Trial Outcomes & Findings for Combining Topical Corticosteroid and LCD Treatment for Localized Plaque Psoriasis (NCT NCT00769184)

NCT ID: NCT00769184

Last Updated: 2015-08-19

Results Overview

Those patients that have reached a PGA score of zero \[PGA scale: clear (0) - very severe (5)\], and are considered clear of chronic plaque psoriasis, or have reached a PGA score of 1, with minimal disease at each visit, in each condition. Data was collected at weeks 2, 6 and 12.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Weeks 2, 6, & 12.

Results posted on

2015-08-19

Participant Flow

Participant milestones

Participant milestones
Measure
Corticosteroid + LCD (Left), Corticosteroid + Placebo (Right)
Corticosteroid + LCD on left side of body, Corticosteroid + Placebo on right side of body (n=7). On left side: Corticosteroid + liquor carbonis distillate (LCD) treatment applied, twice a day, for 2 weeks, then LCD-only, twice a day, for 4 weeks, then no treatment for 6 weeks On right side: Corticosteroid and placebo vehicle solution, twice a day, for 2 weeks, then placebo vehicle solution-only, twice a day, for 4 weeks, then no treatment for 6 weeks
Corticosteroid + LCD (Right), Corticosteroid + Placebo (Left)
Corticosteroid + LCD on right side of body, Corticosteroid + Placebo on left side of body (n=8). On right side: Corticosteroid + liquor carbonis distillate (LCD) treatment applied, twice a day, for 2 weeks, then LCD-only, twice a day, for 4 weeks, then no treatment for 6 weeks On left side: Corticosteroid and placebo vehicle solution, twice a day, for 2 weeks, then placebo vehicle solution-only, twice a day, for 4 weeks, then no treatment for 6 weeks
Corticosteroid + LCD/ +Placebo (2 Weeks)
STARTED
7
8
Corticosteroid + LCD/ +Placebo (2 Weeks)
COMPLETED
6
7
Corticosteroid + LCD/ +Placebo (2 Weeks)
NOT COMPLETED
1
1
+LCD / +Placebo Only (4 Weeks)
STARTED
6
7
+LCD / +Placebo Only (4 Weeks)
COMPLETED
6
7
+LCD / +Placebo Only (4 Weeks)
NOT COMPLETED
0
0
No Treatment (6 Weeks)
STARTED
6
7
No Treatment (6 Weeks)
COMPLETED
5
6
No Treatment (6 Weeks)
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Corticosteroid + LCD (Left), Corticosteroid + Placebo (Right)
Corticosteroid + LCD on left side of body, Corticosteroid + Placebo on right side of body (n=7). On left side: Corticosteroid + liquor carbonis distillate (LCD) treatment applied, twice a day, for 2 weeks, then LCD-only, twice a day, for 4 weeks, then no treatment for 6 weeks On right side: Corticosteroid and placebo vehicle solution, twice a day, for 2 weeks, then placebo vehicle solution-only, twice a day, for 4 weeks, then no treatment for 6 weeks
Corticosteroid + LCD (Right), Corticosteroid + Placebo (Left)
Corticosteroid + LCD on right side of body, Corticosteroid + Placebo on left side of body (n=8). On right side: Corticosteroid + liquor carbonis distillate (LCD) treatment applied, twice a day, for 2 weeks, then LCD-only, twice a day, for 4 weeks, then no treatment for 6 weeks On left side: Corticosteroid and placebo vehicle solution, twice a day, for 2 weeks, then placebo vehicle solution-only, twice a day, for 4 weeks, then no treatment for 6 weeks
Corticosteroid + LCD/ +Placebo (2 Weeks)
Adverse Event
1
0
Corticosteroid + LCD/ +Placebo (2 Weeks)
Lost to Follow-up
0
1
No Treatment (6 Weeks)
Adverse Event
1
1

Baseline Characteristics

Combining Topical Corticosteroid and LCD Treatment for Localized Plaque Psoriasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Corticosteroid+LCD vs Corticosteroid+Placebo
n=15 Participants
one side of body: corticosteroid and liquor carbonis distillate (LCD) treatment applied twice a day, for 2 weeks, then LCD-only twice a day, for 4 weeks, then no treatment for 6 weeks opposite side of body: corticosteroid and placebo vehicle solution twice a day, for 2 weeks, then placebo vehicle solution-only twice a day, for 4 weeks, then no treatment for 6 weeks
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=93 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
Sex: Female, Male
Female
5 Participants
n=93 Participants
Sex: Female, Male
Male
10 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
Race (NIH/OMB)
White
13 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
15 participants
n=93 Participants

PRIMARY outcome

Timeframe: Weeks 2, 6, & 12.

Population: All randomized patients were included in analyses. Missing scores within each study phase only were filled in by last observation carried forward.

