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PsoriasisREALIZENCT03757013

A Study to Assess Benefits of Apremilast in Patients With Moderate to Severe Chronic Plaque Psoriasis Followed by Dermatologists Under Real Life Settings in France

An observational study of Psoriasis, run by Amgen at 93 sites in France.

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

REALIZE study will include a representative sample of 500 patients with moderate to severe plaque psoriasis for whom the treating dermatologist has decided to begin apremilast treatment in accordance with the local label reimbursement criteria. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis
What is being tested?
Apremilast
How many people
453 participants
Where
93 sitesFrance
Study dates
25 Sep 2018to 10 Sep 2021
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: Patients with moderate to severe plaque psoriasis for whom the treating dermatologist has decided to begin apremilast treatment in accordance with the local label reimbursement criteria. Patients may be enrolled into the study up to 4 weeks after starting the study treatment. All eligible patients will be included in the safety population in consecutive order based on the date of the non-opposition form. However, only patients who have completed 6 (± 1) months of treatment will be included in the reference analysis population

Who may be able to join

  • Male or female aged at least 18 years
  • Patient with a diagnosis of stable moderate to severe chronic plaque psoriasis
  • For whom the treating dermatologist has made the decision to initiate apremilast treatment in accordance with the local label and reimbursement criteria i.e. a history of failure or contra-indication or intolerance to other systemic therapy including ciclosporin, methotrexate, or phototherapy UVA + psoralen (PUVA therapy)
  • Patient having started apremilast up to 4 weeks before the enrolment visit for treatment of moderate to severe chronic plaque psoriasis even if apremilast has been stopped before inclusion in the study
  • Patient literate and willing to fill in questionnaires
  • Non-opposition form signed by the investigator indicating that the patient received information about the study, and orally agreed.

Who cannot join

  • Patient who refuses to participate in the study or is unable to give his/her oral consent
  • Patient having participated in an interventional study in the last 30 days

Trial locations and contacts

93 sites in 1 country.

