Trial Outcomes & Findings for Efficacy and Safety of LEO 19123 Cream in the Treatment of Psoriasis Vulgaris (NCT NCT00764751)

NCT ID: NCT00764751

Last Updated: 2025-03-07

Results Overview

The following formula was used to calculate the PASI for each side of the body: Upper extremities: 0.2 (R + T+ S) E = X Trunk: 0.3 (R + T+ S) E = Y Lower extremities 0.4 (R + T+ S) E = Z where: R = score for redness T = score for thickness S = score for scaliness E = score for extent The sum of X + Y + Z gives the total PASI, which can range from 0 to 64.8. The PASI used in this study is modified to exclude assessment of the head, as study treatment was not used here.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

51 participants

Primary outcome timeframe

From baseline (Day 0) to end of treatment (Day 28)

Results posted on

2025-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week * Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week. * LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Overall Study
STARTED
39
12
Overall Study
COMPLETED
37
11
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week * Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week. * LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Overall Study
Adverse Event
1
1
Overall Study
Psoriasis flare up on the scalp
1
0

Baseline Characteristics

Efficacy and Safety of LEO 19123 Cream in the Treatment of Psoriasis Vulgaris

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=39 Participants
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week * Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B
n=12 Participants
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week. * LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
53.7 years
STANDARD_DEVIATION 14.3 • n=5 Participants
57.7 years
STANDARD_DEVIATION 9.8 • n=7 Participants
54.7 years
STANDARD_DEVIATION 13.4 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
3 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
9 Participants
n=7 Participants
37 Participants
n=5 Participants
Region of Enrollment
Canada
39 participants
n=5 Participants
12 participants
n=7 Participants
51 participants
n=5 Participants

PRIMARY outcome

Timeframe: From baseline (Day 0) to end of treatment (Day 28)

The following formula was used to calculate the PASI for each side of the body: Upper extremities: 0.2 (R + T+ S) E = X Trunk: 0.3 (R + T+ S) E = Y Lower extremities 0.4 (R + T+ S) E = Z where: R = score for redness T = score for thickness S = score for scaliness E = score for extent The sum of X + Y + Z gives the total PASI, which can range from 0 to 64.8. The PASI used in this study is modified to exclude assessment of the head, as study treatment was not used here.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
The Percentage Change in PASI (Psoriasis Area Severity Index)
-24.8 percentage change in PASI
Standard Deviation 33.2
-40.2 percentage change in PASI
Standard Deviation 27.8
-46.8 percentage change in PASI
Standard Deviation 27.0
-29.8 percentage change in PASI
Standard Deviation 20.9

SECONDARY outcome

Timeframe: At end of treatment (Day 28)

At all visits the (sub)investigator made a global assessment of the disease severity for psoriasis on the left and right side, respectively, of the body by use of the 6-point scale below. These assessments were to represent the average lesion severity on the left and right side, respectively. These assessments were to be based on the condition of the disease at the time of evaluation, and not in relation to the condition at a previous visit. Clear Almost clear Mild Moderate Severe Very severe

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Investigator's Global Assessment of Disease Severity
Clear
0 Participants
0 Participants
0 Participants
0 Participants
Investigator's Global Assessment of Disease Severity
Almost clear
3 Participants
1 Participants
4 Participants
0 Participants
Investigator's Global Assessment of Disease Severity
Mild
8 Participants
17 Participants
3 Participants
5 Participants
Investigator's Global Assessment of Disease Severity
Moderate
24 Participants
20 Participants
5 Participants
5 Participants
Investigator's Global Assessment of Disease Severity
Severe
4 Participants
1 Participants
0 Participants
2 Participants
Investigator's Global Assessment of Disease Severity
Very severe
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: At end of treatment (Day 28)

For subjects with a baseline (Visit 1) severity of moderate or worse, "controlled disease" is defined as "clear" or "almost clear" according to the Investigator's global assessment of disease severity. For subjects with a baseline (Visit 1) severity of mild, "controlled disease" is defined as "clear" according to the Investigator's global assessment of disease severity.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Participants With "Controlled Disease" According to the Investigator's Global Assessment of Disease Severity
Controlled disease
2 Participants
1 Participants
4 Participants
0 Participants
Participants With "Controlled Disease" According to the Investigator's Global Assessment of Disease Severity
No controlled disease
37 Participants
38 Participants
8 Participants
12 Participants

SECONDARY outcome

Timeframe: At end of treatment (Day 28)

Population: All randomized participants have been included in the analysis. One participant withdrew and did therefore not give their assessment.

