Effect of Adalimumab Therapy on Psoriasis Patient

NCT ID: NCT05889338

Last Updated: 2023-06-05

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-30

Study Completion Date

2024-01-31

Brief Summary

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to evaluate the impact of adalimumab therapy on quality of life in patient with severe psoriasis.

Detailed Description

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to evaluate the impact of adalimumab therapy against methotrexate therapy on quality of life in patient with severe psoriasis and follow up after 24 week by A- Medical history age, sex, marital state, occupation, educational level and family history. dermatologic history: onset, course, duration. B- Complete dermatologic examination

C- Psoriasis Area and Severity Index (PASI) score:

The scoring involves rating the symptoms of psoriasis from none to very severe and estimating the percentage of the body that they affect.The range of absolute PASI scores is 0-72, with higher scores indicating a greater severity of psoriasis. A score of 0 indicates no psoriasis, while a score higher than 10 suggests severe psoriasis. The scoring system includes a section for intensity and another for body coverage .The score will be evaluated before treatment, at week 12 and at week 24.

D- Dermatology Life Quality Index (DLQI):

It is self-reported questionnaire . It has been translated to \>110 languages. Measurement properties of the DLQI, such as validity, reliability, and responsiveness to change were reported. It is widely used in both clinical practice and research settings, including randomized controlled trials, patient registries, and national treatment and reimbursement guidelines . The study will depend on the Arabic Tunisian version of the DLQI questionnaire . DLQI consists of 10 questions related to symptoms, feelings, daily activities, leisure, work, personal relationships and the effects of treatment on daily life within the past week. Scores can range from 0 to 30, with higher scores representing worse quality of life . The questionnaire will be answered by all participant before initiation of treatment, at week 12 and at week 24 of treatment.

Conditions

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Psoriasi

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Case: adults with severe psoriasis treated by adalimumab therapy.

Group Type ACTIVE_COMPARATOR

adalimumab and methotrexate

Intervention Type DRUG

Adult patients (\> 18 years) with severe psoriasis who will start treatment with either adalimumab or methotrexate

Control: adults with severe psoriasis treated by methotrexate therapy.

Group Type ACTIVE_COMPARATOR

adalimumab and methotrexate

Intervention Type DRUG

Adult patients (\> 18 years) with severe psoriasis who will start treatment with either adalimumab or methotrexate

Interventions

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adalimumab and methotrexate

Adult patients (\> 18 years) with severe psoriasis who will start treatment with either adalimumab or methotrexate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

.Adult patients (\> 18 years) with severe psoriasis who will start treatment with either adalimumab or methotrexate.

Exclusion Criteria

.Pregnancy or lactation. .Chronic liver or renal disease. .History of tuberculosis. .Cancer and blood disorder.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Shimaa Fawzy Abdelhalim

Dermatology resident at Gehina Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag University Hospital

Sohag, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Shimaa f Abdelhaleem, M.B.B.Ch

Role: CONTACT

01140017278

Ramadan S Abdo Saleh, Professor

Role: CONTACT

Facility Contacts

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Magdy M Amin, professor

Role: primary

0100 298 0599

References

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Rencz F, Szabo A, Brodszky V. Questionnaire Modifications and Alternative Scoring Methods of the Dermatology Life Quality Index: A Systematic Review. Value Health. 2021 Aug;24(8):1158-1171. doi: 10.1016/j.jval.2021.02.006. Epub 2021 Apr 21.

Reference Type BACKGROUND
PMID: 34372982 (View on PubMed)

Frenzel A, Schirrmann T, Hust M. Phage display-derived human antibodies in clinical development and therapy. MAbs. 2016 Oct;8(7):1177-1194. doi: 10.1080/19420862.2016.1212149. Epub 2016 Jul 14.

Reference Type BACKGROUND
PMID: 27416017 (View on PubMed)

van der Kraaij G, Busard C, van den Reek J, Menting S, Musters A, Hutten B, de Rie M, Ouwerkerk W, van Bezooijen SJ, Prens E, Rispens T, de Vries A, de Jong E, de Kort W, Lambert J, van Doorn M, Spuls P. Adalimumab with Methotrexate vs. Adalimumab Monotherapy in Psoriasis: First-Year Results of a Single-Blind Randomized Controlled Trial. J Invest Dermatol. 2022 Sep;142(9):2375-2383.e6. doi: 10.1016/j.jid.2022.01.033. Epub 2022 Mar 8.

Reference Type BACKGROUND
PMID: 35276223 (View on PubMed)

Matsui T, Umetsu R, Kato Y, Hane Y, Sasaoka S, Motooka Y, Hatahira H, Abe J, Fukuda A, Naganuma M, Kinosada Y, Nakamura M. Age-related trends in injection site reaction incidence induced by the tumor necrosis factor-alpha (TNF-alpha) inhibitors etanercept and adalimumab: the Food and Drug Administration adverse event reporting system, 2004-2015. Int J Med Sci. 2017 Jan 15;14(2):102-109. doi: 10.7150/ijms.17025. eCollection 2017.

Reference Type BACKGROUND
PMID: 28260984 (View on PubMed)

Other Identifiers

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Soh-Med-23-04-26MS_

Identifier Type: -

Identifier Source: org_study_id

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