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.
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
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 group | Role | What they receive |
|---|---|---|
| Vehicle Cream | Placebo comparator | Vehicle cream, applied topically, once daily from Day 1 to Week 12. Receives: Other: Placebo Cream |
| Ruxolitinib Phosphate 0.5% Cream | Experimental | Ruxolitinib phosphate 0.5% cream, applied topically, once daily from Day 1 to Week 12. Receives: Drug: Ruxolitinib Phosphate |
| Ruxolitinib Phosphate 1.0% Cream | Experimental | Ruxolitinib phosphate 1.0% cream, applied topically, once daily from Day 1 to Week 12. Receives: Drug: Ruxolitinib Phosphate |
| Ruxolitinib Phosphate 1.5% Cream | Experimental | Ruxolitinib 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.
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
- First posted23 Oct 2008 (estimated)
- Study start28 Oct 2008
- Primary completion26 Jun 2009
- Study completion26 Jun 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for PsoriasisStudies of the same condition, open and under way.
- More trials run by Incyte CorporationThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Incyte Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Monica Luchi, M.D., Study director, Incyte Corporation
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00778700
- Acronym / sponsor ID
- INCB 18424-203
- Conditions
- Psoriasis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 199 participants (actual)
- Lead sponsor
- Incyte CorporationIndustry (pharma, biotech, devices)
- Study start
- 28 Oct 2008 (actual)
- Primary completion
- 26 Jun 2009 (actual)
- Study completion
- 26 Jun 2009 (actual)
- First posted
- 23 Oct 2008 (estimated)
- Results
- Posted 9 Feb 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Vehicle Cream | Placebo comparator | Other: Placebo CreamVehicle cream, applied topically, once daily from Day 1 to Week 12. |
| Ruxolitinib Phosphate 0.5% Cream | Experimental | Drug: Ruxolitinib PhosphateRuxolitinib phosphate 0.5% cream, applied topically, once daily from Day 1 to Week 12. |
| Ruxolitinib Phosphate 1.0% Cream | Experimental | Drug: Ruxolitinib PhosphateRuxolitinib phosphate 1.0% cream, applied topically, once daily from Day 1 to Week 12. |
| Ruxolitinib Phosphate 1.5% Cream | Experimental | Drug: Ruxolitinib PhosphateRuxolitinib phosphate 1.5% cream, applied topically, once daily from Day 1 to Week 12. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Plaque psoriasis involving up to 2 to 20% Body Surface Area
Key exclusion criteria (6 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Placebo CreamCream with no active drug | Other | Vehicle Cream |
| Ruxolitinib PhosphateAlso: INCB018424Ruxolitinib phosphate cream | Drug | Ruxolitinib Phosphate 0.5% Cream, Ruxolitinib Phosphate 1.0% Cream, Ruxolitinib Phosphate 1.5% Cream |
Primary outcome
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
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.
17 secondary outcomes
Absolute Change From Baseline in the Individual Lesion Scores for Lesion Thickness
Time frame: From Baseline (Day 1) to Day 84
Absolute Change From Baseline in the Individual Lesion Scores for Lesion Erythema
Time frame: From Baseline (Day 1) to Day 84
Absolute Change From Baseline in the Individual Lesion Scores for Lesion Scaling
Time frame: From Baseline (Day 1) to Day 84
Percent Change From Baseline in the Individual Lesion Scores of Lesion Thickness
Time frame: From Baseline (Day 1) to Day 84
Percent Change From Baseline in the Individual Lesion Scores of Lesion Erythema
Time frame: From Baseline (Day 1) to Day 84
Percent Change From Baseline in the Individual Lesion Scores of Lesion Scaling
Time frame: From Baseline (Day 1) to Day 84
Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Thickness at Day 84
Time frame: Day 84
Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Erythema at Day 84
Time frame: Day 84
Percentage of Participants Achieving None (Score=0) and Mild (Score=1) in Lesion Scaling at Day 84
Time frame: Day 84
Absolute Change From Baseline in the Percent Treatable Body Surface Area (BSA)
Time frame: Baseline (Day 1) to Day 84
Absolute Change From Baseline in the Physician's Global Assessment (PGA) Score
Time frame: Baseline (Day 1) to Day 84
Percent Change From Baseline in the PGA Score
Time frame: Baseline (Day 1) to Day 84
Percentage of Participants Achieving Clear (Score=0) and Almost Clear (Score=1) on the PGA
Time frame: Day 84
Absolute Change From Baseline in the Psoriasis Area and Severity Index (PASI) Score
Time frame: Baseline (Day 1) to Day 84
Percent Change From Baseline in the PASI Score
Time frame: Baseline (Day 1) to Day 84
Percentage of Participants With Treatable Percent BSA ≥10% Achieving PASI 50%, PASI 75%, And PASI 90% Improvements From Baseline to Each Time Point
Time frame: Baseline (Day 1) and Days 15, 28, 56, 84, and 112
Trough Plasma Concentrations [Minimum Concentration at Steady-state (Css,Min)] of Ruxolitinib Phosphate Prior to Study Drug Application at Steady State
Time frame: Pre-application on Days 1, 15, 28, 56, and 84
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Feb 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Monica Luchi, M.D. study director
Incyte Corporation
28 sites in 1 country: see every site and its status.
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.