PsoriasisPhase 2NCT00820950
A Study of Ruxolitinib Phosphate Cream When Applied to Patients With Plaque Psoriasis
A Phase 2 study testing Ruxolitinib phosphate cream, Dovonex® calcipotriene 0.005% and Diprolene® AF betamethasone dipropionate 0.05% cream. in people with Psoriasis, run by Incyte Corporation at 6 sites in United States.
Trial summary
The study is comprised of two parts. The first portion of this study will be a double-blind, Sponsor-unblinded, vehicle-controlled study with application of ruxolitinib or vehicle to paired lesions at least 15 cm apart in patients with active but stable plaque psoriasis. 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 cream, Dovonex® calcipotriene 0.005% and Diprolene® AF betamethasone dipropionate 0.05% cream.
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 29 participants
- Where
- 6 sitesUnited States
- Study dates
- 31 May 2007to 30 Apr 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
- Body Mass Index (BMI) of 17 to 40 kg/m2
- Subjects must have two comparable psoriatic lesions measuring between 9 and 100 cm2 and these target lesions must be similar in size to each other, and separated by at least 15 cm.
Who cannot join
- Subjects with lesions solely involving the palms of the hands or soles of the feet or intertriginous areas, the scalp or the face.
- Subjects with pustular psoriasis or erythroderma.
- Subjects currently on other topical agents or UVB therapy within 2 weeks of the first dose of study medication.
- Subjects receiving PUVA within 4 weeks of the first dose of study medication.
- Subjects receiving systemic retinoids, etanercept, adalimumab or efalizumab or oral immunosuppressives within 3 months prior to the first dose of study medication.
- Subjects receiving any other biological therapy (infliximab, alefacept, abatacept, etc) within 3 months of the first dose of study medication.
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
United States6 sites
Study site
Boston, Massachusetts
Study site
Philadelphia, Pennsylvania
Study site
Portland, Oregon
Study site
Rochester, New York
Study site
Stony Brook, New York
Study site
Vallejo, California
About this study
Official title: A Double-Blind, Vehicle-Controlled, Rising Dose, Safety, Tolerability, Pharmacokinetic and Preliminary Efficacy Study of Ruxolitinib Phosphate Cream When Applied to Patients With Plaque Psoriasis
The study is comprised of two parts. The first portion of this study will be a double-blind, Sponsor-unblinded, vehicle-controlled study with application of ruxolitinib or vehicle to paired lesions at least 15 cm apart in patients with active but stable plaque psoriasis. Part 2 of the study is a double-blind, sponsor unblinded, comparison of ruxolitinib with two FDA approved products in patients with active but stable plaque psoriasis.
- Conditions
- Psoriasis
- Being tested
- Ruxolitinib phosphate cream, Dovonex® calcipotriene 0.005%, Diprolene® AF betamethasone dipropionate 0.05% cream., Placebo cream
- Medical subject headings
- Psoriasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ruxolitinib phosphate creamDrug
Also called INCB018424
Ruxolitinib phosphate cream 0.5%
Dovonex® calcipotriene 0.005%Drug
Cream applied once or twice daily for up to 56 days.
