Psoriatic PlaquePhase 1NCT02999776
Laser-assisted Topical Administration of Etanercept (Enbrel®) in Patients With Mild to Moderate Plaque-type Psoriasis
A Phase 1 study testing Laser microporation alone and Laser microporation + topical application of Etanercept in people with Psoriatic Plaque, run by Pantec Biosolutions AG at 1 site in Switzerland.
Trial summary
The purpose of this study is to assess the feasibility and safety of topical administration of etanercept via AFL micropores to psoriatic plaques in patients with mild to moderate plaque-type psoriasis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Psoriatic Plaque
- What is being tested?
- Laser microporation alone and Laser microporation + topical application of Etanercept
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteSwitzerland
- Study dates
- Nov 2016to Jun 2018
- Phase
- Phase 1
- 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
Who may be able to join
- Patients must be able to understand and communicate with the investigator and comply with the requirements of the study and must give a written, signed and dated informed consent before any study related activity is performed.
- Men or women, non-pregnant and non-lactating, at least 18 years of age at time of screening
- Chronic mild to moderate plaque-type psoriasis diagnosed at least 6 months prior to baseline. Chronic mild to moderate plaque-type psoriasis as defined at screening by:
- BSA affected by plaque-type psoriasis of less than 10%
- Eligible for topical therapy according to current psoriasis treatment guidelines (12).
Who cannot join
- Forms of psoriasis other than mild to moderate plaque-type (e.g., pustular, erythrodermic and guttate psoriasis)
- Hyperpigmentation, e.g. birth marks, freckles, scar tissue at the psoriasis plaque areas that are intended to be treated
- Intertriginous plaques or plaques on the hands, feet, neck, face, elbows, knees, or on the scalp will not be eligible as plaques for treatment.
- Plaques on eyelids, lips or mucous membranes, open wounds, moles or birth marks, areas at risk of developing post-inflammatory hypo- or hyperpigmentation due to high levels of UV radiation subsequent to treatment will not be eligible for treatment.
- Drug-induced psoriasis (i.e., new onset or current exacerbation from e.g. beta-blockers, or lithium)
- Ongoing use of prohibited psoriasis treatments (e.g., topical corticosteroids, UV-therapy). Washout periods detailed in the protocol have to be adhered to (see Table 5-2)
Show all 38Show fewer
- Ongoing use of other non-psoriasis prohibited treatments. Washout periods detailed in the protocol have to be adhered to (see Table 5-2). All other prior non-psoriasis concomitant treatments must be on a stable dose for at least four weeks before baseline
- Use of any other investigational drugs within 30 days prior to screening (or within 5 half-lives or until the expected PD effect has returned to baseline, whichever is longer).
- Requiring treatment with any biological medicinal product during the study other than the study medication.
- Any contraindication to etanercept (Enbrel®) or calcipotriol/betamethasone (Daivobet®).
- Previous (last 12 months) and current exposure biologics, such as etanercept, adalimumab.
- Any contraindication to treatment with the P.L.E.A.S.E® device, including Fitzpatrick skin types V or VI.
- Current treatment or need for treatment with any prohibited medications (listed under Section 5.9.6).
- Any serious illness or uncontrolled medical condition, including but not limited to severe infections, significant hepatic or renal disease, uncontrolled hypertension (defined as blood pressure ≥160/95), congestive heart failure (NYHA class III or IV), or other severe, uncontrolled cardiac disease.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin (hCG) laboratory test (cut-off as defined by laboratory)
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, UNLESS they agree to use highly effective methods of contraception (defined in Section 6.5.7) during the study and for 12 months after stopping treatment. Women are considered not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago. In the case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment is she considered not of child bearing potential
- Active ongoing inflammatory diseases other than psoriasis that might confound the evaluation of the benefit of treatment with etanercept
- Underlying condition (including, but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal) which in the opinion of the investigator significantly immunocompromises the patient and/or places the patient at unacceptable risk for receiving an immunomodulatory therapy
- History of clinically significant liver disease or liver injury as indicated by abnormal liver function tests. Aspartate aminotransferase (AST), alanine aminotransferase (ALT) or alkaline phosphatase may not exceed 2.5 x upper limit of normal at screening.
