A Study to Evaluate the Safety and Effectiveness of Doxercalciferol Capsules in Participants With Moderate to Severe Psoriasis
A Multicenter, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Assess the Efficacy and Safety of Doxercalciferol Capsules in the Treatment of Subjects With Moderate to Severe Chronic Plaque Psoriasis
1 other identifier
interventional
111
1 country
19
Brief Summary
The purpose of this study was to evaluate the safety and effectiveness of an investigational drug called doxercalciferol in participants with moderate to severe chronic plaque psoriasis, in comparison with a placebo ("sugar pill"). All study related care was provided including doctor visits, physical exams, laboratory tests and study medication. Total length of participation was 28 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Apr 2008
Shorter than P25 for phase_2
19 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 15, 2008
CompletedFirst Posted
Study publicly available on registry
January 25, 2008
CompletedStudy Start
First participant enrolled
April 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2009
CompletedResults Posted
Study results publicly available
May 5, 2014
CompletedMay 5, 2014
April 1, 2014
10 months
January 15, 2008
April 2, 2014
April 2, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With at Least 50 Percent (%) Reduction in Psoriasis Area Severity Index (PASI) Score at Week 12 or Early Termination
PASI score: range: 0 (no disease) to 72 (maximal disease). Body was divided into head (h), trunk (t), upper (u) and lower (l) extremities. For each section, percent area of skin involved (A) was estimated: 1 (\<10%) to 6 (90% - 100%), and severity was estimated by clinical signs: (erythema \[E\], induration \[I\], and desquamation \[D\]) on a scale: 0=no symptoms, 4=very marked. PASI score= 0.1 (E\[h\] + I\[h\] + D\[h\]) A\[h\] + 0.2 (E\[u\] + I\[u\] + D\[u\]) A\[u\] + 0.3 (E\[t\] + I\[t\] + D\[t\]) A\[t\] + 0.4 (E\[l\] + l\[I\] + D\[l\]) A\[l\].
Week 12 or Early Termination
Secondary Outcomes (2)
Percentage of Participants With at Least 50 Percent (%) Reduction in Psoriasis Area Severity Index (PASI) Score at Week 24 or Early Termination
Week 24 or Early Termination
Percentage of Participants With Static Physician's Global Assessment (PGA) Score of Clear or Almost Clear at Week 12, 24 or Early Termination
Week 12 or Early Termination, Week 24 or Early Termination
Study Arms (4)
Doxercalciferol 2.5 mcg/day
EXPERIMENTALDoxercalciferol 2.5 microgram (mcg) capsule orally once daily up to Week 24.
Doxercalciferol 5 mcg/day
EXPERIMENTALDoxercalciferol 5 mcg capsules orally once daily up to Week 24.
Doxercalciferol 7.5 mcg/day
EXPERIMENTALDoxercalciferol 7.5 mcg capsules orally once daily up to Week 24.
Placebo
PLACEBO COMPARATORPlacebo matching to doxercalciferol capsules orally once daily up to Week 24.
Interventions
Eligibility Criteria
You may qualify if:
- Participant had moderate to severe chronic plaque psoriasis defined by a body surface area (BSA) involvement greater than or equal to (\>=) 10 percent (%) and plaques with at least a slight elevation above the surrounding normal skin at the Day 1 visit
- Participant had a static Physician's Global Assessment (PGA) of moderate or severe at the Day 1 visit
- Participant had a minimum PASI score of 10 at the Day 1 visit
- Participant was a candidate to receive systemic psoriasis therapy in the opinion of the Investigator
- Participant of childbearing potential, was willing to use an effective contraceptive method throughout the study, which included barrier methods, hormones, or intrauterine devices
You may not qualify if:
- Used vitamin D analogues, multivitamin supplements containing greater than (\>) 400 international unit (IU) vitamin D, topical retinoids, topical pimecrolimus, and topical tacrolimus within 14 days prior to the Day 1 visit
- Used drugs known to influence serum calcium (such as lithium, digoxin, thiazide diuretics, teriparatide, bisphosphonates, and calcitonin) and multivitamin supplements containing calcium and/or calcium-containing antacids exceeding a total of 1 gram/day within 14 days prior to the Day 1 visit
- Used keratolytics or coal tar (except shampoo containing coal tar or salicylic acid) within 14 days prior to the Day 1 visit
- Used low potency topical corticosteroids (Classes VI and VII), except on the groin, scalp, palms, soles and face, within 14 days prior to the Day 1 visit
- Used medium potency topical corticosteroids (Classes III - V) or high potency topical corticosteroids (Classes I and II) within 14 days prior to the Day 1 visit
- Used systemic retinoids, systemic corticosteroids, methotrexate, cyclosporine, azathioprine, thioguanine or other systemic immunosuppressant agents within 28 days prior to the Day 1 visit
- Used phototherapy, including Ultraviolet B within 14 days or Psoralen plus Ultraviolet A within 28 days prior to the Day 1 visit
- Used a biological agent (including, but not limited to, etanercept, adalimumab, efalizumab, infliximab, or alefacept) within 5 half-lives of the drug prior to the Day 1 visit
- Used systemic antibiotics within 14 days prior to the Day 1 visit. Antibiotic treatment of infections during the Treatment Period was not excluded
- Used investigational drugs within 28 days prior to the Day 1 visit
- Current erythrodermic, guttate, generalized pustular, unstable psoriasis or other chronic active skin conditions that may interfere with the study
- Screening visit laboratory result exceeded the following limits: alanine transaminase (ALT) or aspartate transaminase (AST) \>1.5 times the upper limit of normal (ULN); bilirubin \>ULN; serum creatinine, calcium, or phosphorus \>ULN; spot urine calcium/creatinine ratio \>0.4
- History of nephrolithiasis
- Chronic kidney disease as evidenced by a calculated glomerular filtration rate (GFR) less than (\<) 60 milliliter/minute/1.73 square meter (mL/min/1.73 m\^2) at the screening visit
- Symptomatic coronary or cerebral vascular disease, human immunodeficiency virus, active viral hepatitis, or any other clinically significant, unstable medical condition that would interfere with the completion of the study
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
Unknown Facility
Birmingham, Alabama, United States
Unknown Facility
Hot Springs, Arizona, United States
Unknown Facility
Little Rock, Arkansas, United States
Unknown Facility
Irvine, California, United States
Unknown Facility
Santa Monica, California, United States
Unknown Facility
Alpharetta, Georgia, United States
Unknown Facility
Indianapolis, Indiana, United States
Unknown Facility
Andover, Massachusetts, United States
Unknown Facility
Boston, Massachusetts, United States
Unknown Facility
Troy, Michigan, United States
Unknown Facility
West Bloomfield, Michigan, United States
Unknown Facility
St Louis, Missouri, United States
Unknown Facility
East Windsor, New Jersey, United States
Unknown Facility
Albuquerque, New Mexico, United States
Unknown Facility
Stony Brook, New York, United States
Unknown Facility
Greer, South Carolina, United States
Unknown Facility
Nashville, Tennessee, United States
Unknown Facility
San Antonio, Texas, United States
Unknown Facility
Salt Lake City, Utah, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Trial Transparency Team
- Organization
- Sanofi
Study Officials
- STUDY DIRECTOR
Medical Monitor
Genzyme, a Sanofi Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 15, 2008
First Posted
January 25, 2008
Study Start
April 1, 2008
Primary Completion
February 1, 2009
Study Completion
June 1, 2009
Last Updated
May 5, 2014
Results First Posted
May 5, 2014
Record last verified: 2014-04