Trial Outcomes & Findings for LEO 90105 Ointment in Japanese Subjects With Psoriasis (NCT NCT01422434)

NCT ID: NCT01422434

Last Updated: 2025-03-12

Results Overview

The primary response criterion was the percentage change in m-PASI from baseline to Week 4. The extent of and severity of redness, thickness and scaliness of psoriasis were recorded for each of three regions (arms, trunk and legs) and these were used to calculate mPASI using the following formula: Arms: 0.2(R+T+S)E = X Trunk: 0.2(R+T+S)E = Y Legs: 0.2(R+T+S)E = Z where R = score for redness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) T = score for thickness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) S = score for scaliness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) E = score for extent (using a scale from 0 to 6, where 0 is no involvement and 6 is 90-100% involvemnet) The sum of X + Y + Z gave the total m-PASI, which could range from 0 to 64.8.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

676 participants

Primary outcome timeframe

Baseline to Week 4

Results posted on

2025-03-12

Participant Flow

First Subject First Visit: 06-Aug-2011 Last Subject Last Visit: 28-May-2012

Prior to randomisation at Visit 1 (Day 0), a washout period of up to maximum 4 weeks was completed if the subject was/had been treated with anti-psoriatic treatments or other relevant medication, as defined by the exclusion criteria

Participant milestones

Participant milestones
Measure
Dovonex® Ointment
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment (Betamethasone Dipropionate)
Applied once daily for 4 weeks Rinderon® - DP ointment ( betamethasone dipropionate) : Applied once daily for 4 weeks.
Overall Study
STARTED
227
226
223
Overall Study
COMPLETED
216
221
217
Overall Study
NOT COMPLETED
11
5
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

LEO 90105 Ointment in Japanese Subjects With Psoriasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dovonex® Ointment
n=227 Participants
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 Participants
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 Participants
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Total
n=676 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
158 Participants
n=5 Participants
155 Participants
n=7 Participants
163 Participants
n=5 Participants
476 Participants
n=4 Participants
Age, Categorical
>=65 years
69 Participants
n=5 Participants
71 Participants
n=7 Participants
60 Participants
n=5 Participants
200 Participants
n=4 Participants
Age, Continuous
53.9 years
STANDARD_DEVIATION 15.4 • n=5 Participants
54.9 years
STANDARD_DEVIATION 15.5 • n=7 Participants
53.7 years
STANDARD_DEVIATION 15.6 • n=5 Participants
54.2 years
STANDARD_DEVIATION 15.5 • n=4 Participants
Sex: Female, Male
Female
66 Participants
n=5 Participants
67 Participants
n=7 Participants
54 Participants
n=5 Participants
187 Participants
n=4 Participants
Sex: Female, Male
Male
161 Participants
n=5 Participants
159 Participants
n=7 Participants
169 Participants
n=5 Participants
489 Participants
n=4 Participants
Region of Enrollment
Japan
227 participants
n=5 Participants
226 participants
n=7 Participants
223 participants
n=5 Participants
676 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline to Week 4

The primary response criterion was the percentage change in m-PASI from baseline to Week 4. The extent of and severity of redness, thickness and scaliness of psoriasis were recorded for each of three regions (arms, trunk and legs) and these were used to calculate mPASI using the following formula: Arms: 0.2(R+T+S)E = X Trunk: 0.2(R+T+S)E = Y Legs: 0.2(R+T+S)E = Z where R = score for redness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) T = score for thickness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) S = score for scaliness (using a scale from 0 to 4, where o is non signs and 4 is the most severe signs) E = score for extent (using a scale from 0 to 6, where 0 is no involvement and 6 is 90-100% involvemnet) The sum of X + Y + Z gave the total m-PASI, which could range from 0 to 64.8.

Outcome measures

Outcome measures
Measure
Dovonex® Ointment
n=227 Participants
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 Participants
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 Participants
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Change From Baseline in Modified Psoriasis Area and Severity Index (mPASI)
-50.5 percentage of change
Standard Deviation 32.1
-64.3 percentage of change
Standard Deviation 24.7
-53.6 percentage of change
Standard Deviation 26.4

SECONDARY outcome

Timeframe: Baseline to Week 4

Percentage change in composite severity score of the target lesion from baseline to Week 4. At Visit 1, the investigator selected a target lesion. Location was recorded as trunk, limb excluding elbow and/or knee. At Visits 1-4, the investigator assessed the severity of the target lesion for each sign (redness, thickness and scaliness) on a scale from 0 to 8 where 0 is no signs of redness, thickness or scaliness and 8 is the most severe signs of redness, thickeness or scaliniess. The individual scores for redness, thickness and scaliness were added together to give a single composite score for severity of the target lesion which could range from 0 to 24. The percentage change in the composite severity score from baseline to each visit was also calcutated.