- Pre-existing or recent-onset central or peripheral nervous system demyelinating disorders according to investigator's discretion and where necessary taking into account a neurological assessment; patients who are considered to have an increased risk of developing a demyelinating disease
- Significant cardiovascular problems, including but not limited to the following: uncontrolled hypertension (blood pressure ≥160 systolic/95 diastolic mmHg), congestive heart failure with known decreased left ventricular ejection fraction
- Patients with a serum creatinine level exceeding 176.8 μmol/L (2.0 mg/dL)
- Any of the following laboratory values at screening: total WBC count <3,500/μL, or neutrophils <2,000/μL or platelets <125,000/μL or hemoglobin <10.0 g/dL
- Positive serology to hepatitis C infection (i.e. positive antibody against Hepatitis C virus) or hepatitis B infection (i.e. positive hepatitis B surface antigen [HBsAg]).
- Severely immunocompromised state, including but not limited to Felty's syndrome and known human immunodeficiency virus (HIV) infection
- Active tuberculosis. If a QuantiFERON®- Tuberculosis (TB) Gold test at screening is positive, further work-up, according to local guidelines/practices needs to be performed to conclusively establish that that the patient has no evidence of active tuberculosis.
- History of serious recurrent, chronic infectious disease (excluding fungal infections of the nail beds) or active systemic infections during the last two weeks (exception: common cold) prior to baseline and any infections that reoccur on a regular basis; patients with a history or evidence of opportunistic infections including specific pathogens such as listeria, legionella and parasitic infections. Investigator discretion should be used regarding patients who have traveled or resided in areas of endemic mycoses, such as histoplasmosis, coccidioidomycosis or blastomycosis and for patients with underlying conditions that may predispose them to infection, such as advanced or poorly controlled diabetes
- Known infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C at screening or baseline
- History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system (except for basal cell carcinoma or actinic keratoses that have been treated with no evidence of recurrence in the past 3 months, and except for carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed)
- Current severe progressive or uncontrolled disease which in the judgment of the clinical investigator renders the patient unsuitable for the trial
- Inability or unwillingness to undergo repeated venipuncture (poor tolerability or lack of access to veins)
- Blood donation or blood loss of >400 ml in the 8 weeks prior to randomization.
- History of hypersensitivity to any recombinant protein drugs or any of the excipients used in Enbrel® (see list of excipients in Table 5-1)
- Patients who are allergic to rubber or latex (the needle cover on the prefilled syringes for Enbrel® contain dry natural rubber)
- Any medical or psychiatric condition which, in the Investigator's opinion, would preclude the participant from adhering to the protocol or completing the study per protocol
- History or evidence of ongoing alcohol or drug abuse, within the last six months before baseline
- Plans for administration of live vaccines during the study period or live vaccination within 6 weeks prior to baseline
- Patients not willing to limit UV light exposure (e.g., sunbathing and/or the use of tanning devices) during the course of the study.
Trial locations and contacts
1 site in 1 country.
Switzerland1 site, 1 recruiting
- Recruiting
University Hospital Geneva
Geneva, 41205
Wolf-Henning Boehncke, Professor, +41 (0)22 372 94 23
About this study
Official title: An Observer Partially-blinded, Lesion-randomized, Intra-patient Controlled, 3-arm, Phase I Study to Assess Safety and Efficacy of Laser-assisted Topical Etanercept Administration in Patients With Mild to Moderate Plaque Psoriasis
The purpose of this study is to assess the feasibility and safety of topical administration of etanercept via AFL micropores to psoriatic plaques in patients with mild to moderate plaque-type psoriasis.
While a wide variety of therapeutic innovations to treat moderate-to-severe psoriasis (accounting for around 30% of the cases) become available each year, there are few innovations for topical therapies to treat mild/localized psoriasis (accounting for around 70% of the cases). Given that only about half of the patients respond adequately to the current standard of care, the topical application of a fixed combination of calcipotriole and betamethasone, there is a medical need for better topical therapies.
