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PsoriasisPhase 4ReSPONSENCT00992394

Study Comparing 2 Different Strategies For Management of Subjects With Plaque Psoriasis Who Have Responded to Etanercept

A Phase 4 study testing etanercept in people with Psoriasis, run by Pfizer at 46 sites in 9 countries.

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

This study proposes to compare 2 different methods for managing a subject with psoriasis who has achieved good disease control, as defined by a clinical response with a Physician Global Assessment (PGA) inferior or equal to 1 at the screening visit, on etanercept treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis
What is being tested?
etanercept
Could I receive a placebo?
No, everyone receives an active treatment
How many people
174 participants
Where
46 sitesin 9 countries
Study dates
Jan 2010to Apr 2013
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Eighteen (18) years of age or older at the time of consent.
  • Previously treated with etanercept for chronic plaque psoriasis for at least 12 weeks prior to the screening visit and received a total weekly dose of 50 mg per week for at least the 6 weeks preceding the day of the screening visit
  • Having shown clinical response with a PGA inferior or equal to 1 at the screening visit.
  • PGA inferior or equal to 1 at the baseline visit.

Who cannot join

  • Evidence of skin conditions (eg, eczema) other than psoriasis that would interfere with evaluations of the effect of study medication on psoriasis.
  • Evidence of active or previously known medical history of inflammatory arthritis (eg, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis).
  • Any biologics other than etanercept within the 20 weeks prior to the screening visit.

Trial locations and contacts

46 sites in 9 countries.

46 sites in 9 countries

Turkey (Türkiye)11 sites
  • Gulhane Askeri Tip Akademisi Tip Fakultesi

    Ankara, Etlik, 06010

  • Gulhane Askeri Tip Fakultesi

    Ankara, Etlik, 06018

  • Gulhane Military Medical Academy, Faculty of Medicine

    Ankara, Etlik, 06018

  • Gazi Universitesi

    Ankara, Sihhiye, 06100

  • Hacettepe Universitesi

    Ankara, Sihhiye, 06100

  • Hacettepe Universitesi

    Ankara

  • Ege Universitesi Tip Fakultesi Dermatoloji Anabilim Dali

    Bornova / Izmir, 35100

  • Uludag Universitesi

    Bursa, Gorukle, 16059

  • Istanbul Universitesi

    Istanbul, Capa, 34390

  • Bezm-i Alem Vakif Universitesi Tip Fakultesi Hastanesi

    Istanbul, Fatih, 34093

  • T.C. Saglik Bakanligi Marmara Universitesi Egitim ve Arastirma Hastanesi Dermatoloji Anabilim Dali

    Pendik, Istanbul, 34890

Other trials in Turkey (Türkiye)

France10 sites
  • Centre Hopitalier St Jacques (Place St Jacques)

    Besançon, 25030

  • CHU Dupuytren

    Limoges, 87042

  • Service de Chirurgie Infantile

    Lyon, 69437

  • C.H.U Nantes

    Nantes, 44093

  • CHU de l Archet

    Nice, 06202

  • Hopital Saint Louis

    Paris, 75010

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • CHU de Poitiers

    Poitiers, 86000

  • C.H.U de Reims

    Reims, 51100

  • Hôpital Purpan

    Toulouse, 31059

Other trials in France

Germany7 sites
  • Klinik fuer Dermatologie, Allergologie und Venerologie

    Berlin, 10117

  • St. Josef-Klinikum

    Bochum, 44791

  • Universitaetsklinikum Erlangen Hautklinik im Internistischen Zentrum

    Erlangen, 91054

  • J. W. Goethe Universitaet Frankfurt, Zentrum fuer Dermatologie und Venerologie

    Frankfurt am Main, 60590

  • Klinikum der Albert-Ludwigs-Universitaet

    Freiburg im Breisgau, 79104

  • Universitätsklinikum-Eppendorf Martinistr. 20, Hamburg 20158

    Hamburg, 20246

  • Dermatologische Gemeinschaftspraxis Rosenbach

    Osnabrück, 49078

Other trials in Germany

Spain6 sites
  • Fundacion Hospital Alcorcon

    Alcorcón, Madrid, 28922

  • Hospital General Universitario Alicante C/ Maestro Alonso, 1

    Alicante, Alicante, 3010

  • Hospital Universitario de Getafe

    Getafe, Madrid, 28905

  • Hospital La Paz

    Madrid, Madrid, 28046

  • Virgen de la VICTORIA

    Málaga, Malaga, 29010

  • Hospital Universitario Marques de Valdecilla

    Santander, Cantabria, 39008

Other trials in Spain

Hungary4 sites
  • Semmelweis Egyetem, Bor-, Nemikortani es Boronkologiai Klinika

    Budapest, 1085

  • Debreceni Egyetem Orvos-és Egészségtudományi Centrum

    Debrecen, 4012

  • Miskolci Egeszsegugyi Kozpont

    Miskolc, 3529

  • SZTE, Szent-Gyorgyi Albert Klinikai Kozpont, Borgyogyaszati es Allergologiai Klinika

    Szeged, 6720

Other trials in Hungary

Italy3 sites
  • Clinica Dermatologica - Universita' di Catania

    Catania, 95123

  • Centro di Ricerca Clinica Fondazione Universita' degli Studi Gabriele D'Annunzio

    Chieti, 66013

  • U.O. Dermatologia

    Parma, 43100

Other trials in Italy

Greece2 sites
  • "Andreas Sygros" Hospital

    Athens, 16121

  • Papageorgiou General Peripheral Hospital of Thessaloniki

    Thessaloniki, 56429

Other trials in Greece

United Kingdom2 sites
  • Harrogate District Hospital

    Harrogate, Harrogate, HG2 7SX

  • Whipps Cross Hospital

    London, E11 1NR

Other trials in United Kingdom

United Arab Emirates1 site
  • Sheikh Khalifa Medical City

    Abu Dhabi, UAE, 51900

Other trials in United Arab Emirates

About this study

Official title: Randomized Open-label Study Comparing 2 Different Strategies For Management Of Subjects With Plaque Psoriasis Who Have Responded To Etanercept Treatment

This study proposes to compare 2 different methods for managing a subject with psoriasis who has achieved good disease control, as defined by a clinical response with a Physician Global Assessment (PGA) inferior or equal to 1 at the screening visit, on etanercept treatment.

