CTRI Number |
CTRI/2012/09/003001 [Registered on: 17/09/2012] Trial Registered Retrospectively |
Last Modified On: |
08/01/2013 |
Post Graduate Thesis |
No |
Type of Trial |
PMS |
Type of Study
|
Drug |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
to study the effect and safety of two products in treatment of psoriasis. |
Scientific Title of Study
|
Double-blind, multicenter, prospective, comparative study to evaluate the efficacy and safety of 0.05% halobetasol propionate ointment and 0.05% clobetasol propionate ointment in subjects with chronic, localized plaque psoriasis |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
GPL/ Halovate/ 0312/ v 01 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Amanjit Ahluwalia |
Designation |
deputy general manager |
Affiliation |
Glenmark pharmaceuticals ltd |
Address |
Glenmark Phrmaceuticals Ltd
3rd Floor, Corporate Enclave,
B D sawant Marg, Chakala
Near Glenmark House,
Andheri (E), mumbai 400099
Mumbai MAHARASHTRA 400099 India |
Phone |
9819943075 |
Fax |
|
Email |
amanjita@glenmarkpharma.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Amanjit Ahluwalia |
Designation |
deputy general manager |
Affiliation |
Glenmark pharmaceuticals ltd |
Address |
Glenmark Phrmaceuticals Ltd
3rd Floor, Corporate Enclave,
B D sawant Marg, Chakala
Near Glenmark House,
Andheri (E), mumbai 400099
Mumbai MAHARASHTRA 400099 India |
Phone |
9819943075 |
Fax |
|
Email |
amanjita@glenmarkpharma.com |
|
Details of Contact Person Public Query
|
Name |
Dr Amanjit Ahluwalia |
Designation |
deputy general manager |
Affiliation |
Glenmark pharmaceuticals ltd |
Address |
Glenmark Phrmaceuticals Ltd
3rd Floor, Corporate Enclave,
B D sawant Marg, Chakala
Near Glenmark House,
Andheri (E), mumbai 400099
Mumbai MAHARASHTRA 400099 India |
Phone |
9819943075 |
Fax |
|
Email |
amanjita@glenmarkpharma.com |
|
Source of Monetary or Material Support
|
Glenmark Pharmaceuticals Limited,
Corporate Enclave
B. D. Sawant Marg,
Chakala, Andheri (E),
Mumbai 400099
|
|
Primary Sponsor
|
Name |
Glenmark Pharmaceuticals Limited |
Address |
Corporate Enclave
B. D. Sawant Marg,
Chakala, Andheri (E),
Mumbai 400099
|
Type of Sponsor |
Pharmaceutical industry-Indian |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 5 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Rachita Durat |
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College |
2nd floor, Dept of Dermatology, Dr. Babasaheb Ambedkar Road,
Sion (West),
Mumbai - 400022
Mumbai MAHARASHTRA |
9870390057
rachitadhurat@yahoo.co.in |
Dr A J Kanwar |
Postgraduate Institute of Medical Education & Research |
Dept of dermatology, Sector-12, Chandigarh PIN- 160012, INDIA.
Chandigarh CHANDIGARH |
9815471473
ajkanwar1948@gmail.com |
Dr Vishalakshi Vishwanath |
Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital |
Dept of Dermatology,Kalwa, Dist. Thane - 400 605
Thane MAHARASHTRA |
9324086679
vish1967@gmail.com |
Dr Niti Khunger |
SAFDARJUNG HOSPITAL, |
Dept of Skin, 3rd floor, SAFDARJUNG HOSPITAL,NEW DELHI- 110 029 New Delhi DELHI |
9013440484
nitikhunger@hotmail.com |
Dr Sudhakar Grandhi |
Skin Clinic |
12 Niyoshi Park-II, Aundh, Pune-7 Pune MAHARASHTRA |
9850082614
sudhakargrandhi@rediffmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 6 |
Name of Committee |
Approval Status |
Institute Ethics committee (Chandigarh) |
Approved |
League Health Independent Ethics Committee (Mumbai) |
Approved |
League Health Independent Ethics Committee (Mumbai)- Investigator list |
Approved |
LTMMC & LTMGH Staff and research society (Mumbai) |
Approved |
Office of ethical committe V M medical college and Safdarjung hospital (Delhi) |
Approved |
The Institutional Clinical Ethics Committee (Mumbai) |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
Clinically diagnosed localized, plaque psoriasis vulgaris or Palmoplanter psoriasis , |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Clobetasol 17-propionate (0.05%) ointment |
applied twice daily once in morning and other application in evening on the target lesion according to FTU (Finger Tip Unit) method for 14 days |
Intervention |
Halobetasol propionate (0.05%) ointment |
applied twice daily once in morning and other application in evening on the target lesion according to FTU (Finger Tip Unit) method for 14 days |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
1. Subjects between 18 to 60 yrs ( treatment naïve patients or patients receiving treatments such as Corticosteroids, Methotrexate or PUVA should be given a wash out period of 10 days)
2. Clinically diagnosed localized, plaque psoriasis vulgaris or Palmoplanter psoriasis affecting maximum up to 10-20% of the total body surface area. The size of lesion selected is approximately 4 to 10 cm2
