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PsoriasisPhase 3NCT07892339

Efficacy of Crisaborole 2% Ointment Versus Tacrolimus 0.1% Ointment in the Treatment of Intertriginous and/or Anogenital Psoriasis: A Prospective Randomized Controlled Study.

A Phase 3 study testing Crisaborole 2% topical ointment and tacrolimus ointment 0.1% in people with Psoriasis and Psoriasis Genital, run by Cairo University at 1 site in Egypt.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

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Official record

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Trial summary

The goal of this clinical trial is to learn if topical application of crisaborole 2% ointment can treat flexural and/or genital psoriasis in adult patients of both genders. It will also learn about the safety of crisaborole 2% ointment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis, Psoriasis Genital
What is being tested?
Crisaborole 2% topical ointment and tacrolimus ointment 0.1%
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteEgypt
Study dates
25 Oct 2026to 10 Jan 2027
Phase
Phase 3

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

  • Adults (≥18 years) of both genders.
  • A confirmed clinical and dermoscopic diagnosis of intertriginous and/or anogenital psoriasis.
  • PASI<10% and /or BSA<10%.
  • Target Lesion Severity Score (TLSS) ≥ 3.

Who cannot join

  • Generalized Plaque Psoriasis ≥ 10% BSA and /or PASI ≥ 10.
  • Erythrodermic and Pustular Psoriasis.
  • Associated PSA or Other Co-morbidities.
  • Pregnant and lactating females.
  • A documented history of hypersensitivity or severe cutaneous reactions to any component of the active study medications (crisaborole or tacrolimus).
  • Pre-existing signs of skin atrophy, telangiectasia or striae in the target area.
Show all 11Show fewer
  • Clinical or mycological evidence of concurrent fungal or bacterial infection in the target area.
  • Immunosuppressive conditions or concurrent immunosuppressive therapy
  • Use of phototherapy within 1 month prior to enrollment.
  • Use of any topical antipsoriatic therapies within 1 month prior to enrollment.
  • Use of any systemic antipsoriatic therapies within 3 months for conventional systemic agents or biologics, extending to 6 months for patients previously on acitretin.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Riham M Mohamed, MD, MSc., PhD contact

+201066239360

riham.mohye@cu.edu.eg

Egypt1 site
  • Faculty of Medicine, Cairo University

    Cairo

    Riham M Mohamed, MD, MSc., PhD, +201066239360, riham.mohye@cu.edu.eg

Other trials in Egypt

About this study

The goal of this clinical trial is to learn if topical application of crisaborole 2% ointment can treat flexural and/or genital psoriasis in adult patients of both genders. It will also learn about the safety of crisaborole 2% ointment.

The main questions it aims to answer is:

Read more
  • Does crisaborole 2% ointment work effectively in flexural and/or genital psoriasis in adults?
  • is crisaborole 2% ointment well tolerated in flexural and/or genital psoriasis in adults?
  • Is crisaborole 2% ointment comparable to tacrolimus 0.1% ointment in terms of efficacy and safety in flexural and/or genital psoriasis in adults?

Researchers will compare crisaborole 2% ointment to tacrolimus 0.1% ointment to see if crisaborole works as effective and is as well-tolerated.

Participants will:

  • apply topical crisaborole 2% ointment or tacrolimus 0.1% ointment twice daily for 6 weeks to plaques of flexural and/or genital psoriasis.
  • Visit the clinic once every 2 weeks for checkups and photography.
  • Keep a diary of their symptoms.
Read the detailed description

The proposed study is a prospective, open-label randomized clinical study that will enrolled adult patients with intertriginous and/or anogenital psoriasis who will be recruited from KAPU (Kasr Al-Ainy Psoriasis Unit), Dermatology outpatient clinic, Dermatology department, Kasr AlAiny hospitals, Cairo University. The study aims to assess the efficacy, safety and tolerability of crisaborole 2% ointment in the treatment of intertriginous and/or anogenital psoriasis in comparison to tacrolimus 0.1% ointment in adults.

