Raptiva in Palm and Sole Psoriasis

This study has been terminated.
(The study was terminated after the European Medicines Evaluation Agency recommended to suspend the marketing authorisation of Raptiva in the European Union)
Sponsor:
Information provided by:
Merck KGaA
ClinicalTrials.gov Identifier:
NCT00972543
First received: September 4, 2009
Last updated: September 15, 2010
Last verified: September 2010
Results First Received: June 28, 2010  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Primary Purpose: Treatment
Condition: Chronic Plaque Psoriasis
Interventions: Biological: Efalizumab (Raptiva)
Biological: Placebo

  Participant Flow
  Hide Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations

Date of first subject’s first visit: 29 Sep 2008 Date of last subject’s last visit: 25 May 2009 Subjects were screened at 3 centers in Australia, of which 2 centers enrolled subjects.

It was planned to conduct the trial in centers in Australia and Latin America; however, the trial was terminated before most centers were initiated.


Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Screening was performed within 2 weeks prior to starting trial treatment.

Reporting Groups
  Description
Raptiva Double-blind phase, Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks
Placebo Double-blind phase, Placebo for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks

Participant Flow:   Overall Study
    Raptiva     Placebo  
STARTED     5     1  
COMPLETED     0     0  
NOT COMPLETED     5     1  
Adverse Event                 1                 0  
Early study termination by sponsor                 4                 1  



  Baseline Characteristics
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Reporting Groups
  Description
Raptiva Double-blind phase, Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks
Placebo Double-blind phase, Placebo for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks
Total Total of all reporting groups

Baseline Measures
    Raptiva     Placebo     Total  
Number of Participants  
[units: participants]
  5     1     6  
Age  
[units: participants]
     
<=18 years     0     0     0  
Between 18 and 65 years     5     1     6  
>=65 years     0     0     0  
Gender  
[units: participants]
     
Female     2     0     2  
Male     3     1     4  
Region of Enrollment  
[units: participants]
     
Australia     5     1     6  
Negative Serum Pregnancy Test [1]
[units: participants]
     
Negative test     1     0     1  
Not tested (Male or surgically sterile female)     4     1     5  
Negative Urinary Pregnancy Test [2]
[units: participants]
     
Negative test     1     0     1  
Not tested (Male or surgically sterile female)     4     1     5  
[1] Participants with negative serum human chorionic gonadotrophin pregnancy test
[2] Participants with negative urinary human chorionic gonadotrophin pregnancy test



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Palmoplantar Pustular Psoriasis Area and Severity Index (PPPASI)   [ Time Frame: Measured at Screening, Day 0, Day 7, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

2.  Primary:   Static Physician Global Assessment Hands and Feet (sPGA – H&F)   [ Time Frame: Measured at Screening, Day 0, Day 7, Week 4, Week 8, Week 12, Week 16, Week 20 visits and Early Termination Visit ]

3.  Primary:   Psoriasis Area and Severity Index (PASI)   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

4.  Primary:   Static Physician Global Assessment (SPGA)   [ Time Frame: Measured at Screening, Day 0 and Day 7 ]

5.  Primary:   Dynamic Physician's Global Assessment of Change (dPGA)   [ Time Frame: Measured at Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

6.  Secondary:   Participants With Direct Physical Examination Abnormalities   [ Time Frame: Measured at at screening, Day 0, Week 4, Week 12, and Early Termination visits ]

7.  Secondary:   Complaint Directed Physical Examinations   [ Time Frame: Measure at (Day 0, Day 7, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits) ]

8.  Secondary:   Heart Rate   [ Time Frame: Measure at Day 0, Day 7, Week 8, Week 16 and Follow Up and Early Termination visits ]

9.  Secondary:   Arterial Blood Pressure   [ Time Frame: Measure at Day 0, Day 7, Week 8, Week 16 and Follow Up and Early Termination visits ]

10.  Secondary:   Temperature   [ Time Frame: Measure at Day 0, Day 7, Week 8, Week 16 and Follow Up and Early Termination visits ]

11.  Secondary:   Weight Measurements   [ Time Frame: Measured at Screening, Day 0, Day 7, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

