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Psoriasis VulgarisPhase 2NCT02038569

An International, Multi-centre, Prospective, Non-controlled, Open, Single-group, 8-week Trial in Adolescent Subjects

A Phase 2 study testing LEO 80185 gel in people with Psoriasis Vulgaris, run by LEO Pharma at 35 sites in 7 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

An international, multi-centre, prospective, non-controlled, open, single-group, 8-week trial in adolescent subjects (aged 12 to 16 years, 11 months) with scalp and body psoriasis. Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Psoriasis Vulgaris
What is being tested?
LEO 80185 gel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
125 participants
Where
35 sitesin 7 countries
Study dates
Jan 2014to 13 Feb 2018
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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Clinical signs of psoriasis vulgaris on both the scalp and body (trunk and/or limbs)
  • At SV2 and Visit 1, a clinical diagnosis of scalp and body (trunk and/or limbs) psoriasis which is:
  • of an extent of 10 to 35% of the body surface area (excluding psoriatic lesions of the face and sensitive areas. Sensitive areas include armpits, groin, under the breasts and in other skin folds around the genitals and buttocks), and
  • of at least moderate severity according to the investigator's global assessment of disease severity on the body.
  • A serum albumin-corrected calcium level below the upper reference limit at SV2
  • Inclusion Criteria (for subjects performing HPA axis assessments):
Show all 14Show fewer
  • At SV2 and Visit 1, a clinical diagnosis of scalp psoriasis which is:
  • more than or equal to 20% of the scalp area, and
  • of at least moderate severity according to the investigator's global assessment of disease severity on the scalp.
  • Subjects with a normal HPA axis function at SV2 including serum cortisol concentration above 5 mcg/dl before ACTH challenge and serum cortisol concentration above 18 mcg/dl 30 minutes after ACTH challenge.
  • Inclusion Criteria (for subjects not performing HPA axis assessments):
  • At SV2 and Visit 1, a clinical diagnosis of scalp psoriasis which is:
  • more than or equal to 10% of the scalp area, and
  • of at least moderate severity according to the investigator's global assessment of disease severity on the scalp.