The first method involves stopping etanercept treatment on entry into the study, with the option to reinitiate etanercept at 50 mg once weekly after medical review and agreement between the subject and the investigator. The second method involves continuing on etanercept at 25 mg once weekly, with the option to increase the dose to 50 mg once weekly after medical review and agreement between the subject and the investigator. Subjects will be randomized into one of these two study arms.

Conditions
Psoriasis
Being tested
etanercept
Keywords
Plaque psoriasis - etanercept - response maintenance
Medical subject headings
Psoriasis

What participants receive

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

  • etanerceptDrug

    etanercept 50 mg once weekly as requested.

  • etanerceptDrug

    etanercept 25 mg or 50 mg as requested.

Study groups in NCT00992394
Study groupRoleWhat they receive
Arm 1OtherSubjects randomized to arm 1 stop their etanercept treatment on entry into the study and may be retreated by etanercept 50 mg once weekly after medical review and agreement between the subject and the investigator
Receives: Drug: etanercept
Arm 2OtherSubjects randomized to arm 2 in which subjects continue on treatment with etanercept at 25 mg once weekly, but with the option to have their drug treatment increased to 50 mg once weekly after medical review and agreement between the subject and the investigator
Receives: Drug: etanercept

What is being measured

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

  1. Time-Normalized Area Under Curve (AUC) of Physician Global Assessment (PGA) of Psoriasis Score at Week 52

    PGA psoriasis is scored on a 5-point scale, reflecting a global consideration of the erythema, induration and scaling across all psoriatic lesions. PGA of Psoriasis scale ranges from 0 (no psoriasis) to 5 (severe disease). 'Clear' and "Almost clear' includes all participants who were scored as a 0 or 1. For participants who discontinued the study before week 52, the final PGA score was carried forward to the remaining time points before calculating the 52-week AUC. The AUC was calculated on the PGA score profile with the method of trapeziums from baseline visit to visit 52. The time-normalized AUC is defined as the ratio between AUC and the expected treatment period (days): AUC/ 52 weeks*7days + 1.

    Measured: Week 52

Secondary outcomes (18)
  1. Time-Normalized Area Under Curve (AUC) of Dermatology Life Quality Index (DLQI) at Week 52

    DLQI is the dermatology-specific quality of life measure used for psoriatic population. The 10-item questionnaire has a score range of 0 to 30 with higher scores indicating poor quality of life. An estimate of the minimal clinically important difference of the DLQI total score is a 5 point improvement. Total score range: 0 (best) to 30 (worst).

    Measured: Week 52

  2. Patient Psoriasis Satisfaction Questionnaire (PSSQ): The Overall Appearance of Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  3. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Flaking Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  4. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Redness of the Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  5. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Tightness of the Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  6. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Bleeding of the Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  7. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Burning Sensation in the Skin, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  8. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Skin Pain, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  9. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Joint Pain, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  10. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Your Comfort Level With Your Personal Appearance, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  11. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Anxiety, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  12. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Depression, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  13. Patient Psoriasis Satisfaction Questionnaire (PSSQ): Fatigue, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  14. Patient Psoriasis Satisfaction Questionnaire (PSSQ): How Others Respond to Your Personal Appearance at Work/School, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  15. Patient Psoriasis Satisfaction Questionnaire (PSSQ): How Your Skin Affects Your Social and Leisure Activities, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  16. Patient Psoriasis Satisfaction Questionnaire (PSSQ): How Satisfied Were You With Your Psoriasis Treatment in General? at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  17. Patient Psoriasis Satisfaction Questionnaire (PSSQ): I Would Like to Continue With my Current Psoriasis Treatment, at Baseline, Before Retreatment, and at the End of Retreatment

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Baseline to Week 52

  18. Physician Global Assessment (PGA) of Disease Activity at Week 52

    Participants completed a satisfaction survey at baseline and throughout the study. Participants were asked to rate, based on their experience during the past week, how satisfied or dissatisfied they were with their psoriasis therapy in general. Responses were based on a 5-point scale: Very dissatisfied (0) to very satisfied (4), and never had this problem (5).

    Measured: Week 52

Timeline

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

  1. First posted9 Oct 2009 (estimated)
  2. Study startJan 2010
  3. Primary completionApr 2013
  4. Study completionApr 2013

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
174 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00992394
Sponsor's protocol ID
0881X1-4535
Other IDs
B1801021, 2008-004439-39, 2008
Acronym
ReSPONSE
Status last verified
Dec 2015
First submitted
8 Oct 2009
Last updated
8 Jan 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing etanercept in people with Psoriasis, run by Pfizer at 46 sites in 9 countries.

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 3 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 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in Turkey (Türkiye), France, Germany, Spain, Hungary and 4 more countries. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Jan 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Time-Normalized Area Under Curve (AUC) of Physician Global Assessment (PGA) of Psoriasis Score at Week 52 (time frame: Week 52). 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 Jan 2016.

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