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The purpose of this study is to evaluate the anti-psoriatic effect of LEO 90100 aerosol foam compared with Betesil® medicated plaster
The products will be applied on 6 test sites (each product on 3 test sites) once daily 6 days a week (except Sundays) for 4 weeks. The application sites for each product will be determined according to random assignment. Depending on the size of the psoriasis plaques, 2 or 4 test sites will be located within the same plaque; the treatment assignment will be done pair-wise.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEO 90100 Aerosol foam | Active Comparator | Calcipotriol (as monohydrate) 50 mcg/g and betamethasone (as dipropionate) 0.5 mg/g (LEO 90100 Aerosol foam) |
|
| Betesil® 2.25 mg | Active Comparator | Betamethasone (as valerate). Each 7.5 cm x 10 cm medicated plaster contains: 2.250 mg of betamethasone valerate (corresponding to 1.845 mg of betamethasone).(Betesil® ) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LEO 90100 Aerosol foam | Drug |
| ||
| Betesil® 2.25 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Absolute Change in Total Clinical Score (TCS) of Clinical Signs (Sum of Erythema, Scaling, Infiltration) Absolute Change in Total Clinical Score (TCS) of Clinical Signs (Sum of Erythema, Scaling, and Infiltration) at End of Treatment Compared to Baseline | The investigator assessed the severity of the clinical signs erythema, scaling, and infiltration for each test site by using a 7-point scale with half-mark values from 0 (no evidence) to 3.0 (severe). The total TCS was calculated for each test site by summing the scores for erythema, scaling, and infiltration for that particular test site. Each test site was assessed at Baseline and on Days 4, 8, 11, 15, 18, 22, 25, and 29 (EoT). The mean TCS at Baseline was 6.6 for both groups. | Day 1 (Baseline) to Day 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in TCS at Individual Visits | Day 1 (Baseline) to Day 29 | |
| Change in Score of Erythema, Scaling, and Infiltration at Individual Visits | The investigator assessed the severity of the clinical signs erythema, scaling, and infiltration for each test site by using a 7-point scale with half-mark values from 0 (no evidence) to 3.0 (severe). Erythema: 0 (no evidence - normal skin color) to 3 (severe - intense red). Scaling: 0 (no evidence - no scaling) to 3 (severe - coarse, thick scales). Infiltration: 0 (no evidence - no infiltration) to 3 (severe - very marked infiltration). |
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Inclusion Criteria:
Signed and dated informed consent has been obtained
Subjects with a diagnosis of psoriasis vulgaris with preferably three lesions (plaques) located on arms, legs and/or trunk or at least two lesions (plaques) located on arms, legs and/or trunk. For subjects with three lesions, each lesion must have a size suitable to accommodate 2 test sites (test site area 5 cm2, distance between two test sites at least 2 cm). For subjects with two lesions, one lesion must have a size suitable to accommodate 4 test sites, and the other lesion must accommodate 2 test sites.
Age 18 years or above
Outpatients
Female subjects must be of either
Exclusion Criteria:
Female subjects who are breast feeding
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 than biologicals, with a potential effect on psoriasis vulgaris (e.g., corticosteroids, retinoids, immunosuppressants) within the 4-week period prior to randomisation and during the trial
Subjects using phototherapy within the following time periods prior to randomisation and during the trial:
Subjects using one of the following topical drugs for the treatment of psoriasis within the 4 week period prior to randomisation and during the trial:
Subjects using one of the following topical drugs for the treatment of psoriasis within 2 weeks prior to randomisation and during the trial:
Subjects using emollients on the selected plaques within 1 week before randomisation and during the trial
Initiation of, or expected changes to concomitant medication that may affect psoriasis vulgaris (e.g., beta blockers, antimalarial drugs, lithium and ACE inhibitors) within 2 weeks prior to the randomisation and during the trial
Subjects with current diagnosis of guttate, erythrodermic, exfoliative or pustular psoriasis
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de Pharmacologie Clinique Appliquée à la Dermatologie (CPCAD) | Nice | 06000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27995521 | Result | Queille-Roussel C, Rosen M, Clonier F, Norremark K, Lacour JP. Efficacy and Safety of Calcipotriol Plus Betamethasone Dipropionate Aerosol Foam Compared with Betamethasone 17-Valerate-Medicated Plaster for the Treatment of Psoriasis. Clin Drug Investig. 2017 Apr;37(4):355-361. doi: 10.1007/s40261-016-0489-5. |
| Label | URL |
|---|---|
| Clinical Trials at LEO Pharma | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | LEO 90100 Aerosol Foam; Betesil® 2.25 mg | Calcipotriol (as monohydrate) 50 mcg/g and betamethasone (as dipropionate) 0.5 mg/g (LEO 90100 Aerosol foam) LEO 90100 Aerosol foam Betamethasone (as valerate). Each 7.5 cm x 10 cm medicated plaster contains: 2.250 mg of betamethasone valerate (corresponding to 1.845 mg of betamethasone) Betesil® 2.25 mg |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
35 subjects from 1 centre in France were enrolled into the trial. The first subject was enrolled on 22-Sep-2015 and the last subject completed the trial (last visit, including follow-up) on 07-Dec-2015.
