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PsoriasisCARENCT05132231

Canadian Real World Evidence Study of Brodalumab in Plaque Psoriasis to Understand the Impact on Quality of Life and Work Productivity

An observational study of Psoriasis, run by Bausch Health Americas, Inc. at 42 sites in Canada.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a phase IV, 12-month observational, prospective, open-label, multi-center study that will be conducted across approximately 50 sites in Canada for an estimated study duration of 32 months. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis
What is being tested?
Brodalumab and Matched cohort
How many people
394 participants
Where
42 sitesCanada
Study dates
22 Oct 2021to Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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: Participants initiating brodalumab as part of routine clinical care and who meet all of the inclusion and none of the exclusion criteria are eligible to participate in the study.

Who may be able to join

  • Aged ≥ 18 years old at the time of verbal consent to participate in the study.
  • Initiating brodalumab as part of routine clinical care through the SILIQ (brodalumab) Patient Support Program (PSP) for the treatment of plaque psoriasis but has not yet received their first dose. Decision to treat with brodalumab must have been reached prior to and independently of recruitment in the study.
  • Must be able to read, understand, and communicate in English or French.
  • Willing and able to provide informed consent on an online platform using an Independent Ethics Committee (IEC) or Institutional Review Board (IRB) approved electronic Informed Consent Form (ICF) in English or French.

Who cannot join

  • Not willing or able to complete ePROs (electronic Patient Reported Outcomes) on an online platform (using a computer or mobile device).
  • Participation in brodalumab phase IV study (NCT04149587).
  • Participation in an interventional clinical trial concurrently or within the last 30 days prior to providing verbal consent to participate in this study.
  • Patient with Crohn's disease or with clinically significant hypersensitivity to brodalumab or to any of the excipients or component of the container (contraindications as per the Product Monograph).
  • Presence of any other serious and/or uncontrolled medical condition that, in the opinion of the investigator, prohibits the patient from participating in the study.