Who cannot join

  • Systemic treatment with biological therapies (marketed or not marketed), with a possible effect on scalp and/or body psoriasis within the following time period prior to Visit 1 and during the trial:
  • etanercept - within 4 weeks prior to Visit 1
  • adalimumab, infliximab - within 2 months prior to Visit 1
  • ustekinumab - within 4 months prior to Visit 1
  • experimental products - within 4 weeks/5 half-lives (whichever is longer) prior to Visit 1
  • Systemic treatment with therapies other than biologicals, with a possible effect on scalp and/or body psoriasis (e.g., retinoids, immunosuppressants, PUVA) within 4 weeks prior to Visit 1 (Day 0) or during the trial.
Show all 39Show fewer
  • UVB therapy within 2 weeks prior to Visit 1 or during the trial.
  • Any topical treatment on the scalp and body (except for emollients and non-steroid medicated shampoos) within 2 weeks prior to Visit 1 or during the trial.
  • Systemic calcium, vitamin D supplements, antacids, diuretics, antiepileptics, diphosphonates or calcitonin within 4 weeks prior to SV2 or during the trial.
  • Planned initiation of, or changes to, concomitant medication that could affect psoriasis (e.g., betablockers, chloroquine, lithium, ACE inhibitors) during the trial.
  • Current diagnosis of guttate, erythrodermic, exfoliative or pustular psoriasis.
  • Subjects with any of the following conditions present on the treatment areas on scalp and/or body: viral (e.g., herpes or varicella) lesions of the skin, fungal and bacterial skin infections, parasitic infections, skin manifestations in relation to syphilis or tuberculosis, rosacea, acne vulgaris, acne rosacea, atrophic skin, striae atrophicae, fragility of skin veins, ichthyosis, ulcers and wounds.
  • Other inflammatory skin diseases that may confound the evaluation of scalp and/or body psoriasis.
  • Planned excessive exposure to sun during the trial that may affect scalp and/or body psoriasis.
  • Known or suspected severe renal insufficiency or severe hepatic disorders.
  • Known or suspected disorders of calcium metabolism associated with hypercalcaemia.
  • Any clinically significant abnormality following review of screening laboratory tests (blood and urine samples), physical examination or blood pressure/heart rate measurement performed at SV2.
  • Current participation in any other interventional clinical trial.
  • Previously enrolled in this trial.
  • Subjects who have received treatment with any non-marketed drug substance (i.e., an agent which has not yet been made available for clinical use following registration) within a month prior to SV1 or longer, if the class of substance required a longer wash-out as defined above (e.g., biological treatments).
  • Subjects or parent(s) or legal guardian known or suspected of being unlikely to comply with the Clinical Trial Protocol (e.g., alcoholism, drug dependency or psychotic state).
  • Females who are pregnant, or of child-bearing potential and wishing to become pregnant during the trial, or who are breast-feeding.
  • Females of child-bearing potential with positive pregnancy test at SV2.
  • Subject (or their partner) not using an adequate method of contraception according to national requirements.
  • Exclusion Criteria (for subjects performing HPA axis assessments)
  • A history of serious allergy, allergic asthma or serious allergic skin rash.
  • Known or suspected hypersensitivity to any component of CORTROSYN® (including ACTH/cosyntropin/tetracosactide)
  • Systemic treatment with corticosteroids (including inhaled and nasal steroids) within 12 weeks prior to SV2 or during the trial.
  • Topical treatment with corticosteroids within 2 weeks prior to SV2 or during the trial.
  • Oestrogen therapy (including contraceptives) or any other medication known to affect cortisol levels levels or HPA axis integrity within 4 weeks prior to SV2 or during the trial.
  • Enzymatic inductors (e.g., barbiturates, phenytoin, rifampicin) within 4 weeks prior to SV2 or during the trial.
  • Systemic or topical cytochrome P450 inhibitors (e.g., ketoconazole, itraconazole, metronidazole) within 4 weeks prior to SV2 or during the trial. Topical ketoconazole 2 weeks prior to SV2.
  • Hypoglycemic sulfonamides within 4 weeks prior to SV2 or during the trial.
  • Antidepressive medications within 4 weeks prior to SV2 or during the trial.
  • Known or suspected endocrine disorder that may affect the results of the ACTH challenge test.
  • Clinical signs or symptoms of Cushing's disease or Addison's disease.
  • Subjects with diabetes mellitus.
  • Known or suspected cardiac condition.
  • Not following nocturnal sleep patterns.

Trial locations and contacts

35 sites in 7 countries.

35 sites in 7 countries

United States8 sites
  • Dermatology and Laser Center of Charleston, PA

    Charleston, South Carolina, 29407

  • St. Luke's Roosevelt Hospital

    Forest Hills, New York, 10025

  • Indiana University

    Indianapolis, Indiana, 46202

  • Clinical Partners

    Johnston, Rhode Island, 12095

  • Skin Specialists, PC

    Omaha, Nebraska, 68144

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • Rady's Children Hospital

    San Diego, California, 92132

  • Clinical Research Center, Morsani Center for Advanced Healthcare

    Tampa, Florida, 33612

Other trials in United States

Romania7 sites
  • Policlinica de Diagnostic Rapid S.A. Clinic

    Brasov, 500152

  • Spitalul Clinic "Colentina"

    Bucharest, 20125

  • Spitalul Clinic Judetean de Urgenta Cluj-Napoca

    Cluj-Napoca, 400006

  • Cabinet Medical Individual Tatu G. Alin Laurentiu

    Galati, 800101

  • Iasiprest SRL Dermato-Venerology

    Iași, 700381

  • Spitalul Clinic Judetean Mures

    Târgu Mureş, 800373

  • Spitalul Clinic Municipal de Urgenta Timisoara

    Timișoara, 300077

Other trials in Romania

Poland5 sites
  • Endo - Med. Centrum Medyczne Clinic

    Karczew, 05-480

  • NZOZ Med.-Laser Clinic

    Lublin, 20-146

  • Specjalistyczny Ofrodek Leczniczo Clinic

    Ostróda, 14-100

  • Medycyna Kliniczna Clinic

    Warsaw, 00-660

  • Derm Medica Sp.zo.o. Clinic

    Wroclaw, 51-318

Other trials in Poland

Canada4 sites
  • Lynderm Research Inc.