Etanercept has been used successfully to treat moderate-to-severe plaque-type psoriasis in children and adults for more than a decade. Its standard route of application is through subcutaneous injections. Different dosing regimens have been used: 1 x 50 mg or 2 x 50 mg per week as well as 1 x 25 mg or 2 x 25 mg per week. Under these regimens, etanercept has a well-established favorable long-term safety record, with injection site reactions (pain, swelling) the most frequently reported side effects. However, rare but serious side effects such as serious opportunistic infections resulting from immune system inhibition common to anti-TNF agents limit its systemic use to these patients. For this reason, a localized topical alternative route of administration would be desirable. However, the large molecular size and chemical nature of etanercept prevent it from crossing the epidermal barrier. A CE certified ablative fractional laser (AFL) device with Er:YAG source will be used to create micropores in plaques to allow local delivery of etanercept directly into psoriatic plaques.
Read the detailed description
Monocentric, observer partially-blinded Phase I study.
In this study, three similar plaques on each patient will be prospectively identified by the blinded observer and then randomized by an unblinded investigator by using the eCRF to one of the three study treatments:
- Standard of care (daily administration of Daivobet® by the patient),
- Ablative fractional laser microporation + topical application of etanercept
- Ablative fractional laser microporation alone.
Over the treatment period of 8 weeks, patients will return to the clinic twice weekly for assessment of the three study plaques by the blinded observer, followed by administration of the treatment of plaques assigned to AFL microporation with or without etanercept. Patients will treat the remaining plaque with Daivobet® themselves on a daily basis.
Although no incompatibilities of AFL and etanercept are anticipated, because this is the first time etanercept is administered topically via AFL micropores and using a AFL microporation device, the study will be conducted in two stages: a Safety Stage consisting of the first five patients and the Study Stage with thirty patients.
In the Safety Stage of the study, three different plaques of the first 5 patients will be randomized and administered the respective treatments only once. Enrollment will be suspended after the 5th patient has been enrolled to permit the data monitoring committee (DMC) to review of the initial safety data from these first 5 patients to reassess risk. Based on this review, the DMC will make one of three recommendations:
- to continue the study as planned,
- to continue the study with adjustments to study procedures, such as changes to laser parameters, frequency of treatments or concentration of etanercept or,
- in the event of extreme safety concerns, to terminate the study.
If option 1 is recommended, the study will resume with the Study Stage (Stage 2), in which the initial 5 patients will once again begin treatment, with their plaques receiving the same treatments to which they were previously randomized. Their treatment will continue for 8 weeks. Enrollment will also resume and continue until an additional 25 patients have been enrolled. If the DMC recommends option 2, treatment and enrollment will resume as just described after an adapted protocol has been submitted to and approved by the relevant authorities. If the DMC recommends option 3, then the study will terminate.
The Study Stage will consist of 2 periods: screening period (up to 2 weeks prior to baseline assessments and randomization) and treatment period (for the first 5 patients: initially 1 set of treatments, followed by suspension of treatment until after DMC review, then 8 weeks of treatment; for the remaining 25 patients: 8 weeks of treatment depending on plaque randomization, either daily Daivobet® or biweekly AFL with or without etanercept).
- Conditions
- Psoriatic Plaque
- Being tested
- Laser microporation alone, Standard of care-daily administration of Daivobet, Laser microporation + topical application of Etanercept
- Keywords
- Plaques Psoriasis, Topical, Laser microporation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laser microporation aloneDevice
Also called P.L.E.A.S.E.
The Er:YAG laser induced microporation of 5 cm2 of a plaque surface, followed by application of an OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment will also be repeated twice weekly for 8 weeks.
Standard of care-daily administration of DaivobetDrug
Also called Daivobet
The other control treatment is Daivobet®, which is applied topically daily for 8 weeks on one pre-selected randomized plaque.
