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Chronic Plaque PsoriasisPhase 3BELIEVENCT00574249

Adalimumab in Combination With Topical Treatment (Calcipotriol/Betamethasone) in Subjects With Moderate to Severe Psoriasis and Insufficient Response to Classic Systemic Treatment

A Phase 3 study testing adalimumab and Calcipotriol/Betamethasone Ointment in people with Chronic Plaque Psoriasis, run by Abbott at 131 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The objective of this study is to assess the efficacy and safety of adalimumab in combination with topical psoriasis treatment, calcipotriol/betamethasone, vs. adalimumab in combination with matching vehicle in subjects with moderate to severe chronic plaque psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Plaque Psoriasis
What is being tested?
adalimumab and Calcipotriol/Betamethasone Ointment
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
730 participants
Where
131 sitesin 15 countries
Study dates
Nov 2007to Oct 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is >= 18 years of age
  • Subject had a clinical diagnosis of chronic plaque psoriasis for at least 6 months, and has moderate to severe plaque psoriasis
  • Subject must have been treated and failed to respond to, or has a contraindication to, or is intolerant to at least two different systemic therapies, one of which must be cyclosporine, or methotrexate or oral PUVA
  • Subject is judged to be in generally good health as determined by the principal investigator

Who cannot join

  • Subject has previous exposure to adalimumab
  • Subject cannot discontinue systemic therapies and/or topical therapies for the treatment of psoriasis and cannot avoid UVB or PUVA phototherapy
  • Subject is taking or requires oral or injectible corticosteroids
  • Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, medication-induced or medication-exacerbated psoriasis or new onset guttate psoriasis
  • Subject considered by the investigator, for any reason, to be an unsuitable candidate
  • Female subject who is pregnant or breast-feeding or considering becoming pregnant
  • Subject has a calcium metabolism disorder

Trial locations and contacts

131 sites in 15 countries.