93 sites in 1 country

France93 sites
  • Private Practice, Amiens

    Amiens, 80000

  • Saint-Joseph Clinic, Angouleme

    Angoulême, 16000

  • Private Practice, Antibes

    Antibes, 06600

  • Private Practice 2, Antony

    Antony, 92160

  • Private Practice 2, Arcachon

    Arcachon, 33120

  • Private Practice, Argenteuil

    Argenteuil, 95100

  • Private Practice, Aubière

    Aubière, 63170

  • Private Practice, Auch

    Auch, 32000

  • Auxerre Hospital

    Auxerre, 89000

  • Henri Duffaut Hospital

    Avignon, 84902

  • Private Practice, Bègles

    Bègles, 33130

  • Private Practice, Besançon

    Besançon, 25000

  • Reims-Bezannes Polyclinic 2

    Bezannes, 51430

  • Reims-Bezannes Polyclinic 3

    Bezannes, 51430

  • Reims-Bezannes Polyclinic

    Bezannes, 51430

  • Private Practice, Biarritz

    Biarritz, 64200

  • Private Practice, Bordeaux

    Bordeaux, 33000

  • Docteur Duchenne Hospital 2

    Boulogne-sur-Mer, 62321

  • Docteur Duchenne Hospital

    Boulogne-sur-Mer, 62321

  • Private Practice 2, Caen

    Caen, 14000

  • Private Practice 3, Caen

    Caen, 14000

  • Private Practice, Caen

    Caen, 14000

  • Private Practice, Cannes

    Cannes, 06400

  • Private Practice 2, Chalons-en-Champagne

    Châlons-en-Champagne, 51000

  • Private Practice, Chalons-en-Champagne

    Châlons-en-Champagne, 51000

  • Chalons-en-Champagne Hospital

    Châlons-en-Champagne, 51005

  • Private Practice, Chamalières

    Chamalières, 63400

  • Métropole Savoie Hospital

    Chambéry, 73000

  • Trousseau Hospital

    Chambray-lès-Tours, 37171

  • Private Practice 2, Chartres

    Chartres, 28000

  • Private Practice, Chartres

    Chartres, 28000

  • New Sud Francilien Hospital

    Corbeil-Essonnes, 91100

  • GH de Dax, Dax

    Dax, 40107

  • Private Practice 2, Dijon

    Dijon, 21000

  • Private Practice 3, Dijon

    Dijon, 21000

  • Private Practice, Dijon

    Dijon, 21000

  • Private Practice, Dole

    Dole, 39100

  • Victor Jousselin Hospital

    Dreux, 28102

  • Emile Durkheim Hospital - Saint Jean Health Center

    Épinal, 88021

  • Private Practice, Essey-les-Nancy

    Essey-lès-Nancy, 54270

  • Golfe de St-Tropez Clinic

    Gassin, 83580

  • Private Practice 2, Joue les Tours

    Joué-lès-Tours, 37300

  • Private Practice 3, Joue les Tours

    Joué-lès-Tours, 37300

  • Private Practice, Joue les Tours

    Joué-lès-Tours, 37300

  • Private Practice, L'Union

    L'Union, 31240

  • Private Practice 2, La Teste-de-Buch

    La Teste-de-Buch, 33260

  • Private Practice, La Teste-de-Buch

    La Teste-de-Buch, 33260

  • Private Practice, La Valette du Var

    La Valette-du-Var, 83160

  • Private Practice, La Varenne Saint Hilaire

    La Varenne-Saint-Hilaire, 94210

  • Private Practice 2, Laval

    Laval, 53000

  • Private Practice, Laval

    Laval, 53000

  • Private Practice, Le-Bourget-du-Lac

    Le Bourget-du-Lac, 73370

  • Private Practice, Le Mans

    Le Mans, 72000

  • Mans Hospital 2

    Le Mans, 72037

  • Mans Hospital

    Le Mans, 72037

  • Private Practice, Lille

    Lille, 59000

  • Private Practice 2, Luce

    Lucé, 28110

  • Private Practice, Luce

    Lucé, 28110

  • Private Practice, Lyon

    Lyon, 69002

  • Edouard Herriot Hospital

    Lyon, 69003

  • Private Practice 2, Lyon

    Lyon, 69006

  • Private Practice 4, Lyon

    Lyon, 69008

  • Private Practice, Martigues

    Martigues, 13500

  • Annecy Genevois Hospital, Metz Tessy

    Metz-Tessy, 74370

  • Private Practice, Meudon-la-Forêt

    Meudon-la-Forêt, 92360

  • Private Practice, Muret

    Muret, 31600

  • Hotel Dieu Hospital, Dermatologic Clinic

    Nantes, 44093

  • Private Practice, Narbonne

    Narbonne, 11100

  • Private Practice, Nevers

    Nevers, 58000

  • Private Practice 2, Nice

    Nice, 06000

  • Private Practice 3, Nice

    Nice, 06000

  • Private Practice, Nogent-Le-Rotrou

    Nogent-le-Rotrou, 28400

  • Private Practice, Orléans

    Orléans, 45000

  • Private Practice, Paris

    Paris, 75005

  • Private Practice 2, Paris

    Paris, 75006

  • Private Practice 3, Paris

    Paris, 75008

  • Private Practice 4, Paris

    Paris, 75009

  • Private Practice 5, Paris

    Paris, 75010

  • Private Practice, Pontarlier

    Pontarlier, 25300

  • Private Practice, Pontoise

    Pontoise, 95300

  • Private Practice, Quimper

    Quimper, 29000

  • CHI de Cornouaille - Laennec

    Quimper, 29107

  • Mathilde II Clinic

    Rouen, 76100

  • Private Practice, Saint-Etienne

    Saint-Etienne, 42000

  • Saint-Etienne Hospital

    Saint-Priest-en-Jarez, 42277

  • Private Practice, Torcy

    Torcy, 77200

  • BCRM Toulon - HIA Saint-Anne

    Toulon, 83800

  • Private Practice, Toulouse

    Toulouse, 31000

  • Nord Franche-Comté Hospital

    Trévenans, 90400

  • Valence Hospital 2

    Valence, 26953

  • Valence Hospital 3

    Valence, 26953

  • Valence Hospital

    Valence, 26953

  • Jacques Lacarin Hospital

    Vichy, 03201

Other trials in France

About this study

Official title: Real Life Data for Otezla Evidence: Assessing Benefits of Apremilast in Patients With Moderate to Severe Chronic Plaque Psoriasis Followed by Dermatologists Under Real Life Settings in France

