NCT01511315已完成4 期
A Single-Center, Open-Label Study to Assess Change in Psychosocial and Occupational Dimensions With Ustekinumab Treatment of Moderate-to-Severe Psoriasis Evaluated With the Psychological General Well Being (PGWB), Work Productivity and Activity Impairment (WPAI), Psoriasis Quality of Life-12 Items (PQOL-12), and Dermatology Life Quality Index (DLQI)
适应症
干预措施
相关药物
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Improvement in Quality of Life Measured by Change in Psychological General Well-Being Scale (PGWB) at Week 36 From Baseline.
研究概览
简要总结
This study aims to see if patient quality of life can be approved after treatment with an injectable medication called ustekinumab for the treatment of generalized psoriasis. The investigators hypothesize that the investigators will see improvement in quality of life.
详细描述
The primary objective of this study is to demonstrate improvement in psoriasis patient quality of life after 36 weeks with ustekinumab through the use of validated dermatologic and non-dermatologic psychometric instruments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects are non-immunocompromised males or females 18 years of age or older
- •Subjects have moderate-to-severe (≥10% total body surface area) plaque psoriasis
- •Subject diagnosed at least 6 months prior to entering the study
- •Negative urine pregnancy test within 7 days before the first dose of ustekinumab in all women (except those surgically sterile or at least 5 years postmenopausal)
- •Sexually active subjects of childbearing potential must agree to use medically acceptable form of contraception during screening and throughout the study.
- •Are considered eligible according to the following tuberculosis (TB) screening criteria:
- •Have no history of latent or active TB prior to screening. An exception is made for subjects currently receiving treatment for latent TB with no evidence of active TB, or who have a history of latent TB and documentation of having completed appropriate treatment for latent TB within 3 years prior to the first administration of study agent. It is the responsibility of the investigator to verify the adequacy of previous antituberculous treatment and provide appropriate documentation.
- •Have no signs or symptoms suggestive of active TB upon medical history and/or physical examination.
- •Have had no recent close contact with a person with active TB or, if there has been such contact, will be referred to a physician specializing in TB to undergo additional evaluation and, if warranted, receive appropriate treatment for latent TB prior to or simultaneously with the first administration of study agent.
- •Within 1 month prior to the first administration of study agent, have a negative QuantiFERON-TB Gold test result, or have a newly identified positive QuantiFERON-TB Gold test result in which active TB has been ruled out and for which appropriate treatment for latent TB has been initiated either prior to or simultaneously with the first administration of study agent. The QuantiFERON-TB Gold test are not required at screening for subjects with a history of latent TB and ongoing treatment for latent TB or documentation of having completed adequate treatment as described above; Subjects with documentation of having completed adequate treatment as described above are not required to initiate additional treatment for latent TB.
- •Have a chest radiograph both posterior-anterior and lateral views, taken within 3 months prior to the first administration of study agent and read by a qualified radiologist, with no evidence of current, active TB or old, inactive TB.
- •Subject meets concomitant medication requirements or agrees to complete a washout for restricted medications prior to starting the study.
- •Washout Period :
- •Must not have initiated or changed any other medications that could affect psoriasis (e.g. beta blockers, lithium salts, antimalarials) within the 4 week period prior to Week 0 or during the study
- •Subjects must not have received immunosuppressive, chemotherapy and/or systemic therapy including oral calcineurin inhibitors (such as cyclosporine), retinoids (Vitamin A and analogues), Methotrexate, Azathioprine, 6-thioguanine, Mycophenolate mofetil (MMF), Hydroxyurea, or cytokines (such as interferon-gamma) within the 4 week period prior to Week 0 or during the study
- •Subjects must not have received phototherapy (broadband or narrow-band UVB) within the 2 week period prior to Week 0 or during the study.
- •Subjects must not have received photochemotherapy (PUVA) within the 4 week period prior to week 0 or during the study
- •Subjects must not have received TNF-α inhibitors (such as infliximab, etanercept, adalimumab) within the 12 week period prior to Week 0 or during the study
- •Subjects must not have received alefacept within the 12 week period prior to Week 0 or during the study.
- •Subjects must not have received ustekinumab within the 12 week period prior to Week 0 or during the study.
- •Subjects must not have received treatment with an investigational drug within the previous 4 weeks or 5 half-lives prior to Week 0 (whichever is longer) or participation in another clinical trial within the 4 week period prior to Week 0 or during the study
排除标准
- •Subject is younger than 18 years of age.
- •Subject has less than 10% body surface involvement of his/her psoriasis.
- •Subjects with erythrodermic, pustular, or guttate psoriasis
- •History of known or suspected intolerance to any of the ingredients of the investigational study product.
- •Evidence of skin conditions other than psoriasis that would interfere with study-related evaluations of psoriasis.