12.  Secondary:   Haematology Laboratory Assessments - Haemoglobin   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

13.  Secondary:   Haematology Laboratory Assessments - Haematocrit   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

14.  Secondary:   Haematology Laboratory Assessments - Red Cell Count   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

15.  Secondary:   Haematology Laboratory Assessments - White Cell Count   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

16.  Secondary:   Haematology Laboratory Assessments - Platelets   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

17.  Secondary:   Haematology Laboratory Assessments - Neutrophils   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

18.  Secondary:   Haematology Laboratory Assessments - Lymphocytes   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

19.  Secondary:   Haematology Laboratory Assessments - Monocytes   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

20.  Secondary:   Haematology Laboratory Assessments - Eosinophils   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

21.  Secondary:   Haematology Laboratory Assessments - Basophils   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

22.  Secondary:   Clinical Chemistry Laboratory Assessments - Sodium   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

23.  Secondary:   Clinical Chemistry Laboratory Assessments - Potassium   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

24.  Secondary:   Clinical Chemistry Laboratory Assessments - Urea   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

25.  Secondary:   Clinical Chemistry Laboratory Assessments - Creatinine   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

26.  Secondary:   Clinical Chemistry Laboratory Assessments - Total Bilirubin   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]
  Hide Outcome Measure 26

Measure Type Secondary
Measure Title Clinical Chemistry Laboratory Assessments - Total Bilirubin
Measure Description Participants with abnormal laboratory values considered by the Investigator to be clinically significant reported as adverse events.
Time Frame Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
  Description
Raptiva Double-blind phase, Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks
Placebo Double-blind phase, Placebo for 12 weeks.There then follows an open label extension of Raptiva 0.7mg/kg followed by Raptiva 1mg/kg/wk for a further 12 weeks

Measured Values
    Raptiva     Placebo  
Number of Participants Analyzed  
[units: participants]
  5     1  
Clinical Chemistry Laboratory Assessments - Total Bilirubin  
[units: participants]
   
Subjects without values reported as adverse events     5     1  
Subjects with values reported as adverse events     0     0  

No statistical analysis provided for Clinical Chemistry Laboratory Assessments - Total Bilirubin



27.  Secondary:   Clinical Chemistry Laboratory Assessments - Total Protein   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

28.  Secondary:   Clinical Chemistry Laboratory Assessments - Calcium   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

29.  Secondary:   Clinical Chemistry Laboratory Assessments - Aspartate Transaminase   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

30.  Secondary:   Clinical Chemistry Laboratory Assessments - Alanine Transaminase   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

31.  Secondary:   Clinical Chemistry Laboratory Assessments - Gamma Glutamyl Transpeptidase   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

32.  Secondary:   Clinical Chemistry Laboratory Assessments - Alkaline Phosphatase   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

33.  Secondary:   Clinical Chemistry Laboratory Assessments - C Reactive Protein   [ Time Frame: Measured at Screening, Day 0, Week 4, Week 8, Week 12, Week 16, Week 20, and Early Termination visits ]

34.  Secondary:   Negative Serum Human Chorionic Gonadotrophin (hCG) Pregnancy Test   [ Time Frame: Measured at screening (Day -14 to Day -1) ]

35.  Secondary:   Negative Urinary Human Chorionic Gonadotrophin (hCG) Pregnancy Test   [ Time Frame: Measured at screening (Day -14 to Day -1) ]


  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Nicole Selenko-Gebauer/Medical Responsible
Organization: Merck Serono S.A. – Geneva
phone: +41 22 414 4838
e-mail: nicole.selenko-gebauer@merckserono.net


No publications provided


Responsible Party: Maria Koutsopoulou, Clinical Trial Leader, Merck Serono S.A. - Geneva, an Affiliate of Merck KGaA, Darmstadt, Germany
ClinicalTrials.gov Identifier: NCT00972543     History of Changes
Other Study ID Numbers: 28861
Study First Received: September 4, 2009
Results First Received: June 28, 2010
Last Updated: September 15, 2010
Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica
Brazil: National Health Surveillance Agency
Mexico: Federal Commission for Sanitary Risks Protection
Venezuela: Inst. Rangel
Australia: Australian Council on Health Services