Being tested
Crisaborole 2% topical ointment, tacrolimus ointment 0.1%
Keywords
psoriasis, genital psoriasis, flexural psoriasis, anogenital psoriasis, intertriginous psoriasis, crisaborole, tacrolimus, TLSS, PASI
Medical subject headings
Psoriasis

What participants receive

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

  • Crisaborole 2% topical ointmentDrug

    Participants will be instructed to apply a thin layer of Crisaborole 2% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks. The amount to be applied will be guided by the fingertip unit (FTU), with approximately 1 FTU considered sufficient to cover 2% of adult body surface area (BSA), corresponding roughly to the area of two adult palms

  • tacrolimus ointment 0.1%Drug

    Participants will be instructed to apply a thin layer of Tacrolimus 0.1% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks. The amount to be applied will be guided by the fingertip unit (FTU), with approximately 1 FTU considered sufficient to cover 2% of adult body surface area (BSA), corresponding roughly to the area of two adult palms

Study groups in NCT07892339
Study groupRoleWhat they receive
Crisaborole 2% ointmentExperimentalParticipants will be instructed to apply a thin layer of Crisaborole 2% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks.
Receives: Drug: Crisaborole 2% topical ointment
Tacrolimus 0.1% ointmentActive comparatorParticipants will be instructed to apply a thin layer of Tacrolimus 0.1% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks.
Receives: Drug: tacrolimus ointment 0.1%

What is being measured

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

  1. Target Lesion Severity Score (TLSS)

    The TLSS will be used to assess the clinical severity of a representative psoriatic lesion during the study period. This score is commonly employed in clinical trials evaluating topical therapies for localized psoriasis because it allows detailed assessment of changes within a selected target plaque over time.

    The TLSS evaluates three principal clinical signs of psoriasis: erythema, scaling, and plaque elevation/induration. Each parameter is graded separately on a 5-point scale ranging from 0 to 4, where 0 indicates absence of the sign, 1 indicates mild involvement, 2 moderate involvement, 3 marked involvement, and 4 very marked or severe involvement. The total TLSS is calculated by summing the individual scores, resulting in a total score ranging from 0 to 12, with higher scores reflecting greater lesion severity.

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  2. Static Physician's Global Assessment (sPGA)

    The sPGA is a validated investigator-based assessment tool that rates disease severity at a single point in time based on plaque characteristics including erythema, scaling, and induration. Scores are typically graded on a 5-point scale ranging from 0 (clear) to 4 (severe disease).

    The static Physician's Global Assessment (sPGA) will be used to evaluate the overall clinical severity of psoriasis lesions throughout the study.

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  3. Dynamic Physician Global Assessment (dPGA)

    Dynamic PGA provides a global assessment of the change in psoriasis severity between baseline and the end of treatment. The change will be assessed by comparing standardized clinical photographs that will be obtained at baseline with those that will be obtained at week 6 by a blinded investigator.

    The dynamic PGA will be scored on an 11-point scale ranging from -5 to +5, with positive scores indicating improvement, zero indicating no meaningful change, and negative scores indicating deterioration

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

Secondary outcomes (4)
  1. Visual Analogue Scale (VAS) for Pain and Pruritus

    Subjective localized symptoms, including pain, burning, and itching, will be assessed using a standardized VAS.

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  2. Patient Satisfaction Score

    Subjective overall satisfaction with the assigned topical therapy will be recorded from 0 (unsatisfied) to 10 (completely satisfied) via a standardized scale.

    Measured: At the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  3. Psoriasis Area and Severity Index (PASI)

    The PASI is the most widely used clinician-rated instrument for assessing the severity and extent of psoriasis. It combines the evaluation of lesion severity and the percentage of affected body surface area into a single composite score.

