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PsoriasisNCT05513014

Impact of Secukinumab on Clinical and Patient Reported Outcomes in Patients With Psoriasis

An observational study of Psoriasis, run by Novartis Pharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study was conducted to describe the demographics, disease characteristics, disease severity, comorbidities and patient reported outcomes at baseline and follow-up periods among adult patients diagnosed with PsO in CorEvitas' PsO Registry under routine medical care initiating secukinumab (SEC). Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Psoriasis
What is being tested?
Secukinumab
How many people
1,518 participants
Where
1 siteUnited States
Study dates
21 Mar 2021to 31 Aug 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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with psoriasis who initiated Secukinumab

Who may be able to join

  • The patient must:
  • Have been diagnosed with PsO by a dermatologist.
  • Be at least 18 years of age.
  • Be willing and able to provide written informed consent for participation in the registry.
  • Have started on or switched to an eligible systemic PsO treatment at enrollment1 or within the previous 12 months of the date of enrollment.

Who cannot join

  • Patient is participating in or planning to participate in an interventional clinical trial with a nonmarketed or marketed investigational drug (i.e. phase I-IV drug trial).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Pharmaceuticals

    East Hanover, New Jersey, 07936-1080

Other trials in United States

About this study

Official title: Impact of Secukinumab on Clinical and Patient Reported Outcomes in Patients With Psoriasis in a Real World Setting in the US (Bionaive Secukinumab Users NVS 521)

The study was conducted to describe the demographics, disease characteristics, disease severity, comorbidities and patient reported outcomes at baseline and follow-up periods among adult patients diagnosed with PsO in CorEvitas' PsO Registry under routine medical care initiating secukinumab (SEC).

Read the detailed description

This is a retrospective analysis of a prospective observational cohort using CorEvitas' PsO registry of adult PsO patients. This study describes clinical and patient reported outcomes among adult patients initiating Secukinumab (SEC). Biologic experienced and naïve patients are examined separately. This study also describes changes in clinical and patient reported outcomes over time.

CorEvitas' Psoriasis Registry is a prospective, observational cohort of adult PsO patients starting systemic therapy, launched in April 2015 with sites in the US and Canada. Data collection occurs every ~6 months at routine dermatology visits. This study included US PsO patients who initiated secukinumab at or after enrollment and had a subsequent 6- and/or 12-month follow-up visit (Apr 2015 to Dec 2020).The index date is defined as the date of the first SEC initiation at or after enrollment.

Conditions
Psoriasis
Being tested
Secukinumab
Medical subject headings
Psoriasis

What participants receive

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

  • SecukinumabDrug

    Patients with Psoriasis who initiated Secukinumab

Study groups in NCT05513014
Study groupRoleWhat they receive
Secukinumab: Overall CohortPatients with Psoriasis who initiated Secukinumab
Receives: Drug: Secukinumab
Biologic ExperiencedPatients who had the history of use of ≥1 biologic medication for the treatment of PsO at the time of SEC initiation
Biologic NaivePatients who had no history of use of biologic medication for the treatment of PsO at the time of SEC initiation

What is being measured

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

  1. Age

    Age was reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  2. Gender

    Gender was reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  3. Race

    Race was reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  4. Ethnicity

    Ethnicity was reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  5. Body weight

    Body weight was reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  6. Number of patients: Weight category

    Number of patients with Weight category were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  7. Number of patients: CDC BMI categories

    Number of patients with CDC BMI categories were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  8. Number of patients: Smoking history

    Number of patients with Smoking history were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  9. Number of patients: Alcohol use history

    Number of patients with Alcohol use history were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  10. Number of patients: Insurance type

    Number of patients with Insurance type were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  11. Number of patients: Provider region (US Census Bureau)

    Number of patients with Provider region (US Census Bureau) were reported to describe the sociodemographic characteristics of the patients.

    Measured: Baseline

  12. Psoriasis duration

    Psoriasis duration was reported to describe the Disease characteristics of the patients.

    Measured: Baseline

  13. Age at onset of PsO symptoms

    Age at onset of PsO symptoms was reported to describe the Disease characteristics of the patients.

    Measured: Baseline

  14. Number of patients: Morphology

    Number of patients with Morphology were reported to describe the disease characteristics of the patients.

    Measured: Baseline

  15. Number of patients: Comorbid psoriatic arthritis (PsA)

    Number of patients with Comorbid psoriatic arthritis (PsA) were reported to describe the disease characteristics of the patients.

    Measured: Baseline

  16. Psoriatic arthritis duration

    Psoriatic arthritis duration was reported to describe the Disease characteristics of the patients.

    Measured: Baseline

  17. Number of patients: History of comorbidities/toxicities

    Number of patients with History of comorbidities/toxicities were reported to describe the disease characteristics of the patients.

    Measured: Baseline

  18. Number of patients: History of IBD

    Number of patients with History of IBD were reported to describe the disease characteristics of the patients.

    Measured: Baseline

  19. Number of patients: Any infection

    Number of patients with any infection were reported to describe the disease characteristics of the patients.

    Measured: Baseline

  20. Dermatology Life Quality Index (DLQI) (Score: 0-30)

    The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: Baseline

  21. Number of patients: DLQI: Effect on life

    The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: Baseline

  22. Patient global assessment (PGA)

    The PGA scoring system is based on response to treatment as measured by lesion erythema, induration, and scale, with score assignments that range from clear, almost clear, mild, moderate, to severe.

