Controlled Study of Humira in Subjects With Chronic Plaque Psoriasis of the Hands and/or Feet

NCT ID: NCT00735787

Last Updated: 2010-11-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2009-09-30

Brief Summary

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Evaluate the efficacy and safety of a 16-week course of Humira (adalimumab) compared to placebo in adults with chronic plaque psoriasis of the hands and/or feet and the sustainability of response for 12 additional weeks.

Detailed Description

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Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo/Adalimumab

Loading dose of 2 placebo injections at Week 0 and placebo injections every other week (eow) from Week 1 through Week 15.

In second period of study, subjects who continued in the study received 80 mg adalimumab at Week 16 followed by open-label 40 mg adalimumab eow from Week 17 to Week 27.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Loading dose of 2 placebo subcutaneous (SC) injections (0.8 ml) at Week 0 followed by 1 injection SC eow from Week 1 to Week 15.In second period of study, subjects who continued in the study received 80 mg adalimumab at Week 16 followed by open-label 40 mg adalimumab eow from Week 17 to Week 27.

Adalimumab

Intervention Type BIOLOGICAL

Loading dose of 80 mg adalimumab SC (two 40 mg injections) followed by 40 mg adalimumab SC eow.

Adalimumab

80 mg adalimumab loading dose at Week 0 and 40 mg adalimumab eow from Weeks 1 through 15. For subjects who continued in the second period of the study, subjects received 2 placebo injections at Week 16 to maintain the blind. Open-label 40 mg adalimumab eow was administered from Week 17 through Week 27.

Group Type ACTIVE_COMPARATOR

Adalimumab

Intervention Type BIOLOGICAL

Loading dose of 80 mg adalimumab SC (two 40 mg injections) followed by 40 mg adalimumab SC eow.

Interventions

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Placebo

Loading dose of 2 placebo subcutaneous (SC) injections (0.8 ml) at Week 0 followed by 1 injection SC eow from Week 1 to Week 15.In second period of study, subjects who continued in the study received 80 mg adalimumab at Week 16 followed by open-label 40 mg adalimumab eow from Week 17 to Week 27.

Intervention Type BIOLOGICAL

Adalimumab

Loading dose of 80 mg adalimumab SC (two 40 mg injections) followed by 40 mg adalimumab SC eow.

Intervention Type BIOLOGICAL

Other Intervention Names

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Humira ABT-D2E7

Eligibility Criteria

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Inclusion Criteria

* Adult with Diagnosis of chronic plaque psoriasis of the Hands and Feet for at least 6 months, with a PGA \>/=3 and candidates for systemic therapy;
* Patients in good general health
* Able to self-administer injections
* Negative chest x-ray (CXR) and purified protein derivative (PPD) test, unless willing to start anti-tuberculosis (TB) prophylaxis

Exclusion Criteria

* Previous treatment with HUMIRA®
* Required mediation stability or washouts for: systemic corticosteroids (28 days), other investigational agent, other systemic therapies for psoriasis, ultraviolet B (UVB), psoralen with UVA (PUVA)
* Other active skin diseases or skin infections
* Diagnosis of palmoplantar pustulosis; erythrodermic psoriasis, pustular psoriasis, medication-induced or exacerbated psoriasis or new onset of guttate psoriasis
* Evidence of dysplasia or history of malignancy (Other than a successfully treated non-metastatic cutaneous squamous cell, basal cell carcinoma or localized carcinoma in situ of the cervix);
* History of listeriosis, histoplasmosis, chronic or active Hepatitis B infection, human immunodeficiency virus (HIV) infection, immunodeficiency syndrome, chronic recurring infections or active tuberculosis (TB);
* History of moderate to severe congestive heart failure,
* Recent cerebrovascular accident and any other condition which, in the opinion of the investigator, would put the subject at risk;
* History of central nervous system (CNS) demyelinating disease or neurologic symptoms suggestive of CNS demyelinating disease;
* History of clinically significant drug or alcohol abuse in the last 12 months;
* Infection(s) requiring treatment with intravenous (IV) antibiotics, IV antivirals, or IV antifungals within 30 days prior to Baseline or oral antibiotics, oral antivirals, or oral antifungals within 14 days prior to Baseline;
* Known hypersensitivity to the excipients of HUMIRA® as stated in the label;
* Female subjects who are pregnant or breast-feeding or considering becoming pregnant during the study.
* Prior exposure to Tysabri® (natalizumab)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role lead

Responsible Party

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Abbott

Principal Investigators

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Martin Okun, MD

Role: STUDY_DIRECTOR

Abbott

Locations

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Site Reference ID/Investigator# 10168

Little Rock, Arkansas, United States

Site Status

Site Reference ID/Investigator# 10005

Bakersfield, California, United States

Site Status

Site Reference ID/Investigator# 10003

Macon, Georgia, United States

Site Status

Site Reference ID/Investigator# 10171

St Louis, Missouri, United States

Site Status

Site Reference ID/Investigator# 10164

East Windsor, New Jersey, United States

Site Status

Site Reference ID/Investigator# 10173

Dallas, Texas, United States

Site Status

Site Reference ID/Investigator# 11302

Houston, Texas, United States

Site Status

Site Reference ID/Investigator# 10166

San Antonio, Texas, United States

Site Status

Site Reference ID/Investigator# 10180

Edmonton, Alberta, Canada

Site Status

Site Reference ID/Investigator# 10169

Vancouver, British Columbia, Canada

Site Status

Site Reference ID/Investigator# 10170

Halifax, Nova Scotia, Canada

Site Status

Site Reference ID/Investigator# 10179

Hamilton, Ontario, Canada

Site Status

Site Reference ID/Investigator# 10004

London, Ontario, Canada

Site Status

Site Reference ID/Investigator# 10177

North Bay, Ontario, Canada

Site Status

Site Reference ID/Investigator# 10175

Waterloo, Ontario, Canada

Site Status

Site Reference ID/Investigator# 10165

Montreal, Quebec, Canada

Site Status

Site Reference ID/Investigator# 10176

Québec, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Leonardi C, Langley RG, Papp K, Tyring SK, Wasel N, Vender R, Unnebrink K, Gupta SR, Valdecantos WC, Bagel J. Adalimumab for treatment of moderate to severe chronic plaque psoriasis of the hands and feet: efficacy and safety results from REACH, a randomized, placebo-controlled, double-blind trial. Arch Dermatol. 2011 Apr;147(4):429-36. doi: 10.1001/archdermatol.2010.384. Epub 2010 Dec 20.

Reference Type DERIVED
PMID: 21173304 (View on PubMed)

Related Links

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http://www.humira.com

prescribing information

Other Identifiers

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M10-405

Identifier Type: -

Identifier Source: org_study_id