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CTRI Number  CTRI/2025/07/090447 [Registered on: 08/07/2025] Trial Registered Prospectively
Last Modified On: 07/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the effect of Tablet Apremilast with Tablet Tofacitinib in Psoriasis vulgaris treatment. 
Scientific Title of Study   A comparitive study on the therapeutic efficacy of Tablet Apremilast and Tablet Tofacitinib in the treatment of chronic plaque type psoriasis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Abirami T 
Designation  Postgraduate 
Affiliation  Thanjavur Medical College 
Address  Room No 32 Department of DVL Thanjavur Medical College Thanjavur

Thanjavur
TAMIL NADU
613004
India 
Phone  9884717848  
Fax    
Email  abits02@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Balajiganesh 
Designation  Assistant Professor 
Affiliation  Thanjavur Medical College 
Address  Room No 20 Department of DVL Thanjavur Medical College Thanjavur

Thanjavur
TAMIL NADU
613004
India 
Phone  9865639594  
Fax    
Email  drbalajikmu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Balajiganesh 
Designation  Assistant Professor 
Affiliation  Thanjavur Medical College 
Address  Room No 20 Department of DVL Thanjavur Medical College Thanjavur

Thanjavur
TAMIL NADU
613004
India 
Phone  9865639594  
Fax    
Email  drbalajikmu@gmail.com  
 
Source of Monetary or Material Support  
Out patient department Department of DVL Thanjavur Medical College Thanjavur Pincode 613004 Tamilnadu India  
 
Primary Sponsor  
Name  Dr Abirami T 
Address  Room No 32 Department of DVL Thanjavur Medical College Thanjavur pincode 613004 Tamilnadu India 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abirami T  Thanjavur Medical College  Room Number 32 Department of DVL Outpatient department Thanjavur Medical College Thanjavur Pincode 613004 Tamilnadu India
Thanjavur
TAMIL NADU 
9884717848

abits02@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Thanjavur Medical College Institutional Ethical Committee For Human Studies  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L400||Psoriasis vulgaris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Tablet Apremilast 30 mg OD  Group A will be given Tablet Apremilast 30mg OD daily 
Comparator Agent  Tablet Apremilast 30mg OD Tablet Tofacitinib 5mg BD  Group A will be given Apremilast 30 mg OD daily and Group B will be given 5mg BD and we will compare both group and find out therapeutic efficacy of both the drug 
Intervention  Tablet Tofacitinib 5mg BD  Group B will be given Tablet Tofacitinib 5mg BD daily 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Patients having plaque type psoriasis
Patients who are willing to give consent to participate in the study
Patients who could come for regular follow up 
 
ExclusionCriteria 
Details  Pregnant and lactating mothers
Patients with severe liver and kidney diseases
Immunocompromised patients
History of previous treatment
History of known allergy to any drugs
Concomitant use of CYP-450 inhibitors or inducers 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
80 percent power
95 percent confidence interval
P value

 
Psoriasis Area Severity Index
Patients clinical response at baseline and at 4 weeks and at 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   18/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Plaque psoriasis is most common form of psoriasis making up over 80 percent of cases

It usually affects the scalp trunk and extremities

It manifests as erythematous plaque with silvery white scales

Active treatment can successfully reduce symptoms and even achieve a clinical cure

To date there are no direct comparative studies between Apremilast and Tofacitinib in the treatment of chronic plaque psoriasis

Hence this study is novel to detect therapeutic efficacy

 
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