    Measured: Baseline

  23. Patient itch assessment (VAS: 0-100)

    Patient itch assessment was reported to evaluate overall, how severe was the itch from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline

  24. Patient fatigue assessment (VAS: 0-100)

    Patient fatigue assessment was reported to evaluate overall, how severe was the fatigue from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline

  25. Patient skin pain assessment (VAS: 0-100)

    Patient skin pain assessment was reported to evaluate overall, how severe was the skin pain from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline

  26. Patient health state today (EQ-5D VAS: 0-100)

    Questions: Given questions in the following 5 dimensions: (a) mobility, (b) self-care, (c) usual activities, (d) pain/discomfort and (e) anxiety/depression.

    With each dimension scored in 3 levels: 1 = {(a)-(c) =No problems, (d)=No pain, (e)=Not anxious or depressed}; 2 = {(a)-(c) = Some problems, (d) = Moderate pain or discomfort, (e ) = Moderately anxious or depressed}; 3={(a) = Confined to bed, (b)-(c)= Unable to do, (d) = Extreme pain or discomfort, (e) = Extremely anxious or depressed} With each dimension scored in 5 levels: 1 = No problems, 2 = Slight problems, 3 = Moderate problems, 4 = Severe problems, 5 = Extreme problems.

    Measured: Baseline

  27. Number of patients: Mobility problems

    Included the following: No problems, some problems, confined to bed

    Measured: Baseline

  28. Number of patients: Self-care problems

    Included the following: No problems, some problems, unable

    Measured: Baseline

  29. Number of patients: Usual activities problems

    Included the following: No problems

    Measured: Baseline

  30. Number of patients: Some problems

    Included the following: Unable

    Measured: Baseline

  31. Number of patients: Pain or discomfort

    Included the following: None, moderate and extreme

    Measured: Baseline

  32. Number of patients: Work Productivity and Activity Impairment Questionnaire (WPAI) (0 to 100%)

    Questions:1 = Currently employed? 2 = Hours missed due to psoriasis? 3 = Hours missed other reasons? 4 = Hours actually worked? 5 = Degree problem affected productivity while working (VAS (0 to 100) measurement)? 6 = Degree problem affected regular activities (VAS (0 to 100) measurement)? Scores: Multiply scores by 100 to express in percentages for reported categories: Percent work time missed due to problem: Q2/(Q2+Q4) Percent impairment while working due to problem: Q5/10 Percent overall work impairment due to problem: Q2/(Q2+Q4)+[(1-(Q2/(Q2+Q4)))x(Q5/10)] Percent activity impairment due to problem: Q6/10

    Measured: Baseline

  33. PASI (Score: 0-72)

    PASI (Score: 0-72) was reported to describe the PsO Specific Measures of the patients.

    Measured: Baseline

  34. BSA (% involvement)

    BSA (% involvement) was reported to describe the PsO Specific Measures of the patients.

    Measured: Baseline

  35. Number of patients: BSA categorical

    Number of patients with BSA categorical were reported to describe the PsO Specific Measures of the patients.

    Measured: Baseline

  36. Number of patients: Investigator Global Assessment

    Number of patients with Investigator Global Assessment were reported to describe the PsO Specific Measures of the patients.

    Measured: Baseline

  37. Number of patients: PEST Score

    Number of patients with PEST Score were reported to describe the PsO Specific Measures of the patients.

    Measured: Baseline

  38. Number of patients: Therapies - Prior and Concomitant Drugs

    Included the following:

    Unique prior biologic count Prior biologic exposures Unique prior non-biologic count Prior non-biologic exposures Nonbiologic naïve Current or prior topical use Concomitant non-biologic systemics

    Measured: Baseline

  39. Number of patients: Primary reason for SEC initiation

    Number of patients with Primary reason for SEC initiation

    Measured: Baseline

Secondary outcomes (10)
  1. Change from baseline in Investigator Global Assessment (IGA)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  2. Change from baseline in PASI (Score: 0-72)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  3. Change from baseline in BSA (% involvement)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  4. Change from baseline in Patient health state today (EQ-5D VAS: 0-100)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  5. Change from baseline in WPAI summary scores

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  6. Change from baseline in DLQI (Score: 0-30)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  7. Change from baseline in Patient global assessment

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    The PGA scoring system is based on response to treatment as measured by lesion erythema, induration, and scale, with score assignments that range from clear, almost clear, mild, moderate, to severe.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  8. Change from baseline in Patient itch assessment (VAS: 0-100)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Patient itch assessment was reported to evaluate overall, how severe was the itch from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  9. Change from baseline in Patient fatigue assessment (VAS: 0-100)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Patient fatigue assessment was reported to evaluate overall, how severe was the fatigue from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

  10. Change from baseline in Patient skin pain assessment (VAS: 0-100)

    Changes in continuous outcomes between baseline, 6 and 12 month follow-up visit among patients remaining on SEC at 6 and 12 months, by prior biologic use.

    Patient skin pain assessment was reported to evaluate overall, how severe was the skin pain from psoriasis in the past week. The score ranged from 0 to 100, where negative change indicated that the score declined over time.

    Measured: Baseline, 6 and 12 months follow-up visits post index ( The index date is defined as the date of the first SEC initiation at or after enrollment i.e. Apr 2015 to Dec 2020)

Timeline

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

  1. First posted23 Aug 2022
  2. Study start21 Mar 2021
  3. Primary completion31 Aug 2021
  4. Study completion31 Aug 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
1,518 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05513014
Sponsor's protocol ID
CAIN457AUS31
Status last verified
Nov 2022
First submitted
22 Aug 2022
Last updated
8 Nov 2022
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Psoriasis, run by Novartis Pharmaceuticals at 1 site in United States.

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 1 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 8 Nov 2022. 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 United States. 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?

Age (time frame: Baseline). The study lists 39 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 8 Nov 2022.

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