Diprolene® AF betamethasone dipropionate 0.05% cream.Drug
Cream applied once or twice daily for up to 56 days
Placebo creamDrug
Cream applied once or twice daily for 56 days
Ruxolitinib phosphate creamDrug
Also called INCB018424
Ruxolitinib phosphate cream 1.0%
Ruxolitinib phosphate creamDrug
Also called INCB018424
Ruxolitinib phosphate cream 1.5%
| Study group | Role | What they receive |
|---|---|---|
| Cohort A: INCB018424 Ruxolitinib 0.5% | Experimental | INCB018424 Ruxolitinib 0.5% vs vehicle applied once daily for 28 days Receives: Drug: Ruxolitinib phosphate cream; Drug: Placebo cream |
| Cohort B: INCB018424 Ruxolitinib 1.0% | Experimental | INCB018424 Ruxolitinib 1.0% vs vehicle applied once daily for 28 days Receives: Drug: Placebo cream; Drug: Ruxolitinib phosphate cream |
| Cohort C: INCB018424 Ruxolitinib 1.5% | Experimental | INCB018424 Ruxolitinib 1.5% vs vehicle applied twice for 28 days Receives: Drug: Placebo cream; Drug: Ruxolitinib phosphate cream |
| Cohort D: 18424 Ruxolitinib vs Dovonex® calcipotriene | Experimental | INCB018424 up to 1.5% versus Dovonex® calcipotriene 0.005% cream applied BID for 28 days Receives: Drug: Dovonex® calcipotriene 0.005% |
| Cohort E: 18424 Ruxolitinib vs Diprolene® AF betamethasone diproprionate | Experimental | INCB018424 up to 1.5% versus Diprolene ® AF betamethasone dipropionate 0.05% cream applied twice a day for 28 days Receives: Drug: Diprolene® AF betamethasone dipropionate 0.05% cream. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Target Lesion Individual Component Scores for Erythema, Scaling and Thickness Compared to Baseline
The investigator assessed the severity of the clinical signs erythema, scaling, and thickness for each test site by using a 5-point scale from 0 (no evidence) to 4.0 (severe).
Measured: Baseline, Days 8, 15, 22, 28 and 56
Change in Target Lesion TOTAL Score (Sum of Erythema + Scaling + Thickness) Compared to Baseline
The total target lesion score was calculated by summing the scores for erythema, scaling, and thickness for that particular target lesion. The investigator assessed the severity of the clinical signs erythema, scaling, and thickness for each test site by using a 5-point scale from 0 (no evidence) to 4.0 (severe).
Measured: Baseline, Days 8, 15, 22, 28 and 56
Number of Participants With Treatment Emergent Adverse Events
A TEAE is any AE either reported for first time or worsening of a pre-existing event after first dose of study drug.
Measured: 3 months
Pharmacokinetics Parameter : Skin Flux of INCB018424
The INCB018424 skin flux was estimated from the overall mean steady-state plasma concentrations for each participant.
Measured: Days 8, 15, 22, and 28
Pharmacokinetics Parameter : Bioavailability of INCB018424
The INCB018424 bioavailability will be estimated from the overall mean steady-state plasma concentrations for each subject in this study and the estimated systemic clearance of INCB018424 following oral-dose administration in another study. Bioavailability is defined as the proportion of a drug which enters the circulation when introduced into the body and so is able to have an active effect.
Measured: Days 8, 15, 22, and 28
Secondary outcomes (1)
Change in Target Lesion Area Compared to Baseline
Lesion area was estimated on Day 1 and Day 28 using a tracings of the lesion on transparency paper and measurement of the area.
Measured: Day 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2009 (estimated)
- Study start31 May 2007
- Primary completion31 Jan 2009
- Study completion30 Apr 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.
- Publications (1)Papers the sponsor has linked to this study.
- 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
- 29 participants (actual)
Sponsor and investigators
- Lead sponsor
- Incyte Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- William Williams, MD, Study director, Incyte Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00820950
- Sponsor's protocol ID
- INCB 18424-201
- Status last verified
- Feb 2022
- First submitted
- 8 Jan 2009
- Last updated
- 8 Feb 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Punwani N, Scherle P, Flores R, Shi J, Liang J, Yeleswaram S, Levy R, Williams W, Gottlieb A. Preliminary clinical activity of a topical JAK1/2 inhibitor in the treatment of psoriasis. J Am Acad Dermatol. 2012 Oct;67(4):658-64. doi: 10.1016/j.jaad.2011.12.018. Epub 2012 Jan 24.