131 sites in 15 countries

Germany29 sites
  • Study site

    Berlin, 10117

  • Study site

    Berlin, 10827

  • Study site

    Buchholz Nordheide, 21244

  • Study site

    Cologne, 50924

  • Study site

    Dresden, 01067

  • Study site

    Dresden, 01307

  • Study site

    Düsseldorf, 40225

  • Study site

    Erlangen, 91052

  • Study site

    Frankfurt, 60590

  • Study site

    Freiburg im Breisgau, 79104

  • Study site

    Göttingen, 37075

  • Study site

    Halle, 06097

  • Study site

    Hamburg, 20246

  • Study site

    Hamburg, 20354

  • Study site

    Hanover, 30449

  • Study site

    Heidelberg, 69115

  • Study site

    Jena, 07740

  • Study site

    Kiel, 24150

  • Study site

    Leipzig, 04103

  • Study site

    Magdeburg, 39120

  • Study site

    Mainz, 55101

  • Study site

    München, 80337

  • Study site

    Münster, 48149

  • Study site

    Oldenburg, 26133

  • Study site

    Osnabrück, 49078

  • Study site

    Potsdam, 14480

  • Study site

    Regensburg, 93053

  • Study site

    Rostock, 18055

  • Study site

    Tübingen, 72076

Other trials in Germany

Spain21 sites
  • Study site

    Alicante, 03010

  • Study site

    Barcelona, 08025

  • Study site

    Barcelona, 08036

  • Study site

    Barcelona, 08916

  • Study site

    Bilbao, 48013

  • Study site

    Bilbao, 48903

  • Study site

    Galdacano Vizcaya, 48960

  • Study site

    Granada, 18012

  • Study site

    Las Palmas de Gran Canarias, 35010

  • Study site

    Madrid, 28006

  • Study site

    Madrid, 28034

  • Study site

    Madrid, 28041

  • Study site

    Madrid, 28046

  • Study site

    Málaga, 29071

  • Study site

    Santander, 39008

  • Study site

    Santiago, 15700

  • Study site

    Santiago de Compostela, 15706

  • Study site

    Seville, 41009

  • Study site

    Valencia, 46009

  • Study site

    Valencia, 46014

  • Study site

    Vigo, 36024

Other trials in Spain

France13 sites
  • Study site

    Brest, 29609

  • Study site

    Créteil, 94010

  • Study site

    Lille, 59037

  • Study site

    Limoges, 87042

  • Study site

    Montpellier, 34295

  • Study site

    Nancy, 54000

  • Study site

    Nice, 06202

  • Study site

    Paris, 75475

  • Study site

    Pessac, 33604

  • Study site

    Pierre-Bénite, 69310

  • Study site

    Rouen, 76031

  • Study site

    Saint-Etienne, 42055

  • Study site

    Toulouse, 31059

Other trials in France

Belgium12 sites
  • Study site

    Aalst, 9300

  • Study site

    Bruges, 8000

  • Study site

    Brussels, 1070

  • Study site

    Brussels, 1090

  • Study site

    Brussels, 1200

  • Study site

    Edegem, 2650

  • Study site

    Geel, 2440

  • Study site

    Ghent, 9000

  • Study site

    Kortrijk, 8500

  • Study site

    Leuven, 3000

  • Study site

    Liège, 4000

  • Study site

    Mons, 7000

Other trials in Belgium

Italy11 sites
  • Study site

    Benevento, 82100

  • Study site

    Catania, 95124

  • Study site

    Catanzaro, 88100

  • Study site

    Coppitto-L'Aquila, 67100

  • Study site

    Florence, 50119

  • Study site

    Messina, 98200

  • Study site

    Milan, 20161

  • Study site

    Modena, 41100

  • Study site

    Padova, 35128

  • Study site

    Palermo, 90127

  • Study site

    Roma, 0133

Other trials in Italy

United Kingdom8 sites
  • Study site

    Aberdeen, AB25 2ZR

  • Study site

    Cardiff, CF14 4XN

  • Study site

    Glasgow, G11 6NT

  • Study site

    Leeds, LS1 3EX

  • Study site

    London, NW3 2QG

  • Study site

    Manchester, M6 8HD

  • Study site

    Newport Gwent, NP20 4SZ

  • Study site

    Nuneaton, CV10 7DJ

Other trials in United Kingdom

Austria6 sites
  • Study site

    Graz, 8036

  • Study site

    Innsbruck, 6020

  • Study site

    Salzburg, 5020

  • Study site

    Vienna, 1030

  • Study site

    Vienna, 1090

  • Study site

    Wein, 1160

Other trials in Austria

Turkey (Türkiye)6 sites
  • Study site

    Ankara, 06100

  • Study site

    Ankara, 06500

  • Study site

    Bursa, 16045

  • Study site

    Çapa, 34390

  • Study site

    Istanbul, 34098

  • Study site

    Istanbul, 34668

Other trials in Turkey (Türkiye)

Netherlands5 sites
  • Study site

    Amsterdam, 1105 AZ

  • Study site

    Breda, 4818 CK

  • Study site

    Maastricht, 6229 HX

  • Study site

    Nijmegen, 6525 GL

  • Study site

    Rotterdam, 3015 CA

Other trials in Netherlands

Denmark4 sites
  • Study site

    Arhus C, 8000

  • Study site

    Copenhagen, 2400

  • Study site

    Hellerup, 2900

  • Study site

    Herning, 7400

Other trials in Denmark

Sweden4 sites
  • Study site

    Falun, 79182

  • Study site

    Gothenburg, 41345

  • Study site

    Malmö, 20502

  • Study site

    Stockholm, 17176

Other trials in Sweden

Switzerland4 sites
  • Study site

    Basel, 4031

  • Study site

    Bern, 3010

  • Study site

    Geneva, 1211

  • Study site

    Zurich, 8091

Other trials in Switzerland

Czechia3 sites
  • Study site

    Brno, 65691

  • Study site

    Hradec Králové, 500 05

  • Study site

    Prague, 11000

Other trials in Czechia

Finland3 sites
  • Study site

    Helsinki HUS, 00029

  • Study site

    Jyväskylä, 40620

  • Study site

    Lahti, 15850

Other trials in Finland

Greece2 sites
  • Study site

    Athens, 16121

  • Study site

    Crete, 71201

Other trials in Greece

About this study

Official title: A Multi-center, Randomized, Vehicle-Controlled Study to Assess the Efficacy and Safety of Adalimumab in Combination With Topical Treatment (Calcipotriol/Betamethasone) in Subjects With Moderate to Severe Psoriasis and Insufficient Response to Classic Systemic Treatment (BELIEVE)

The objective of this study is to assess the efficacy and safety of adalimumab in combination with topical psoriasis treatment, calcipotriol/betamethasone, vs. adalimumab in combination with matching vehicle in subjects with moderate to severe chronic plaque psoriasis.