Outcome measures

Outcome measures
Measure
Dovonex® Ointment
n=227 Participants
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 Participants
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 Participants
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Change From Baseline in Target Lesion Assessment
-57.1 percentage of change
Standard Deviation 27.6
-70.5 percentage of change
Standard Deviation 21.1
-58.6 percentage of change
Standard Deviation 26.1

SECONDARY outcome

Timeframe: Week 4

Subjects with 'clear' or 'almost clear' disease by physician's global assessment on the following 6 point scale: clear, almost clear, mild, moderate, severe, very severe. The assessment represents the average lesion severity on the trunk and limbs. The assessment was based on the condition of the disease at the time of evaluation, and not in relation to the condition at a previous visit.

Outcome measures

Outcome measures
Measure
Dovonex® Ointment
n=227 Participants
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 Participants
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 Participants
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Physician's Global Assessment of Psoriasis
52 participants
89 participants
43 participants

SECONDARY outcome

Timeframe: Baseline to Week 1

The extent of and severity of redness, thickness and scaliness of psoriasis were recorded for each of three regions (arms, trunk and legs) and these were used to calculate mPASI. The m-PASI could range from 0 to 64.8. The least severe outcome is 0 and the most severe outcome is 64.8

Outcome measures

Outcome measures
Measure
Dovonex® Ointment
n=227 Participants
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 Participants
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 Participants
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Change in mPASI From Baseline to Week 1
-23.7 percentage of change
Standard Deviation 23.0
-39.1 percentage of change
Standard Deviation 21.8
-29.5 percentage of change
Standard Deviation 21.4

Adverse Events

Dovonex® Ointment

Serious events: 1 serious events
Other events: 27 other events
Deaths: 0 deaths

LEO 90105 Ointment

Serious events: 2 serious events
Other events: 20 other events
Deaths: 0 deaths

Rinderon® - DP Ointment

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dovonex® Ointment
n=226 participants at risk
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 participants at risk
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 participants at risk
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Injury, poisoning and procedural complications
Injury
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.44%
1/226 • Number of events 1
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/223
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
Renal and urinary disorders
Calculus urinary
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.44%
1/226 • Number of events 1
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/223
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
Cardiac disorders
Acute coronary syndrome
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.44%
1/226 • Number of events 1
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/223
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.44%
1/226 • Number of events 1
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/223
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.00%
0/226
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
0.45%
1/223 • Number of events 1
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.

Other adverse events

Other adverse events
Measure
Dovonex® Ointment
n=226 participants at risk
Applied twice daily for 4 weeks. Dovonex® = calcipotriol : Applied twice daily for 4 weeks.
LEO 90105 Ointment
n=226 participants at risk
LEO 90105 ointment applied once daily for 4 weeks. LEO 90105 = calcipotriol + betamethasone dipropionate : Applied once daily for 4 weeks.
Rinderon® - DP Ointment
n=223 participants at risk
Applied once daily for 4 weeks Rinderon® - DP = betamethasone dipropionate : Applied once daily for 4 weeks.
Infections and infestations
Nasopharyngitis
5.8%
13/226 • Number of events 14
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
6.6%
15/226 • Number of events 16
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
5.4%
12/223 • Number of events 14
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
Skin and subcutaneous tissue disorders
Psoriasis
6.2%
14/226 • Number of events 14
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
2.2%
5/226 • Number of events 7
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.
1.8%
4/223 • Number of events 4
Three Serious Adverse Events occoured in subjects not randomized to study treatment: Adverse event term: Laceration, Radius fracture, Ulna fracture, Number of participants at risk in the 'dovonex ointment arm' is not conistent with number in the participant flow module as the AE analysis was done on safety set, not on randomised set.

Additional Information

Clinical trial disclosure manager

LEO Pharma A/S

Phone: 00 45 44 94 58 88

Results disclosure agreements

  • Principal investigator is a sponsor employee LEO acknowledges the investigators right to publish the entire results of the study, irrespective of outcome. LEO retains the right to have any publication submitted to LEO for review. 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