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Efficacy/Safety/Subject Satisfaction/Duration of Response of Clobetasol Propionate Spray vs Ointment in Plaque Psoriasis

Phase 4
Completed
Conditions
Plaque Psoriasis
Interventions
Registration Number
NCT00733954
Lead Sponsor
Galderma R&D
Brief Summary

This study is a comparison between Clobetasol Propionate Spray and Clobetasol Propionate Ointment with Regard to Efficacy, Safety, Subject Satisfaction and Duration of Response in Moderate to Severe Stable Plaque Psoriasis. Subjects will be enrolled and randomized into one of two groups: clobetasol propionate Spray for 4 weeks of treatment or clobetasol propionate ointment for 2 weeks of treatment with a 2 week follow-up visit for each group.

Detailed Description

Same as above.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Subjects with a diagnosis of moderate to severe plaque psoriasis, defined as 3% - 20% of the body surface area. For the purposes of study treatment, most areas will be treated with the exception of face, scalp, groin, axillae and other intertriginous areas
  • Overall disease severity is at least 3 (moderate)
Exclusion Criteria
  • Subjects who have surface area involvement too large that would require more than 50 grams per week of clobetasol propionate spray or more than 50 grams per week of clobetasol propionate ointment
  • Subjects whose psoriasis involves only the scalp, face or groin
  • Subjects with non-plaque psoriasis or other related diseases not classified as plaque psoriasis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
clobetasol propionate ointmentclobetasol propionate ointmentclobetasol propionate ointment 0.05%
clobetasol propionate sprayclobetasol propionate sprayclobetasol propionate spray 0.05%
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Are Clear/Almost Clear of Plaque Psoriasis From Baseline to End of Treatment Based on the Overall Disease Severity (ODS) ScaleBaseline and Week 2 and Baseline and Week 4

Success Rate on Overall Disease Severity (ODS) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe with Clear/Almost Clear being best and Severe/Very Severe being worst) from Baseline to End of Treatment (wk 4 - clobetasol propionate spray; wk 2 - clobetasol propionate ointment)

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Decrease in Signs of Psoriasis (Plaque Elevation) From Baseline to End of TreatmentBaseline and Week 2 and Baseline and Week 4

Success Rate on decrease in Signs of Psoriasis (plaque elevation) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others being failure from Baseline to end of treatment (week 4 for clobetasol propionate spray and week 2 for clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Erythema) From Baseline to After Two Weeks of TreatmentBaseline and Week 2

Success Rate of decrease in Signs of Psoriasis (erythema) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost clear being success and all others being failure from Baseline to after 2 weeks of treatment

Number of Participants Who Are Clear/Almost Clear of Plaque Psoriasis From Baseline to After Two Weeks of Treatment Based on the Overall Disease Severity (ODS) ScaleBaseline and Week 2

Success Rate on Overall Disease Severity (ODS) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being best and Severe/Very Severe being worst from Baseline to after 2 weeks of treatment

Number of Participants Who Are Clear/Almost Clear of Plaque Psoriasis From Baseline to 2 Weeks Post Treatment Based on the Overall Disease Severity (ODS) ScaleBaseline and Week 4 and Baseline and Week 6

Success Rate on Overall Disease Severity scale (Clear/Almost Clear, Moderate, Severe/Very Severe) with Clear/Almost Clear being best and Severe/Very Severe being worst at 2 weeks post treatment (week 6 - clobetasol propionate spray and week 4 - clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Scaling) From Baseline to After Two Weeks of TreatmentBaseline and Week 2

Success Rate of decrease in Signs of Psoriasis (scaling) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost clear being success and all others being failure from Baseline to after 2 weeks of treatment

Number of Participants With Decrease in Signs of Psoriasis (Plaque Elevation) From Baseline to After Two Weeks of TreatmentBaseline and Week 2

Success Rate of decrease in Signs of Psoriasis (plaque elevation) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost clear being success and all others being failure from Baseline to after 2 weeks of treatment

Number of Participants With Decrease in Signs of Psoriasis (Erythema) From Baseline to End of TreatmentBaseline and Week 2 and Baseline and Week 4

Success Rate on decrease in Signs of Psoriasis (erythema) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others failure from Baseline to end of treatment (week 4 for clobetasol propionate spray and week 2 for clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Scaling) From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Success Rate on decrease in Signs of Psoriasis (scaling) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others being failure from Baseline to 2 weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Scaling) From Baseline to End of TreatmentBaseline and Week 2 and Baseline and Week 4

Success Rate on decrease in Signs of Psoriasis (scaling) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others being failure from Baseline to end of treatment (week 4 for clobetasol propionate spray and week 2 for clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Erythema) From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Success Rate on decrease in Signs of Psoriasis (erythema) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others being failure from Baseline to 2 weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Percent Decrease in Body Surface Area Treated (%BSA Treated) From Baseline to After Two Weeks of TreatmentBaseline and Week 2

Percent decrease from baseline in Body Surface Area treated (% BSA treated) from Baseline to after two weeks of treatment

Percent Decrease in Body Surface Area Treated (%BSA Treated) From Baseline to End of TreatmentBaseline and Week 2 and Baseline and Week 4

Percent decrease from baseline in body surface area treated (%BSA treated) from Baseline to end of treatment (week 4 for clobetasol propionate spray and week 2 for clobetasol propionate ointment)

Percent Decrease in Body Surface Area Affected (%BSA Affected) From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Percent decrease in body surface area affected (%BSA affected) from Baseline two weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Number of Participants With Decrease in Signs of Psoriasis (Plaque Elevation) From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Success Rate on decrease in Signs of Psoriasis (plaque elevation) scale (Clear/Almost Clear, Mild, Moderate, Severe/Very Severe) with Clear/Almost Clear being success and all others being failure from Baseline and 2 weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Percent Decrease in Body Surface Area Affected (%BSA Affected) From Baseline to After Two Weeks of TreatmentBaseline and Week 2

Percent decrease in Body Surface Area affected (% BSA affected) from Baseline to after two weeks of treatment

Percent Decrease in Body Surface Area Affected (%BSA Affected) From Baseline to End of TreatmentBaseline and Week 2 and Baseline and Week 4

Percent decrease in body surface area affected (%BSA affected) from Baseline to end of treatment (week 4 for clobetasol propionate spray and week 2 for clobetasol propionate ointment)

Percent Decrease in Body Surface Area Treated (%BSA Treated) From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Percent decrease in body surface area treated (%BSA treated) from Baseline to two weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Number of Participants With Tolerability Assessments Resulting in Adverse Events From Baseline to Two Weeks Post TreatmentBaseline and Week 4 and Baseline and Week 6

Number of Participants with Tolerability assessments (Pruritus, Telangiectasias, Stinging/Burning, Skin atrophy, Folliculitis) resulting in adverse events from Baseline to two weeks post treatment (week 6 for clobetasol propionate spray and week 4 for clobetasol propionate ointment)

Trial Locations

Locations (6)

Solano Clinical Research

🇺🇸

Vallejo, California, United States

Henry Ford Medical Center

🇺🇸

Detroit, Michigan, United States

Baylor Research Institute - Dermatology Research

🇺🇸

Dallas, Texas, United States

East Bay Dermatology Medical Group, Inc.

🇺🇸

Fremont, California, United States

Minnesota Clinical Study Center

🇺🇸

Fridley, Minnesota, United States

Dermatology Associates of Rochester

🇺🇸

Rochester, New York, United States

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