Trial Outcomes & Findings for Safety & Effectiveness of Clobex Spray, Followed by Calcitriol Ointment in Management of Plaque Psoriasis (NCT NCT00658788)

NCT ID: NCT00658788

Last Updated: 2022-08-23

Results Overview

Success was defined as a one-grade improvement in ODS from baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

305 participants

Primary outcome timeframe

8 and 12 weeks

Results posted on

2022-08-23

Participant Flow

Participant milestones

Participant milestones
Measure
Sequential Treatment Regimen
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Overall Study
STARTED
305
Overall Study
COMPLETED
231
Overall Study
NOT COMPLETED
74

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequential Treatment Regimen
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Overall Study
Adverse Event
11
Overall Study
Withdrawal by Subject
13
Overall Study
Lost to Follow-up
18
Overall Study
Treatment Discontinuation
32

Baseline Characteristics

Safety & Effectiveness of Clobex Spray, Followed by Calcitriol Ointment in Management of Plaque Psoriasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Age, Continuous
48.6 years
STANDARD_DEVIATION 14.9 • n=5 Participants
Sex: Female, Male
Female
118 Participants
n=5 Participants
Sex: Female, Male
Male
187 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
278 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
Race (NIH/OMB)
White
273 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
12 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 and 12 weeks

Population: The per protocol population included 170 subjects who completed the 12 week regimen without any major protocol deviations.

Success was defined as a one-grade improvement in ODS from baseline.

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Overall Disease Severity Success (ODS)
Week 12
84.1 percentage of participants
Interval 77.7 to 89.3
Overall Disease Severity Success (ODS)
Week 8
100.0 percentage of participants
Interval 97.9 to 100.0

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Global Improvement Score
-1:Symptoms
1 participants
0 participants
0 participants
0 participants
Global Improvement Score
0:No Change
4 participants
2 participants
10 participants
13 participants
Global Improvement Score
1:Minimal Improvement
9 participants
4 participants
12 participants
19 participants
Global Improvement Score
2:Definite Improvement
53 participants
26 participants
43 participants
49 participants
Global Improvement Score
3:Considerable Improvement
93 participants
96 participants
77 participants
58 participants
Global Improvement Score
4:Clearing
11 participants
42 participants
28 participants
31 participants

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Signs of Psoriasis - Erythema
Clear
0 participants
9 participants
13 participants
12 participants
Signs of Psoriasis - Erythema
Almost Clear
46 participants
81 participants
53 participants
41 participants
Signs of Psoriasis - Erythema
Mild
82 participants
57 participants
70 participants
60 participants
Signs of Psoriasis - Erythema
Moderate
35 participants
23 participants
32 participants
53 participants
Signs of Psoriasis - Erythema
Severe/Very Severe
7 participants
0 participants
2 participants
4 participants

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Signs of Psoriasis - Scaling
Clear
25 participants
41 participants
36 participants
31 participants
Signs of Psoriasis - Scaling
Almost Clear
61 participants
83 participants
53 participants
56 participants
Signs of Psoriasis - Scaling
Mild
63 participants
37 participants
71 participants
54 participants
Signs of Psoriasis - Scaling
Moderate
19 participants
9 participants
9 participants
26 participants
Signs of Psoriasis - Scaling
Severe/Very Severe
4 participants
0 participants
1 participants
3 participants

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Signs of Psoriasis - Plaque Elevation
Clear
22 participants
46 participants
35 participants
24 participants
Signs of Psoriasis - Plaque Elevation
Almost Clear
69 participants
78 participants
50 participants
45 participants
Signs of Psoriasis - Plaque Elevation
Mild
54 participants
36 participants
68 participants
61 participants
Signs of Psoriasis - Plaque Elevation
Moderate
24 participants
9 participants
17 participants
39 participants
Signs of Psoriasis - Plaque Elevation
Severe/Very Severe
1 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Percent Change From Baseline in Body Surface Area (% BSA) Affected
20.1 Percent Change from Baseline
Standard Deviation 23.6
43.1 Percent Change from Baseline
Standard Deviation 30.9
46.6 Percent Change from Baseline
Standard Deviation 31.1
46.2 Percent Change from Baseline
Standard Deviation 36.1