The participant assessed the treatment response by use of the 6-point scale below. Worse Unchanged Slight improvement Moderate improvement Marked improvement Almost clear Cleared

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Participant's Overall Assessment of Treatment Response
Worse
2 Participants
1 Participants
1 Participants
0 Participants
Participant's Overall Assessment of Treatment Response
Unchanged
9 Participants
4 Participants
3 Participants
3 Participants
Participant's Overall Assessment of Treatment Response
Slight improvement
12 Participants
9 Participants
1 Participants
7 Participants
Participant's Overall Assessment of Treatment Response
Moderate improvement
12 Participants
12 Participants
5 Participants
1 Participants
Participant's Overall Assessment of Treatment Response
Marked improvement
3 Participants
12 Participants
2 Participants
1 Participants
Participant's Overall Assessment of Treatment Response
Almost clear
0 Participants
0 Participants
0 Participants
0 Participants
Participant's Overall Assessment of Treatment Response
Clear
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: At end of treatment (Day 28)

Population: All randomized participants have been included in the analysis. One participant withdrew and did therefore not give their preference.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=12 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Participant's Assessment of Treatment Preference
LEO 19123
5 Participants
6 Participants
Participant's Assessment of Treatment Preference
No preference
12 Participants
3 Participants
Participant's Assessment of Treatment Preference
Reference product
21 Participants
3 Participants

SECONDARY outcome

Timeframe: From baseline (Day 0) to end of treatment (Day 28)

Population: Two participants withdrew from the LEO 19123 versus Dovonex® group at Week 2.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Participants With at Least 75% Reduction in PASI (PASI 75)
>=75% PASI reduction
2 Participants
4 Participants
1 Participants
0 Participants
Participants With at Least 75% Reduction in PASI (PASI 75)
75% PASI reduction
37 Participants
35 Participants
11 Participants
12 Participants

SECONDARY outcome

Timeframe: From baseline (Day 0) to end of treatment (day 28)

Population: All randomised participants have been included in the analysis.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Participants With at Least 50% Reduction in PASI (PASI 50)
>= 50% PASI reduction
9 Participants
15 Participants
7 Participants
2 Participants
Participants With at Least 50% Reduction in PASI (PASI 50)
< 50% PASI reduction
30 Participants
24 Participants
5 Participants
10 Participants

SECONDARY outcome

Timeframe: From baseline to end of treatment (Day 28)

The following formula was used to calculate the PASI for each side of the body: Upper extremities: 0.2 (R + T+ S) E = X Trunk: 0.3 (R + T+ S) E = Y Lower extremities 0.4 (R + T+ S) E = Z where: R = score for redness T = score for thickness S = score for scaliness E = score for extent The sum of X + Y + Z gives the total PASI, which can range from 0 to 64.8. The PASI used in this study is modified to exclude assessment of the head, as study treatment was not used here.

Outcome measures

Outcome measures
Measure
Group A: LEO 19123
n=39 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week
Group A: Dovonex®
n=39 Participants
Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B: LEO 19123
n=12 Participants
LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week.
Group B: LEO 19123 Vehicle
n=12 Participants
LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
The Absolute Change in PASI (Psoriasis Area Severity Index)
-2.6 units on a scale
Standard Deviation 4.0
-3.8 units on a scale
Standard Deviation 3.6
-4.2 units on a scale
Standard Deviation 2.9
-2.5 units on a scale
Standard Deviation 2.1

Adverse Events

Group A

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

Group B

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A
n=38 participants at risk
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week * Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B
n=12 participants at risk
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week. * LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Hepatobiliary disorders
Cholecystitis
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)

Other adverse events

Other adverse events
Measure
Group A
n=38 participants at risk
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week * Dovonex® (calcipotriol 50 mcg/g) cream for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Group B
n=12 participants at risk
* LEO 19123 (calcipotriol 50 mcg/g plus LEO 80122 0.6 mg/g) cream for topical application once daily in the evening to lesions on one side of the body. Maximum 50 g/week. * LEO 19123 cream vehicle for topical application twice daily to the lesions on the other side of the body. Maximum 50 g/week.
Cardiac disorders
Ventricular extrasystoles
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Gastrointestinal disorders
Constipation
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Gastrointestinal disorders
Diarrhoea
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Gastrointestinal disorders
Nausea
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Gastrointestinal disorders
Toothache
0.00%
0/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
General disorders
Pain
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Infections and infestations
Gastroenteritis
0.00%
0/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Infections and infestations
Nasopharyngitis
7.9%
3/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Infections and infestations
Pharyngitis
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Infections and infestations
Sinusitis
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Infections and infestations
Upper respiratory tract infection
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Injury, poisoning and procedural complications
Back injury
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Investigations
Blood glucose increased
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Investigations
Blood potassium increased
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Nervous system disorders
Headache
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Skin and subcutaneous tissue disorders
Dermatitis contact
7.9%
3/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Skin and subcutaneous tissue disorders
Pruritus
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)
Skin and subcutaneous tissue disorders
Seborrhoeic dermatitis
2.6%
1/38 • From Day 0 to follow up (Day 28+14)
0.00%
0/12 • From Day 0 to follow up (Day 28+14)
Skin and subcutaneous tissue disorders
Psoriasis
0.00%
0/38 • From Day 0 to follow up (Day 28+14)
8.3%
1/12 • From Day 0 to follow up (Day 28+14)

Additional Information

Clinical Trial Disclosure Manager

LEO Pharma A/S

Phone: +45 4494 5888

Results disclosure agreements

  • Principal investigator is a sponsor employee The Company acknowledges the investigators' right to publish the entire results of the study, irrespective of outcome. The Company retains the right to have any publication submitted to the Company for review at least 30 days prior to the same paper being submit-ted for publication or presentation. Investigators must undertake not to submit any part of their individual data for publication without the prior consent of LEO.
  • Publication restrictions are in place

Restriction type: OTHER