The Effectiveness of Lower Cyclosporine Doses for Psoriasis

NCT ID: NCT00377325

Last Updated: 2014-11-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2013-09-30

Brief Summary

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This study will evaluate whether lower doses of cyclosporine can cause fewer side effects and still produce the same beneficial results that are seen with a standard cyclosporine dose regimen when treating individuals with moderate to severe psoriasis.

Detailed Description

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Psoriasis is a chronic inflammatory skin disease. It is believed to be caused by an overactive immune system that speeds the growth of skin cells. This abnormal skin growth results in patches of inflamed skin, which can itch, crack, and bleed. Cyclosporine is an immunosuppressant drug that is used in more severe cases of psoriasis to slow down the growth of skin cells. However, cyclosporine use is associated with several side effects, including kidney damage, high blood pressure, and skin sensitivity. This study will evaluate whether lower doses of cyclosporine can cause fewer side effects and still produce the same beneficial results that are seen with the standard administration of cyclosporine.

Participants in this study will receive treatment with cyclosporine for up to 30 weeks. Study visits will occur every 2 weeks and will include a physical exam, a psoriasis symptom evaluation, blood collection, and various questionnaires on quality-of-life issues. Participants will be followed for 2 years.

Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Participants will receive full dose cyclosporin.

Group Type EXPERIMENTAL

Cyclosporine

Intervention Type DRUG

4 mg/Kg/day; daily; liquid form; 6 months

2

Participants will receive active drug full dose until cleared, then one dose every 4 days.

Group Type EXPERIMENTAL

Cyclosporine

Intervention Type DRUG

4 mg/Kg/day; daily; liquid form; 6 months

3

Participants will receive active drug full dose until clear, then full dose every 4 days with placebo on the intervening days.

Group Type PLACEBO_COMPARATOR

Cyclosporine

Intervention Type DRUG

4 mg/Kg/day; daily; liquid form; 6 months

Interventions

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Cyclosporine

4 mg/Kg/day; daily; liquid form; 6 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Good health
* Exception that has been resistant to psoralen and ultraviolet A radiation (PUVA), methotrexate, and retinoids
* Moderate to severe, stable plaque psoriasis
* Normal organ and marrow function
* HIV uninfected

Exclusion Criteria

* Topical therapy within 4 weeks of study entry
* Use of systemic, intralesional, or phototherapy within 1 year of study entry
* Use of cyclosporine in the past or use of other immunosuppressive medication within 6 months of study entry
* Inability to be followed or monitored regularly on a weekly basis
* Poorly controlled hypertension
* Severe infection, internal malignancy, immunodeficiency, gout, or liver disease
* Received more than 1,000 treatments of ultraviolet A (UVA)
* History of allergic reaction attributed to compounds of similar chemical or biological composition to cyclosporine
* Uncontrolled active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia that would limit study participation
* Women of childbearing potential and men unwilling to use adequate contraception (hormonal or barrier method of birth control or abstinence) prior to study entry and for the duration of the study
* Pregnant
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Francisco Tausk

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Francisco Tausk, MD

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Locations

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University of Rochester Department of Dermatology

Rochester, New York, United States

Site Status

Countries

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United States

Other Identifiers

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R01AR050100

Identifier Type: NIH

Identifier Source: secondary_id

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NIH-7R01AR050100

Identifier Type: -

Identifier Source: secondary_id

R01AR050100

Identifier Type: NIH

Identifier Source: org_study_id

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