SECONDARY outcome

Timeframe: 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=170 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Overall Disease Severity
Clear
0 participants
5 participants
9 participants
11 participants
Overall Disease Severity
Almost Clear
53 participants
100 participants
60 participants
45 participants
Overall Disease Severity
Mild
83 participants
53 participants
88 participants
70 participants
Overall Disease Severity
Moderate
31 participants
12 participants
13 participants
44 participants
Overall Disease Severity
Severe/Very Severe
3 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=288 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=285 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=274 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=235 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Tolerability Assessment - Pruritus
None
74 participants
179 participants
220 participants
172 participants
128 participants
Tolerability Assessment - Pruritus
Mild
84 participants
91 participants
56 participants
66 participants
65 participants
Tolerability Assessment - Pruritus
Moderate
84 participants
13 participants
9 participants
31 participants
32 participants
Tolerability Assessment - Pruritus
Severe
63 participants
5 participants
0 participants
5 participants
10 participants

SECONDARY outcome

Timeframe: Baseline, 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=288 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=285 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=274 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=235 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Tolerability Assessment - Telangiectasias
None
303 participants
284 participants
283 participants
273 participants
230 participants
Tolerability Assessment - Telangiectasias
Mild
1 participants
4 participants
2 participants
1 participants
5 participants
Tolerability Assessment - Telangiectasias
Moderate
0 participants
0 participants
0 participants
0 participants
0 participants
Tolerability Assessment - Telangiectasias
Severe
1 participants
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=288 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=285 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=274 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=235 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Tolerability Assessment - Stinging/ Burning
None
200 participants
232 participants
245 participants
234 participants
200 participants
Tolerability Assessment - Stinging/ Burning
Mild
44 participants
42 participants
34 participants
18 participants
24 participants
Tolerability Assessment - Stinging/ Burning
Moderate
31 participants
13 participants
4 participants
19 participants
8 participants
Tolerability Assessment - Stinging/ Burning
Severe
30 participants
1 participants
1 participants
3 participants
3 participants

SECONDARY outcome

Timeframe: Baseline, 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=288 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=285 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=274 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=235 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Tolerability Assessment - Skin Atrophy
Absent
303 participants
286 participants
278 participants
270 participants
233 participants
Tolerability Assessment - Skin Atrophy
Present
2 participants
2 participants
7 participants
4 participants
2 participants

SECONDARY outcome

Timeframe: Baseline, 2, 4, 8 and 12 weeks

Outcome measures

Outcome measures
Measure
Sequential Treatment Regimen
n=305 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 4
n=288 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 8
n=285 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=274 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Week 12
n=235 Participants
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by 8 Weeks of Calcitriol Ointment, 3 µg/g Applied Once Daily
Tolerability Assessment - Folliculitis
Absent
303 participants
286 participants
274 participants
271 participants
232 participants
Tolerability Assessment - Folliculitis
Present
2 participants
2 participants
11 participants
3 participants
3 participants

Adverse Events

Sequential Treatment Regimen

Serious events: 9 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sequential Treatment Regimen
n=305 participants at risk
4 weeks Clobex® Spray 0.05% Treatment Applied Topically Twice Daily Followed by Calcitriol Ointment, 3 µg/g Applied Once Daily
Injury, poisoning and procedural complications
Accidental Overdose
0.33%
1/305
Injury, poisoning and procedural complications
Fall
0.33%
1/305
Injury, poisoning and procedural complications
Spinal cord injury cervical
0.33%
1/305
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.33%
1/305
Infections and infestations
Pneumonia
0.33%
1/305
Nervous system disorders
Hemiplegia
0.33%
1/305
Psychiatric disorders
Attention deficit/hyperactivity disorder
0.33%
1/305
Psychiatric disorders
Bipolar disorder
0.33%
1/305
Psychiatric disorders
Depression
0.33%
1/305

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth M Nieman

Galderma Laboratories, L.P.

Phone: 817-961-5000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60