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PsoriasisPhase 2NCT00778700

A Dose Ranging Study of the Effect of Ruxolitinib Phosphate Cream When Applied to Participants With Plaque Psoriasis

A Phase 2 study testing Ruxolitinib Phosphate in people with Psoriasis, run by Incyte Corporation at 28 sites in United States.

Completed

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

Official record
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Trial summary

The study was double-blind, randomized, vehicle-controlled study with application of Ruxolitinib phosphate cream or vehicle cream in participants with stable plaque psoriasis applied once daily for 12 weeks without occlusive dressings. There were 4 treatment groups anticipated to have 50 participants in each. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Psoriasis
What is being tested?
Ruxolitinib Phosphate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
199 participants
Where
28 sitesUnited States
Study dates
28 Oct 2008to 26 Jun 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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Plaque psoriasis involving up to 2 to 20% Body Surface Area

Who cannot join

  • Lesions solely involving intertriginous areas, the scalp or the face
  • Systemic therapy for their psoriasis
  • Pustular psoriasis or erythroderma
  • Currently on other topical agents or Ultraviolet B (UVB) therapy within 2 weeks of the first dose of study medication
  • Started or discontinued therapy within 2 months of Screening with agents that can exacerbate psoriasis
  • Receiving systemic triazole antifungals except fluconazole

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Study site

    Albuquerque, New Mexico

  • Study site

    Austin, Texas

  • Study site

    Boston, Massachusetts

  • Study site

    Clinton Township, Michigan

  • Study site

    College Station, Texas

  • Study site

    Dallas, Texas

  • Study site

    Evansville, Indiana

  • Study site

    Fridley, Minnesota

  • Study site

    Hot Springs, Arkansas

  • Study site

    Houston, Texas

  • Study site

    Los Angeles, California

  • Study site

    Madison, Wisconsin

  • Study site

    Miami, Florida

  • Study site

    Naperville, Illinois

  • Study site

    New Haven, Connecticut

  • Study site

    Norfolk, Virginia

  • Study site

    Norman, Oklahoma

  • Study site

    Ormond Beach, Florida

  • Study site

    Rochester, New York

  • Study site

    Salt Lake City, Utah

  • Study site

    San Diego, California

  • Study site

    Santa Monica, California

  • Study site

    Simpsonville, South Carolina

  • Study site

    South Bend, Indiana

  • Study site

    St Louis, Missouri

  • Study site

    Vallejo, California

  • Study site

    Walla Walla, Washington

  • Study site

    Wheaton, Illinois

Other trials in United States

About this study

Official title: A Double-Blind, Randomized, Vehicle-Controlled Dose Ranging Study of the Effect of INCB018424 Phosphate Cream When Applied to Patients With Plaque Psoriasis

The study was double-blind, randomized, vehicle-controlled study with application of Ruxolitinib phosphate cream or vehicle cream in participants with stable plaque psoriasis applied once daily for 12 weeks without occlusive dressings. There were 4 treatment groups anticipated to have 50 participants in each.

Conditions
Psoriasis
Being tested
Placebo Cream, Ruxolitinib Phosphate
Medical subject headings
Psoriasis

What participants receive

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

  • Placebo CreamOther

    Cream with no active drug

  • Ruxolitinib PhosphateDrug

    Also called INCB018424

    Ruxolitinib phosphate cream

Study groups in NCT00778700
Study groupRoleWhat they receive
Vehicle CreamPlacebo comparatorVehicle cream, applied topically, once daily from Day 1 to Week 12.
Receives: Other: Placebo Cream
Ruxolitinib Phosphate 0.5% CreamExperimentalRuxolitinib phosphate 0.5% cream, applied topically, once daily from Day 1 to Week 12.
Receives: Drug: Ruxolitinib Phosphate
Ruxolitinib Phosphate 1.0% CreamExperimentalRuxolitinib phosphate 1.0% cream, applied topically, once daily from Day 1 to Week 12.
Receives: Drug: Ruxolitinib Phosphate
Ruxolitinib Phosphate 1.5% CreamExperimentalRuxolitinib phosphate 1.5% cream, applied topically, once daily from Day 1 to Week 12.
Receives: Drug: Ruxolitinib Phosphate