REALIZE study will include a representative sample of 500 patients with moderate to severe plaque psoriasis for whom the treating dermatologist has decided to begin apremilast treatment in accordance with the local label reimbursement criteria. Patients may be enrolled into the study up to 4 weeks after starting the study treatment.

REALIZE is a longitudinal, multicenter, observational study under real life settings in patients with moderate to severe chronic plaque psoriasis after failure or contra-indication or intolerance to other systemic therapy including ciclosporin, methotrexate, or phototherapy UVA + psoralen (PUVA therapy).

Read the detailed description

Eligible patients will be identified and invited to enroll from approximately 100 dermatologists in France practicing in public hospitals (or private clinics) or private practice. Patients will be followed over 12 months after initiation of apremilast or until discontinuation of apremilast whatever the earlier. Given the observational nature of the study, apremilast dosing and duration will be at the sole discretion of the treating dermatologist, in accordance with the local label and daily clinical practice. Patient care will follow routine clinical practice, involving regular follow-up visits, without any mandatory visit. In daily practice, patients are usually seen by their treating dermatologist every 6 months. In this study, patients will be followed up at most 12 months after apremilast initiation.

During this study, it is expected to collect data at inclusion (enrolment visit) and around 6 months and 12 months after apremilast initiation, on electronic case report forms (eCRF) by the dermatologist after performing a visit around 6 and 12 months to evaluate the treatment response following the apremilast initiation.

Due to the observational nature of the study, the study protocol does not require any specific tests or additional examinations. All assessments will be recorded in the electronic case report form (eCRF) according to the normal practice of the treating dermatologist. Self-questionnaires will be filled by the patient when visiting his/her dermatologist.

Total duration of the study is 2 years and 6 months, which includes an enrollment period of 1 year and 6 months and a follow up period of up to 1 year.

Conditions
Psoriasis
Being tested
Apremilast
Keywords
Plaque Psoriasis, Apremilast, France, CC-10004
Medical subject headings
Psoriasis

What participants receive

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

  • ApremilastDrug

    Apremilast

Study groups in NCT03757013
Study groupRoleWhat they receive
Patients treated with ApremilastPatients with moderate to severe chronic plaque psoriasis after failure or contra-indication or intolerance to other systemic therapy including ciclosporin, methotrexate, or phototherapy UVA + psoralen (PUVA therapy).
Receives: Drug: Apremilast

What is being measured

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

  1. Proportion of patients with Patient Benefit Index score (PBI-S) ≥1 at 6 months after initiation of apremilast.

    The PBI-S questionnaire for skin diseases is a validated instrument to assess treatment needs and benefits in patients with skin diseases. It comprises 23 items on patient-relevant therapy needs and benefits.

    Measured: Up to 6 months

Secondary outcomes (27)
  1. Proportion of subjects with PBI-S (range 0-4) at 6 months after apremilast initiation

    The PBI-S questionnaire for skin diseases is a validated instrument to assess treatment needs and benefits in patients with skin diseases. It comprises 23 items on patient-relevant therapy needs and benefits.

    Measured: Up to 6 months

  2. Proportion of patients with PBI-S=4 at 6 months after apremilast initiation

    The PBI-S questionnaire for skin diseases is a validated instrument to assess treatment needs and benefits in patients with skin diseases. It comprises 23 items on patient-relevant therapy needs and benefits

    Measured: Up to 6 months

  3. Adherence Rate

    The adherence rate will be defined as the percentage of patients pursuing the treatment with apremilast at 12 months after the initiation of apremilast.. The calculation will take into account the patients having started and discontinued apremilast within 4 weeks before the enrolment visit.