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

Canada42 sites
  • CARE Site 11

    Ajax, Ontario, L1S 7K8

  • CARE Site 05

    Barrie, Ontario, L4M 7G1

  • CARE Site 42

    Calgary, Alberta, T2J 7E1

  • CARE Site 26

    Calgary, Alberta, T2W 4X9

  • CARE Site 15

    Calgary, Alberta, T5J 3S9

  • CARE Site 38

    Drummondville, Quebec, J2B 5L4

  • CARE Site 18

    Edmonton, Alberta, T5J 3S9

  • CARE Site 41

    Edmonton, Alberta, T6G 1C3

  • CARE Site 21

    Edmonton, Alberta, T6W 0J5

  • CARE Site 37

    Edmonton, Alberta, T6X 0N9

  • CARE Site 06

    Greater Sudbury, Ontario, P3C 1XB

  • CARE Site 20

    Guelph, Ontario, N1L 0B7

  • CARE Site 14

    Hamilton, Ontario, L8N 1Y2

  • CARE Site 24

    Hamilton, Ontario, L9B 1K5

  • CARE Site 07

    Laval, Quebec, H7N 6L2

  • CARE Site 50

    Laval, Quebec, H7P K7

  • CARE Site 23

    London, Ontario, N6A 2C2

  • CARE Site 22

    London, Ontario, N6A 5R9

  • CARE Site 09

    London, Ontario, N6H 5L6

  • CARE Site 33

    Markham, Ontario, L3P 1X3

  • CARE Site 44

    Mississauga, Ontario, L4W 0C2

  • CARE Site 04

    Montreal, Quebec, H2E 1V4

  • CARE Site 51

    Niagara Falls, Ontario, L2E 6A6

  • CARE Site 48

    North York, Ontario, M3B 0A7

  • CARE Site 27

    Oshawa, Ontario, L1H 1B9

  • CARE Site 46

    Québec, Quebec, G1V T3

  • CARE Site 30

    Québec, Quebec, G1W 4R4

  • CARE Site 17

    Québec, Quebec, G3K 2P8

  • CARE Site 13

    Richmond Hill, Ontario, L4C 9M7

  • CARE Site 35

    Saint Johns, Newfoundland and Labrador, A1E 1V4

  • CARE Site 52

    Saint-Charles-Borromée, Quebec, J6E 4P6

  • CARE Site 39

    Saint-Jérôme, Quebec, J7Z 7E2

  • CARE Site 03

    Saskatoon, Saskatchewan, S7T 0G3

  • CARE Site 47

    Sherbrooke, Quebec, J1L 0H8

  • CARE Site 28

    Sherwood Park, Alberta, T8H 0P1

  • CARE Site 49

    Toronto, Ontario, M2N 3A6

  • CARE Site 16

    Toronto, Ontario, M5A 3R6

  • CARE Site 31

    Vancouver, British Columbia, V5Z 1M9

  • CARE Site 40

    Westmount, Quebec, H3Z 2S6

  • CARE Site 32

    Whitby, Ontario, L1N 8M7

  • CARE Site 36

    Winnipeg, Manitoba, R3C 0N2

  • CARE Site 12

    Winnipeg, Manitoba, R3M 3Z4

Other trials in Canada

About this study

Official title: CARE: A CAnadian Real World Evidence Study of Brodalumab in Plaque Psoriasis to Understand the Impact on Quality of Life and Work Productivity

This is a phase IV, 12-month observational, prospective, open-label, multi-center study that will be conducted across approximately 50 sites in Canada for an estimated study duration of 32 months. All eligible adult participants who are enrolling into the SILIQ Patient Support Program (PSP) and initiating brodalumab as per routine care may be offered participation in the study. If the participant agrees, their verbal consent and details will be entered into the study platform by the enrolling physician so that the participant can access the electronic informed consent form. Participants who meet the eligibility criteria and provide electronic informed consent will be enrolled in the study. The study observation period will be 12 months (±15 days). Data will be collected on approximately 500 participants across academic and community centers.

Conditions
Psoriasis
Being tested
Brodalumab, Matched cohort
Medical subject headings
Psoriasis

What participants receive

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

  • BrodalumabBiological

    Brodalumab

  • Matched cohortBiological

    Matched cohort

Study groups in NCT05132231
Study groupRoleWhat they receive
Brodalumab initiatorEligible adult participants who are enrolling into the SILIQ (brodalumab) Patient Support Program (PSP) and initiating brodalumab as per routine care.
Receives: Biological: Brodalumab
Matched cohortParticipants treated with other therapies, with similar characteristics as the subgroup (participants who can be linked to an administrative health services database) of brodalumab treated participants such as age, gender/sex, comorbidities, and prior biologic experience.
Receives: Biological: Matched cohort

What is being measured

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

  1. The percentage change from baseline of the Dermatology Life Quality Index (DLQI) at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Dermatology Life Quality Index (DLQI) measure is self administered and includes domains of daily activities, leisure, personal relationships, symptoms and feelings, treatment, and work/school. Each item has four response categories, ranging from 0 (not at all or not relevant) to 3 (very much) assessing the impact of the disease over the last week. The DLQI total score is a sum of the 10 questions. Scores range from 0 to 30 and higher scores indicate greater health-related quality-of-life impairment.

    Measured: baseline, 3 months, 6 months, 12 months

  2. The percentage change from baseline of the Work Productivity and Activity Impairment: Psoriasis (WPAI:PSO) component scores at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Work Productivity and Activity Impairment: Psoriasis (WPAI:PSO) is a validated self-reported 6-item questionnaire that allows quantitative assessment of the effects of PsO on work productivity, daily activities, and classroom impairment. Scores are calculated as percentages of hours worked and percentages of productivity at work on workdays for respondents who are employed at the time of questionnaire completion.

    Measured: baseline, 3 months, 6 months, 12 months

  3. The percentage change from baseline of the Health Utility Index (HUI2) at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Health Utility Index (HUI2) is a 15-item questionnaire that allows researchers to classify the health status of patients and consists of seven attributes (sensation, mobility, emotion, cognition, self-care, pain, and fertility). Health state levels for descriptive responses are converted to health utilities scores using single- and multi-attribute utility functions that consist of look-up tables and mathematical formulae. Utility values for HUI2 range from -0.03 to 1.00, where a value of 1.00 indicates perfect health and a score of 0.00 corresponds to death. Negative scores represent health states considered to be worse than death.

    Measured: baseline, 3 months, 6 months, 12 months

  4. The mean Treatment Satisfaction Questionnaire for Medication (TSQM) domain scores at baseline, 3 months, 6 months, and 12 months post-brodalumab initiation.

    The self-administered Treatment Satisfaction Questionnaire for Medication (TSQM) questionnaire is along 4 dimensions: medication effectiveness, side effects of use, convenience of use, and global/overall satisfaction. The scale for TSQM scores ranges from 0 (extremely dissatisfied) to 100 (extremely satisfied).

    Measured: baseline, 3 months, 6 months, 12 months

Secondary outcomes (25)
  1. The number and percentage of patients on brodalumab at baseline, 3 months, 6 months, and 12 months post-initiation by key patient demographics and clinical characteristics.

    Key demographics and clinical characteristics include: prior biologic experience, age, gender, province, disease duration, number of comorbidities.