What is being measured

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

  1. Absolute Change From Baseline in Total Lesion Score for All Treatable Psoriatic Lesions to Day 84

    Total Lesion Score is calculated as the sum of component scores for erythema (E), scaling (S), and thickness (T) of the study-treated lesions taken together. Each component consists of ratings of 0=none, 1=mild, 2=moderate, 3=marked, and 4=severe such that total lesion score can vary in value from 0 to 12. A negative change from Baseline indicates improvement.

    Measured: From Baseline (Day 1) to Day 84

Secondary outcomes (17)
  1. Absolute Change From Baseline in the Individual Lesion Scores for Lesion Thickness

    Lesion thickness was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative change from Baseline indicates improvement.

    Measured: From Baseline (Day 1) to Day 84

  2. Absolute Change From Baseline in the Individual Lesion Scores for Lesion Erythema

    Lesion erythema was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative change from Baseline indicates improvement.

    Measured: From Baseline (Day 1) to Day 84

  3. Absolute Change From Baseline in the Individual Lesion Scores for Lesion Scaling

    Lesion scaling was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative change from Baseline indicates improvement.

    Measured: From Baseline (Day 1) to Day 84

  4. Percent Change From Baseline in the Individual Lesion Scores of Lesion Thickness

    Lesion thickness was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative percent change from Baseline indicates improvement in lesion.

    Measured: From Baseline (Day 1) to Day 84

  5. Percent Change From Baseline in the Individual Lesion Scores of Lesion Erythema

    Lesion erythema was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative percent change from Baseline indicates improvement in lesion.

    Measured: From Baseline (Day 1) to Day 84

  6. Percent Change From Baseline in the Individual Lesion Scores of Lesion Scaling

    Lesion scaling was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. A negative percent change from Baseline indicates improvement in lesion.

    Measured: From Baseline (Day 1) to Day 84

  7. Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Thickness at Day 84

    Lesion thickness was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. Participants with individual lesion scores 0 (none) and 1 (mild) are reported in this outcome measure.

    Measured: Day 84

  8. Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Erythema at Day 84

    The individual lesion scores were calculated individually for thickness, erythema, and scaling. Lesion erythema was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. Participants with individual lesion scores 0 (none) and 1 (mild) are reported in this outcome measure. The LOCF method was used for analysis.

    Measured: Day 84

  9. Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Scaling at Day 84

    The individual lesion scores were calculated individually for thickness, erythema, and scaling. Lesion scaling was scored using a 5-point scale ranging from 0 to 4 where 0 is none or absent and 4 is severe lesion. Participants with individual lesion scores 0 (none) and 1 (mild) are reported in this outcome measure. The LOCF method was used for analysis.

    Measured: Day 84

  10. Absolute Change From Baseline in the Percent Treatable Body Surface Area (BSA)

    The lesion areas were estimated based on the Rule of Nines method for the entire skin surface; psoriatic disease activity and the percent BSA were calculated for the treatable areas (i.e., areas that excluded the scalp, face, and intertriginous areas). The BSA is calculated as follows: BSA (m^²)=([Height(cm) x Weight(kg)]/3600 )^½. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 1) to Day 84

  11. Absolute Change From Baseline in the Physician's Global Assessment (PGA) Score

    The overall disease activity in the participants, a measure of the overall quality (erythema, scaling, and thickness) and extent (BSA) of plaques, was measured using the PGA. The PGA was an overall assessment of each participant's plaque psoriasis. The assessment was recorded using a 6-point scale ranging from 0 to 5 where 0 is 'Clear' (no evidence of disease) and 5 is 'very Severe' lesion. A negative change from Baseline indicates improvement. The ANCOVA method was used for analyses.