Read the detailed description

Additional information regarding sponsors: Abbott GmbH \& Co. KG is sponsor for EU member states. Abbott US is sponsor for non-EU member states.

Being tested
adalimumab, Calcipotriol/Betamethasone Ointment, placebo (vehicle ointment)
Keywords
Psoriasis, Moderate Psoriasis, Severe Psoriasis, Chronic Plaque Psoriasis, Severe Chronic Plaque Psoriasis
Medical subject headings
Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • adalimumabBiological

    Also called ABT-D2E7, Humira

    subcutaneous injection using prefilled pen/syringe, solution containing 40 mg in 0.8 milliliters; 2 injections given at Baseline (Day 1) then once every other week from Weeks 1 though 15

  • Calcipotriol/Betamethasone OintmentDrug

    Also called Daivobet

    Topical ointment (calcipotriol 50 mcg/g and betamethasone 500 mcg/g) to be applied once daily to affected psoriasis skin on trunk and extremities for first 4 weeks and as needed from Week 5 through Week 16

  • placebo (vehicle ointment)Drug

    Topical vehicle ointment (matching active calcipotriol/betamethasone ointment) to be applied once daily to affected psoriasis skin on trunk and extremities for first 4 weeks and as needed from Week 5 through Week 16

Study groups in NCT00574249
Study groupRoleWhat they receive
adalimumab + placeboActive comparatoradalimumab + placebo (vehicle ointment)
Receives: Biological: adalimumab; Drug: placebo (vehicle ointment)
adalimumab + calcipotriol/betamethasoneActive comparatoradalimumab + calcipotriol/betamethasone ointment
Receives: Biological: adalimumab; Drug: Calcipotriol/Betamethasone Ointment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Achieve a PASI75 Response at Week 16 Compared With Baseline (Week 0)

    PASI75 is defined as at least a 75% reduction in PASI (Psoriasis Area and Severity Index) score compared with the Baseline PASI score. PASI scores range from 0.0 (best) to 72.0 (worst), with the highest score representing complete erythroderma of the severest degree. The percent decrease in score is calculated as (Week 0 PASI score minus Week 16 PASI score) divided by Week 0 PASI score. Positive percent decreases indicate improvement, with best improvement being 100%. The outcome measure is the percentage of participants who had at least a 75% PASI score decrease.

    Measured: Week 0 and Week 16

Secondary outcomes (15)
  1. Percentage of Participants With a PASI50 Response at Week 16 Compared With Baseline (Week 0)

    PASI50 is defined as at least a 50% reduction in PASI (Psoriasis Area and Severity Index) score compared with the Baseline PASI score. PASI scores range from 0.0 (best) to 72.0 (worst), with the highest score representing complete erythroderma of the severest degree. The percent decrease in score is calculated as (Week 0 PASI score minus Week 16 PASI score) divided by Week 0 PASI score. Positive percent decreases indicate improvement, with best improvement 100%. The outcome measure is the percentage of participants who had at least a 50% PASI score decrease.

    Measured: Week 0 and Week 16

  2. Percentage of Participants With a PASI90 Response at Week 16 Compared With Baseline (Week 0)

    PASI90 is defined as at least a 90% reduction in PASI (Psoriasis Area and Severity Index) score compared with the Baseline PASI score. PASI scores range from 0.0 (best) to 72.0 (worst), with the highest score representing complete erythroderma of the severest degree. The percent decrease in score is calculated as (Week 0 PASI score minus Week 16 PASI score) divided by Week 0 PASI score. Positive percent decreases indicate improvement, with best improvement 100%. The outcome measure is the percentage of participants who had at least a 90% PASI score decrease.

