PsoriasisPURENCT02786186
A Registry of Patients With Moderate to Severe Plaque Psoriasis
An observational study of Psoriasis, run by Novartis Pharmaceuticals at 13 sites in Canada.
Trial summary
The main purpose of the current study will be to provide real - world evidence regarding the safety and effectiveness of secukinumab in the management of patients 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?
- Secikinumab
- How many people
- 2,376 participants
- Where
- 13 sitesCanada
- Study dates
- 23 Dec 2015to 22 Jan 2026
- How long will I take part?
- 60 Months
- Phase
- Observational
- Are there results?
- None posted in the registry
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
Study population: Patient with moderate to severe plaque psoriasis
Who may be able to join
- - Patients able to give written informed consent
- - Patients at least 18 years of age at time of informed consent signature
- - Confirmed diagnosis of chronic moderate to severe chronic plaque-type psoriasis diagnosed by a specialist and presence of moderate to severe psoriasis symptoms according to physician's clinical judgment at the time of recruitment.
- - Patients initiating a treatment for psoriasis as per regional policy. This will include secukinumab, other biologics, systemic treatments, and phototherapy. Decision to treat with any of the above-mentioned treatments must have been reached prior to and independently of recruitment in the study.
- - Treatments prescribed in accordance to the product monograph and regional regulatory and reimbursement policies
- - Patients able to understand and communicate with the investigator and comply with the requirements of the study.
Who cannot join
- - Unwillingness or inability to comply with the study requirements
- - Participation in a clinical trial of an investigational drug, concurrently or within the last 30 days.
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
Canada13 sites
Novartis Investigative Site
Brandon, Manitoba, R7A 0L5
Novartis Investigative Site
Edmonton, Alberta, T6G 1C3
Novartis Investigative Site
Fredericton, New Brunswick, E3B 1G9
Novartis Investigative Site
Hamilton, Ontario, L8N 3Z5
Novartis Investigative Site
London, Ontario, N6A 3H7
Novartis Investigative Site
Nanaimo, British Columbia, V9T 1W1
Novartis Investigative Site
Nepean, Ontario, K2G 6E2
Novartis Investigative Site
St. John's, Newfoundland and Labrador, A1A 4Y3
Novartis Investigative Site
St. John's, Newfoundland and Labrador, A1C 2H5
Novartis Investigative Site
Surrey, British Columbia, V3R 6A7
Novartis Investigative Site
Vancouver, British Columbia, V5Z 1M9
Novartis Investigative Site
Winnepeg, Manitoba, R3M1Z9
Novartis Investigative Site
Winnipeg, Manitoba, R3C 0N2
About this study
Official title: A Registry of Patients With Moderate to Severe Chronic Plaque Psoriasis in Canada and Latin AmErica (LACan)
The main purpose of the current study will be to provide real - world evidence regarding the safety and effectiveness of secukinumab in the management of patients with moderate to severe chronic plaque psoriasis.
Read the detailed description
PURE is a multi-national, prospective, observational cohort study of patients with moderate to severe chronic plaque psoriasis aimed at assessing the real-world safety and effectiveness of secukinumab and other indicated therapies. The study will enroll patients for whom, prior to and independent of study enrollment, the treating physician has decided to treat with secukinumab, or one of the other indicated therapies regimens approved for the management of moderate to severe chronic plaque psoriasis.
Two study cohorts will be defined by patients treated with secukinumab (Cohort 1), and patients treated with other indicated therapies (systemic, phototherapy, or biologic therapy; Cohort 2). Each investigator will recruit approximately the same number of patients in each treatment arm. 2,500 patients (1,250 patients in each cohort) will be followed over a period of 5 years from the Baseline assessment (Visit 1).
