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PsoriasisPhase 2NCT00678210

Effectiveness and Safety of 3 Dosing Regimens of CP-690,550 to Placebo in Subjects With Moderate to Severe Chronic Plaque Psoriasis

A Phase 2 study testing CP-690,550 in people with Psoriasis, run by Pfizer at 44 sites in 2 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 purpose of this study is to determine the effectiveness and safety, over 12 weeks, of 3 dosing regimens of CP-690,550 for the treatment of adults 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
Psoriasis
What is being tested?
CP-690,550
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
197 participants
Where
44 sitesin 2 countries
Study dates
Jul 2008to Aug 2009
Phase
Phase 2
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

  • Have been diagnosed with plaque psoriasis for at least 6 months.
  • Have plaque psoriasis covering at least 15% of their total body.
  • Be a candidate for phototherapy or systemic treatment of psoriasis (either naïve or history of previous treatment).
  • Be willing and able to comply with scheduled visits, treatment plan and other study procedures.

Who cannot join

  • Currently have non-plaque forms of psoriasis or drug-induced psoriasis.
  • Subject cannot discontinue systemic therapies and/or topical therapies for the treatment of psoriasis and cannot discontinue phototherapy.
  • Subject is participating in another trial using an investigational agent or procedure.
  • Women who are pregnant or breast-feeding or considering becoming pregnant.

Trial locations and contacts

44 sites in 2 countries.

44 sites in 2 countries

United States29 sites
  • Pfizer Investigational Site

    Boston, Massachusetts, 02111

  • Pfizer Investigational Site

    Boston, Massachusetts, 02114

  • Pfizer Investigational Site

    Cleveland, Ohio, 44106

  • Pfizer Investigational Site

    Dallas, Texas, 75246

  • Pfizer Investigational Site

    East Windsor, New Jersey, 08520

  • Pfizer Investigational Site

    Greer, South Carolina, 29650

  • Pfizer Investigational Site

    Greer, South Carolina, 29651

  • Pfizer Investigational Site

    Houston, Texas, 77030

  • Pfizer Investigational Site

    Jacksonville, Florida, 32204

  • Pfizer Investigational Site

    Lake Oswego, Oregon, 97035

  • Pfizer Investigational Site

    Little Rock, Arkansas, 72205

  • Pfizer Investigational Site

    Miami, Florida, 33144

  • Pfizer Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • Pfizer Investigational Site

    New York, New York, 10016

  • Pfizer Investigational Site

    Norfolk, Virginia, 23507

  • Pfizer Investigational Site

    Norman, Oklahoma, 73069

  • Pfizer Investigational Site

    Oceanside, California, 92056

  • Pfizer Investigational Site

    Paramus, New Jersey, 07652

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19104

  • Pfizer Investigational Site

    Portland, Oregon, 97210

  • Pfizer Investigational Site

    Portland, Oregon, 97223

  • Pfizer Investigational Site

    Rochester, New York, 14623

  • Pfizer Investigational Site

    Salt Lake City, Utah, 84132

  • Pfizer Investigational Site

    St Louis, Missouri, 63117

  • Pfizer Investigational Site

    Tucson, Arizona, 85710

  • Pfizer Investigational Site

    Webster, Texas, 77598

  • Pfizer Investigational Site

    West Dundee, Illinois, 60118

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27103

  • Pfizer Investigational Site

    Worcester, Massachusetts, 01610

Other trials in United States

Canada15 sites
  • Pfizer Investigational Site

    Barrie, Ontario, L4M 6L2

  • Pfizer Investigational Site

    Halifax, Nova Scotia, B3H 1V7

  • Pfizer Investigational Site

    Halifax, Nova Scotia, B3H 1Y6

  • Pfizer Investigational Site

    Halifax, Nova Scotia, B3H 1Z4

  • Pfizer Investigational Site

    Laval, Quebec, H7S 2C6

  • Pfizer Investigational Site

    London, Ontario, N5X 2P1

  • Pfizer Investigational Site

    Moncton, New Brunswick, E1C 8X3

  • Pfizer Investigational Site

    Montreal, Quebec, H2K 4L5

  • Pfizer Investigational Site

    Montreal, Quebec, H3Z 2S6

  • Pfizer Investigational Site

    North Bay, Ontario, P1B 3Z7

  • Pfizer Investigational Site

    Québec, Quebec, G1V 4X7

  • Pfizer Investigational Site

    St. John's, Newfoundland and Labrador, A1C 2H5

  • Pfizer Investigational Site

    Vancouver, British Columbia, V5Z 4E8

  • Pfizer Investigational Site

    Waterloo, Ontario, N2J 1C4

  • Pfizer Investigational Site

    Windsor, Ontario, N8W 5L7

Other trials in Canada

About this study

Official title: A Phase 2B, Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Trial Evaluating The Efficacy And Safety Of Dose Regimens With Oral CP-690,550 In The Treatment Of Subjects With Moderate To Severe Chronic Plaque Psoriasis

The purpose of this study is to determine the effectiveness and safety, over 12 weeks, of 3 dosing regimens of CP-690,550 for the treatment of adults with moderate to severe chronic plaque psoriasis.

Conditions
Psoriasis
Being tested
CP-690,550, Placebo
Keywords
dose response; PASI 75 response endpoint; subjects with moderate to 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.

