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Long Term Safety and Efficacy Study of Calcitriol 3 mcg/g Ointment in Pediatric Subjects With Plaque Psoriasis

Phase 4
Completed
Conditions
Psoriasis Vulgaris
Interventions
Registration Number
NCT02125279
Lead Sponsor
Galderma R&D
Brief Summary

The objective of this study is to evaluate the safety and efficacy of up to 26 weeks of treatment with calcitriol 3 mcg/g ointment when used twice daily, without occlusion, to treat pediatric subjects (2 to 16 years and 11 months of age) with mild to moderate plaque psoriasis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
54
Inclusion Criteria
  • Male or female 2 to 16 years and 11 months of age
  • Clinical diagnosis of stable mild to moderate plaque psoriasis
Exclusion Criteria
  • Other forms of psoriasis
  • Hypercalcemia
  • Past history of kidney stones
  • Vitamin D deficiency
  • Other concomitant dermatological disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Calcitriol ointmentCalcitriol-
Primary Outcome Measures
NameTimeMethod
Change From Screening in Serum Albumin Levels at Week 4Screening, Week 4

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 4 were reported.

Change From Screening in Serum Albumin Levels at Week 12Screening, Week 12

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 12 were reported.

Change From Screening in Serum Albumin Levels at Week 26Screening, Week 26

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 26 were reported.

Change From Screening in Serum Albumin Levels at Week 30 (Follow-up)Screening, Week 30 (Follow-up)

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 30 were reported.

Change From Screening in Urine Calcium/Creatinine Ratio at Week 30 (Follow-up)Screening, Week 30 (Follow-up)

Change from screening (the last test prior to the first study medication application) in urine calcium/creatinine ratio at week 30 were reported.

Change From Screening in Serum Albumin Levels at Week 8Screening, Week 8

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 8 were reported.

Change From Screening in Urine Calcium/Creatinine Ratio at Week 26Screening, Week 26

Change from screening (the last test prior to the first study medication application) in urine calcium/creatinine ratio at week 26 were reported.

Change From Screening in Serum Albumin Levels at Week 20Screening, Week 20

Change from screening (the last test prior to the first study medication application) in serum albumin levels at week 20 were reported.

Change From Screening in Serum Phosphate Levels at Week 12Screening, Week 12

Change from screening (the last test prior to the first study medication application) in serum phosphate levels at week 12 were reported.

Change From Screening in Serum Parathyroid Hormone Levels at Week 26Screening, Week 26

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 26 were reported.

Change From Screening in Serum Phosphate Levels at Week 4Screening, Week 4

Change from screening (the last test prior to the first study medication application) in serum phosphate levels at week 4 were reported.

Change From Screening in Serum Phosphate Levels at Week 20Screening, Week 20

Change from screening (the last test prior to the first study medication application) in serum phosphate levels at week 20 were reported.

Change From Screening in Serum Phosphate Levels at Week 26Screening, Week 26

Change from screening (the last test prior to the first study medication application) in serum phosphate levels at week 26 were reported.

Change From Screening in Serum Phosphate Levels at Week 30 (Follow-up)Screening, Week 30 (Follow-up)

Change from screening (the last test prior to the first study medication application) in serum phosphate levels at week 30 were reported.

Change From Screening in Serum Parathyroid Hormone Levels at Week 8Screening, Week 8

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 8 were reported.

Change From Screening in Serum Parathyroid Hormone Levels at Week 12Screening, Week 12

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 12 were reported.

Change From Screening in Urine Calcium/Creatinine Ratio at Week 12Screening, Week 12

Change from screening (the last test prior to the first study medication application) in urine calcium/creatinine ratio at week 12 were reported.

Change From Screening in Serum Parathyroid Hormone (PTH) Levels at Week 4Screening, Week 4

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 4 were reported.

Change From Screening in Serum Parathyroid Hormone Levels at Week 20Screening, Week 20

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 20 were reported.

Number of Participants With Treatment Emergent Adverse Events (TEAEs)Up to Week 30

An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE is defined as an AE with an onset date on or after the first application of the study drug.

Change From Screening in Serum Parathyroid Hormone Levels at Week 30 (Follow-up)Screening, Week 30 (Follow-up)

Change from screening (the last test prior to the first study medication application) in serum PTH levels at week 30 were reported.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Percent (%) Body Surface Area (BSA) at Each VisitBaseline, Weeks 4, 8, 12, 20, 26 and 30 (Follow-up)

Percent BSA was calculated by modified rules of nines (pediatric participants). Estimate were made from the following for a child up to the age of one year: head and neck total for front and back - 18%; thorax and abdomen-front -18%; thorax and abdomen-back - 18%; each upper limb total for front and back - 9%; each lower limb total for front and back - 14%. For over the age of one year, the relative percentage of BSA changes as follows: the head decreases by 1% per year and the lower limbs increase by 0.5% per year. By the age of ten years, the relative proportions assume the values for adult BSA as follows: perineum becomes 1%; each lower limb becomes a total of 18% front and back; head and neck become 9% total for front and back.

Number of Participants With Investigator's Global Assessment of Disease Severity (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Each VisitWeeks 4, 8, 12, 20, 26 and 30 (Follow-up)

The IGA is a 0 to 4 point scale. Where, 0 = clear (no signs of psoriasis except for residual hypopigmentation/hyperpigmentation); 1 = almost clear (just perceptible erythema, no induration, and no scaling); 2 = mild (mild erythema, no induration, and mild or no scaling); 3 = moderate (moderate erythema, mild induration, and mild or no scaling); 4 = severe (severe erythema, moderate to severe induration, and scaling of any degree).

Change From Baseline in Pruritus Score at Each VisitBaseline, Weeks 4, 8, 12, 20, 26 and 30 (Follow-up)

Pruritus was scored on a 0 to 4 point scale. Where, 0 = none (no-itching); 1 = mild (slight itching, not really bothersome); 2 = moderate (definite itching that is somewhat bothersome without loss of sleep); 3 = severe (intense itching that has caused pronounced discomfort, night rest interrupted); 4 = very severe (very severe itching that has caused pronounced discomfort during the night and daily activities). Positive change from baseline indicate worsening of indication.

Trial Locations

Locations (16)

Johnson Dermatology

🇺🇸

Fort Smith, Arkansas, United States

Advanced Skincare Surgery & Medcenter

🇺🇸

Burbank, California, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Dawes Fretzin Clinical Research Group

🇺🇸

Indianapolis, Indiana, United States

Northwest Arkansas Clinical Trials Center, PLLC

🇺🇸

Rogers, Arkansas, United States

Shideler Clinical Research Center

🇺🇸

Carmel, Indiana, United States

Arlington Research Center for Dermatology

🇺🇸

Arlington, Texas, United States

UZ Gent Dermatology Department

🇧🇪

Gent, Belgium

CHU Sainte-Justine

🇨🇦

Montreal, Quebec, Canada

Charité Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

Lynderm Research Inc.

🇨🇦

Markham, Ontario, Canada

Universitäts-Hautklinik Mainz, Johannes Gutenberg-Universität Mainz

🇩🇪

Mainz, Germany

Padova University Hospital

🇮🇹

Padova, Italy

University Hospital Carl Gustav Carus

🇩🇪

Dresden, Germany

University of Parma

🇮🇹

Parma, Italy

Montefiore Medical Center

🇺🇸

New York, New York, United States

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