3. Subjects must provide written informed consent and comply to the protocol.
|
|
ExclusionCriteria |
Details |
1. Subjects with psoriatic erythroderma, generalized pustular psoriasis
2. Pregnancy & Lactation
3. Concomitant tuberculosis
4. Syphilis
5. Uncontrolled Diabetes mellitus
6. Leukemia
|
|
Method of Generating Random Sequence
|
Random Number Table |
Method of Concealment
|
Pre-numbered or coded identical Containers |
Blinding/Masking
|
Participant and Investigator Blinded |
Primary Outcome
|
Outcome |
TimePoints |
1. Investigator’s clinical assessment on LPSI score to evaluate reduction of erythema, scaling, thickness.
2. Assessment of Pruritus
3. Global Evaluation
4. Subjects observation
|
0day- 7days- 14 days
|
|
Secondary Outcome
|
Outcome |
TimePoints |
NIL |
NIL |
|
Target Sample Size
|
Total Sample Size="200" Sample Size from India="200"
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" |
Phase of Trial
|
Phase 4 |
Date of First Enrollment (India)
|
01/07/2012 |
Date of Study Completion (India) |
Date Missing |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
Written Informed consent obtained from interested subjects on Day 1. Patients with Clinically diagnosed localized, mild to moderate plaque psoriasis vulgaris or Palmoplanter psoriasis. The size of the lesion is measured and mentioned in the case report form. Subjects given medication as per randomization list allotted to each center. Follow up will be done on 7 and 14 days and disease improvement recorded on a 5 point LPSI scoring system. The subject’s observations on itching/pruritus, ease of application and cosmetic applicability noted at each visit. After stopping of medication the subject is treated as advised by investigator.
Global evaluation of therapeutic effects and subject assessment of pruritus to be noted at each visit.
In this trial treatment allocation to be in accordance with a predetermined randomization list. Medication to be given after obtaining consent and physical examination of the subject is done at Visit 1. The trial medications will be identical in appearance and supplied in identical tubes. Subjects instructed to apply the medication on the selected lesion of size 4cm2 to 10cm2 twice a day without occlusion with the duration of treatment to be 14 days. Supplied study drug is applied twice daily once in morning and other application in evening on the target lesion according to FTU (Finger Tip Unit) method. On the other lesions, patient can continue applying the emollients/moisturizer.
Efficacy parameters:
1. Investigator’s clinical assessment will be done to evaluate reduction of
a. erythema
b. scaling
c. thickness
These parameters will be evaluated according to LPSI score as follows:
Grade 0= None;
Grade 1= Slight;
Grade 2= Moderate;
Grade 3= Marked;
Grade 4= Marked
The therapeutic effects will be assessed on individual grading of erythema scaling and thickness.
2. Assessment of Pruritus:
Subject-reported Pruritus assessments rated on a 5-point Likert scale during Visit 1 (Baseline), Visit 2, and Visit 3 as follows:
0 – No Pruritus
1 – Minimal Pruritus
2 – Pruritus present but not requiring medications to control itching
3 – Pruritus present and requires medication to control itching
4 – Pruritus present not subsiding with medications
3. Global Evaluation will be assessed on a 4-point scale
1- Slight or Mild improvement (0% - 25%),
2 – Moderate improvement (25% - 50%),
3 – Marked improvement (50% to 75%) and
4– Almost clear/Clear (more than 75%)
(* No signs of psoriasis, Post Inflammatory Hyperpigmentation may be present)
4. Subject’s observation
Subject’s observations on Cosmetic acceptability and Ease of application noted at Visit 2 & 3. Grading will be done as follows:
Grade 0 - Poor
Grade 1 - Average
Grade 2 - Good
Grade 3 - Very good.
5. Photographic assessment by the investigator
Photograph of lesion taken at Visit 1 (Baseline) and Visit 3 and clinical improvement will be assessed as follows
1- Slight or Mild improvement (0% - 25%),
2 – Moderate improvement (25% - 50%),
3 – Marked improvement (50% to 75%) and
4– Almost clear/Clear (more than 75%)
6. Serum Cortisol levels:
Measurement of serum Cortisol levels to assess extent of adrenal suppression after application of
medication at visit 1 and Visit 3. Blood samples taken early in the morning at 8 am. A random selection of 40% patients taken to assess HPA axis suppression.
7. Patient compliance:
Compliance of the patients will be noted by the investigator as average, good or excellent. Also a note made of the number of missed applications.
Additional Investigators:
Name of Doctor |
Address |
Contact no. |
Dr Nimesh Mehta |
N M Skin & Cosmetology Clinic, 101, Shree Uma HSG SOC, Near Starcity , Opp Asha Polyclinic, taical Wadi, Mahim 16 |
022 24328334
9820487714
| |