- •Evidence of active infections such as fevers, chills, sweats, or history of untreated Lyme disease and active severe infections within 4 weeks before screening visit, or between the screening and Week 0 visits
- •Subject has a history of listeriosis, untreated TB, persistent or active infections requiring hospitalization or treatment with IV antibiotics, IV antiretrovirals, or IV antifungals within 30 days of baseline, or oral antibiotics, antivirals, or antifungals for purpose of treating infection, within 14 days of baseline.
- •Have a history of latent or active granulomatous infection, including histoplasmosis or coccidioidomycosis, prior to screening.
- •Refer to inclusion criteria for information regarding eligibility with a history of latent TB.
- •Have had a Bacille Calmette-Guerin (BCG) vaccination within 12 months of screening.
- •Have a chest radiograph within 3 months prior to the first administration of study agent that shows an abnormality suggestive of malignancy or current active infection, including TB.
- •Have had a nontuberculous mycobacterial infection or opportunistic infection (eg. Cytomegalovirus, pneumocystosis, aspergillosis) within 6 months prior to screening.
- •History of immune compromised status [e.g. human immunodeficiency virus (HIV) positive status or other immune suppressing drug] or a congenital or acquired immunodeficiency or subject testing positive for HIV, Hepatitis B, and/or Hepatitis C during screening procedures.
- •Subject has a poorly controlled medical condition including, but not limited to, unstable cardiovascular disease, poorly controlled diabetes, recent stroke, history of recurrent infections, or any other condition for which, in the opinion of the investigator, participation in the study would place the subject at risk
- •Subject has a history of or ongoing drug or alcohol abuse
- •Subject is not willing to comply with wash-out requirements (see above)
- •Subject is known, or suspected of being unable to comply with the study protocol
研究组 & 干预措施
Ustekinumab
Experimental
干预措施: Ustekinumab (Drug)
结局指标
主要结局
Improvement in Quality of Life Measured by Change in Psychological General Well-Being Scale (PGWB) at Week 36 From Baseline.
时间窗: Baseline, 36 weeks
The PGWB is a self-administered validated psychometric instrument that measures a person's emotional well-being. It is specifically designed to be suitable for assessing psychological well being in the general medical population as opposed to a psychiatric population. The 22 questions of the PGWB can be further divided into 6 domains: anxiety, depressed mood, positive well being, self-control, general health, and vitality. The PGWB is graded on a Likert scale, which is commonly used in psychometric questionnaires where the answers range from strongly agree to strongly disagree with gradations in between. Total scores range from 0 to 110, with higher scores indicating better psychological well being. This instrument has been validated and used in many countries on large samples of the general population and on various subsets of medical patients.
次要结局
- Percentage of Patients Achieving PGA of Clear or Almost Clear at Weeks 12, 24, and 36(Weeks 12, 24, and 36)
- Change in Work Productivity and Activity Impairment Scale (WPAI-PSO) Over Time at Week 36 From Baseline(Baseline, 36 Weeks)
- Percentage of Patients Achieving PASI-75 at Weeks 12, 24, and 36(Weeks 12, 24, and 36)
- Change in Psychological General Well-Being Scale (PGWB) Over Time (at Weeks 12 and 24) From Baseline(Baseline, 12 and 24 weeks)
- Change in Psoriasis Quality of Life - 12 Items (PQOL-12) Over Time (at Weeks 12, 24, and 36) From Baseline(Baseline, 12, 24, and 36 Weeks)
- Change in Dermatology Life Quality Index (DLQI) Over Time (at Weeks 12, 24, and 36) From Baseline(Baseline, 12, 24, and 36 Weeks)
研究者
研究点 (1)
Loading locations...
相似试验
已完成
2 期
A Study on Efficacy (Effectiveness), Safety, and Impact on Quality of Life Measures of Dilaudid CR (Controlled Release);, Hydromorphone HCl in Patients With Chronic Low Back PainLow Back PainNCT00398788Alza Corporation, DE, USA207
撤回
不适用
An Exploratory Investigation to Assess Changes in Quality of Life for Individuals With Type 2 Diabetes After Taking a Meal-replacement Shake.Diabetes Mellitus, Type 2NCT05129735Teatis, Inc
已完成
不适用
An Open-Label Clinical Study to Evaluate the Efficacy of a Face Cream and Eye CreamWrinkleFine LinesPhotoagingNCT04911374Revision Skincare45
已完成
3 期
A Study of Bonviva/Boniva (Ibandronate) in Biphosphonate-Naïve Women With Post-Menopausal OsteoporosisPost Menopausal OsteoporosisNCT01290094Hoffmann-La Roche41
已完成
不适用
A 12 Week Study to Evaluate the Efficacy of an Eye CreamPeriorbital HyperpigmentationPeriorbital EdemaFine LinesWrinkleNCT05807620Revision Skincare40