- Conditions
- Psoriasis
- Being tested
- Secikinumab
- Keywords
- Psoriasis, Plaque Psoriasis, Chronic Plaque Psoriasis, Cosentyx, Secukinumab, Moderate to severe plaque psoriasis, PURE registry, Registry
- Medical subject headings
- Psoriasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SecikinumabDrug
Also called AIN457
| Study group | Role | What they receive |
|---|---|---|
| Secikinumab | Patients treated with secukinumab Receives: Drug: Secikinumab | |
| Approved standard of care | Patients treated with other indicated therapies (systemic, phototherapy, or biologic therapy) Receives: Drug: Secikinumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Incidence of all adverse events in the study cohorts as measured by:
- The proportion of patients that experience at least one event; and
- The number of events per participant
Measured: Change from Baseline through month 60
Secondary outcomes (8)
Percentage of Participants Achieving PASI 50/75/90/100 Response or IGA 0 or 1 Response
PASI: 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 (head, arms, trunk, legs; 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 clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area* area score weight of section(head: 0.1, arms: 0.2 body: 0.3 legs: 0.4)
Measured: Change from Baseline through month 60
Mean change for Work Productivity and Activity Impairment (WPAI) score
Measured: Change from Baseline through month 60
Mean change for Hospital Anxiety and Depression Scale (HADS) score
Measured: Change from Baseline through month 60
Mean change for Psoriasis Symptom Diary (PSD) score
Measured: Change from Baseline through month 60
Mean change for Treatment Satisfaction Scale (TSS) score
Measured: Change from Baseline through month 60
Mean change for Dermatology Life Quality Index (DLQI) score
Measured: Change from Baseline through month 60
Mean change for Psoriasis Epidemiology Screening Tool (PEST) score
Measured: Change from Baseline through month 60
Mean change for direct and indirect cost associated to Psoriasis
Measured: Change from Baseline through month 60
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 May 2016 (estimated)
- Study start23 Dec 2015
- Primary completion22 Jan 2026
- Study completion22 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for PsoriasisStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,376 participants (actual)
- Target duration
- 60 Months
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02786186
- Sponsor's protocol ID
- CAIN457ACA02
- Acronym
- PURE
- Status last verified
- Feb 2026
- First submitted
- 6 May 2016
- Last updated
- 19 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent 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. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Beecker J, Albrecht L, Dei-Cas I, Gooderham M, Lynde C, Papp KA, Keown P, Vieira A, Farag MS, Maguin M, Zappitelli T, Helliwell PS. Longitudinal Performance of the Psoriasis Epidemiology Screening Tool (PEST) in Canada and Latin America: Results from the Prospective, Observational, 5-Year PURE Registry. Dermatol Ther (Heidelb). 2026 Aug;16(8):4097-4115. doi: 10.1007/s13555-026-01826-7. Epub 2026 Jul 21.
PubMed 42479398Papp KA, Gooderham M, Dei-Cas I, LopezTello A, Garcia-Rodriguez JC, Taveras CY, Rousselin AH, Lavieri A, Maiolino M, Quintero DGV, Rihakova L, Salibe M, Pertuz W. Effectiveness and Safety of Secukinumab in Latin American Patients with Moderate to Severe Plaque Psoriasis: PURE Registry 12-Month Data. Dermatol Ther (Heidelb). 2023 Jan;13(1):269-283. doi: 10.1007/s13555-022-00849-0. Epub 2022 Dec 10.
PubMed 36496547Papp KA, Gooderham M, Beecker J, Lynde CW, Delorme I, Dei-Cas I, Albrecht L, Rampakakis E, Sampalis JS, Vieira A, Hussein S, Chambenoit O, Rihakova L. Rationale, objectives and design of PURE, a prospective registry of patients with moderate to severe chronic plaque psoriasis in Canada and Latin America. BMC Dermatol. 2019 Jun 21;19(1):9. doi: 10.1186/s12895-019-0087-3.
PubMed 31226985
Study at a glance
From the registry record, last updated by the sponsor on 19 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Registry of Patients With Moderate to Severe Chronic Plaque Psoriasis in Canada and Latin AmErica (LACan)
- ClinicalTrials.gov ID
- NCT02786186
- Acronym / sponsor ID
- PURE / CAIN457ACA02
- Conditions
- Psoriasis
- Keywords
- Psoriasis, Plaque Psoriasis, Chronic Plaque Psoriasis, Cosentyx, Secukinumab, Moderate to severe plaque psoriasis, PURE registry, Registry
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 2,376 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 23 Dec 2015 (actual)
- Primary completion
- 22 Jan 2026 (actual)
- Study completion
- 22 Jan 2026 (actual)
- First posted
- 30 May 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of the current study will be to provide real - world evidence regarding the safety and effectiveness of secukinumab in the management of patients with moderate to severe chronic plaque psoriasis.
Detailed description
PURE is a multi-national, prospective, observational cohort study of patients with moderate to severe chronic plaque psoriasis aimed at assessing the real-world safety and effectiveness of secukinumab and other indicated therapies. The study will enroll patients for whom, prior to and independent of study enrollment, the treating physician has decided to treat with secukinumab, or one of the other indicated therapies regimens approved for the management of moderate to severe chronic plaque psoriasis.