Laser microporation + topical application of EtanerceptDrug
Also called Etanercept
Immediately following microporation of a 5 cm² area of the designated plaque with the P.L.E.A.S.E.® Professional laser, 0.0625 ml of Etanercept (50 mg/ml) solution for injection in pre-filled syringes will be applied to the microporated surface of the lesion. The treated area will then be covered with OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment procedure will be repeated twice weekly for 8 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Standard of care | Active comparator | Daily self-administration of 1 to 5g Daivobet (Calcipotriol 50ug/g +Betamethasone, 0,5mg/g Gel) ointment, which is applied topically once per day for 8 weeks on one pre-selected randomized plaque. Receives: Drug: Standard of care-daily administration of Daivobet |
| Laser plus etanercept | Experimental | Immediately following microporation of a 5 cm² area of the designated plaque with the P.L.E.A.S.E.® Professional laser, 0.0625 ml of Etanercept (50 mg/ml) solution for injection in pre-filled syringes will be applied to the microporated surface of the lesion. The treated area will then be covered with OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment procedure will be repeated twice weekly for 8 weeks. Receives: Drug: Laser microporation + topical application of Etanercept |
| Laser alone | Active comparator | The Er:YAG laser induced microporation of 5 cm2 of a plaque surface, followed by application of an OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment will also be repeated twice weekly for 8 weeks. Receives: Device: Laser microporation alone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Administration site reactions (ASR)
The investigator or qualified designee will assess ASRs such as itching, redness, swelling, pain, or ulceration at time points as indicated in Table 6-1. Whenever possible, the same evaluator should perform this assessment at all visits and document the result in the eCRF. An ASR that fulfills the criteria of an SAE should be documented and reported as such.
Measured: 8 weeks
Secondary outcomes (1)
Target Plaque Severity Score (TPSS)
The blinded observer will perform the TPSS assessment at baseline (Visit 2) and at treatment visits 9 and 18. Whenever possible, the same evaluator should perform this assessment at all visits. For TPSS assessment, the target plaques will be evaluated separately for induration, scaling and erythema using a 5-point severity scale.
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Dec 2016 (estimated)
- Study startNov 2016
- Primary completionDec 2017 (estimated)
- Study completionJun 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Psoriatic PlaqueStudies of the same condition, open and under way.
- 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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pantec Biosolutions AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Wolf-Henning Boehncke, Prof., Principal investigator, HUG
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02999776
- Sponsor's protocol ID
- TopPso-2015
- Status last verified
- Dec 2016
- First submitted
- 28 Nov 2016
- Last updated
- 21 Dec 2016
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Observer Partially-blinded, Lesion-randomized, Intra-patient Controlled, 3-arm, Phase I Study to Assess Safety and Efficacy of Laser-assisted Topical Etanercept Administration in Patients With Mild to Moderate Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT02999776
- Acronym / sponsor ID
- TopPso-2015
- Conditions
- Psoriatic Plaque
- Keywords
- Plaques Psoriasis, Topical, Laser microporation
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Pantec Biosolutions AGIndustry (pharma, biotech, devices)
- Study start
- Nov 2016
- Primary completion
- Dec 2017 (estimated)
- Study completion
- Jun 2018 (estimated)
- First posted
- 21 Dec 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 purpose of this study is to assess the feasibility and safety of topical administration of etanercept via AFL micropores to psoriatic plaques in patients with mild to moderate plaque-type psoriasis.
While a wide variety of therapeutic innovations to treat moderate-to-severe psoriasis (accounting for around 30% of the cases) become available each year, there are few innovations for topical therapies to treat mild/localized psoriasis (accounting for around 70% of the cases). Given that only about half of the patients respond adequately to the current standard of care, the topical application of a fixed combination of calcipotriole and betamethasone, there is a medical need for better topical therapies.
