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Bexarotene With Narrow-Band UVB for Psoriasis

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00151008
First Posted: September 8, 2005
Last Update Posted: August 7, 2008
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Ligand Pharmaceuticals
Information provided by:
Rutgers, The State University of New Jersey
  Purpose
To determine if bexarotene gel with NBUVB phototherapy is more effective than placebo plus NBUVB for moderate to severe plaque-type psoriasis.

Condition Intervention Phase
Psoriasis Drug: Bexarotene/NBUVB vs placebo NBUVB Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: Investigator-Initiated, Double Blind, Vehicle-Controlled, Bilateral Comparison Trial of Bexarotene (Targretin) Gel 1% vs. Vehicle Gel in Combination With Narrow Band UVB Phototherapy for Moderate to Severe Psoriasis Vulgaris

Resource links provided by NLM:


Further study details as provided by Rutgers, The State University of New Jersey:

Primary Outcome Measures:
  • Mean decrease in target lesion size for drug- and placebo-treated sides. The mean and median changes in target lesion scores will be compared for drug- and vehicle-treated sides. Additionally, target lesions will be photographed.

Estimated Enrollment: 35
Study Start Date: November 2003
Estimated Study Completion Date: August 2005
Detailed Description:
Subjects will be applying active gel or placebo to target lesions to each side of the body in a blinded manner. They will start at three times a week and increase to daily or even twice a day regimen if tolerated. After 2 weeks of application, NBUVB will be added to treatment regimen (whole body, three times a week). Total study time is 10 weeks.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria

  • Patient must be a male or female aged 18 years or older
  • Patient must have moderate to severe psoriasis vulgaris of at least 3% body surface area involvement
  • Patient must have failed prior topical therapy
  • Patient must be willing to minimize sun exposure, to use sun blockers if deemed necessary by the Investigator and to avoid use of tanning booths or other ultraviolet (UV) light sources
  • Women of childbearing potential must have a negative urine ß-HCG pregnancy test with a sensitivity of at least 50 mIU/mL within seven days prior to starting of study gels and repeated every four weeks while patient remains on the study gels. All females of childbearing potential must agree to use 2 effective contraceptive methods or remain sexually abstinent one month prior to initiation of study drug, during the entire study period, and for one month after the last application of Targretin® gel 1%. Acceptable methods of birth control include: condoms with spermicide; diaphragm with spermicide; cervical cap with spermicide; spermicidal sponge; intrauterine device (IUD), oral contraceptives, Depo-Provera; contraceptive implants; vasectomy; or abstinence.
  • Male patients must agree to use condoms with sexual partners of childbearing potential during the entire period of treatment and for at least one month after treatment is discontinued.
  • Patients who are not sexually active and are not using contraception, must agree to use an approved method of contraception (as described above) should they become sexually active during the study

Exclusion Criteria

  • Failure to understand the consent form
  • Inability to comply with protocol requirements
  • Pregnancy
  • Inadequate birth control method
  • Lactation
  • Contraindication to use of topical retinoids
  • Concomitant psoriasis therapies except for emollients and OTC shampoos
  • Systemic psoriasis therapies, systemic Vitamin A in doses > 15,000IU/day, PUVA, (psoralen plus ultraviolet A irradiation), UVB, topical psoriasis therapies (other than emollients and OTC shampoos), other retinoid class drugs or investigational drugs within the past 1 month
  • Current skin cancer
  • History of previous melanoma
  • History of skin sensitizing diseases (such as SLE)
  • Concurrent medical illness that would make participation in this clinical trial ill-advised
  • Patient unwilling or unable to avoid prolonged exposure to the sun or other UV light sources
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00151008


Sponsors and Collaborators
University of Medicine and Dentistry of New Jersey
Ligand Pharmaceuticals
Investigators
Principal Investigator: Melissa Magliocco, MD Rutgers, The State University of New Jersey
  More Information

ClinicalTrials.gov Identifier: NCT00151008     History of Changes
Other Study ID Numbers: 4405
First Submitted: September 6, 2005
First Posted: September 8, 2005
Last Update Posted: August 7, 2008
Last Verified: August 2008

Keywords provided by Rutgers, The State University of New Jersey:
psoriasis
bexarotene
narrow band
UVB

Additional relevant MeSH terms:
Psoriasis
Skin Diseases, Papulosquamous
Skin Diseases
Bexarotene
Anticarcinogenic Agents
Protective Agents
Physiological Effects of Drugs
Antineoplastic Agents