A Multicenter, Multinational, Open Label Study on the Efficacy and Safety of Infliximab Monotherapy in Moderate-to-severe Chronic Plaque Psoriasis in Middle Eastern Population
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Psoriasis
- Sponsor
- Merck Sharp & Dohme LLC
- Enrollment
- 22
- Primary Endpoint
- Psoriasis Area and Severity Index 75 (PASI75) Response at Week 10
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Middle Eastern subjects with moderate-to-severe chronic plaque psoriasis will be administered infusions of infliximab (Remicade) at 5 mg/kg of body weight at Weeks 0, 2, 6, 14, and 22. The safety and efficacy of infliximab monotherapy will be evaluated.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18 years or older, either gender, and any race.
- •Psoriasis affecting \>=5% of body surface, PASI score \>=10 (maximum score 72).
- •History of plaque psoriasis for \>6 months.
- •Informed written consent.
- •Refractory to other anti-psoriasis agents (topical corticosteroids, phototherapy UVa \[PUVA\], or systemic therapy).
- •Negative chest x-ray and purified protein derivative (PPD) within 1 month.
- •Understand and be able to adhere to dosing and visit schedules.
- •Screening laboratory tests must meet protocol-specified criteria.
- •Women and men of childbearing potential must be using adequate birth control measures and should continue such precautions for 6 months after last infusion of infliximab.
Exclusion Criteria
- •Pregnant, nursing, or planned pregnancy within 6 months after last scheduled treatment.
- •Used topical corticosteroids in previous 14 days or systemic therapy (phototherapy UVb \[UVB\], PUVA, cyclosporine, methotrexate) in previous 28 days, or received treatment with anti-tumor necrosis factor (TNF)-alpha monoclonal antibodies, human or murine immunoglobulins, TNF-alpha receptor fusion proteins, or other bioengineered fusion proteins.
- •Received previous immunobiologics.
- •Have HIV, hepatitis B or C.
- •Recently transplanted (exception - corneal transplant \>3 months prior to first infusion) or known malignancy or history of malignancy within previous 5 years (exception - basal or squamous cell carcinoma of skin that has been treated with no evidence of recurrence).
- •Concurrent medications that are not permitted.
- •congestive heart failure (CHF)
- •Use of cyclosporine or tacrolimus within 4 weeks prior to Screening.
- •Use of intramuscular (IM), intravenous (IV), or oral corticosteroids within 4 weeks prior to Screening.
- •Treatment with any investigational drug within 3 months prior to Screening.
Outcomes
Primary Outcomes
Psoriasis Area and Severity Index 75 (PASI75) Response at Week 10
Time Frame: 10 weeks
PASI 75 response is defined as participants who achieved at least a 75% improvement in PASI score from Baseline to Week 10. The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. The PASI produces a numeric score that can range from 0 to 72 (the higher the number, the worse the disease).