IL-17 Role in Variants of Psoriasis
Role of Il-17a in Difficult to Treat Variants of Psoriasis Including Palmo-plantar Psoriasis
1 other identifier
observational
90
1 country
1
Brief Summary
The goal of this project is to study some mechanisms involved in the dysregulation of the immune system observed in the skin of subjects with psoriasis. This will be done by analyzing specific immune cells as well as gene and protein expression in small skin samples (biopsies) from patients with psoriasis. These results will be compared to the skin of healthy subjects without psoriasis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Feb 2014
1 active site
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
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 28, 2014
CompletedFirst Posted
Study publicly available on registry
March 5, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedMarch 27, 2015
March 1, 2015
1 year
February 28, 2014
March 25, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Source of IL 17A
Explore the cellular source of IL 17A and mechanisms involved in the higher IL 17A/IL 23 expression ratio observed in palmo plantar skin of subjects with psoriasis
Day 0
Secondary Outcomes (14)
Mechanism involved in the IL 17A/IL 23 expression ratio
Day 0
Compare IL 17A expression in plaques from scalp against plaques from trunk or lower limbs
Day 0
Compare IL 23 expression in plaques from scalp against plaques from trunk or lower limbs
Day 0
Compare IL 17A expression in plaques from palms against plaques from trunk or lower limbs
Day 0
Compare IL 23 expression in plaques from palms against plaques from trunk or lower limbs
Day 0
- +9 more secondary outcomes
Study Arms (6)
Scalp psoriasis
Patients have at least one psoriatic lesion on trunk or and psoriasis that is more resistant to treat such as scalp psoriasis, pustular palmo-plantar psoriasis, non-pustular palmo-plantar psoriasis, elbow psoriasis and lower leg psoriasis.
pustular palmo-plantar psoriasis
Patients have at least one psoriatic lesion on trunk or and psoriasis that is more resistant to treat such as scalp psoriasis, pustular palmo-plantar psoriasis, non-pustular palmo-plantar psoriasis, elbow psoriasis and lower leg psoriasis.
non-pustular palmo-plantar psoriasis
Patients have at least one psoriatic lesion on trunk or and psoriasis that is more resistant to treat such as scalp psoriasis, pustular palmo-plantar psoriasis, non-pustular palmo-plantar psoriasis, elbow psoriasis and lower leg psoriasis.
elbow psoriasis
Patients have at least one psoriatic lesion on trunk or and psoriasis that is more resistant to treat such as scalp psoriasis, pustular palmo-plantar psoriasis, non-pustular palmo-plantar psoriasis, elbow psoriasis and lower leg psoriasis.
leg psoriasis
Patients have at least one psoriatic lesion on trunk or and psoriasis that is more resistant to treat such as scalp psoriasis, pustular palmo-plantar psoriasis, non-pustular palmo-plantar psoriasis, elbow psoriasis and lower leg psoriasis.
Healthy subjects
Eligibility Criteria
Invitation to volunteer
You may qualify if:
- Subject, male or female, is aged 18 years or older at the screening visit.
- Subject has a history of psoriasis for at least 6 months (does not apply to healthy volunteers).
- Subject has psoriasis on the trunk and/or upper limbs and/or thighs in an area suitable for a skin biopsy (does not apply to healthy volunteers).
- Subject has palmo-plantar pustular psoriasis or palmo-plantar non-pustular psoriasis or psoriasis on the scalp or elbows or lower limbs that is suitable for two skin biopsies (does not apply to healthy volunteers).
- Female subject is willing to use effective contraceptive method for at least 30 days before Day 0 and at least until Day 10. Effective contraceptive methods are:
- Barrier methods such as condom, sponge or diaphragm combined with spermicide in foam, gel or cream;
- Hormonal contraception (oral, intramuscular, implant or transdermal) which include Depo-Provera, Evra and Nuvaring;
- Intrauterine device (IUD);
- Sterilization such as tubal ligation, hysterectomy or vasectomy;
- Postmenopausal state for at least 1 year
- Same-sex partner;
- Abstinence.
- Female subjects of childbearing potential must have a negative urine pregnancy test at the Screening visit.
- Subjects must be able and willing to provide written informed consent and comply with the requirements of this study protocol.
You may not qualify if:
- Female subject is pregnant or lactating.
- Subject has used any topical treatment for psoriasis (except non medicated emollients) in the last 14 days before Day 0 with the exception of hydrocortisone and desonide for the face, groin (including genitals) and inframammary areas as well as shampoos containing tar, salicylic acid, or zinc pyrithione.
- Subject has used Ultra-Violet (UV) B phototherapy or excessive sun exposure less than 14 days before Day 0.
- Subject has used any non biological systemic therapy for the treatment of psoriasis (including Psoralen Ultra-Violet A (PUVA) therapy), systemic steroids or systemic immunosuppressants less than 28 days before Day 0. Investigational non biologics agents must be discontinued at least 28 days or 5 half lives prior to Day 0 (whichever is longer).
- Subject is currently participating in a clinical trial with an experimental drug or device.
- Subject who has used any biological therapy for the treatment of psoriasis less than 90 days before Day 0.
- Subject is taking or requires oral or injectable corticosteroids. Inhaled corticosteroids for stable medical conditions are allowed. Subjects who have used oral or injectable corticosteroids less than 28 days before Day 0 are excluded.
- Subject is known to have hepatitis B or hepatitis C viral infection.
- Subject is known to have immune deficiency or is immunocompromised or currently uses or plans to use anti retroviral therapy at any time during the study.
- Subject is taking anti-coagulant medication (v.g. heparin, LMW (low molecular weight)-heparin, warfarin, anti-platelets (NSAID and aspirin will not be considered anti-platelets)) or has a contra indication to skin biopsies.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Innovaderm Research
Montreal, Quebec, H2K 4L5, Canada
Biospecimen
Skin biopsies and blood samples will be taken. Samples will be retained until final analyses have been performed according to protocol and destroyed thereafter.
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Bissonnette, MD
Innovaderm Research
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 28, 2014
First Posted
March 5, 2014
Study Start
February 1, 2014
Primary Completion
February 1, 2015
Study Completion
March 1, 2015
Last Updated
March 27, 2015
Record last verified: 2015-03