    Measured: Week 0 and Week 16

  3. Percentage of Participants With a PASI100 Response at Week 16 Compared With Baseline (Week 0)

    PASI100 is defined as at least a 100% reduction in PASI (Psoriasis Area and Severity Index) score compared with the Baseline PASI score. PASI scores range from 0.0 (best) to 72.0 (worst) with the highest score representing complete erythroderma of the severest degree. The percent decrease in score is calculated as (Week 0 PASI score minus Week 16 PASI score) divided by Week 0 PASI score. Positive percent decreases indicate improvement, with best improvement 100%. The outcome measure is the percentage of participants who had at least a 100% PASI score decrease.

    Measured: Week 0 and Week 16

  4. Percentage of Participants Achieving a Physician's Global Assessment (PGA) of Clear or Minimal at Week 2

    PGA is a physician's assessment of severity of disease (grading lesion severity). PGA scores range from 0 (best) to 6 (worst): on the 6-point scale, a score of 0 = Clear and a score of 6 = Very Severe for the lesion severity. PGA Clear (0) is no plaque elevation over normal skin and no scale with or without erythema. Minimal (1) is possible plaque elevation but difficult to ascertain a slight elevation above normal skin. Percentage of participants: 0% to 100% (best).

    Measured: Week 2

  5. Percentage of Participants Achieving a Physician's Global Assessment (PGA) of Clear or Minimal at Week 4

    PGA is a physician's assessment of severity of disease (grading lesion severity). PGA scores range from 0 (best) to 6 (worst): on the 6-point scale, a score of 0 = Clear and a score of 6 = Very Severe for the lesion severity. PGA Clear (0) is no plaque elevation over normal skin and no scale with or without erythema. Minimal (1) is possible plaque elevation but difficult to ascertain a slight elevation above normal skin. Percentage of participants: 0% to 100% (best).

    Measured: Week 4

  6. Percentage of Participants Achieving a Physician's Global Assessment (PGA) of Clear or Minimal at Week 8

    PGA is a physician's assessment of severity of disease (grading lesion severity). PGA scores range from 0 (best) to 6 (worst): on the 6-point scale, a score of 0 = Clear and a score of 6 = Very Severe for the lesion severity. PGA Clear (0) is no plaque elevation over normal skin and no scale with or without erythema. Minimal (1) is possible plaque elevation but difficult to ascertain a slight elevation above normal skin. Percentage of participants: 0% to 100% (best).

    Measured: Week 8

  7. Percentage of Participants Achieving a Physician's Global Assessment (PGA) of Clear or Minimal at Week 12

    PGA is a physician's assessment of severity of disease (grading lesion severity). PGA scores range from 0 (best) to 6 (worst): on the 6-point scale, a score of 0 = Clear and a score of 6 = Very Severe for the lesion severity. PGA Clear (0) is no plaque elevation over normal skin and no scale with or without erythema. Minimal (1) is possible plaque elevation but difficult to ascertain a slight elevation above normal skin. Percentage of participants: 0% to 100% (best).

    Measured: Week 12

  8. Percentage of Participants Achieving a Physicians Global Assessment (PGA) Response of Clear or Minimal at Week 16

    PGA is a physician's assessment of severity of disease (grading lesion severity). PGA scores range from 0 (best) to 6 (worst): on the 6-point scale, a score of 0 = Clear and a score of 6 = Very Severe for the lesion severity. PGA Clear (0) is no plaque elevation over normal skin and no scale with or without erythema. Minimal (1) is possible plaque elevation but difficult to ascertain a slight elevation above normal skin. Percentage of participants: 0% to 100% (best).

    Measured: Week 16

  9. Percent Change From Baseline in the Dermatology Life Quality Index (DLQI) Total Score at Week 16 Compared With Baseline (Week 0)

    DLQI is a participant-reported outcome consisting of a set of 10 questions regarding the degree to which (i.e., how much) the subject's skin has affected certain behaviors and quality of life over the last week. Responses to each are: very much, a lot, a little, or not at all. Total score range: 0 (best) to 30 (worst). Negative change and percent change from Baseline indicate improvement, with best improvement -100%.