Etanercept has been used successfully to treat moderate-to-severe plaque-type psoriasis in children and adults for more than a decade. Its standard route of application is through subcutaneous injections. Different dosing regimens have been used: 1 x 50 mg or 2 x 50 mg per week as well as 1 x 25 mg or 2 x 25 mg per week. Under these regimens, etanercept has a well-established favorable long-term safety record, with injection site reactions (pain, swelling) the most frequently reported side effects. However, rare but serious side effects such as serious opportunistic infections resulting from immune system inhibition common to anti-TNF agents limit its systemic use to these patients. For this reason, a localized topical alternative route of administration would be desirable. However, the large molecular size and chemical nature of etanercept prevent it from crossing the epidermal barrier. A CE certified ablative fractional laser (AFL) device with Er:YAG source will be used to create micropores in plaques to allow local delivery of etanercept directly into psoriatic plaques.
Detailed description
Monocentric, observer partially-blinded Phase I study.
In this study, three similar plaques on each patient will be prospectively identified by the blinded observer and then randomized by an unblinded investigator by using the eCRF to one of the three study treatments:
- Standard of care (daily administration of Daivobet® by the patient),
- Ablative fractional laser microporation + topical application of etanercept
- Ablative fractional laser microporation alone.
Over the treatment period of 8 weeks, patients will return to the clinic twice weekly for assessment of the three study plaques by the blinded observer, followed by administration of the treatment of plaques assigned to AFL microporation with or without etanercept. Patients will treat the remaining plaque with Daivobet® themselves on a daily basis.
Although no incompatibilities of AFL and etanercept are anticipated, because this is the first time etanercept is administered topically via AFL micropores and using a AFL microporation device, the study will be conducted in two stages: a Safety Stage consisting of the first five patients and the Study Stage with thirty patients.
In the Safety Stage of the study, three different plaques of the first 5 patients will be randomized and administered the respective treatments only once. Enrollment will be suspended after the 5th patient has been enrolled to permit the data monitoring committee (DMC) to review of the initial safety data from these first 5 patients to reassess risk. Based on this review, the DMC will make one of three recommendations:
- to continue the study as planned,
- to continue the study with adjustments to study procedures, such as changes to laser parameters, frequency of treatments or concentration of etanercept or,
- in the event of extreme safety concerns, to terminate the study.
If option 1 is recommended, the study will resume with the Study Stage (Stage 2), in which the initial 5 patients will once again begin treatment, with their plaques receiving the same treatments to which they were previously randomized. Their treatment will continue for 8 weeks. Enrollment will also resume and continue until an additional 25 patients have been enrolled. If the DMC recommends option 2, treatment and enrollment will resume as just described after an adapted protocol has been submitted to and approved by the relevant authorities. If the DMC recommends option 3, then the study will terminate.
The Study Stage will consist of 2 periods: screening period (up to 2 weeks prior to baseline assessments and randomization) and treatment period (for the first 5 patients: initially 1 set of treatments, followed by suspension of treatment until after DMC review, then 8 weeks of treatment; for the remaining 25 patients: 8 weeks of treatment depending on plaque randomization, either daily Daivobet® or biweekly AFL with or without etanercept).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Standard of care | Active comparator | Drug: Standard of care-daily administration of DaivobetDaily self-administration of 1 to 5g Daivobet (Calcipotriol 50ug/g +Betamethasone, 0,5mg/g Gel) ointment, which is applied topically once per day for 8 weeks on one pre-selected randomized plaque. |
| Laser plus etanercept | Experimental | Drug: Laser microporation + topical application of EtanerceptImmediately following microporation of a 5 cm² area of the designated plaque with the P.L.E.A.S.E.® Professional laser, 0.0625 ml of Etanercept (50 mg/ml) solution for injection in pre-filled syringes will be applied to the microporated surface of the lesion. The treated area will then be covered with OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment procedure will be repeated twice weekly for 8 weeks. |
| Laser alone | Active comparator | Device: Laser microporation aloneThe Er:YAG laser induced microporation of 5 cm2 of a plaque surface, followed by application of an OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment will also be repeated twice weekly for 8 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients must be able to understand and communicate with the investigator and comply with the requirements of the study and must give a written, signed and dated informed consent before any study related activity is performed.
