Real World Study on the Efficacy and Safety of Apremilast in Chinese Patients with Moderate to Severe Plaque Psoriasis, a Multi Center, Prospective, Observational Trial(REACT)
Overview
- Phase
- Not Applicable
- Intervention
- Apremilast
- Conditions
- Psoriasis
- Sponsor
- First Hospital of China Medical University
- Enrollment
- 360
- Locations
- 2
- Primary Endpoint
- DLQI or PASI improvement
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This is a multicenter, one-arm, prospective, observational study,intended to assess evaluation of efficacy and safety of Apremilast in Chinese patients with moderate-to-severe plaque psoriasis。During this study, it is expected to collect data at at baseline and weeks 2, 6, 10, 16, and 20 after treatment。
Investigators
Xing hua Gao
First Hospital of China Medical University
First Hospital of China Medical University
Eligibility Criteria
Inclusion Criteria
- •Males or females, ≥ 18 years of age at the time of signing the informed consent document;
- •Patients with moderate-to-severe plaque psoriasis:Simultaneously meet (1)and (2): (1)PASI≥ 3;(2) DLQI ≥ 6;
- •Subject is a candidate for phototherapy and/or systemic therapy
- •Patients who wish to be treated with Apremilast and sign the informed consent
Exclusion Criteria
- •Allergy to Apremilast or any component of the study drug;
- •Use of phototherapy within 4 weeks prior to randomization;Use of systemic drugs or biologic agents within 4 half-life periods prior to randomization;Patients with inadequate response or intolerance to previous systemic therapy do not need to consider drug washout;
- •Currently using potent cytochrome P450 enzyme inducers (e.g., rifampin, phenobarbital, carbamazepine, phenytoin, etc.);
- •History of substance abuse, suicide attempts, or mental illness;
- •Patients who are currently pregnant, breastfeeding, or planning a pregnancy during the study observation period;
- •Pustular type, erythroderma type and other psoriasis patients;
- •Other circumstances that investigators don't consider appropriate to include.
Arms & Interventions
Apremilast
Dosage of Apremilast(Otezla®) from 10mg qd, titrate to recommended dosage of 30 mg BID,recommended by specification.
Intervention: Apremilast
Outcomes
Primary Outcomes
DLQI or PASI improvement
Time Frame: 16 week
At week 16,Proportion of patients with DLQI improvement (DLQI ≤5 or DLQI improvement by ≥4 points from baseline) or PASI improvement (PASI \<3)
Secondary Outcomes
- PASI, PGA, BSA, DLQI, pruritus VAS and pain VAS(16 week)
- DLQI improvement(10 week)