MedPath

Brain Changes in Psoriasis After Secukinumab Treatment

Phase 4
Completed
Conditions
Psoriasis
Healthy
Interventions
Registration Number
NCT04717466
Lead Sponsor
University of Miami
Brief Summary

The purpose of this study is to assess the effect of a biologic drug targeting the Interleukin (IL)-17 pathway (secukinumab) on brain plasticity and examine whether the plastic changes correlate with the improvement of perception of well-being, itch, and pain in participants with psoriasis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Psoriasis GroupSecukinumabPsoriasis participants will be given Secukinumab for a total of 4 months. This is a 300mg subcutaneous injection that will occur at weeks 0, 1, 2, 3, 4, 8, and 12.
Primary Outcome Measures
NameTimeMethod
Change in Brain ActivityBaseline to Week 4 (Visit 3)

Changes in brain activity in participants will be measured using Arterial Spin Labeling (ASL) MRI from baseline to week 4. ASL quantifies cerebral blood flow CBF in units of ml/100g/min (milliliters of blood per 100 grams of tissue per minute).

Change in Gray Matter DensityBaseline to Week 4 (Visit 3)

Change in brain anatomy for participants will be reported as the change in average gray matter density as measured by Voxel Based Morphometry (VBM) analysis of Magnetic Resonance Imaging (MRI) scans from baseline to week 4

Secondary Outcome Measures
NameTimeMethod
Change in Itch Score as Measured by the NRSBaseline to Week 4 (Visit 3)

Itch will be measured using the Numerical Rating Scaling (NRS) ranging from 0 (no itch) to 10 (the worst itch imaginable) baseline to week 4 in psoriasis participant group only.

Change in Pain Score as Measured by the NRSBaseline to Week 4 (Visit 3)

Pain will be measured using a Numerical Rating Scaling (NRS) ranging from 0 (no pain) to 10 (the worst pain imaginable) baseline to week 4 in psoriasis participant group only.

Change in PASI ScoresBaseline to Week 4 (Visit 3)

Severity of psoriasis will be measured using the Psoriasis Area and Severity Index (PASI), ranging from 0 to 100 with a higher score indicating more severe psoriasis, from baseline to week 4 in psoriasis participant group only.

Change in Participant Well-being as Measured by WHO-5Baseline to Week 4 (Visit 3)

Well-being will be measured using the 5-item World Health Organization Well-Being Index (WHO-5), ranging from 0 to 25 with a higher score indicating better well-being, from baseline to week 4.

Change in Quality of Sleep as Measured by a Sleep Numerical Rating Scale ScoresBaseline to Week 4 (Visit 3)

Changes in participants' quality of sleep by using the Numerical Rating Scaling (NRS) ranging from 0 to 10, with a higher score indicating lower sleep quality between baseline, from baseline to week 4.

Change in Physical Activity as Measured by 7D-PARBaseline to Week 4 (Visit 3)

Physical activity will be measured using the 7-days physical activity recall (7D-PAR), with 0 denoting no exercise and a higher score indicating more physical activity (there is not cap for this score), from baseline to week 4.

Changes in Stress in Daily Life as Measured by PSQBaseline, Up to Week 4 (Visit 3)

Stress in daily life in psoriasis participants will be measured using the Perceived Stress Questionnaire (PSQ), ranging from 0 to 1 with a higher score indicating more stress, from baseline to week 4.

Trial Locations

Locations (1)

University of Miami

🇺🇸

Miami, Florida, United States

University of Miami
🇺🇸Miami, Florida, United States

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