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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  
Name  Address 
NIL  NIL 
 
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  
Status 
Not Applicable 
 
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

 

 
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