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Comparison of the efficacy of LEO 90100 foam with Dovobet® ointment in the treatment of psoriasis in Japanese subjects.
A phase 3, national, multi-centre, 4-week, prospective, randomised, controlled, parallel-group, open trial of LEO 90100 foam versus Dovobet® ointment (both treatments containing calcipotriol hydrate plus betamethasone dipropionate) in Japanese subjects with psoriasis vulgaris.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEO 90100 foam | Experimental | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g |
|
| Dovobet® ointment | Active Comparator | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LEO 90100 foam | Drug | Once daily topical application of foam from a can to psoriasis lesions. Dose depends on size of lesion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Improvement Rate for the Target Lesion | Overall improvement defined as 'Substantial Resolution' of Clinical Signs or at Least 'Moderately Improved' in the General Change in the Lesion. Substantial resolution' is defined as a clinical score for thickness and scaliness of 0 and a clinical score for redness of 1 or less in the severity of clinical signs of the target lesion. The details of the clinical scores are presented in secondary outcome measure description for 'Change in the total sign score'. Change in the Lesion is a 5 point scale below:
| End of Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Improvement Rate for the Target Lesion at Weeks 1 and 2 | Substantial resolution of clinical signs or at least 'moderately improved' in the general change in the target lesion. Change in the Lesion is a 5 point scale below:
| End of Weeks 1 and 2 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Expert | LEO Pharma | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leo Pharma Investigational Site | Fukutsu | Fukuoka | 811-3217 | Japan | ||
| Leo Pharma Investigational Site |
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| ID | Title | Description |
|---|---|---|
| FG000 | LEO 90100 Foam | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g LEO 90100 foam: Once daily topical application of foam from a can to psoriasis lesions. Dose depends on size of lesion. |
| FG001 | Dovobet® Ointment | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g Dovobet® ointment: Once daily topical application of ointment from a tube to psoriasis lesions. Dose depends on size of lesion. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LEO 90100 Foam | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g LEO 90100 foam: Once daily topical application of foam from a can to psoriasis lesions. Dose depends on size of lesion. |
| BG001 | Dovobet® Ointment |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Overall Improvement Rate for the Target Lesion | Overall improvement defined as 'Substantial Resolution' of Clinical Signs or at Least 'Moderately Improved' in the General Change in the Lesion. Substantial resolution' is defined as a clinical score for thickness and scaliness of 0 and a clinical score for redness of 1 or less in the severity of clinical signs of the target lesion. The details of the clinical scores are presented in secondary outcome measure description for 'Change in the total sign score'. Change in the Lesion is a 5 point scale below:
| The primary endpoint was analysed for the full analysis set. Rates of subjects with the event defined by the primary endpoint, 'overall improvement rate' for the target lesion at Visit 4 (end of Week 4), were compared between treatment groups by means of Fisher's exact test. Estimated rates, odds ratio, and its 95% CI were presented, together with the p-value from Fisher's exact test. | Posted | Count of Participants | Participants | End of Week 4 |
|
Adverse event data were collected during 4 week treatment period and up to 2 weeks after the treatment period
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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 Foam | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g LEO 90100 foam: Once daily topical application of foam from a can to psoriasis lesions. Dose depends on size of lesion. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical disclosure | LEO Pharma A/S | +4544945888 | disclosure@leo-pharma.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 6, 2018 | Sep 28, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 21, 2019 | Sep 28, 2020 | SAP_001.pdf |
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| Dovobet® ointment | Drug | Once daily topical application of ointment from a tube to psoriasis lesions. Dose depends on size of lesion. |
|
| Change in the Total Sign Score for the Target Lesion From Week 0 to Week 4 | The change in the total sign score from Week 0 to Week 4; total sign score is defined as the sum of the scores from the 3 clinical signs (redness, thickness, and scaliness) assessing severity in the target lesion. The severity for each of the 3 clinical signs was recorded according to a 9-point scale that ranges from a score of 0 to 4 in increments of 0.5; the severities are scored from low to high with 0 = none and 4 = severe. The sum of the 3 total sign scores could range from 0 (best) to 12 (worse). The greater the negative value for the change means a better outcome. Negative change denotes a decrease in the score and therefore a decrease in disease severity. | End of Week 4 |
| Number of Adverse Events | Number of treatment emergent adverse events (TEAEs). 14-day follow-up of TEAEs was only required if the TEAE was present at the last visit, and was of possible or probable relationship to trial medication. | Treatment Emergent Adverse Events were assessed from Day 1 to end of Week 4, if Treatment Emergent Adverse Events were noted, they were followed for an additional 14 days |
| Obihiro |
| Hokkaido |
| 080-0013 |
| Japan |
| Leo Pharma Investigational Site | Sapporo | Hokkaido | 004-0063 | Japan |
