MedPath

Optimising adalimumab treatment in psoriasis with concomitant methotrexate.

Recruiting
Conditions
Moderate to severe psoriasis
Registration Number
NL-OMON24479
Lead Sponsor
Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

Have a diagnosis of moderate to severe plaque psoriasis (PASI≥8 at time of screening);

-Is a candidate for the treatment with biologic drugs according to the pertaining guidelines;

Exclusion Criteria

-History of significant MTX or adalimumab toxicity, intolerability or contraindication

-Prior treatment with adalimumab

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The drug survival at one year.
Secondary Outcome Measures
NameTimeMethod
-Efficacy expressed as the proportion of patients achieving PASI 75 and 90 at week 13, 25, 37 and 49 and reduction of absolute PASI at these timepoints; <br>-Change in PGA (patient global assessment) and IGA (investigator global assessment); <br>-Average adalimumab serum trough concentrations and ADA titers; <br>-Change in impact on Quality of life (Skindex 29 and DLQI); <br>-Treatment satisfaction (measured by TSQM); <br>-Occurrence of (serious) adverse events; <br>-Patient characteristics (age, gender, ethnicity, BMI, PsA, smoking, alcohol use, disease duration, disease severity by PASI, concomitant medication, naïve for biologics versus non-naïve (perhaps specified per biologic), trial medication and potential other co-variates (e.g. genetic polymorphisms). <br>
© Copyright 2025. All Rights Reserved by MedPath