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

Overview[ - collapse ][ - ]

Purpose 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.
ConditionMild to Moderate Psoriasis
InterventionOther: TTOP
Other: non-TTOP
PhasePhase 4
SponsorKristian Reich, MD
Responsible PartyReich, Kristian, M.D.
ClinicalTrials.gov IdentifierNCT01587755
First ReceivedApril 25, 2012
Last UpdatedApril 10, 2013
Last verifiedApril 2013

Tracking Information[ + expand ][ + ]

First Received DateApril 25, 2012
Last Updated DateApril 10, 2013
Start DateMarch 2012
Estimated Primary Completion DateJune 2014
Current Primary Outcome MeasuresPhysician Global Assessment (PGA) [Time Frame: Up to 64 weeks; primary outcome assessed at week 8 after treatment start] [Designated as safety issue: No]PGA (Physician Global Assessment) will be assessed at all study visits. For week 8, the rate of patients with a PGA (as defined by Langley and Ellis 2004) of 0 or 1 will be calculated. This is the primary study parameter.
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleOptimising Outpatient Care in Mild to Moderate Psoriasis (PSO-TOP)
Official TitleOptimising Outpatient Care in Mild to Moderate Psoriasis by a Newly Developed 'Topical Treatment Optimising Programme' - an International Study Using Daivobet®/Dovobet® Gel
Brief Summary
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
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.
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
ConditionMild to Moderate Psoriasis
InterventionOther: TTOP
Patient is taken care of in an intensified, optimised manner
Other: non-TTOP
Standard medical care
Study Arm (s)
  • Other: Topical Treatment Optimizing Program
    Optimized care
  • Other: non-Topical Treatment Optimizing Program
    Standard care

Recruitment Information[ + expand ][ + ]

Recruitment StatusActive, not recruiting
Estimated Enrollment1956
Estimated Completion DateJune 2014
Estimated Primary Completion DateDecember 2013
Eligibility Criteria
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)
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesDenmark, France, Germany, Italy, Netherlands, Spain, Sweden, United Kingdom

Administrative Information[ + expand ][ + ]

NCT Number NCT01587755
Other Study ID Numbers055-006
Has Data Monitoring CommitteeNo
Information Provided ByReich, Kristian, M.D.
Study SponsorKristian Reich, MD
CollaboratorsLEO Pharma
Investigators Principal Investigator: Kristian Reich, MD Prof.
Verification DateApril 2013

Locations[ + expand ][ + ]

Denmark
Herning, Denmark
Denmark
Hobro, Denmark
Denmark
Roskilde, Denmark
Denmark
Vejle, Denmark
France
Angers Cedex 9, France
France
Auxerre, France
France
Brest, France
France
Lille Cedex, France
France
Limeil Brevannes, France
France
Marseille Cedex 08, France
France
Martigues, France
France
Paris Cedex 10, France
France
Poitiers Cedex, France
France
Saint Mande, France
France
Saint Priest en Jarez, France
France
Saint-Germain en Laye, France
France
Tours Cedex 1, France
France
Vienne, France
Germany
Bad Bentheim, Germany
Germany
Berlin, Germany
Germany
Biberach, Germany
Germany
Blaubeuren, Germany
Germany
Bochum, Germany
Germany
Buchholz, Germany
Germany
Dessau, Germany
Germany
Frankfurt, Germany
Germany
Friedrichshafen, Germany
Germany
Gilching, Germany
Germany
Hamburg, Germany
Germany
Hannover, Germany
Germany
Kiel, Germany
Germany
Köln, Germany
Germany
Mahlow, Germany
Germany
Osnabrück, Germany
Germany
Pinneberg, Germany
Germany
Selters, Germany
Germany
Weißenfels, Germany
Germany
Wolfenbüttel, Germany
Germany
Wuppertal, Germany
Italy
Brescia, Italy
Italy
Catania, Italy
Italy
Genova, Italy
Italy
L'Aquila, Italy
Italy
Lucca, Italy
Italy
Messina, Italy
Italy
Padova, Italy
Italy
Palermo, Italy
Italy
Parma, Italy
Italy
Pavia, Italy
Italy
Perugia, Italy
Italy
Rome, Italy
Italy
Trapani, Italy
Italy
Verona, Italy
Netherlands
Amsterdam, Netherlands
Netherlands
Geldrop, Netherlands
Netherlands
Maastricht, Netherlands
Netherlands
Nijmegen, Netherlands
Netherlands
Rotterdam, Netherlands
Spain
Alicante, Spain
Spain
Barcelona, Spain
Spain
Barcelona,, Spain
Spain
Fuenlabrada (Madrid), Spain
Spain
Getafe (Madrid), Spain
Spain
Madrid, Spain
Spain
Palma de Mallorca, Spain
Spain
Tarragona, Spain
Spain
Valencia, Spain
Spain
Zaragoza, Spain
Sweden
Eskilstuna, Sweden
Sweden
Göteborg, Sweden
Sweden
Kristianstad, Sweden
Sweden
Linköping, Sweden
Sweden
Uppsala, Sweden
Sweden
Örebrö, Sweden
United Kingdom
Bexhill, United Kingdom
United Kingdom
Bradford, United Kingdom
United Kingdom
Burbage, United Kingdom
United Kingdom
Canterbury, United Kingdom
United Kingdom
Cheshire, United Kingdom
United Kingdom
Chesterfield, United Kingdom
United Kingdom
Coventry, United Kingdom
United Kingdom
Darwen, United Kingdom
United Kingdom
East Sussex, United Kingdom
United Kingdom
Leamington Spa, United Kingdom
United Kingdom
London, United Kingdom
United Kingdom
Manchester, United Kingdom
United Kingdom
Merseyside, United Kingdom
United Kingdom
Middlesex, United Kingdom
United Kingdom
Nantwich, United Kingdom
United Kingdom
Nuneaton, United Kingdom
United Kingdom
Oldham, United Kingdom
United Kingdom
Tunbridge Wells, United Kingdom
United Kingdom
Warwickshire, United Kingdom
United Kingdom
West Sussex, United Kingdom