Those patients that have reached a PGA score of zero \[PGA scale: clear (0) - very severe (5)\], and are considered clear of chronic plaque psoriasis, or have reached a PGA score of 1, with minimal disease at each visit, in each condition. Data was collected at weeks 2, 6 and 12.

Outcome measures

Outcome measures
Measure
Corticosteroid + LCD
n=15 Participants
Corticosteroid + LCD solution applied to one side of body twice per day for 2 weeks. Then, LCD solution- only applied to one side of the body twice per day for 4 weeks.
Corticosteroid + Placebo
n=15 Participants
Corticosteroid + placebo applied to one side of body twice per day for 2 weeks. Then, placebo-only applied to one side of the body twice per day for 4 weeks.
Percentage of Patients Who Are Clear (PGA Score 0) or Have Minimal Disease (PGA Score 1) on Each Treated Side at Each Visit.
Percentage with PGA scores ≤ 1 at Week 2
33.3 percentage of participants
6.7 percentage of participants
Percentage of Patients Who Are Clear (PGA Score 0) or Have Minimal Disease (PGA Score 1) on Each Treated Side at Each Visit.
Percentage with PGA scores ≤ 1 at Week 6
46.2 percentage of participants
15.4 percentage of participants
Percentage of Patients Who Are Clear (PGA Score 0) or Have Minimal Disease (PGA Score 1) on Each Treated Side at Each Visit.
Percentage with PGA scores ≤ 1 at Week 12
25.0 percentage of participants
16.7 percentage of participants

SECONDARY outcome

Timeframe: Weeks 2, 6, & 12

Population: All randomized patients were included in analyses. Missing scores within each study phase only were filled in by last observation carried forward.

Mean percent improvement in disease severity using Physician Global Assessment (PGA) \[PGA scale: Clear (0) - Very Severe (5)\] and overall severity scores of target lesions (OTLS) \[OTLS scale None (0) - Very Severe (4)\] based on erythema, scaling and induration, at each visit interval.

Outcome measures

Outcome measures
Measure
Corticosteroid + LCD
n=15 Participants
Corticosteroid + LCD solution applied to one side of body twice per day for 2 weeks. Then, LCD solution- only applied to one side of the body twice per day for 4 weeks.
Corticosteroid + Placebo
n=15 Participants
Corticosteroid + placebo applied to one side of body twice per day for 2 weeks. Then, placebo-only applied to one side of the body twice per day for 4 weeks.
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of OTLS score at Week 6
46 Mean Percent Improvement
Interval 38.0 to 68.0
20 Mean Percent Improvement
Interval 19.0 to 42.0
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of OTLS score at Week 2
43 Mean Percent Improvement
Interval 31.0 to 59.0
43 Mean Percent Improvement
Interval 32.0 to 65.0
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of PGA score at Week 2
39 Mean Percent Improvement
Interval 26.0 to 58.0
34 Mean Percent Improvement
Interval 25.0 to 47.0
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of PGA score at Week 6
47 Mean Percent Improvement
Interval 34.0 to 72.0
25 Mean Percent Improvement
Interval 10.0 to 54.0
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of PGA score at Week 12
31 Mean Percent Improvement
Interval 14.0 to 61.0
12 Mean Percent Improvement
Interval -6.0 to 42.0
Mean Percent Improvement in Disease Severity Using PGA and OTLS Scores of Target Lesions
Percent improvement of OTLS score at Week 12
29 Mean Percent Improvement
Interval 14.0 to 56.0
7 Mean Percent Improvement
Interval 4.0 to 35.0

Adverse Events

Corticosteroid + LCD

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Corticosteroid + Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Corticosteroid + LCD
n=15 participants at risk
Corticosteroid + LCD solution applied to one side of body twice per day for 2 weeks. Then, LCD solution- only applied to one side of the body twice per day for 4 weeks.
Corticosteroid + Placebo
n=15 participants at risk
Corticosteroid + placebo applied to one side of body twice per day for 2 weeks. Then, placebo-only applied to one side of the body twice per day for 4 weeks.
Skin and subcutaneous tissue disorders
Contact Dermatitis
6.7%
1/15 • Number of events 1 • Adverse event information was monitored throughout the entire 12 week study.
0.00%
0/15 • Adverse event information was monitored throughout the entire 12 week study.
Skin and subcutaneous tissue disorders
Bilateral Worsening of Plaque Psoriasis
6.7%
1/15 • Number of events 1 • Adverse event information was monitored throughout the entire 12 week study.
6.7%
1/15 • Number of events 1 • Adverse event information was monitored throughout the entire 12 week study.

Additional Information

Barbara Green, RPH, MS

NeoStrata Co., Inc.

Phone: (609) 520-0715

Results disclosure agreements

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