Two study cohorts will be defined by patients treated with secukinumab (Cohort 1), and patients treated with other indicated therapies (systemic, phototherapy, or biologic therapy; Cohort 2). Each investigator will recruit approximately the same number of patients in each treatment arm. 2,500 patients (1,250 patients in each cohort) will be followed over a period of 5 years from the Baseline assessment (Visit 1).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 60 Months
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Secikinumab | – | Drug: SecikinumabPatients treated with secukinumab |
| Approved standard of care | – | Drug: SecikinumabPatients treated with other indicated therapies (systemic, phototherapy, or biologic therapy) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patient with moderate to severe plaque psoriasis
Key inclusion criteria (6 listed)
- - Patients able to give written informed consent
- - Patients at least 18 years of age at time of informed consent signature
- - Confirmed diagnosis of chronic moderate to severe chronic plaque-type psoriasis diagnosed by a specialist and presence of moderate to severe psoriasis symptoms according to physician's clinical judgment at the time of recruitment.
- - Patients initiating a treatment for psoriasis as per regional policy. This will include secukinumab, other biologics, systemic treatments, and phototherapy. Decision to treat with any of the above-mentioned treatments must have been reached prior to and independently of recruitment in the study.
- - Treatments prescribed in accordance to the product monograph and regional regulatory and reimbursement policies
Key exclusion criteria (2 listed)
- - Unwillingness or inability to comply with the study requirements
- - Participation in a clinical trial of an investigational drug, concurrently or within the last 30 days.
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 |
|---|---|---|
| SecikinumabAlso: AIN457 | Drug | Approved standard of care, Secikinumab |
Primary outcome
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Time frame: Change from Baseline through month 60
Incidence of all adverse events in the study cohorts as measured by: 1. The proportion of patients that experience at least one event; and 2. The number of events per participant
8 secondary outcomes
Percentage of Participants Achieving PASI 50/75/90/100 Response or IGA 0 or 1 Response
Time frame: Change from Baseline through month 60
Mean change for Work Productivity and Activity Impairment (WPAI) score
Time frame: Change from Baseline through month 60
Mean change for Hospital Anxiety and Depression Scale (HADS) score
Time frame: Change from Baseline through month 60
Mean change for Psoriasis Symptom Diary (PSD) score
Time frame: Change from Baseline through month 60
Mean change for Treatment Satisfaction Scale (TSS) score
Time frame: Change from Baseline through month 60
Mean change for Dermatology Life Quality Index (DLQI) score
Time frame: Change from Baseline through month 60
Mean change for Psoriasis Epidemiology Screening Tool (PEST) score
Time frame: Change from Baseline through month 60
Mean change for direct and indirect cost associated to Psoriasis
Time frame: Change from Baseline through month 60
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Feb 2026.
- Derived from this study: PubMed 42479398Beecker J, Albrecht L, Dei-Cas I, Gooderham M, Lynde C, Papp KA, Keown P, Vieira A, Farag MS, Maguin M, Zappitelli T, Helliwell PS. Longitudinal Performance of the Psoriasis Epidemiology Screening Tool (PEST) in Canada and Latin America: Results from the Prospective, Observational, 5-Year PURE Registry. Dermatol Ther (Heidelb). 2026 Aug;16(8):4097-4115. doi: 10.1007/s13555-026-01826-7. Epub 2026 Jul 21.
- Derived from this study: PubMed 36496547Papp KA, Gooderham M, Dei-Cas I, LopezTello A, Garcia-Rodriguez JC, Taveras CY, Rousselin AH, Lavieri A, Maiolino M, Quintero DGV, Rihakova L, Salibe M, Pertuz W. Effectiveness and Safety of Secukinumab in Latin American Patients with Moderate to Severe Plaque Psoriasis: PURE Registry 12-Month Data. Dermatol Ther (Heidelb). 2023 Jan;13(1):269-283. doi: 10.1007/s13555-022-00849-0. Epub 2022 Dec 10.
- Derived from this study: PubMed 31226985Papp KA, Gooderham M, Beecker J, Lynde CW, Delorme I, Dei-Cas I, Albrecht L, Rampakakis E, Sampalis JS, Vieira A, Hussein S, Chambenoit O, Rihakova L. Rationale, objectives and design of PURE, a prospective registry of patients with moderate to severe chronic plaque psoriasis in Canada and Latin America. BMC Dermatol. 2019 Jun 21;19(1):9. doi: 10.1186/s12895-019-0087-3.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent 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. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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.
The record lists no contact. Use the official record to reach the sponsor.
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Psoriasis, run by Novartis Pharmaceuticals at 13 sites in Canada.
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 6 inclusion and 2 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 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (time frame: Change from Baseline through month 60). 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 NCT02786186, which also lists 3 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 Feb 2026.