    Measured: Baseline (Day 1) to Day 84

  12. Percent Change From Baseline in the PGA Score

    The overall disease activity in the participants, a measure of the overall quality (erythema, scaling, and thickness) and extent (BSA) of plaques, was measured using the PGA. The PGA was an overall assessment of each participant's plaque psoriasis. The assessment was recorded using a 6-point scale ranging from 0 to 5 where 0 indicates 'Clear' (no evidence of disease) and 5 indicates 'very Severe' lesion. A negative percent change indicates improvement. The ANCOVA method was used for analyses.

    Measured: Baseline (Day 1) to Day 84

  13. Percentage of Participants Achieving Clear (Score=0) and Almost Clear (Score=1) on the PGA

    The overall disease activity in the participants, a measure of the overall quality (erythema, scaling, and thickness) and extent (BSA) of plaques, was measured using the PGA. The PGA was an overall assessment of each participant's plaque psoriasis. The assessment was recorded using a 6-point scale ranging from 0 to 5 where 0 indicates 'Clear' (no evidence of disease) and 5 indicates 'very Severe' lesion. Participants with individual lesion scores 0 (clear) and 1 (almost clear) are reported in this outcome measure.

    Measured: Day 84

  14. Absolute Change From Baseline in the Psoriasis Area and Severity Index (PASI) Score

    PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease). Body is divided into 4 areas for scoring [lower extremities, trunk (including stomach, chest, back), upper extremities, head]; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by scale 0 (none) to 4 (severe). Final PASI is the sum of severity score for each area multiplied coverage for each section multiplied by area score weight of section (lower extremities: 0.4, trunk: 0.3, upper extremities: 0.2, head: 0.1). A negative change from baseline indicates improvement. The ANCOVA method was used for analyses.

    Measured: Baseline (Day 1) to Day 84

  15. Percent Change From Baseline in the PASI Score

    PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease). Body is divided into 4 areas for scoring [lower extremities, trunk (including stomach, chest, back), upper extremities, head]; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by scale 0 (none) to 4 (severe). Final PASI is the sum of severity score for each area multiplied by coverage for each section multiplied by area score weight of section (lower extremities: 0.4, trunk: 0.3, upper extremities: 0.2, head: 0.1). A percent negative change from baseline indicates improvement in disease. The ANCOVA method was used for analyses.

    Measured: Baseline (Day 1) to Day 84

  16. Percentage of Participants With Treatable Percent BSA ≥10% Achieving PASI 50%, PASI 75%, And PASI 90% Improvements From Baseline to Each Time Point

    PASI is a combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72 (maximal disease). Body is divided into 4 areas for scoring [lower extremities, trunk (including stomach, chest, back), upper extremities, head]; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by scale 0 (none) to 4 (severe). Final PASI is the sum of severity score for each area* multiplied by coverage for each section* multiplied by area score weight of section (lower extremities: 0.4, trunk: 0.3, upper extremities: 0.2, head: 0.1). A negative percent change from Baseline indicates improvement. Data for Day 84 was imputed using the LOCF method.

    Measured: Baseline (Day 1) and Days 15, 28, 56, 84, and 112

  17. Trough Plasma Concentrations [Minimum Concentration at Steady-state (Css,Min)] of Ruxolitinib Phosphate Prior to Study Drug Application at Steady State

    Measured: Pre-application on Days 1, 15, 28, 56, and 84

Timeline

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

  1. First posted23 Oct 2008 (estimated)
  2. Study start28 Oct 2008
  3. Primary completion26 Jun 2009
  4. Study completion26 Jun 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
199 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00778700
Sponsor's protocol ID
INCB 18424-203
Status last verified
Jan 2022
First submitted
21 Oct 2008
Last updated
9 Feb 2022
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
Yes: Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ruxolitinib Phosphate in people with Psoriasis, run by Incyte Corporation at 28 sites in United States.

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 1 inclusion and 6 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 9 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States. 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 9 Feb 2022). 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?

Absolute Change From Baseline in Total Lesion Score for All Treatable Psoriatic Lesions to Day 84 (time frame: From Baseline (Day 1) to Day 84). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Feb 2022.

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