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Adalimumab in Combination With Topical Treatment (Calcipotriol/Betamethasone) in Subjects With Moderate to Severe Psoriasis and Insufficient Response to Classic Systemic Treatment (BELIEVE)
This study has been completed.
First Received: December 12, 2007   Last Updated: March 17, 2009   History of Changes
Sponsored by: Abbott
Information provided by: Abbott
ClinicalTrials.gov Identifier: NCT00574249
  Purpose

The objective of this study is to assess the efficacy and safety of adalimumab in combination with topical psoriasis treatment, calcipotriol/betamethasone vs. adalimumab in combination with matching vehicle in subjects with moderate to severe chronic plaque psoriasis.


Condition Intervention Phase
Chronic Plaque Psoriasis
Drug: adalimumab
Drug: Calcipotriol + Betamethasone
Phase III

MedlinePlus related topics: Psoriasis
Drug Information available for: Calcipotriene Adalimumab Bentelan Betamethasone Betamethasone dipropionate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Multi-Center, Randomized, Vehicle-Controlled Study to Assess the Efficacy and Safety of Adalimumab in Combination With Topical Treatment (Calcipotriol/Betamethasone) in Subjects With Moderate to Severe Psoriasis and Insufficient Response to Classic Systemic Treatment

Further study details as provided by Abbott:

Primary Outcome Measures:
  • PASI 75 [ Time Frame: Week 16 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety parameters [ Time Frame: Throughout study ] [ Designated as safety issue: Yes ]
  • PGA [ Time Frame: Proportion of subjects achieving a PGA 0/1 (Clear or minimal) at weeks 2, 4, 8, 12 and 16 ] [ Designated as safety issue: No ]
  • DLQI [ Time Frame: Change from Baseline in DLQI total score at weeks 2, 4, 8, 12 and 16 ] [ Designated as safety issue: No ]
  • PASI [ Time Frame: Subjects who achieve PASI 50, 90 and 100 ] [ Designated as safety issue: No ]
  • SF-36 [ Time Frame: Weeks 8 and 16 ] [ Designated as safety issue: No ]

Enrollment: 730
Study Start Date: November 2007
Primary Completion Date: October 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator Drug: adalimumab
Soft Capsule (sc)
Drug: Calcipotriol + Betamethasone
Topical
2: Placebo Comparator Drug: adalimumab
Soft Capsule (sc)
Drug: Calcipotriol + Betamethasone
Topical

Detailed Description:

Additional information regarding sponsors: Abbott GmbH & Co. KG is sponsor for EU member states. Abbott US is sponsor for non-EU member states.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject is >= 18 years of age
  • Subject had a clinical diagnosis of chronic plaque psoriasis for at least 6 months, and has moderate to severe plaque psoriasis
  • Subject must have been treated and failed to respond to, or has a contraindication to, or is intolerant to at least two different systemic therapies, one of which must be cyclosporine, or methotrexate or oral PUVA
  • Subject is judged to be in generally good health as determined by the principal investigator

Exclusion Criteria:

  • Subject has previous exposure to adalimumab
  • Subject cannot discontinue systemic therapies and/or topical therapies for the treatment of psoriasis and cannot avoid UVB or PUVA phototherapy
  • Subject is taking or requires oral or injectible corticosteroids
  • Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, medication-induced or medication-exacerbated psoriasis or new onset guttate psoriasis
  • Subject considered by the investigator, for any reason, to be an unsuitable candidate
  • Female subject who is pregnant or breast-feeding or considering becoming pregnant
  • Subject has a calcium metabolism disorder
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00574249

  Show 131 Study Locations
Sponsors and Collaborators
Abbott
  More Information

No publications provided

Responsible Party: Abbott ( Marie Rosenfeld, Senior CRM )
Study ID Numbers: M10-060
Study First Received: December 12, 2007
Last Updated: March 17, 2009
ClinicalTrials.gov Identifier: NCT00574249     History of Changes
Health Authority: Turkey: Ethics Committee

Keywords provided by Abbott:
Psoriasis
Moderate Psoriasis
Severe Psoriasis
Chronic Plaque Psoriasis
Severe Chronic Plaque Psoriasis

Study placed in the following topic categories:
Betamethasone-17,21-dipropionate
Anti-Inflammatory Agents
Skin Diseases
Hormone Antagonists
Betamethasone sodium phosphate
Hormones, Hormone Substitutes, and Hormone Antagonists
Anti-Asthmatic Agents
Adalimumab
Glucocorticoids
Hormones
Calcipotriene
Sodium phosphate
Psoriasis
Antirheumatic Agents
Skin Diseases, Papulosquamous
Betamethasone

Additional relevant MeSH terms:
Betamethasone-17,21-dipropionate
Anti-Inflammatory Agents
Respiratory System Agents
Skin Diseases
Betamethasone sodium phosphate
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Anti-Asthmatic Agents
Adalimumab
Hormones
Glucocorticoids
Pharmacologic Actions
Calcipotriene
Psoriasis
Therapeutic Uses
Antirheumatic Agents
Dermatologic Agents
Skin Diseases, Papulosquamous
Betamethasone

ClinicalTrials.gov processed this record on May 07, 2009