Efficacy and Safety of Calcipotriol Plus Betamethasone Dipropionate Gel for up to a Year in Scalp Psoriasis

The purpose of the trial is to study the safety and efficacy of long term use of once daily applications, as needed, of calcipotriol plus betamethasone dipropionate gel, as compared to calcipotriol alone in the same gel. The primary response criteria will be the incidence of adverse drug reactions of any type, and the incidence of adverse events of concern associated with long-term corticosteroid...

Date First Received: September 15, 2005

Last Updated: August 2, 2007

Verified by: LEO Pharma, August 2007

Clinical Trial Phase: Phase 3 | Start Date: February 2005

Overall Status: Completed

Estimated Enrollment: 800

Brief Summary

Official Title: “Long-Term Treatment of Scalp Psoriasis With Calcipotriol Plus Betamethasone Dipropionate Gel”

Condition Keyword(s):

Additional Keyword(s) Provided by Sponsor:

    Condition MeSH Term(s), Assigned with an Experimental Algorithm:

    Intervention MeSH Term(s), Assigned with an Experimental Algorithm:

    The purpose of the trial is to study the safety and efficacy of long term use of once daily applications, as needed, of calcipotriol plus betamethasone dipropionate gel, as compared to calcipotriol alone in the same gel.

    The primary response criteria will be the incidence of adverse drug reactions of any type, and the incidence of adverse events of concern associated with long-term corticosteroid use on the scalp.

    Study Type: Interventional

    Study Design: Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment

    Intervention(s) in this Clinical Trial

    • Drug: Calcipotriol plus betamethasone dipropionate gel (LEO 80185)

    Outcome Measures for this Clinical Trial

    Primary Measures

    • The proportions of patients who experience adverse drug reactions and the proportion of patients who experience adverse events of concern associated with long-term topical corticosteroid use on the scalp during the study

    Secondary Measures

    • Percentage of post-baseline satisfactorily controlled assessments according to the Investigators' Global Assessment of disease severity during the study

    Criteria for Participation in this Clinical Trial

    Inclusion Criteria:

    • Scalp psoriasis amenable to topical treatment with a maximum of 100 g of study medication per week
    • Clinical signs of psoriasis vulgaris on trunk and/or limbs, or earlier diagnosed with psoriasis vulgaris on trunk and/or limbs
    • Extent of scalp psoriasis involving more than 10% of the total scalp area
    • Disease severity on the scalp graded as Moderate, Severe or Very Severe according to the Investigator's Global Assessment of disease severity

    Exclusion Criteria:

    • PUVA or Grenz ray therapy anywhere on the patient within 28 days prior to randomisation
    • UVB therapy anywhere on the patient within 14 days prior to randomisation
    • Systemic use of biological treatments, whether marketed or not, directed against or with a potential effect on, scalp psoriasis (e.g., alefacept, efalizumab, etanercept, infliximab) within 6 months prior to randomisaiton
    • Systemic treatments with a potential effect on scalp psoriasis vulgaris (e.g., corticosteroids, retinoids, immunosuppressants) within 28 days prior to randomisation
    • Any topical treatment for scalp psoriasis or any other skin disease on the scalp (excluding medicated shampoos, emollients and hair conditioners) within 14 days prior to randomisaiton
    • Topical treatment for other skin disorders with very potent WHO group IV corticosteroids within 14 days prior to randomisation
    • Planned initiation of, or changes in dose of concomitant medication that could affect scalp psoriasis (e.g., beta blockers, antimalarial drugs, lithium) during the study
    • Current diagnosis of guttate, pustular, exfoliative or erythrodermic psoriasis
    • Patients with any of the following conditions present on the scalp area: viral lesions, fungal and bacterial skin infections, parasitic infections and atrophic skin
    • Known or suspected severe renal insufficiency or severe hepatic disorders
    • Patiens with history/signs/symptoms suggestive of an abnormality of calcium homeostasis associated with clinically significant hypercalcaemia
    • Trial subjects should be using an adequate method of contraception

    Gender Eligibility for this Clinical Trial: Both

    Minimum Age for this Clinical Trial: 18 Years

    Maximum Age for this Clinical Trial: N/A

    Are Healthy Volunteers Accepted for this Clinical Trial?: No

    Clinical Trial Sponsor Information

    Lead Sponsor: LEO Pharma

    Overall Clinical Trial Officials and Contacts

    T A Luger, Dr. med. Principal Investigator Universitätsklinikum Münster, Klinik und Poliklinik für Hautkrankheiten  

    Additional Information

    Information obtained from ClinicalTrials.gov on September 07, 2010

    Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00216879

    Study ID Number: MBL 0407 INT

    ClinicalTrials.gov Identifier: NCT00216879

    Health Authority: United States: Food and Drug Administration

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