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Pioglitazone in Psoriasis- A Clinical and Molecular Study.

Not Applicable
Completed
Conditions
Psoriasis
Interventions
Drug: actozone A
Drug: actozone B
Registration Number
NCT01133561
Lead Sponsor
Cairo University
Brief Summary

The study will assess the effectiveness of Pioglitazone on cellular and clinical levels in terms of improvement of both skin and systemic manifestations of psoriasis.

The investigators assume that pioglitazone (one of thiazolidinediones readily available in Egypt), can regulate keratinocytes' disordered proliferation observed in psoriasis, in addition to improving the insulin resistance in peripheral tissues observed in many psoriatic patients and causing metabolic syndrome. This will allow to give a safer therapy than the available ones for psoriasis and to treat the patient in a more global perspective.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Age ≥ 18 years and less than 65 years.
  • Plaque psoriasis vulgaris ≥ 10% (apart from palmoplantar psoriasis which will be included).
Exclusion Criteria
  • Age less than 18 years and more than 65 years
  • Mild psoriasis less than 10% body surface area
  • Erythrodermic or pustular psoriasis
  • Liver disease, cardiac disease (suspected from history or ECG), or any other major medical disorder detected by history.
  • Pregnant and lactating females.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
actozone Aactozone APioglitazone 30 mg tablets daily
actozone Bactozone Bplacebo
Primary Outcome Measures
NameTimeMethod
Treatment success detected as clinical improvement of skin condition10 weeks

PASI improvement by at least 50% from baseline before treatment(Psoriasis Area and Severity Index)= PASI-50

Secondary Outcome Measures
NameTimeMethod
Fasting serum insulin reduction from baseline before treatment10 weeks
C-reactive protein titre reduction from baseline value before treatment10 weeks

Trial Locations

Locations (1)

Dermatology department of cairo university faculty of medicine

🇪🇬

Cairo, Egypt

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