    Markham, Ontario, L3P 1A8

  • Skin Centre for Dermatology

    Peterborough, Ontario, K9J 1Z2

  • Adult, Pediatric and Laser Derma

    St. John's, Newfoundland and Labrador, A1A 4Y3

  • Winnipeg Clinic

    Winnipeg, Manitoba, R3C 0N2

Other trials in Canada

Germany4 sites
  • Charite Berlin

    Berlin, 10117

  • Uniklinik Bonn

    Bonn, 53127

  • Uniklinik Frankfurt

    Frankfurt am Main, 60590

  • Katholisches Kinderkrankenhaus

    Hamburg, 22149

Other trials in Germany

United Kingdom4 sites
  • Monklands Hospital

    Airdrie, Lanarkshire, ML6 OJ5

  • Whipps Cross University Hospital

    Leytonstone, London, E11 1NR

  • Manchester Royal Infirmary

    Manchester, Greater Manchester, M13 9WL

  • St. Woolos Hospital

    Stow Hill, Newport, Monmouthshire, NP20 4SZ

Other trials in United Kingdom

France3 sites
  • Cabinet Medical

    Martigues, Bouches-du-Rhône, 13500

  • CHU de Nice

    Nice, Alpe-Maritimes, 06202

  • CHI de Cornouaille

    Quimper, Finistère, 29107

Other trials in France

About this study

Official title: Effect of Calcipotriol Plus Betamethasone Dipropionate Gel on the HPA Axis and Calcium Metabolism in Adolescent Subjects (Aged 12 to 16 Years, 11 Months) With Scalp and Body Psoriasis

An international, multi-centre, prospective, non-controlled, open, single-group, 8-week trial in adolescent subjects (aged 12 to 16 years, 11 months) with scalp and body psoriasis.

Read the detailed description

A phase 2 trial evaluating the safety and efficacy of once daily use of LEO 80185 gel containing calcipotriol 50 mcg/g plus betamethasone 0.5mg/g (as dipropionate) in adolescent subjects (aged 12 to 16 years, 11 months) with scalp and body psoriasis.

Being tested
LEO 80185 gel

What participants receive

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

  • LEO 80185 gelDrug

Study groups in NCT02038569
Study groupRoleWhat they receive
LEO 80185 gelExperimentalNot described
Receives: Drug: LEO 80185 gel

What is being measured

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

  1. Adverse Drug Reactions (ADRs)

    Number of Adverse Drug Reactions (ADRs)

    Measured: 8 weeks

  2. Subjects With Serum Cortisol Concentration of ≤18 mcg/dl at 30 Minutes After ACTH-challenge at Week 4

    Number of subjects with serum cortisol concentration of ≤18 mcg/dl at 30 minutes after ACTH-challenge at Week 4

    Measured: 30 minutes after ACTH-challenge at Week 4

  3. Subjects With Serum Cortisol Concentration of ≤18 mcg/dl at 30 Minutes After ACTH-challenge at Week 8

    Number of subjects with serum cortisol concentration of ≤18 mcg/dl at 30 minutes after ACTH-challenge at Week 8

    Measured: 30 minutes after ACTH-challenge at Week 8

  4. Change in Albumin-corrected Serum Calcium From Baseline to Week 4

    Change in albumin-corrected serum calcium from baseline to Week 4

    Measured: From baseline to Week 4

  5. Change in Albumin-corrected Serum Calcium From Baseline to Week 8

    Change in albumin-corrected serum calcium from baseline to Week 8

    Measured: From baseline to Week 8

  6. Change in Albumin-corrected Serum Calcium From Baseline to End of Treatment

    Change in albumin-corrected serum calcium from baseline to end of treatment, defined as the last value recorded after baseline up to and including Week 8.

    Measured: From baseline to end of treatment

  7. Change in 24-hour Urinary Calcium Excretion From Baseline to Week 4

    Change in 24-hour urinary calcium excretion from baseline to Week 4

    Measured: From baseline to Week 4

  8. Change in 24-hour Urinary Calcium Excretion From Baseline to Week 8

    Change in 24-hour urinary calcium excretion from baseline to Week 8

    Measured: From baseline to Week 8

  9. Change in 24-hour Urinary Calcium Excretion From Baseline to End of Treatment

    Change in 24-hour urinary calcium excretion from baseline to end of treatment, defined as the last value recorded after baseline up to and including Week 8.