    Measured: Up to 12 months

  4. Percentage of patients substituting apremilast

    The percentage of patients substituting apremilast by a biologic will be estimated by the Kaplan Meier method. The date of origin will be defined as the date apremilast has been started.

    Measured: Up to 24 months

  5. Dermatology Life Quality Index (DLQI)

    DLQ is a 10-item validated questionnaire used in a wide range of dermatological conditions and across a wide range of disease severity as a quality of life instrument. It covers a variety of health dimensions, including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period is 7 days. Each item is graded on a Likert scale of 0-3, which gives an overall score ranging from 0 to 30 where lower scores mean better quality of life.

    Measured: Up to 24 months

  6. Proportion of patients with DLQI ≤ 5

    DLQ is a 10-item validated questionnaire used in a wide range of dermatological conditions and across a wide range of disease severity as a quality of life instrument. It covers a variety of health dimensions, including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period is 7 days. Each item is graded on a Likert scale of 0-3, which gives an overall score ranging from 0 to 30 where lower scores mean better quality of life.

    Measured: Up to 24 months

  7. Proportion of patients achieving DLQI 0/1

    DLQ is a 10-item validated questionnaire used in a wide range of dermatological conditions and across a wide range of disease severity as a quality of life instrument. It covers a variety of health dimensions, including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period is 7 days. Each item is graded on a Likert scale of 0-3, which gives an overall score ranging from 0 to 30 where lower scores mean better quality of life.

    Measured: Up to 24 months

  8. Change in DLQI score from M0 to M6 and M12

    DLQ is a 10-item validated questionnaire used in a wide range of dermatological conditions and across a wide range of disease severity as a quality of life instrument. It covers a variety of health dimensions, including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period is 7 days. Each item is graded on a Likert scale of 0-3, which gives an overall score ranging from 0 to 30 where lower scores mean better quality of life.

    Measured: Up to 12 months

  9. Proportion of patients with improvement in DLQI ≥ 5 points between M0 and M6, M12

    DLQ is a 10-item validated questionnaire used in a wide range of dermatological conditions and across a wide range of disease severity as a quality of life instrument. It covers a variety of health dimensions, including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period is 7 days. Each item is graded on a Likert scale of 0-3, which gives an overall score ranging from 0 to 30 where lower scores mean better quality of life.

    Measured: Up to 12 months

  10. Treatment Satisfaction Questionnaire for Medication (TSQM9)

    TSQM-9 is a 9-item validated self-administered questionnaire used to evaluate the patient's overall satisfaction with study treatment. The TSQM-9 consists of 8 items that make up 3 specific scales (effectiveness, side effects, convenience) and one global satisfaction scale. Scale scores are transformed into scores from 0 to 100 with higher scores representing higher satisfaction in that domain.

    Measured: Up to 24 months

  11. Proportion of patients with sPGA 0 or 1

    sPGA static physician global assessment is defined as single-item-5-point categorized scale reflecting the physician's assessment of psoriasis severity. This scale ranges from 0 to 4.

    Measured: Up to 24 months

  12. Change in sPGA from baseline to M6 and M12

    sPGA static physician global assessment is defined as single-item-5-point categorized scale reflecting the physician's assessment of psoriasis severity. This scale ranges from 0 to 4.

