| CTRI Number |
CTRI/2013/03/003505 [Registered on: 21/03/2013] Trial Registered Retrospectively |
| Last Modified On: |
26/09/2013 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Study to compare effectiveness of methotrexate-pioglitazone combination against methotrexate alone in patients of psoriasis, a skin disorder |
|
Scientific Title of Study
|
Study of effectiveness of methotrexate-pioglitazone combination compared to methotrexate alone in patients of plaque psoriasis with an attempt to revisit some relevant immunological perspectives |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Indranil Banerjee |
| Designation |
Post Doctoral trainee in DM(Clinical Pharmacology) |
| Affiliation |
School of Tropical Medicine, Kolkata |
| Address |
Department of Clinical and Experimental Pharmacology, School of Tropical Medicine,
108, C.R. Avenue, Kolkata
Kolkata WEST BENGAL 700073 India |
| Phone |
9432184197 |
| Fax |
|
| Email |
dronineo@yahoo.co.in |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Santanu Kumar Tripathi |
| Designation |
Professor and Head |
| Affiliation |
School of Tropical Medicine, Kolkata |
| Address |
Department of Clinical and Experimental Pharmacology, School of Tropical Medicine,
108, C.R. Avenue, Kolkata
Kolkata WEST BENGAL 700073 India |
| Phone |
9230566771 |
| Fax |
|
| Email |
tripathi.santanu@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Indranil Banerjee |
| Designation |
Post Doctoral trainee in DM(Clinical Pharmacology) |
| Affiliation |
School of Tropical Medicine, Kolkata |
| Address |
Department of Clinical and Experimental Pharmacology, School of Tropical Medicine,
108, C.R. Avenue, Kolkata
WEST BENGAL 700073 India |
| Phone |
9432184197 |
| Fax |
|
| Email |
dronineo@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| School of Tropical Medicine |
|
|
Primary Sponsor
|
| Name |
School of Tropical Medicine |
| Address |
Department of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata-700073 |
| Type of Sponsor |
Research institution |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Indranil Banerjee |
Room no. 19, Department of Clinical and Experimental Pharmacology |
School of Tropical Medicine, 108 C.R.Avenue, Kolkata-700073 Kolkata WEST BENGAL |
9432184197
dronineo@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, School of Tropical Medicine, Kolkata |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
Patients of either gender, age between 18 years and 65 years clinically diagnosed as plaque psoriasis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Methotrexate and pioglitazone combination therapy |
Methotrexate 15 mg once weekly for 12 weeks and pioglitazone 15 mg once daily for 12 weeks both given orally |
| Comparator Agent |
Methotrexate monotherapy |
Methotrexate 15 mg once weekly monotherapy by oral route for 12 weeks |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. Patients between 18 -65 years of age (both inclusive) with clinical diagnosis of plaque psoriasis as determined through clinical examination.
2. Patient should be a candidate for systemic therapy
3. PASI (Psoriasis Area and Severity Index) score of ≥ 12 at the Baseline visit.
4. Females who were postmenopausal or tubectomised or have completed their family size and are willing to maintain contraception 1 month before, during and 1 month after completion/stopping of treatment.
5. Sexually active male subjects are able to participate in the study if they use effective contraception during the study and 3 months after study completion.
6. Subject is judged to be in good general health as determined by the Principal Investigator based upon the results of medical history, laboratory profile, physical examination, and 12-lead electrocardiogram (ECG) performed at Screening.
7. Able and willing to give written informed consent and to comply with the requirements of this study protocol.
|
|
| ExclusionCriteria |
| Details |
• Pregnant or lactating women.
• Any abnormalities in renal function, cardiovascular disease, respiratory disease or neuropsychiatric illness.
• Significant abnormalities in liver function (serum bilirubin, AST, ALT, and ALP >1.5 times the upper limit of normal), viral hepatitis or cirrhosis.
• History of excessive alcohol consumption.
• Severe anemia, leucopenia or thrombocytopenia.
• History of active infectious disease or immune system deficiency including AIDS.
• History of intolerance/hypersensitivity to methotrexate.
• Subjects who have used any investigational drugs within 4 weeks of Screening or are participating in other clinical studies
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Pre-numbered or coded identical Containers |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| •The change in PASI (Psoriasis Area and Severity Index) scores of the patients as measured at baseline and at week 12. |
12 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
The change in Physicians Global Assessment (PGA) Score of the patients as measured at baseline and at week 12.
|
12 weeks |
| Serum level of certain cytokines in patients at baseline and at 12 weeks |
12 weeks |
|
|
Target Sample Size
|
Total Sample Size="80" Sample Size from India="80"
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" |
|
Phase of Trial
|
Phase 4 |
|
Date of First Enrollment (India)
|
16/01/2013 |
| 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="1" Months="0" 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
|
Psoriasis is a chronic, inflammatory, immune mediated skin disorder.The present piece of work aims to evaluate the effectivenessof methotrexate -pioglitazone combination versus methotrexate in plaque psoriasis patients.Besides this, an effort will be made to elucidate impact of the abovementioned two treatment regimens on some selected immunologic parameters. An openlabel, parallel design, randomized clinical trial will be conducted at the Calcutta School of Tropical Medicine to address the abovementioned study objectives.Effectiveness of the two treatment regimens will be assessed in terms of relative changes in efficacy, safety and quality of life in either group measured at baseline and after 12 weeks of treatment. |