PubMed 22281165
Study at a glance
From the registry record, last updated by the sponsor on 8 Feb 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind, Vehicle-Controlled, Rising Dose, Safety, Tolerability, Pharmacokinetic and Preliminary Efficacy Study of Ruxolitinib Phosphate Cream When Applied to Patients With Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT00820950
- Acronym / sponsor ID
- INCB 18424-201
- Conditions
- Psoriasis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 29 participants (actual)
- Lead sponsor
- Incyte CorporationIndustry (pharma, biotech, devices)
- Study start
- 31 May 2007 (actual)
- Primary completion
- 31 Jan 2009 (actual)
- Study completion
- 30 Apr 2009 (actual)
- First posted
- 12 Jan 2009 (estimated)
- Results
- Posted 8 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 is comprised of two parts. The first portion of this study will be a double-blind, Sponsor-unblinded, vehicle-controlled study with application of ruxolitinib or vehicle to paired lesions at least 15 cm apart in patients with active but stable plaque psoriasis. Part 2 of the study is a double-blind, sponsor unblinded, comparison of ruxolitinib with two FDA approved products in patients with active but stable plaque psoriasis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Cohort A: INCB018424 Ruxolitinib 0.5% | Experimental | Drug: Ruxolitinib phosphate cream, Drug: Placebo creamINCB018424 Ruxolitinib 0.5% vs vehicle applied once daily for 28 days |
| Cohort B: INCB018424 Ruxolitinib 1.0% | Experimental | Drug: Placebo cream, Drug: Ruxolitinib phosphate creamINCB018424 Ruxolitinib 1.0% vs vehicle applied once daily for 28 days |
| Cohort C: INCB018424 Ruxolitinib 1.5% | Experimental | Drug: Placebo cream, Drug: Ruxolitinib phosphate creamINCB018424 Ruxolitinib 1.5% vs vehicle applied twice for 28 days |
| Cohort D: 18424 Ruxolitinib vs Dovonex® calcipotriene | Experimental | Drug: Dovonex® calcipotriene 0.005%INCB018424 up to 1.5% versus Dovonex® calcipotriene 0.005% cream applied BID for 28 days |
| Cohort E: 18424 Ruxolitinib vs Diprolene® AF betamethasone diproprionate | Experimental | Drug: Diprolene® AF betamethasone dipropionate 0.05% cream.INCB018424 up to 1.5% versus Diprolene ® AF betamethasone dipropionate 0.05% cream applied twice a day for 28 days |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Body Mass Index (BMI) of 17 to 40 kg/m2
- Subjects must have two comparable psoriatic lesions measuring between 9 and 100 cm2 and these target lesions must be similar in size to each other, and separated by at least 15 cm.
Key exclusion criteria (6 listed)
- Subjects with lesions solely involving the palms of the hands or soles of the feet or intertriginous areas, the scalp or the face.
- Subjects with pustular psoriasis or erythroderma.
- Subjects currently on other topical agents or UVB therapy within 2 weeks of the first dose of study medication.
- Subjects receiving PUVA within 4 weeks of the first dose of study medication.
- Subjects receiving systemic retinoids, etanercept, adalimumab or efalizumab or oral immunosuppressives within 3 months prior to the first dose of study medication.
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 |
|---|---|---|
| Ruxolitinib phosphate creamAlso: INCB018424Ruxolitinib phosphate cream 0.5% | Drug | Cohort A: INCB018424 Ruxolitinib 0.5% |
| Dovonex® calcipotriene 0.005%Cream applied once or twice daily for up to 56 days. | Drug | Cohort D: 18424 Ruxolitinib vs Dovonex® calcipotriene |
| Diprolene® AF betamethasone dipropionate 0.05% cream.Cream applied once or twice daily for up to 56 days | Drug | Cohort E: 18424 Ruxolitinib vs Diprolene® AF betamethasone diproprionate |
| Placebo creamCream applied once or twice daily for 56 days | Drug | Cohort A: INCB018424 Ruxolitinib 0.5%, Cohort B: INCB018424 Ruxolitinib 1.0%, Cohort C: INCB018424 Ruxolitinib 1.5% |
| Ruxolitinib phosphate creamAlso: INCB018424Ruxolitinib phosphate cream 1.0% | Drug | Cohort B: INCB018424 Ruxolitinib 1.0% |
| Ruxolitinib phosphate creamAlso: INCB018424Ruxolitinib phosphate cream 1.5% | Drug | Cohort C: INCB018424 Ruxolitinib 1.5% |
Primary outcome
Change in Target Lesion Individual Component Scores for Erythema, Scaling and Thickness Compared to Baseline
Time frame: Baseline, Days 8, 15, 22, 28 and 56
The investigator assessed the severity of the clinical signs erythema, scaling, and thickness for each test site by using a 5-point scale from 0 (no evidence) to 4.0 (severe).
