Optimising Outpatient Care in Mild to Moderate Psoriasis (PSO-TOP)

NCT ID: NCT01587755

Last Updated: 2015-03-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

1852 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2014-06-30

Brief Summary

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A Topical Treatment Optimisation Programme (TTOP) has been developed by the sponsor together with Patient Boards and an Expert Advisory Board to overcome non-adherence problems.

Detailed Description

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A Topical Treatment Optimisation Programme (TTOP) has been developed by the sponsor together with Patient Boards and an Expert Advisory Board. This tool is created to address patients' non-adherence in topical therapy and the resulting underperformance of such treatments in controlling psoriatic disease. The study addresses the effect of the relationship between the patient and the health care professional, one of the important factors that can affect treatment adherence and therapeutic efficacy. The TTOP will be compared to standardised regular care (called 'non-TTOP'). It is intended to clinically show the importance of an optimised contact between the patient and health care professional.

Conditions

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Mild to Moderate Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Topical Treatment Optimizing Program

Optimized care

Group Type OTHER

TTOP

Intervention Type OTHER

Patient is taken care of in an intensified, optimised manner

non-Topical Treatment Optimizing Program

Standard care

Group Type OTHER

non-TTOP

Intervention Type OTHER

Standard medical care

Interventions

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TTOP

Patient is taken care of in an intensified, optimised manner

Intervention Type OTHER

non-TTOP

Standard medical care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male and female patients aged at least 18 years
* Mild to moderate active plaque psoriasis with PGA ≥ 2 on the 7-point scale by Langley and Ellis and a Body Surface Area (BSA) of ≤ 10%
* Topical psoriasis treatment with coal or tar preparations, tazarotene, steroids, or vitamin D analogues, or combinations of steroids and vitamin D analogues (except gel combination products containing 50 micrograms calcipotriol/0.5mg betamethasone/g) or dithranol and its combination preparations over the last 8 weeks prior to Visit 1 (week 0)
* Written informed consent to participate in the study has been given prior to any study related procedures

Exclusion Criteria

* Severe renal insufficiency
* Severe hepatic disorders
* Known hyper calcaemia
* Erythrodermic, exfoliative, pustular or guttate psoriasis
* Facial or genital psoriasis
* Fulfilment of at least one contraindication according to the Summary of Product Characteristics of Daivobet®/Dovobet® Gel
* Pregnant and/or breast-feeding women
* Hypersensitivity to the active substances or to any of the excipients
* Suspected non-compliance with the clinical study procedures
* Current participation in another clinical study
* Systemic treatment with biological therapies, whether marketed or not, with a possible effect on psoriasis vulgaris within the following time periods prior to Visit 1 (week 0):

* etanercept - within 4 weeks prior to Visit 1 (week 0)
* adalimumab, alefacept, infliximab - within 2 months prior to Visit 1 (week 0)
* ustekinumab - within 4 months prior to Visit 1 (week 0)
* experimental products - within 4 weeks/5 half-lives (whichever is longer) prior to Visit 1 (week 0)
* Phototherapy within the following time periods prior to Visit 1 (week 0):

* PUVA - within 4 weeks prior to Visit 1 (week 0)
* UV-B - within 2 weeks prior to Visit 1 (week 0)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LEO Pharma

INDUSTRY

Sponsor Role collaborator

Kristian Reich, MD

INDIV

Sponsor Role lead

Responsible Party

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Kristian Reich, MD

Kristian Reich, MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Kristian Reich, MD Prof.

Role: PRINCIPAL_INVESTIGATOR

Locations

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Herning, , Denmark

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Hobro, , Denmark

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Roskilde, , Denmark

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Vejle, , Denmark

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Angers, , France

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Auxerre, , France

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Brest, , France

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Lille, , France

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Limeil-Brévannes, , France

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Marseille, , France

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Martigues, , France

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Paris, , France

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Poitiers, , France

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Saint-Germain-en-Laye, , France

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Saint-Mandé, , France

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Saint-Priest-en-Jarez, , France

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Tours, , France

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Vienne, , France

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Bad Bentheim, , Germany

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Berlin, , Germany

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Biberach, , Germany

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Blaubeuren Abbey, , Germany

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Bochum, , Germany

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Buchholz, , Germany

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Cologne, , Germany

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Dessau, , Germany

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Frankfurt, , Germany

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Friedrichshafen, , Germany

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Gilching, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Kiel, , Germany

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Mahlow, , Germany

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Osnabrück, , Germany

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Pinneberg, , Germany

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Selters, , Germany

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Weißenfels, , Germany

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Wolfenbüttel, , Germany

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Wuppertal, , Germany

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Brescia, , Italy

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Catania, , Italy

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Genova, , Italy

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Lucca, , Italy

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L’Aquila, , Italy

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Messina, , Italy

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Padua, , Italy

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Palermo, , Italy

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Parma, , Italy

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Pavia, , Italy

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Perugia, , Italy

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Rome, , Italy

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Trapani, , Italy

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Verona, , Italy

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Amsterdam, , Netherlands

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Geldrop, , Netherlands

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Maastricht, , Netherlands

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Nijmegen, , Netherlands

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Rotterdam, , Netherlands

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Alicante, , Spain

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Barcelona, , Spain

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Fuenlabrada (Madrid), , Spain

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Getafe (Madrid), , Spain

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Madrid, , Spain

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Palma de Mallorca, , Spain

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Tarragona, , Spain

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Valencia, , Spain

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Zaragoza, , Spain

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Eskilstuna, , Sweden

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Gothenburg, , Sweden

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Kristianstad, , Sweden

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Linköping, , Sweden

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Örebrö, , Sweden

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Uppsala, , Sweden

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Bexhill-on-Sea, , United Kingdom

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Bradford, , United Kingdom

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Burbage, , United Kingdom

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Canterbury, , United Kingdom

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Cheshire, , United Kingdom

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Chesterfield, , United Kingdom

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Coventry, , United Kingdom

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Darwen, , United Kingdom

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East Sussex, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Merseyside, , United Kingdom

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Middlesex, , United Kingdom

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Nantwich, , United Kingdom

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Nuneaton, , United Kingdom

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Oldham, , United Kingdom

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Royal Leamington Spa, , United Kingdom

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Royal Tunbridge Wells, , United Kingdom

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Warwickshire, , United Kingdom

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West Sussex, , United Kingdom

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Countries

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Denmark France Germany Italy Netherlands Spain Sweden United Kingdom

References

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Reich K, Zschocke I, Bachelez H, de Jong EM, Gisondi P, Puig L, Warren RB, Mrowietz U; TTOP study group. Efficacy of a fixed combination of calcipotriol/betamethasone dipropionate topical gel in adult patients with mild to moderate psoriasis: blinded interim analysis of a phase IV, multicenter, randomized, controlled, prospective study. J Eur Acad Dermatol Venereol. 2015 Jun;29(6):1156-63. doi: 10.1111/jdv.12774. Epub 2014 Oct 26.

Reference Type BACKGROUND
PMID: 25346093 (View on PubMed)

Reich K, Mrowietz U, Karakasili E, Zschocke I. Development of an adherence-enhancing intervention in topical treatment termed the topical treatment optimization program (TTOP). Arch Dermatol Res. 2014 Sep;306(7):667-76. doi: 10.1007/s00403-014-1475-5. Epub 2014 Jun 4.

Reference Type BACKGROUND
PMID: 24895177 (View on PubMed)

Zschocke I, Mrowietz U, Lotzin A, Karakasili E, Reich K. Assessing adherence factors in patients under topical treatment: development of the Topical Therapy Adherence Questionnaire (TTAQ). Arch Dermatol Res. 2014 Apr;306(3):287-97. doi: 10.1007/s00403-014-1446-x. Epub 2014 Feb 8.

Reference Type BACKGROUND
PMID: 24509981 (View on PubMed)

Reich K, Zschocke I, Bachelez H, de Jong EMGJ, Gisondi P, Puig L, Warren RB, Ortland C, Mrowietz U; PSO-TOP study group. A Topical Treatment Optimization Programme (TTOP) improves clinical outcome for calcipotriol/betamethasone gel in psoriasis: results of a 64-week multinational randomized phase IV study in 1790 patients (PSO-TOP). Br J Dermatol. 2017 Jul;177(1):197-205. doi: 10.1111/bjd.15466. Epub 2017 Jun 6.

Reference Type DERIVED
PMID: 28301043 (View on PubMed)

Other Identifiers

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055-006

Identifier Type: -

Identifier Source: org_study_id

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