    Measured: From baseline to end of treatment

Secondary outcomes (15)
  1. Adverse Events (AEs)

    Number of Adverse Events (AEs)

    Measured: 8 weeks

  2. Subjects With Serum Cortisol Concentration of ≤18 mcg/dl at Both 30 and 60 Minutes After ACTH-challenge at Week 4

    Number of subjects with serum cortisol concentration of ≤18 mcg/dl at both 30 and 60 minutes after ACTH-challenge at Week 4

    Measured: 30 and 60 minutes after ACTH-challenge at Week 4

  3. Subjects With Serum Cortisol Concentration of ≤18 mcg/dl at Both 30 and 60 Minutes After ACTH-challenge at Week 8

    Number of subjects with serum cortisol concentration of ≤18 mcg/dl at both 30 and 60 minutes after ACTH-challenge at Week 8

    Measured: 30 and 60 minutes after ACTH-challenge at Week 8

  4. Change in Urinary Calcium:Creatinine Ratio From Baseline to Week 4

    Change in urinary calcium:creatinine ratio from baseline to Week 4

    Measured: From baseline to Week 4

  5. Change in Urinary Calcium:Creatinine Ratio From Baseline to Week 8

    Change in urinary calcium:creatinine ratio from baseline to Week 8

    Measured: From baseline to Week 8

  6. Change in Serum Alkaline Phosphatase From Baseline to Week 4

    Change in serum alkaline phosphatase from baseline to Week 4

    Measured: From baseline to Week 4

  7. Change in Serum Alkaline Phosphatase From Baseline to Week 8

    Change in serum alkaline phosphatase from baseline to Week 8

    Measured: From baseline to Week 8

  8. Pharmacokinetic Evaluation AUC(0-t)

    AUC(0-t) values for betamethasone dipropionate, betamethasone 17-propionate, calcipotriol, and MC1080. Betamethasone dipropionate was only detected above lower limit of quantification in 5 samples from 4 subjects, and no subjects had enough positive samples to allow calculation AUC(0-t) for betamethasone dipropionate. Betamethasone 17-propionate was only detected in 12 samples from 5 subjects, and only 2 subjects had enough positive samples to calculate AUC(0-t). The mean value of AUC(0-t) for these 2 subjects is presented for betamethasone 17-propionate. Calcipotriol and MC1080 were never detected above lower limit of quantification, therefore no PK parameters could be calculated and no data have been entered for calcipotriol and MC1080.

    Measured: Week 4, blood samples taken before IMP was applied and 1, 3, and 5 hours after application of IMP

  9. Pharmacokinetic Evaluation AUC(0-infinity)

    AUC(0-infinity) values for betamethasone dipropionate, betamethasone 17-propionate, calcipotriol, and MC1080. Betamethasone dipropionate was only detected above lower limit of quantification in 5 samples from 4 subjects, and no subjects had enough positive samples to allow calculation AUC(0-infinity) for betamethasone dipropionate. Betamethasone 17-propionate was only detected in 12 samples from 5 subjects, and only 2 subjects had enough positive samples to calculate AUC(0-infinity). The mean value of AUC(0-infinity) for these 2 subjects is presented for betamethasone 17-propionate. Calcipotriol and MC1080 were never detected above lower limit of quantification, therefore no PK parameters could be calculated and no data have been entered for calcipotriol and MC1080.

    The terms AUC(0-infinity) and AUC(all) are interchangeable, AUC(0-infinity) was used in the protocol whereas AUC(all) was used in the report. AUC(0-infinity) has been used here to be consistent with the protocol.

    Measured: Week 4, blood samples taken before IMP was applied and 1, 3, and 5 hours after application of IMP

  10. Pharmacokinetic Evaluation C(Max)

    C(max) values for betamethasone dipropionate, betamethasone 17-propionate, calcipotriol, and MC1080. Betamethasone dipropionate was only detected above lower limit of quantification in 5 samples from 4 subjects and betamethasone 17-propionate was only detected in 12 samples from 5 subjects, therefore pharmacokinetic profiles could not be calculated. Presented C(max) values for betamethasone dipropionate and betamethasone 17-propionate are the the single highest concentrations measured in any sample at any time. Calcipotriol and MC1080 were never detected above lower limit of quantification, therefore no PK parameters could be calculated and no data have been entered for calcipotriol and MC1080.