Change in Target Lesion TOTAL Score (Sum of Erythema + Scaling + Thickness) Compared to Baseline
Time frame: Baseline, Days 8, 15, 22, 28 and 56
The total target lesion score was calculated by summing the scores for erythema, scaling, and thickness for that particular target lesion. The investigator assessed the severity of the clinical signs erythema, scaling, and thickness for each test site by using a 5-point scale from 0 (no evidence) to 4.0 (severe).
Number of Participants With Treatment Emergent Adverse Events
Time frame: 3 months
A TEAE is any AE either reported for first time or worsening of a pre-existing event after first dose of study drug.
Pharmacokinetics Parameter : Skin Flux of INCB018424
Time frame: Days 8, 15, 22, and 28
The INCB018424 skin flux was estimated from the overall mean steady-state plasma concentrations for each participant.
Pharmacokinetics Parameter : Bioavailability of INCB018424
Time frame: Days 8, 15, 22, and 28
The INCB018424 bioavailability will be estimated from the overall mean steady-state plasma concentrations for each subject in this study and the estimated systemic clearance of INCB018424 following oral-dose administration in another study. Bioavailability is defined as the proportion of a drug which enters the circulation when introduced into the body and so is able to have an active effect.
1 secondary outcome
Change in Target Lesion Area Compared to Baseline
Time frame: Day 28
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Feb 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22281165Punwani N, Scherle P, Flores R, Shi J, Liang J, Yeleswaram S, Levy R, Williams W, Gottlieb A. Preliminary clinical activity of a topical JAK1/2 inhibitor in the treatment of psoriasis. J Am Acad Dermatol. 2012 Oct;67(4):658-64. doi: 10.1016/j.jaad.2011.12.018. Epub 2012 Jan 24.
Related trials for Psoriasis
Not yet recruitingPhase 2
Extension Study of Safety and Tolerability of DDY391 in Participants With Moderate to Severe Psoriatic Arthritis (CDDY391A12201-extension)
Moderate to Severe Psoriatic Arthritis
Recruiting
Efficacy of a Self-Management Smartphone App to Improve Safety Skills in Patients With Inflammatory Arthritis
Rhumatoid Arthisis, Spondyloarthritis (SA)
Active, not recruitingPhase 2
Dose Ranging Study of ORKA-001 in Patients With Moderate-to-Severe Plaque Psoriasis
Plaque Psoriasis
RecruitingPhase 1
A Study of HB0017 Injection in Healthy Volunteers to Evaluate Safety and Tolerability of a Single Subcutaneous Injection in Low-Body-Weight Subjects; and Pharmacokinetics at Different Subcutaneous Injection Sites at the Same Dose
Psoriasis, Ankylosing Spondylitis
RecruitingPhase 1
A Study to Learn if Bimekizumab Given in Different Ways is Safe and Moves Similarly Throughout the Body Over Time in Adults
Psoriatic Arthritis, Axial Spondyloarthritis
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.
William Williams, MD study director
Incyte Corporation
6 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 cream, Dovonex® calcipotriene 0.005% and Diprolene® AF betamethasone dipropionate 0.05% cream. in people with Psoriasis, run by Incyte Corporation at 6 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 2 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 8 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 6 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. 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 8 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?
Change in Target Lesion Individual Component Scores for Erythema, Scaling and Thickness Compared to Baseline (time frame: Baseline, Days 8, 15, 22, 28 and 56). The study lists 5 primary outcomes in all. 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 NCT00820950, 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 8 Feb 2022.