NCT04535999

Brief Summary

This study will be an open label study of secukinumab for the treatment of nail psoriasis. Secukinumab is an FDA-approved treatment for psoriasis. We will examine time to response and different methods of defining nail disease response.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Feb 2022

Typical duration 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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 27, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 2, 2020

Completed
1.4 years until next milestone

Study Start

First participant enrolled

February 7, 2022

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2025

Completed
Last Updated

July 18, 2025

Status Verified

July 1, 2025

Enrollment Period

3.3 years

First QC Date

August 27, 2020

Last Update Submit

July 17, 2025

Conditions

Keywords

Psoriasis

Outcome Measures

Primary Outcomes (1)

  • NAPSI

    Nail Psoriasis Severity Index (NAPSI): NAPSI is the most comprehensive nail assessment used in clinical trials. The fingernail is divided into four quadrants. For each quadrant, 1 point is assigned for a nail matrix abnormality and 1 point for a nail bed abnormality allowing for a total of 8 points per nail. 0-80 total points possible with a higher score corresponding to a worse outcome.

    Baseline to 24 Weeks

Secondary Outcomes (3)

  • PASI

    Baseline to 24 Weeks

  • Physician Global Assessment of Nail Disease

    Baseline to 24 Weeks

  • DLQI

    Baseline to 24 Weeks

Study Arms (1)

Open Label

EXPERIMENTAL

Secukinumab

Drug: Secukinumab Auto-Injector

Interventions

300 mg- Every 4 weeks after loading dose (Loading Dose-300 mg once weekly for 5 weeks)

Also known as: Cosentyx
Open Label

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Active psoriatic nail disease defined as a Minimum 4 or more fingernails OR NAPSI\>20
  • Active skin psoriasis currently (no minimum PASI or BSA) or skin psoriasis in the past documented by a dermatologist
  • Age 18-85

You may not qualify if:

  • History of IL-17 inhibitor use (other therapies including TNF inhibitors or non- biologics DMARDS in the past are acceptable)
  • Inflammatory bowel disease
  • Metal implants or other concerns for use of MRI
  • Active infection
  • Patients may have a history of self-reported psoriatic arthritis but may not have active PsA at the time of screening.
  • We will exclude patients with onychomyosis of the fingernails on clippings

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital at the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Psoriasis

Interventions

secukinumab

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Alexis Ogdie-Beatty, MD

    University of Pennsylvania

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Masking Details
Open Label
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Intervention-Secukinumab
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 27, 2020

First Posted

September 2, 2020

Study Start

February 7, 2022

Primary Completion

May 30, 2025

Study Completion

May 30, 2025

Last Updated

July 18, 2025

Record last verified: 2025-07

Locations