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Calcipotriol (as monohydrate) 50 mcg/g and betamethasone (as dipropionate) 0.5 mg/g (LEO 90100 Aerosol foam) LEO 90100 Aerosol foam Betamethasone (as valerate). Each 7.5 cm x 10 cm medicated plaster contains: 2.250 mg of betamethasone valerate (corresponding to 1.845 mg of betamethasone) Betesil® 2.25 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 | Absolute Change in Total Clinical Score (TCS) of Clinical Signs (Sum of Erythema, Scaling, Infiltration) Absolute Change in Total Clinical Score (TCS) of Clinical Signs (Sum of Erythema, Scaling, and Infiltration) at End of Treatment Compared to Baseline | The investigator assessed the severity of the clinical signs erythema, scaling, and infiltration for each test site by using a 7-point scale with half-mark values from 0 (no evidence) to 3.0 (severe). The total TCS was calculated for each test site by summing the scores for erythema, scaling, and infiltration for that particular test site. Each test site was assessed at Baseline and on Days 4, 8, 11, 15, 18, 22, 25, and 29 (EoT). The mean TCS at Baseline was 6.6 for both groups. | Posted | Mean | Standard Deviation | units on a scale | Day 1 (Baseline) to Day 29 |
|
From signed Informed consent form (Day -28 to -1) to end of Follow-up (Day 43 +/-2).
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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 | All Subjects | All subjects received both medication and reporting is on the entire population. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosure Manager | LEO Pharma A/S | +45 44945888 | ctr.disclosure@leo-pharma.com |
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| ID | Term |
|---|---|
| D017437 | Skin and Connective Tissue Diseases |
| D011565 | Psoriasis |
| ID | Term |
|---|---|
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
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|
| Day 1 (Baseline) to Day 29 |
| Change in Total Skin Thickness and Echo-poor Band Thickness From Baseline to EoT | Skin thickness ultrasound measurements of the test sites were performed at Baseline and End of Treatment. Two skin parameters were calculated using ultrasound:
| Baseline to End of Treatment |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Betesil® 2.25 mg | Betamethasone (as valerate). Each 7.5 cm x 10 cm medicated plaster contains: 2.250 mg of betamethasone valerate (corresponding to 1.845 mg of betamethasone) Betesil® 2.25 mg |
|
|
|
| Secondary | Change in TCS at Individual Visits | Posted | Mean | Standard Deviation | units on a scale | Day 1 (Baseline) to Day 29 |
|
|
|
| Secondary | Change in Score of Erythema, Scaling, and Infiltration at Individual Visits | The investigator assessed the severity of the clinical signs erythema, scaling, and infiltration for each test site by using a 7-point scale with half-mark values from 0 (no evidence) to 3.0 (severe). Erythema: 0 (no evidence - normal skin color) to 3 (severe - intense red). Scaling: 0 (no evidence - no scaling) to 3 (severe - coarse, thick scales). Infiltration: 0 (no evidence - no infiltration) to 3 (severe - very marked infiltration). | Posted | Mean | Standard Deviation | units on a scale | Day 1 (Baseline) to Day 29 |
|
|
|
| Secondary | Change in Total Skin Thickness and Echo-poor Band Thickness From Baseline to EoT | Skin thickness ultrasound measurements of the test sites were performed at Baseline and End of Treatment. Two skin parameters were calculated using ultrasound:
| Posted | Mean | Standard Deviation | millimeters | Baseline to End of Treatment |
|
|
|
|
| 0 |
| 35 |
| 15 |
| 35 |
| Influenza | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
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| Hordeolum | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 15.1 | Systematic Assessment |
|
Before submitting or presenting a manuscript about the clinical trial to a third party, the investigator shall give LEO a copy of any such manuscript, and LEO has the right to review and comment. Upon the request of LEO, the investigator shall remove any confidential information before submitting or presenting a manuscript. To allow LEO to protect its inventions and other intellectual property rights, the publication or presentation can be delayed.
| Day 11/Visit 11 |
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| Day 15/Visit 15 |
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| Day 18/Visit 18 |
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| Day 22/Visit 20 |
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| Day 25/Visit 23 |
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| Day 29/Visit 26 |
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| Erythema Day 11/Visit 11 |
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| Erythema Day 15/Visit 14 |
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| Erythema Day 18/Visit 17 |
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| Erythema Day 22/Visit 20 |
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| Erythema Day 25/Visit 23 |
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| Erythema Day 29/Visit 26 |
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| Scaling Day 4/Visit 5 |
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| Scaling Day 8/Visit 8 |
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| Scaling Day 11/Visit 11 |
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| Scaling Day 15/Visit 14 |
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| Scaling Day 18/Visit 17 |
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| Scaling Day 22/Visit 20 |
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| Scaling Day 25/Visit 23 |
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| Scaling Day 29/Visit 26 |
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| Infiltration Day 4/Visit 5 |
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| Infiltration Day 8/Visit 8 |
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| Infiltration Day 11/Visit 11 |
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| Infiltration Day 15/Visit 14 |
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| Infiltration Day 18/Visit 17 |
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| Infiltration Day 22/Visit 20 |
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| Infiltration Day 25/Visit 23 |
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| Infiltration Day 29/Visit 26 |
|
Echo-Poor Band Thickness: LEO 90100 vs. Betesil® |
| ANOVA |
| <0.001 |
Least Square Means difference from ANOVA with treatment group as fixed effect and subject as random effect (105 treated sites per treatment group) |
| Mean Difference (Final Values) |
| -0.55 |
| 2-Sided |
| 95 |
| -0.69 |
| -0.41 |
| Superiority or Other (legacy) |