    Measured: Week 0 and Week 16

  10. Percent Change in the Dermatology Life Quality Index (DLQI) Total Score at Week 2 Compared With Baseline (Week 0)

    DLQI is a participant-reported outcome consisting of a set of 10 questions regarding the degree to which (i.e., how much) the subject's skin has affected certain behaviors and quality of life over the last week. Responses to each are: very much, a lot, a little, or not at all. Total score range: 0 (best) to 30 (worst). Negative change and percent change from Baseline indicate improvement, with best improvement -100%.

    Measured: Week 0 and Week 2

  11. Percent Change From Baseline in the Dermatology Life Quality Index (DLQI) Total Score at Week 4 Compared With Baseline (Week 0)

    DLQI is a participant-reported outcome consisting of a set of 10 questions regarding the degree to which (i.e., how much) the subject's skin has affected certain behaviors and quality of life over the last week. Responses to each are: very much, a lot, a little, or not at all. Total score range: 0 (best) to 30 (worst). Negative change and percent change from Baseline indicate improvement, with best improvement -100%.

    Measured: Week 0 and Week 4

  12. Percent Change From Baseline in the Dermatology Life Quality Index (DLQI) Total Score at Week 8 Compared With Baseline (Week 0)

    DLQI is a participant-reported outcome consisting of a set of 10 questions regarding the degree to which (i.e., how much) the subject's skin has affected certain behaviors and quality of life over the last week. Responses to each are: very much, a lot, a little, or not at all. Total score range: 0 (best) to 30 (worst). Negative change and percent change from Baseline indicate improvement, with best improvement -100%.

    Measured: Week 0 and Week 8

  13. Percent Change From Baseline in the Dermatology Life Quality Index (DLQI) Total Score at Week 12 Compared With Baseline (Week 0)

    DLQI is a participant-reported outcome consisting of a set of 10 questions regarding the degree to which (i.e., how much) the subject's skin has affected certain behaviors and quality of life over the last week. Responses to each are: very much, a lot, a little, or not at all. Total score range: 0 (best) to 30 (worst). Negative change and percent change from Baseline indicate improvement, with best improvement -100%.

    Measured: Week 0 and Week 12

  14. Percent Change in Short Form 36 Health Survey (SF-36) Physical Component Score (PCS) at Week 16 Compared With Baseline (Week 0)

    Short Form 36 Health Survey (SF-36) Physical Component Score (PCS) is a participant-reported outcome that employs a questionnaire that asks for the participant's views about their health. Percent change at Week 16 is calculated as (Week 16 SF-36 PCS minus Week 0 SF-36 PCS) divided by Week 0 SF-36 PCS. Positive percent change in score indicates improvement, with best improvement 100%.

    Measured: Week 0 and Week 16

  15. Percent Change in Short Form 36 Health Survey (SF-36) Physical Component Score (PCS) at Week 8 Compared With Baseline (Week 0)

    Short Form 36 Health Survey (SF-36) Physical Component Score (PCS) is a participant-reported outcome that employs a questionnaire that asks for the participant's views about their health. Percent change at Week 8 is calculated as (Week 8 SF-36 PCS minus Week 0 SF-36 PCS) divided by Week 0 SF-36 PCS. Positive percent change in score indicates improvement, with best improvement 100%.

    Measured: Week 0 and Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2007 (estimated)
  2. Study startNov 2007
  3. Primary completionOct 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
730 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00574249
Sponsor's protocol ID
M10-060
Acronym
BELIEVE
Status last verified
Apr 2011
First submitted
12 Dec 2007
Last updated
13 Apr 2011
Data monitoring committee
No

Publications

  • Paul C, van de Kerkhof P, Puig L, Unnebrink K, Goldblum O, Thaci D. Influence of psoriatic arthritis on the efficacy of adalimumab and on the treatment response of other markers of psoriasis burden: subanalysis of the BELIEVE study. Eur J Dermatol. 2012 Nov-Dec;22(6):762-9. doi: 10.1684/ejd.2012.1863.

    PubMed 23178916

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing adalimumab and Calcipotriol/Betamethasone Ointment in people with Chronic Plaque Psoriasis, run by Abbott at 131 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Apr 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 131 sites in Germany, Spain, France, Belgium, Italy and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Jan 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Who Achieve a PASI75 Response at Week 16 Compared With Baseline (Week 0) (time frame: Week 0 and Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00574249, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2011; AzTrials last refreshed its copy on 8 Nov 2026.

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