    The body is divided into four regions: head (10%), upper limbs (20%), trunk (30%), and lower limbs (40%). For each region, three clinical signs of psoriasis-erythema (redness), induration (thickness), and desquamation (scaling)-are rated on a 5-point scale from 0 (none) to 4 (severe); The area affected in each region is scored from 0 (0%) to 6 (90-100%). Regional scores are then weighted and summed to produce a total PASI score ranging from 0 to 72, with higher scores indicating greater disease severity.

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  4. Dermatology Life Quality Index (DLQI)

    Validated Arabic translation will be used. DLQI is a validated questionnaire which grades QoL by assessing the following domains: (a) physical symptoms and feelings (questions 1 and 2), (b) daily activities (questions 3 and 4), (c) leisure (questions 5 and 6), (d) work/school (questions 7), (e) personal relationships (questions 8 and 9), and (f) treatment (question 10).

    Each question is scored as "very much" (score 3), "a lot" (score 2), "a little" (score 1), and "not at all" (score 0), keeping in mind the problems faced the previous week due to the disease. Final DLQI score is the sum of all scores (range 0-30).

    High scores indicate poor QoL.

    Measured: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

Timeline

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

  1. First posted23 Oct 2026
  2. Study start25 Oct 2026 (estimated)
  3. Primary completion13 Dec 2026 (estimated)
  4. Study completion10 Jan 2027 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A prospective randomized comparative controlled study
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07892339
Sponsor's protocol ID
MS-629-2025
Status last verified
Oct 2026
First submitted
17 Oct 2026
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hashim PW, Chima M, Kim HJ, Bares J, Yao CJ, Singer G, Chen T, Genece J, Baum D, Kimmel GW, Nia JK, Gagliotti M, Lebwohl MG. Crisaborole 2% ointment for the treatment of intertriginous, anogenital, and facial psoriasis: A double-blind, randomized, vehicle-controlled trial. J Am Acad Dermatol. 2020 Feb;82(2):360-365. doi: 10.1016/j.jaad.2019.06.1288. Epub 2019 Jul 3.

    PubMed 31279028
  • Dattola A, Silvestri M, Bennardo L, Del Duca E, Longo C, Bianchi L, Nistico S. Update of calcineurin inhibitors to treat inverse psoriasis: A systematic review. Dermatol Ther. 2018 Nov;31(6):e12728. doi: 10.1111/dth.12728. Epub 2018 Oct 8.

    PubMed 30295379
  • Li H, Zuo J, Tang W. Phosphodiesterase-4 Inhibitors for the Treatment of Inflammatory Diseases. Front Pharmacol. 2018 Oct 17;9:1048. doi: 10.3389/fphar.2018.01048. eCollection 2018.

    PubMed 30386231
  • Milakovic M, Gooderham MJ. Phosphodiesterase-4 Inhibition in Psoriasis. Psoriasis (Auckl). 2021 Mar 17;11:21-29. doi: 10.2147/PTT.S303634. eCollection 2021.

    PubMed 33763335
  • Reynolds KA, Pithadia DJ, Lee EB, Wu JJ. Treatments for inverse psoriasis: a systematic review. J Dermatolog Treat. 2020 Dec;31(8):786-793. doi: 10.1080/09546634.2019.1620912. Epub 2019 May 31.

    PubMed 31100992
  • Beck KM, Yang EJ, Sanchez IM, Liao W. Treatment of Genital Psoriasis: A Systematic Review. Dermatol Ther (Heidelb). 2018 Dec;8(4):509-525. doi: 10.1007/s13555-018-0257-y. Epub 2018 Aug 25.

    PubMed 30145740
  • Yang EJ, Beck KM, Sanchez IM, Koo J, Liao W. The impact of genital psoriasis on quality of life: a systematic review. Psoriasis (Auckl). 2018 Aug 28;8:41-47. doi: 10.2147/PTT.S169389. eCollection 2018.

    PubMed 30214891
  • Dopytalska K, Sobolewski P, Blaszczak A, Szymanska E, Walecka I. Psoriasis in special localizations. Reumatologia. 2018;56(6):392-398. doi: 10.5114/reum.2018.80718. Epub 2018 Dec 23.

    PubMed 30647487

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