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Differential effect of adalumimab versus etanercept on apoptosis in the psoriatic ski

Completed
Conditions
arthritis psoriatica
10003816
10023213
10040790
Registration Number
NL-OMON30655
Lead Sponsor
niversitair Medisch Centrum Groningen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
10
Inclusion Criteria

1. Man and woman older than 18 year en younger than 75 year
2. Diagnosis of Psoriatic arthritis with involvement of the peripheral joints
3. Failure on etanercept therapy as measured by PASI and DAS
4. Indication for treatment with etanercept according to the LABAG guidelines
5. Active disease despite treatment with methotrexate and etanercept, MTX >_ 15 mg/wk in a stable dosis during 3 months; still active skin lesions despite MTX and etanercept treatment
5. Corticosteroids (max 10 mg/day) en NSAID*s stable dose.
6. Signed informed consent.

Exclusion Criteria

1. Rheumatoid arthritis and/or other autoimmune diseases
2. Pregnancy / breastfeeding.
3. TBC/ hepatitis b or c or other chronic infections.
4. Contraindications for TNF-alpha like a malignancy or a chronic demyelinating disease.
5. No participation in another study.
6. No PUVA or vitamine D treatment during 1 month before and during the study.

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary<br /><br>1. Amount of apoptotic cells<br /><br>2. Evaluation of cellular infiltrates</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary<br /><br>1. Clinical improvement; DAS response criteria, PASI skin score.</p><br>
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