| Leo Pharma Investigational Site | Sapporo | Hokkaido | 006-0814 | Japan |
| Leo Pharma Investigational Site | Sapporo | Hokkaido | 060-0807 | Japan |
| Leo Pharma Investigational Site | Nonoichi | Ishikawa-ken | 921-8801 | Japan |
| Leo Pharma Investigational Site | Kawasaki | Kanagawa | 213-0001 | Japan |
| Leo Pharma Investigational Site | Yokohama | Kanagawa | 220-6208 | Japan |
| Leo Pharma Investigational Site | Sendai | Miyagi | 981-3133 | Japan |
| Leo Pharma Investigational Site | Saitama-shi | Saitama | 330-0854 | Japan |
| Leo Pharma Investigational Site | Itabashi-ku | Tokyo | 173-8605 | Japan |
| Leo Pharma Investigational Site | Kita-ku | Tokyo | 115-0045 | Japan |
| Leo Pharma Investigational Site | Koto-Ku | Tokyo | 136-0074 | Japan |
| Leo Pharma Investigational Site | Minato-Ku | Tokyo | 108-0014 | Japan |
| Leo Pharma Investigational Site | Setagaya City | Tokyo | 158-0094 | Japan |
| Leo Pharma Investigational Site | Setagaya City | Tokyo | 158-0097 | Japan |
calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g Dovobet® ointment: Once daily topical application of ointment from a tube to psoriasis lesions. Dose depends on size of lesion. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Description |
|---|
| OG000 | LEO 90100 Foam | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g LEO 90100 foam: Once daily topical application of foam from a can to psoriasis lesions. Dose depends on size of lesion. |
| OG001 | Dovobet® Ointment | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g Dovobet® ointment: Once daily topical application of ointment from a tube to psoriasis lesions. Dose depends on size of lesion. |
|
|
|
| Secondary | Overall Improvement Rate for the Target Lesion at Weeks 1 and 2 | Substantial resolution of clinical signs or at least 'moderately improved' in the general change in the target lesion. Change in the Lesion is a 5 point scale below:
| The secondary endpoints were analysed for the full analysis set. The number and percentage of subjects with 'overall improvement' were tabulated for Visits 2 and 3 (end of Weeks 1 and 2) and by treatment group. | Posted | Count of Participants | Participants | End of Weeks 1 and 2 |
|
|
|
|
| Secondary | Change in the Total Sign Score for the Target Lesion From Week 0 to Week 4 | The change in the total sign score from Week 0 to Week 4; total sign score is defined as the sum of the scores from the 3 clinical signs (redness, thickness, and scaliness) assessing severity in the target lesion. The severity for each of the 3 clinical signs was recorded according to a 9-point scale that ranges from a score of 0 to 4 in increments of 0.5; the severities are scored from low to high with 0 = none and 4 = severe. The sum of the 3 total sign scores could range from 0 (best) to 12 (worse). The greater the negative value for the change means a better outcome. Negative change denotes a decrease in the score and therefore a decrease in disease severity. | The secondary endpoints were analysed for the full analysis set. For the change in the total sign score, the estimated difference between the treatment groups in the mean change (LEO 90100 foam group - Dovobet® ointment group) was calculated with 95% confidence interval. The treatment difference of the change in the total sign score at Visit 4 was estimated with an ANOVA with treatment as fixed effect. | Posted | Mean | Standard Deviation | score on a scale | End of Week 4 |
|
|
|
|
| Secondary | Number of Adverse Events | Number of treatment emergent adverse events (TEAEs). 14-day follow-up of TEAEs was only required if the TEAE was present at the last visit, and was of possible or probable relationship to trial medication. | The analysis of adverse events was based on the safety analysis set. | Posted | Number | participants | Treatment Emergent Adverse Events were assessed from Day 1 to end of Week 4, if Treatment Emergent Adverse Events were noted, they were followed for an additional 14 days |
|
|
|
| 0 |
| 87 |
| 0 |
| 87 |
| 15 |
| 87 |
| EG001 | Dovobet® Ointment | calcipotriol hydrate 52.2 µg/g [equivalent to 50.0 µg/g calcipotriol] plus betamethasone dipropionate 0.643 mg/g Dovobet® ointment: Once daily topical application of ointment from a tube to psoriasis lesions. Dose depends on size of lesion. | 0 | 95 | 0 | 95 | 19 | 95 |
| Arthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Tendonitis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Keratitis | Eye disorders | Non-systematic Assessment |
|
| Pyrexia | General disorders | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | Non-systematic Assessment |
|
| Folliculitis | Infections and infestations | Non-systematic Assessment |
|
| Furuncle | Infections and infestations | Non-systematic Assessment |
|
| Gingivitis | Infections and infestations | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | Non-systematic Assessment |
|
| Animal bite | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Skin abrasion | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Wound | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Blood calcium increased | Investigations | Systematic Assessment |
|
| Glycosylated haemoglobin increased | Investigations | Non-systematic Assessment |
|
| Seborrhoeic keratosis | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Pain of skin | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Psoriasis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | Non-systematic Assessment |
|
LEO Pharma A/S seeks publication of all phase 3 clinical trials in peer-reviewed journals within 18 months after completion or termination of the clinical trial, regardless of whether the findings are positive or negative. If no publication is submitted by LEO Pharma A/S within these 18 months, the investigator has the right to publish the results from the clinical trial generated by him/herself.
| 0.003 |
| Odds Ratio (OR) |
| 4.85 |
| 2-Sided |
| 95 |
| 1.57 |
| 14.97 |
| Superiority |