- Men or women, non-pregnant and non-lactating, at least 18 years of age at time of screening
- Chronic mild to moderate plaque-type psoriasis diagnosed at least 6 months prior to baseline. Chronic mild to moderate plaque-type psoriasis as defined at screening by:
- Eligible for topical therapy according to current psoriasis treatment guidelines (12).
Key exclusion criteria (38 listed)
- Forms of psoriasis other than mild to moderate plaque-type (e.g., pustular, erythrodermic and guttate psoriasis)
- Hyperpigmentation, e.g. birth marks, freckles, scar tissue at the psoriasis plaque areas that are intended to be treated
- Intertriginous plaques or plaques on the hands, feet, neck, face, elbows, knees, or on the scalp will not be eligible as plaques for treatment.
- Plaques on eyelids, lips or mucous membranes, open wounds, moles or birth marks, areas at risk of developing post-inflammatory hypo- or hyperpigmentation due to high levels of UV radiation subsequent to treatment will not be eligible for treatment.
- Drug-induced psoriasis (i.e., new onset or current exacerbation from e.g. beta-blockers, or lithium)
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 |
|---|---|---|
| Laser microporation aloneAlso: P.L.E.A.S.E.The Er:YAG laser induced microporation of 5 cm2 of a plaque surface, followed by application of an OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment will also be repeated twice weekly for 8 weeks. | Device | Laser alone |
| Standard of care-daily administration of DaivobetAlso: DaivobetThe other control treatment is Daivobet®, which is applied topically daily for 8 weeks on one pre-selected randomized plaque. | Drug | Standard of care |
| Laser microporation + topical application of EtanerceptAlso: EtanerceptImmediately following microporation of a 5 cm² area of the designated plaque with the P.L.E.A.S.E.® Professional laser, 0.0625 ml of Etanercept (50 mg/ml) solution for injection in pre-filled syringes will be applied to the microporated surface of the lesion. The treated area will then be covered with OpSiteTM Flexigrid Transparent Dressing for 4 hours. This treatment procedure will be repeated twice weekly for 8 weeks. | Drug | Laser plus etanercept |
Primary outcome
Administration site reactions (ASR)
Time frame: 8 weeks
The investigator or qualified designee will assess ASRs such as itching, redness, swelling, pain, or ulceration at time points as indicated in Table 6-1. Whenever possible, the same evaluator should perform this assessment at all visits and document the result in the eCRF. An ASR that fulfills the criteria of an SAE should be documented and reported as such.
1 secondary outcome
Target Plaque Severity Score (TPSS)
Time frame: 8 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2016.
- Individual participant dataSharing planned: No
Related trials for Psoriatic Plaque
Active, not recruitingObservational study
Psoriasis Longitudinal Assessment and Registry
Psoriasis
Not yet recruitingPhase 2
Phase 2 Trial of FT2109 for the Treatment of Psoriatic Arthritis
Psoriatic Arthritis (PsA)
Recruiting
Modifying PEST for Psoriatic Arthritis Screening
Plaque Psoriasis, Psoriatic Arthritis
RecruitingPhase 1
A Study to Assess the Concentration of Bimekizumab in Mature Breast Milk From Mothers Receiving Treatment With Bimzelx® (Bimekizumab)
Moderate to Severe Plaque Psoriasis, Psoriatic Arthritis
Recruiting
Clinical Study on the Medical Devices PROXERA PSOMED 20 and PROXERA PSOMED 40 for the Treatment of Plaque Psoriasis and Non-pustular Palmoplantar Psoriasis
Plaque Type Psorisis, Non-pustular Palmoplantar Psoriasis
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.
Wolf-Henning Boehncke, Prof. principal investigator
HUG
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Laser microporation alone and Laser microporation + topical application of Etanercept in people with Psoriatic Plaque, run by Pantec Biosolutions AG at 1 site in Switzerland.
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 5 inclusion and 38 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: status not confirmed, as of the sponsor's last update on 21 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Wolf-Henning Boehncke, Prof. (+41(0)22 372 94 22, wolf-henning.boehncke@hcuge.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Administration site reactions (ASR) (time frame: 8 weeks). 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 21 Dec 2016.