    Measured: Up to 12 months

  13. Percentage of BSA (%BSA) involved at M0, M6, M12

    BSA is the measurement of the body area involved in relation to the whole body surface

    Measured: Up to 12 months

  14. Change in % BSA from M0 to M6, M12

    BSA is the measurement of the body area involved in relation to the whole body surface

    Measured: Up to 12 months

  15. Psoriasis Area Severity Index (PASI) at M0, M6, M12

    PASI is a common clinical tool used to measure the severity and extent of psoriasis. PASI score is a composite score grading the severity of psoriasis in four body regions according to erythema, scaling, and thickness, and the total area of skin affected. The final composite score ranges from 0 to 72, with a higher score indicating a greater severity of psoriasis

    Measured: Up to 12 months

  16. Change in PASI from M0 to M6, M12

    PASI is a common clinical tool used to measure the severity and extent of psoriasis. PASI score is a composite score grading the severity of psoriasis in four body regions according to erythema, scaling, and thickness, and the total area of skin affected. The final composite score ranges from 0 to 72, with a higher score indicating a greater severity of psoriasis

    Measured: Up to 12 months

  17. Proportion of patients achieving PASI50 at M6, M12

    PASI is a common clinical tool used to measure the severity and extent of psoriasis. PASI score is a composite score grading the severity of psoriasis in four body regions according to erythema, scaling, and thickness, and the total area of skin affected. The final composite score ranges from 0 to 72, with a higher score indicating a greater severity of psoriasis

    Measured: Up to 12 months

  18. Proportion of patients achieving PASI75 at M6, M12.

    PASI is a common clinical tool used to measure the severity and extent of psoriasis. PASI score is a composite score grading the severity of psoriasis in four body regions according to erythema, scaling, and thickness, and the total area of skin affected. The final composite score ranges from 0 to 72, with a higher score indicating a greater severity of psoriasis

    Measured: Up to 12 months

  19. Adverse Events (AEs)

    Number of participants with adverse events

    Measured: Up to 24 months

  20. Duration of disease

    Duration of disease will be defined as the length of time the disease has been present, indication by months of years.

    Measured: Baseline

  21. Number of areas of plaque psoriasis

    The number of area of plaque psoriasis will be defined by the number of area observed by the Investigator

    Measured: Baseline

  22. Type of chronic psoriasis involved

    Types if chronic psoriasis, scalp, palmoplantar, genital

    Measured: Baseline

  23. The number of lines of previous systemic treatments

    Number of lines of previous systemic treatments will be described by one line, two lines

    Measured: Baseline

  24. Type of systemic therapy previously administered

    The type of systemic therapies includes corticosteroids, topical, other classification of medications

    Measured: Baseline

  25. Duration of previous chronic psoriasis treatment

    The duration of previous treatment will be described in months, years.

    Measured: Baseline

  26. Number of motivations of the prescription of apremilast

    Motivations will be described by the number of patients with lack of response or intolerance or patient's dissatisfaction regarding the previous treatment.

    Measured: Up to 24 months

  27. Percentage of motivations of the prescription of apremilast

    Motivations will be described by the percentage of patients with lack of response or intolerance or patient's dissatisfaction regarding the previous treatment.

    Measured: Up to 24 months

Timeline

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

  1. First posted28 Nov 2018
  2. Study start25 Sep 2018
  3. Primary completion21 Jul 2021
  4. Study completion10 Sep 2021

Resources

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
Retrospective
Enrolment
453 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03757013
Sponsor's protocol ID
CC-10004-PSOR-021
Other IDs
U1111-1218-9791
Acronym
REALIZE
Status last verified
Dec 2021
First submitted
25 Sep 2018
Last updated
3 Dec 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Jullien D, Richard MA, Halioua B, Bessette C, Derancourt C, Bouloc A. The Needs of Patients with Psoriasis and Benefits of Apremilast in French Clinical Practice: Results from the Observational REALIZE Study. Dermatol Ther (Heidelb). 2023 Jun;13(6):1361-1376. doi: 10.1007/s13555-023-00933-z. Epub 2023 May 19.

    PubMed 37204608

Questions about this trial

What is this clinical trial studying?

An observational study of Psoriasis, run by Amgen at 93 sites in France.

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 3 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 93 sites in France. 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?

Proportion of patients with Patient Benefit Index score (PBI-S) ≥1 at 6 months after initiation of apremilast. (time frame: Up to 6 months). 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 NCT03757013, 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 3 Dec 2021.

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