    Measured: baseline, 3 months, 6 months, 12 months

  2. The number and percentage of patients that initiated brodalumab achieving a Psoriasis Area Severity Index (PASI) response of 75, 90 or 100 at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Psoriasis Area Severity Index (PASI) score (0 to 72) is a calculation of plaque qualities, including induration/infiltration (plaque thickness), erythema, and desquamation (scaling), and the area involved with PsO (48). The investigator or qualified designee will score plaque erythema, scaling and induration (on a scale of 0 to 4) and area of involvement (on a scale of 0 to 6) for 4 body areas: head and neck, upper extremities, trunk, and lower extremities.

    Measured: baseline, 3 months, 6 months, 12 months

  3. The number and percentage of patients that initiated brodalumab achieving an Static Physicians Global Assessment (sPGA) score of 0 or 1 at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Static Physicians Global Assessment (sPGA) scale (0 [clear] to 4 [severe]) is designed to evaluate the assessor's global assessment of the patient's psoriasis.

    Measured: baseline, 3 months, 6 months, 12 months

  4. The number and percentage of patients that initiated brodalumab achieving a 2 grade or more improvement compared to baseline of the Static Physicians Global Assessment (sPGA) score at 3 months, 6 months, and 12 months post-brodalumab initiation.

    The Static Physicians Global Assessment (sPGA) scale (0 [clear] to 4 [severe]) is designed to evaluate the assessor's global assessment of the patient's psoriasis.

    Measured: baseline, 3 months, 6 months, 12 months

  5. The percentage change from baseline of the Psoriasis Symptom Inventory (PSI) at 3, 6, and 12 months post-brodalumab initiation.

    Psoriasis Symptom Inventory (PSI): The severity of itch, redness, scaling, burning, stinging, cracking, flaking, and pain over the last 24 hours is assessed on a scale of 0 to 4 (0 - not at all, 1- mild, 2 - moderate, 3- severe, 4- very severe) for a total score of 32, with higher scores indicating more severe disease

    Measured: baseline, 3 months, 6 months, 12 months

  6. The number and percentage of Adverse Events (AEs) or (Serious Adverse Events) SAEs reported over 12 months post-brodalumab initiation.

    Measured: 12 months

  7. Reasons for discontinuation of brodalumab therapy.

    Discontinuation reason is captured on the case report form.

    Measured: 12 months

  8. The number and percentage of patients who initiated brodalumab and remained on treatment after 3 months, 6 months and 12 months post-brodalumab initiation.

    Measured: 12 months

  9. The mean and median time to brodalumab discontinuation.

    Measured: 12 months

  10. The number of patients encountering psoriasis-related physician

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  11. Associated costs of patients encountering psoriasis-related physician

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  12. The number of patients encountering hospital visit

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  13. Associated costs of patients encountering hospital visit

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  14. The number of patients encountering emergency room (ER) visits

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  15. Associated costs of patients encountering emergency room (ER) visits

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  16. The number of patients encountering psoriasis-related procedures

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  17. Associated costs of patients encountering psoriasis-related procedures

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures.

    Measured: baseline, 3 months, 6 months, 12 months

  18. The number of psoriasis-related physician encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  19. The associated costs of psoriasis-related physician encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  20. The number of hospital encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  21. The associated costs of hospital encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  22. The number of emergency room (ER) visit encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  23. The associated costs of emergency room (ER) visit encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  24. The number of psoriasis-related procedures encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

  25. The associated costs of psoriasis-related procedures encounters in a subgroup of patients treated with brodalumab and a matched cohort at 12 months post brodalumab initiation.

    Healthcare encounters include: psoriasis-related physician, hospital and emergency room (ER) visits, as well as psoriasis-related procedures

    Measured: 12 months

Timeline

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

  1. First posted24 Nov 2021
  2. Study start22 Oct 2021
  3. Primary completion5 Feb 2025
  4. Study completionDec 2026 (estimated)

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
Other
Time perspective
Prospective
Enrolment
394 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05132231
Sponsor's protocol ID
BHC-CANDerm-003
Acronym
CARE
Status last verified
Sep 2026
First submitted
22 Oct 2021
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Psoriasis, run by Bausch Health Americas, Inc. at 42 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 4 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 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?

This study is still under way. Results are not available in the source record yet.

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?

The percentage change from baseline of the Dermatology Life Quality Index (DLQI) at 3 months, 6 months, and 12 months post-brodalumab initiation. (time frame: baseline, 3 months, 6 months, 12 months). The study lists 4 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 30 Sep 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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