NCT04031027

Brief Summary

The DARWIN study is an Italian multicenter, observational, cross-sectional study involving both a primary data collection (at enrollment visit) and secondary use of data (retrospective observation period). DARWIN will describe patients' characteristics in Italian routine clinical practice as well as the medication utilization patterns, including needs and benefits form the patient's perspective.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
184

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jul 2019

Geographic Reach
1 country

16 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 6, 2019

Completed
16 days until next milestone

Study Start

First participant enrolled

July 22, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 24, 2019

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 27, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 27, 2021

Completed
Last Updated

March 4, 2024

Status Verified

March 1, 2024

Enrollment Period

1.5 years

First QC Date

July 6, 2019

Last Update Submit

March 1, 2024

Conditions

Keywords

apremilastDARWINdermatologyretrospectiveobservationalpsoriasiscross-sectional

Outcome Measures

Primary Outcomes (11)

  • Mean age of the patients treated with apremilast

    Age at treatment initiation (years)

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior enrolment)

  • Gender frequency of the patients treated with apremilast

    Gender (male/female); frequency in %

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean body weight of the patients treated with apremilast

    Body weight in kg

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean body mass index of the patients treated with apremilast

    BMI (combined outcome of weight and height in the form of kg/m\^2)

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean blood pressure of the patients treated with apremilast

    Blood pressure in mmHg

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean duration of psoriatic disease of the patients treated with apremilast

    Duration in years

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean Psoriasis area severity index score of the patients treated with apremilast

    Psoriasis area severity index score (PASI)

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean Body surface area of the patients treated with apremilast

    Psoriasis-involved body surface area (BSA) in %

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Mean Physician global assessment (PGA) score of the patients treated with apremilast

    Physician global assessment (PGA)

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Frequency of previous antipsoriatic treatments in the patients treated with apremilast

    Previous treatments classes in %

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

  • Reasons for discontinuation of previous antipsoriatic treatments in the patients treated with apremilast

    Frequency distribution of reasons in %

    At treatment initiation (retrospective analysis, about 6 (+/-1) months prior prior enrolment)

Secondary Outcomes (11)

  • Proportion of participants receiving apremilast at enrollment visit

    Up to approximately 7 months after treatment initiation

  • Apremilast treatment duration

    Up to approximately 7 months after treatment initiation

  • Change from baseline in Body Surface Area (BSA)

    Up to approximately 7 months after treatment initiation

  • Change from baseline in the Physician Global Assessment (PGA) Score

    Up to approximately 7 months after treatment initiation

  • Change from baseline in the Dermatology Life Quality Index (DLQI) score

    Up to approximately 7 months after treatment initiation

  • +6 more secondary outcomes

Interventions

Apremilast is prescribed in accordance with the terms of the SmPC and the marketing authorizations.

Also known as: Otezla; CC-10004

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

* Adult patients ≥18 years * Moderate to severe plaque-type psoriasis according to Summary of Product Characteristics

You may qualify if:

  • Must have understood and voluntarily signed the informed consent and privacy form.
  • Age ≥ 18 years at the time of signing the informed consent and privacy form.
  • Patients with available hospital medical chart since the start of apremilast treatment ('index date').
  • Diagnosis of plaque psoriasis.
  • Treatment with apremilast for plaque psoriasis, according to Summary of Product Characteristics (SmPC), started 6 (±1) months before enrollment. Patients who interrupted apremilast treatment before enrollment will also be included.
  • Ability to understand (read \& write) the Italian language and to follow the study instructions.

You may not qualify if:

  • Refusal to participate in this study or current participation in the treatment phase of an interventional clinical trial.
  • Started apremilast as part of a clinical trial, or previous apremilast use (prior to the index date).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

SOD Clinica Dermatologica A.O.U. Riuniti Umberto I Lancisi Salesi

Ancona, AN, 60126, Italy

Location

UOC Dermatologia ASST Spedali Civili

Brescia, BS, 25123, Italy

Location

Dermatologia Azienda Ospedaliera Papardo

Messina, ME, 98158, Italy

Location

Dermatologica e Venereologia Univ. A.O.U. Consorziale Policlinico

Bari, 70124, Italy

Location

UOS Clinica Dermatologica Ospedale San Giovanni di Dio

Cagliari, 09123, Italy

Location

Dermatologia A.O.U. Policlinico-Vittorio Emanuele PO S.Marco

Catania, 95100, Italy

Location

UOC Dermatologia Arcispedale Sant'Anna

Cona, 44124, Italy

Location

Dermatologia Ospedale Piero Palagi

Florence, 50025, Italy

Location

UOC Dermatologia A.O.U. Policlinico G. Martino

Messina, 98125, Italy

Location

Dermatologia A.O.U. Federico II

Napoli, 80131, Italy

Location

UOC Clinica Dermatologica A.O.U. Università della Campania Vanvitelli

Napoli, 80138, Italy

Location

Dermatologia A.O.U. Maggiore della Carità

Novara, 28100, Italy

Location

UOC Dermatologia e MST A.O.U. Policlinico P. Giaccone

Palermo, 90127, Italy

Location

Clinica Dermatologica Policlinico Tor Vergata

Roma, 00133, Italy

Location

Dermatologia e Venereologia A.O.U. Policlinico Umberto I

Roma, 00161, Italy

Location

UOC Dermatologia Universitaria Ospedale A. Fiorini

Terracina, 04019, Italy

Location

Related Publications (1)

  • Giofre C, Fabbrocini G, Potenza C, Tiberio R, Gisondi P, Marasca C, Nuzzo CMA, Benincasa E, Bianchi L; DARWIN study group. Real-World Apremilast Use for Treatment of Plaque Psoriasis in Italy: Patient Perspective, Characteristics, and Clinical Outcomes from the DARWIN Study. Adv Ther. 2023 Jul;40(7):3021-3037. doi: 10.1007/s12325-023-02516-y. Epub 2023 May 12.

    PMID: 37171752BACKGROUND

Related Links

MeSH Terms

Conditions

Psoriasis

Interventions

apremilast

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • MD

    Amgen

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
RETROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 6, 2019

First Posted

July 24, 2019

Study Start

July 22, 2019

Primary Completion

January 27, 2021

Study Completion

January 27, 2021

Last Updated

March 4, 2024

Record last verified: 2024-03

Locations