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This is a proof-of-principle, placebo-controlled, open label study to assess the improvement in the Treg counts and PASI Scores with PEVCO given at 1000 mg four times daily in patients with PsO (subjects may or may not have PsA) , who have active disease and are not currently receiving other therapy (as defined by the inclusion/exclusion criteria) compared to healthy subjects.
The patients and healthy controls will receive placebo or PEVCO for a total of 9 weeks (3 weeks for placebo, followed by 6 weeks for PEVCO). No topical or systemic medications will be used during this period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pso | Active Comparator | with or without PsA |
|
| Healthy Subjects | Active Comparator | Without PsA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEVCO | Dietary Supplement | All subjects will receive PEVCO for 6 more weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in % of Treg Cells in Blood | % change in the expansion of regulatory T cells; demonstrate an increase in %Treg at 6 weeks. | 6 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Increase in Medium Chain Fatty Acids (MCFA) content in the stool | Change in the amount of MCFA in stool | 12 Weeks |
| Improvement in skin disease severity PASI scores 50 | indicating 50% reduction in psoriasis |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jose Scher, MD | NYU Langone Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York University School of Medicine | New York | New York | 10016 | United States |
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| ID | Term |
|---|---|
| D011565 | Psoriasis |
| D015535 | Arthritis, Psoriatic |
| ID | Term |
|---|---|
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D025242 | Spondylarthropathies |
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| ID | Term |
|---|---|
| D000074263 | Coconut Oil |
| D019587 | Dietary Supplements |
| ID | Term |
|---|---|
| D004041 | Dietary Fats |
| D005223 | Fats |
| D008055 | Lipids |
| D010938 | Plant Oils |
| D009821 |
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| Dietary Supplement Capsules without Coconut Oil | Dietary Supplement | All subjects will receive placebo (PBO) for 3 weeks |
|
| 12 Weeks |
| Improvement in skin disease severity PASI scores 75 | indicating 75% reduction in psoriasis | 12 Weeks |
| Improvement in skin disease severity PASI scores 90 | indicating 90% reduction in psoriasis | 12 Weeks |
| Improvement in the tender joint/swollen joint (TJ/SJ) counts at 6 weeks. | To assess whether PEVCO 1000 mg four times daily for 6 weeks improves:
| 6 Weeks |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| Oils |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |