TNF-alfa Inhibitors and Antibody Production in Patients With Psoriasis

NCT ID: NCT01657513

Last Updated: 2012-08-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Brief Summary

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TNF alfa blockers are widely used for treatment of severe psoriasis. These biologics are well-tolerated with few side effects.

Unfortunately not all patients respond adequately to treatment with tnf alfa blockers. Some do not respond at all while others respond initially but gradually lose effect despite increased dose and more frequent administration.

The cause of treatment failure is largely unknown and it may be production of tnf-alfa neutralizing antibodies. This has been demonstrated in patients with rheumatoid arthritis and inflammatory bowel disease who lost response after treatment with tnf-alfa blockers.

Detailed Description

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Conditions

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Psoriasis

Keywords

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psoriasis treatment failure tnf-alfa

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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tnf-alfa treatment (infliximab, adalimumab, or etanercept)

This arm includes all the patients of the study. They are patients who are start treatment with a tnf-alfa blocking drug

Group Type EXPERIMENTAL

subjects will receive either infliximab, adalimumab or etanercept

Intervention Type DRUG

The subjects receive treatment with a tnf-alfa blocking according to the official guidelines for the particular drug.

The study subjects will receive treatment with one drug only -

1. infliximab or
2. adalimumab or
3. etanercept

The consulting dermatologist decides which drug to use according to official guidelines

Interventions

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subjects will receive either infliximab, adalimumab or etanercept

The subjects receive treatment with a tnf-alfa blocking according to the official guidelines for the particular drug.

The study subjects will receive treatment with one drug only -

1. infliximab or
2. adalimumab or
3. etanercept

The consulting dermatologist decides which drug to use according to official guidelines

Intervention Type DRUG

Other Intervention Names

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infliximab adalimumab etanercept

Eligibility Criteria

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Inclusion Criteria

* Male or female
* Age above 18
* Psoriasis
* Indication for treatment with tnf alfa blocking drug
* Written informed consent obtained

Exclusion Criteria

* Severe psychiatric disorder
* No indication for treatment with tnf-alfa blocking drug
* Pregnancy
* Breastfeeding
* No written informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Michaelsen Foundation

UNKNOWN

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

University Hospital, Gentofte, Copenhagen

OTHER

Sponsor Role lead

Responsible Party

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Peter Jensen

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lone Skov, MD, PhD

Role: STUDY_DIRECTOR

Copenhagen University Hospital Gentofte, Department of Skin and Allergies

Mona Ståhle, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institute, Department of Medicine

Locations

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Copenhagen University Hospital Gentofte, Department of Skin and Allergies

Hellerup, , Denmark

Site Status RECRUITING

Karolinska Institute, Department of Medicine

Stockholm, , Sweden

Site Status RECRUITING

Countries

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Denmark Sweden

Central Contacts

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Lone Skov, MD, PhD

Role: CONTACT

Phone: +4539773204

Email: [email protected]

Peter Jensen, MD

Role: CONTACT

Phone: +4539777538

Email: [email protected]

Facility Contacts

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Lone Skov, MD, PhD

Role: primary

Peter Jensen, MD

Role: backup

Mona Ståhle, MD, PhD

Role: primary

Other Identifiers

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H-2-2012-001

Identifier Type: REGISTRY

Identifier Source: secondary_id

H-2-2012-001

Identifier Type: -

Identifier Source: org_study_id