Trial Outcomes & Findings for Psoriasis Inflammation and Systemic Co Morbidities (NCT NCT01170715)

NCT ID: NCT01170715

Last Updated: 2021-02-08

Results Overview

To analyze specimens using histology and gene expression before, during, and after treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

29 participants

Primary outcome timeframe

From baseline, every 3 months, up to one year (52 weeks).

Results posted on

2021-02-08

Participant Flow

29 subjects were screened but only 21 out of this meet inclusion/exclusion criteria and were assigned to the study

Participant milestones

Participant milestones
Measure
Experimental Group
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Overall Study
STARTED
21
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Psoriasis Inflammation and Systemic Co Morbidities

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=21 Participants
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: From baseline, every 3 months, up to one year (52 weeks).

Population: Cell count was never performed

To analyze specimens using histology and gene expression before, during, and after treatment.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: From baseline, every 3 months, up to one year (52 weeks). Except at 9 months. Biopsies were taken at baseline, 3 months, 6 months and 12 months.

Population: 1 participant was not included

To analyze specimens using histology and gene expression before, during, and after treatment. Percentage Change in IL17A gene expression is the mean of change from baseline divided by mean of baseline and then multiplied by 100: 100\*(PostTreatment-Baseline)/Baseline. Both PostTreatment and Baseline values are means but the percentage is a number.

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Percentage Change in IL17A Gene Expression
6 months (IL17A)
-99.08 percent change
Percentage Change in IL17A Gene Expression
3 months (IL17A)
-98.57 percent change
Percentage Change in IL17A Gene Expression
12 months (IL17A)
-99.66 percent change

SECONDARY outcome

Timeframe: From baseline, every 3 months, up to one year (52 weeks). Biopsies were taken at baseline, 3 months, 6 months, 9 months and 12 months.

Population: 1 participant was not included

To analyze immunological biomarkers of inflammation in the blood using electrochemiluminescence of the MSD systems approach hs-CRP, IL-2 Receptor, Plasminogen activator inhibitor complex (PAI), tissue plasminogen activator (TPA), anti pro BNP, E-selectin, inflammatory cytokines and markers, metabolic markers, vascular markers \[IL= interleukin; MMP =Matrix metallopeptidase; ICAM=Inter-Cellular Adhesion Molecule; VCAM= vascular cell adhesion molecule; SAA=Serum amyloid A;GLP-1= Glucagon-like peptide-1;CRP C-Reactive protein. The markers list: IFN-γ, IL-2, IL-4, IL-5, IL-10, IL-12p70, IL-13, IFN-γ, IL-2, IL-4, IL-5, IL-10, IL-12p70, IL-13, MMP- 1, MMP-3 and MMP-9, CRP, sICAM-1, sVCAM-1, SAA, adiponectin, GLP-1,insulin, resistin and other future markers not known at this time. Percentage Change in IL17A is the mean of change from baseline divided by mean of baseline and then multiplied by 100: 100\*(PostTreatment-Baseline)/Baseline

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Percentage of Change in IL17A.
3 months (IL17A)
-150 percent change
Percentage of Change in IL17A.
6 months (IL17A)
-107 percent change
Percentage of Change in IL17A.
9 months (IL17A)
-179 percent change
Percentage of Change in IL17A.
12 months (IL17A)
-111 percent change

Adverse Events

Experimental Group

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Experimental Group
n=21 participants at risk
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Skin and subcutaneous tissue disorders
cellulitis
4.8%
1/21 • Number of events 1 • 1 year
General disorders
alcohol detox
4.8%
1/21 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
Experimental Group
n=21 participants at risk
Enbrel (etanercept): started with self-injection of 50 mg subcutaneous twice weekly for 12 weeks, followed by self-injection of 50 mg subcutaneous weekly for 40 weeks. Etanercept: self-administered for 52 weeks
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
28.6%
6/21 • Number of events 6 • 1 year
Gastrointestinal disorders
gum infection
4.8%
1/21 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
joint pain
4.8%
1/21 • Number of events 1 • 1 year
Gastrointestinal disorders
vomiting
4.8%
1/21 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
rash
9.5%
2/21 • Number of events 2 • 1 year
General disorders
insomnia
4.8%
1/21 • Number of events 1 • 1 year
Infections and infestations
biopsy wound infection
4.8%
1/21 • Number of events 1 • 1 year
General disorders
fatigue
9.5%
2/21 • Number of events 2 • 1 year
Infections and infestations
urinary tract infection
4.8%
1/21 • Number of events 1 • 1 year
Gastrointestinal disorders
rectal abscess
4.8%
1/21 • Number of events 1 • 1 year

Additional Information

James G. Krueger MD, PhD

Rockefeller University

Phone: 212-327-7730

Results disclosure agreements

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