical Research | Spokane | Washington | 99204 | United States |
| FG002 | LEO 90100 Vehicle | Aerosol foam with no active ingredients |
| FG003 | Ointment Vehicle | Ointment with no active ingredients |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LEO 90100 | LEO 90100 aerosol foam: calcipotriol 50 mcg/g and betamethasone 0.5 mg/g (as dipropionate) |
| BG001 | Calcipotriol Plus BDP Ointment | Calcipotriol 50 mcg/g plus betamethasone 0.5 mg/g (as dipropionate) ointment |
| BG002 | LEO 90100 Vehicle | Aerosol foam with no active ingredients |
| BG003 | Ointment Vehicle | Ointment with no active ingredients |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Subjects With 'Controlled Disease' ('Clear'/'Almost Clear' for Subjects w. at Least Moderate Disease at Baseline, 'Clear' for Subjects With Mild Disease at Baseline) According to the Investigator's Global Assessment (IGA) on the Trunk and Limbs at Week 4. | Assessment of disease severity (Plaque thickening, Scaling and Erythema) using a 5-point scale (Clear, Almost clear, Mild, Moderate, Severe), based on the condition of the disease at the time of evaluation. | Posted | Number | participants | 4 weeks |
|
|
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A total of 135 patients were randomized to the "Calcipotriol Plus BDP Ointment" study arm. However, one of the subjects returned all study medication unopened and therefore the safety analysis included only the 134 subjects that used the study medication.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | LEO 90100 | LEO 90100 aerosol foam: calcipotriol 50 mcg/g and betamethasone 0.5 mg/g (as dipropionate) | 0 | 141 | 0 | 141 | ||
| EG001 | Calcipotriol Plus BDP Ointment | Calcipotriol 50 mcg/g plus betamethasone 0.5 mg/g (as dipropionate) ointment | 1 | 134 | 0 | 134 | ||
| EG002 | LEO 90100 Vehicle | Aerosol foam with no active ingredients | 0 | 49 | 0 | 49 | ||
| EG003 | Ointment Vehicle | Ointment with no active ingredients | 0 | 51 | 0 | 51 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bile duct stone | Hepatobiliary disorders | MedDRA (15.0) |
| ||
| Bronchitis | Infections and infestations | MedDRA (15.0) |
| ||
| Hypertension | Vascular disorders | MedDRA (15.0) |
|
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LEO acknowledges the investigators right to publish the entire results of the study, irrespective of outcome. LEO retains the right to have any publication submitted to LEO for review. Investigators must undertake not to submit any part of their individual data for publication without the prior consent of LEO.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosure Manager | LEO Pharma A/S | +45 44945888 | ctr.disclosure@leo-pharma.com |
| ID | Term |
|---|---|
| D001623 | Betamethasone |
| C055085 | calcipotriene |
| D009824 | Ointments |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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| Male |
|