NCT01356004

Brief Summary

Immunotherapy was reported in the treatment of psoriasis. Treatment of resistant psoriasis may be difficult and cyclosporine can induce some remission. The investigators hypothesized that the combined use of live attenuated varicella vaccine as an adjuvant therapy to low dose cyclosporine in the treatment of severe resistant psoriasis can give positive responses.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
35

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jan 2010

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

January 1, 2010

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2010

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2010

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

May 17, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 19, 2011

Completed
Last Updated

May 19, 2011

Status Verified

January 1, 2011

Enrollment Period

4 months

First QC Date

May 17, 2011

Last Update Submit

May 18, 2011

Conditions

Keywords

severe resistant

Outcome Measures

Primary Outcomes (1)

  • Number of Participants with PASI score improvement as a Measure of effective treatment

    the clinical evaluation of our patients through the Psoriasis Area Severity Index (PASI) score calculation at each visit. The final patient's response was rated according to the physician global assessment (PGA) based on the final improvement of the PASI score as worse, poor (0-24% improvement in PASI), fair (25-50% improvement in PASI), good (50-74% improvement in PASI), excellent (75-99% improvement in PASI), or cleared (100% improvement in PASI).

    12 weeks

Secondary Outcomes (1)

  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    12 weeks

Study Arms (2)

chicken pox vaccine, efficacy

EXPERIMENTAL
Drug: live attenuated chicken pox vaccine

saline, efficacy

PLACEBO COMPARATOR
Drug: saline, efficacy

Interventions

Each immunizing dose was given subcutaneously (SC) in the form of 0.5 ml reconstituted vaccine which contains not less than 1033 plaque forming units (PFU) of the attenuated varicella-zoster-virus (VZV), which meets the World Health Organization (WHO) requirements for biological substances and for varicella vaccines. Doses were given 3 weeks apart for a total duration of 12 weeks (3 months).

chicken pox vaccine, efficacy

4 doses of SC saline (0.5 ml) -as a placebo- in the same pattern as group A patients

saline, efficacy

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Severe psoriasis: At least 30% of body involved) according to the rule of nine.
  • Resistance to conventional therapy (PUVA, methotrexate, retinoids):
  • (Maximum PASI 50% improvement while on treatment for a duration not less than 6 months).
  • Immunologically competent individuals with
  • Seropositive for the varicella antibodies

You may not qualify if:

  • Any contraindication to live attenuated varicella vaccine
  • Any contraindication to cyclosporine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Unknown Facility

Cairo, Egypt

Location

MeSH Terms

Conditions

Psoriasis

Interventions

Sodium Chloride

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

May 17, 2011

First Posted

May 19, 2011

Study Start

January 1, 2010

Primary Completion

May 1, 2010

Study Completion

November 1, 2010

Last Updated

May 19, 2011

Record last verified: 2011-01

Locations