    Measured: Week 4, blood samples taken before IMP was applied and 1, 3, and 5 hours after application of IMP

  11. Pharmacokinetic Evaluation T(Max)

    T(max) values for betamethasone dipropionate, betamethasone 17-propionate, calcipotriol, and MC1080. Betamethasone dipropionate was only detected above lower limit of quantification in 5 samples from 4 subjects and betamethasone 17-propionate was only detected in 12 samples from 5 subjects. Therefore it was not possible to calculate T(max) for betamethasone dipropionate and betamethasone 17-propionate. Calcipotriol and MC1080 were never detected above lower limit of quantification, therefore no PK parameters could be calculated and no data have been entered for calcipotriol and MC1080.

    Measured: Week 4, blood samples taken before IMP was applied and 1, 3, and 5 hours after application of IMP

  12. Pharmacokinetic Evaluation T(½)

    T(½) values for betamethasone dipropionate, betamethasone 17-propionate, calcipotriol, and MC1080. Betamethasone dipropionate was only detected above lower limit of quantification in 5 samples from 4 subjects and betamethasone 17-propionate was only detected in 12 samples from 5 subjects, therefore it was not possible to calculate T(½) for betamethasone dipropionate or betamethasone 17-propionate. Calcipotriol and MC1080 were never detected above lower limit of quantification, therefore no PK parameters could be calculated and no data have been entered for calcipotriol and MC1080.

    Measured: Week 4, blood samples taken before IMP was applied and 1, 3, and 5 hours after application of IMP

  13. Subjects With "Controlled Disease" According to the Investigator's Global Assessment of Disease Severity on the Body at End of Treatment

    Subjects with "Controlled disease" (i.e., "Clear" or "Almost clear" for subjects with at least "Moderate" disease at baseline, "Clear" for subjects with "Mild" disease at baseline) according to the investigator's global assessment of disease severity on the body at end of treatment, defined as the last value recorded up to and including Week 8.

    Measured: End of treatment

  14. Percentage Change in PASI From Baseline to End of Treatment

    Percentage change in Psoriasis area and severity index (PASI) score from baseline to end of treatment, defined as the last value recorded up to and including Week 8. Psoriasis area and severity index (PASI) assesses extent and severity of clinical signs of psoriasis vulgaris. Body surface is divided in 4 ares: head (incl. neck), arms (incl. hands), trunk (incl. flexures) and legs (incl. buttocks and feet). Each area is scored from 0-6 for extent of psoriasis and from 0-4 for redness, thickness, and scaliness, and an area PASI score is calculated. The total PASI score is calculated from each area's score. The PASI score ranges from 0 (clear skin) to 72 (maximum disease), a PASI score higher than 10 generally corresponds to moderate-to-severe disease.

    Measured: From baseline to end of treatment

  15. Subjects With "Controlled Disease" According to the Patient's Global Assessment of Disease Severity on the Body at End of Treatment

    Subjects with "Controlled disease" (i.e., "Clear" or "Almost clear" for subjects with at least "Moderate" disease at baseline, "Clear" for subjects with "Mild" disease at baseline) according to the patient's global assessment of disease severity on the body at end of treatment, defined as the last value recorded up to and including Week 8.

    Measured: End of treatment

Timeline

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

  1. First posted16 Jan 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionFeb 2018
  4. Study completion13 Feb 2018

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
125 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02038569
Sponsor's protocol ID
LP0076-1017
Status last verified
Oct 2018
First submitted
13 Jan 2014
Last updated
10 Mar 2025
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LEO 80185 gel in people with Psoriasis Vulgaris, run by LEO Pharma at 35 sites in 7 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 14 inclusion and 39 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 10 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Romania, Poland, Canada, Germany and 2 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 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 6 Nov 2018). 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?

Adverse Drug Reactions (ADRs) (time frame: 8 weeks). The study lists 9 primary outcomes in all. 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 10 Mar 2025.

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