  • CP-690,550Drug

    tablets, 2 mg BID for 12 weeks

  • CP-690,550Drug

    tablets, 5 mg BID for 12 weeks

  • CP-690,550Drug

    tablets, 15 mg BID for 12 weeks

  • PlaceboDrug

    tablets, BID for 12 weeks

Study groups in NCT00678210
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: CP-690,550
2ExperimentalNot described
Receives: Drug: CP-690,550
3ExperimentalNot described
Receives: Drug: CP-690,550
4Placebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants Achieving a 75% Improvement in Psoriasis Area and Severity Index (PASI 75) Score at Week 12

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%) - 6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor(head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Week 12

Secondary outcomes (6)
  1. Percentage of Participants Achieving Physician's Global Assessment (PGA) Score of "Clear" or "Almost Clear"

    Physician global assessment of psoriasis is global consideration of the erythema, induration and scaling across all psoriatic lesions, rated separately over the whole body according to a 5-point severity scale ranged from 0 to 4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. The severity scores are summed and averaged after which the total average is rounded to the nearest whole number score to determine the treatment area overall severity of psoriasis score and category. The score of 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe.

    Measured: Week 2, 4, 8, 12, 14, 16

  2. Percentage of Participants Achieving a 75% Improvement in Psoriasis Area and Severity Index (PASI 75) Score

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%) - 6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor(head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Week 2, 4, 8, 14, 16

  3. Percentage of Participants Achieving a 50% Improvement in Psoriasis Area and Severity Index (PASI 50) Score

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%) - 6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor(head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Week 2, 4, 8, 12, 14, 16

  4. Percentage of Participants Achieving a 90% Improvement in Psoriasis Area and Severity Index (PASI 90) Score

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%)-6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor (head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Week 12

  5. Psoriasis Area and Severity Index (PASI) Component Scores and Total Score

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%)-6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor (head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Baseline, Week 2, 4, 8, 12, 14, 16

  6. Change From Baseline in Psoriasis Area and Severity Index (PASI) Component Scores and Total Score at Week 2, 4, 8, 12, 14, and 16

    Combined assessment of lesion severity and area affected into single score; range=0(no disease)-72(maximal disease). Body divided into 4 sections=head, upper/lower limbs, trunk; each area scored by itself and scores combined for final PASI. For each section percent area of skin involved was estimated:0(0%) - 6(90-100%) and severity estimated by clinical signs of erythema, induration, scaling; ranged 0-4: 0=none, 1=slight, 2=moderate, 3=marked, 4=very marked. Final PASI=sum of severity parameters for each section*area score*weighing factor(head=0.1, upper limbs=0.2, trunk=0.3, lower limbs=0.4).

    Measured: Baseline, Week 2, 4, 8, 12, 14, 16

Timeline

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

  1. First posted15 May 2008 (estimated)
  2. Study startJul 2008
  3. Primary completionAug 2009
  4. Study completionAug 2009

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00678210
Sponsor's protocol ID
A3921047
Status last verified
Nov 2012
First submitted
13 May 2008
Last updated
19 Dec 2012
Data monitoring committee
No

Publications

  • Panaccione R, Isaacs JD, Chen LA, Wang W, Marren A, Kwok K, Wang L, Chan G, Su C. Characterization of Creatine Kinase Levels in Tofacitinib-Treated Patients with Ulcerative Colitis: Results from Clinical Trials. Dig Dis Sci. 2021 Aug;66(8):2732-2743. doi: 10.1007/s10620-020-06560-4. Epub 2020 Aug 20.

    PubMed 32816215
  • Valenzuela F, Papp KA, Pariser D, Tyring SK, Wolk R, Buonanno M, Wang J, Tan H, Valdez H. Effects of tofacitinib on lymphocyte sub-populations, CMV and EBV viral load in patients with plaque psoriasis. BMC Dermatol. 2015 May 8;15:8. doi: 10.1186/s12895-015-0025-y.

    PubMed 25951857
  • Menter A, Papp KA, Tan H, Tyring S, Wolk R, Buonanno M. Efficacy of tofacitinib, an oral janus kinase inhibitor, on clinical signs of moderate-to-severe plaque psoriasis in different body regions. J Drugs Dermatol. 2014 Mar;13(3):252-6.

    PubMed 24595567
  • Bushmakin AG, Mamolo C, Cappelleri JC, Stewart M. The relationship between pruritus and the clinical signs of psoriasis in patients receiving tofacitinib. J Dermatolog Treat. 2015 Feb;26(1):19-22. doi: 10.3109/09546634.2013.861891. Epub 2013 Dec 2.

    PubMed 24289224
  • Strober B, Buonanno M, Clark JD, Kawabata T, Tan H, Wolk R, Valdez H, Langley RG, Harness J, Menter A, Papp K. Effect of tofacitinib, a Janus kinase inhibitor, on haematological parameters during 12 weeks of psoriasis treatment. Br J Dermatol. 2013 Nov;169(5):992-9. doi: 10.1111/bjd.12517.

    PubMed 23855761
  • Papp KA, Menter A, Strober B, Langley RG, Buonanno M, Wolk R, Gupta P, Krishnaswami S, Tan H, Harness JA. Efficacy and safety of tofacitinib, an oral Janus kinase inhibitor, in the treatment of psoriasis: a Phase 2b randomized placebo-controlled dose-ranging study. Br J Dermatol. 2012 Sep;167(3):668-77. doi: 10.1111/j.1365-2133.2012.11168.x.

    PubMed 22924949

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CP-690,550 in people with Psoriasis, run by Pfizer at 44 sites in 2 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 4 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 19 Dec 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Canada. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 19 Dec 2012). 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 Achieving a 75% Improvement in Psoriasis Area and Severity Index (PASI 75) Score at Week 12 (time frame: Week 12). 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 NCT00678210, which also lists 6 linked publications.

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 19 Dec 2012.

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