NCT05601492

Brief Summary

Most people with psoriasis have very limited disease, yet that disease may still have a large impact on their lives. While limited psoriasis may be amenable to topical treatment, patients are exceptionally poorly adherent to topical treatment, especially over the long run.

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Jun 2025

Shorter than P25 for early_phase_1

Geographic Reach
1 country

1 active site

Status
withdrawn

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

October 13, 2022

Completed
19 days until next milestone

First Posted

Study publicly available on registry

November 1, 2022

Completed
2.6 years until next milestone

Study Start

First participant enrolled

June 1, 2025

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2026

Completed
Last Updated

May 29, 2025

Status Verified

May 1, 2025

Enrollment Period

5 months

First QC Date

October 13, 2022

Last Update Submit

May 27, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Medication Adherence Outlier

    Identify adherence outliers (high and low adherence). Adherence will be determined by the data retrieved from the electronic monitor that is placed on the medication bottle to provide the days and times the bottle is opened to take the medication.

    Month 6

Secondary Outcomes (2)

  • Difference of Efficacy among high adherent subjects

    Month 6

  • Difference of Safety among low adherent subjects

    Month 6

Study Arms (3)

Arm 1 - Standard of Care

ACTIVE COMPARATOR

Participant will be given the medication with an electronic monitoring cap attached and a return appointment for a standard of care regular visit

Drug: Otezla - Standard CareBehavioral: Reminder Text Intervention with apremilastBehavioral: Extended Consultation for apremilast

Arm 2 - Reminder text

EXPERIMENTAL

Participant will be given the medication with an electronic monitoring cap attached and receive weekly electronic text/email-based reporting intervention that is designed to promote better adherence to treatment (to help assure that the study have subjects who have excellent adherence. Having patients report their progress on a regular basis promotes better treatment adherence, perhaps by creating the same sense of accountability promoted by regular office visits

Behavioral: Reminder Text Intervention with apremilast

Arm 3 - Initial patient consult

EXPERIMENTAL

Participant will be given the medication with an electronic monitoring cap attached and will receive an initial patient consultation intervention, which will focus on the prescribed medication education and setting expectations of what to anticipate with usage of the medication

Behavioral: Extended Consultation for apremilast

Interventions

The participant will be given their medication with the electronic adapter cap on it and asked to return for the follow-up visit

Also known as: Apremilast
Arm 1 - Standard of Care

Participants will receive a weekly electronic text/email-based intervention that is designed to promote better adherence to treatment in addition to receiving their medication with the electronic adapter cap on it.

Also known as: Otezla
Arm 1 - Standard of CareArm 2 - Reminder text

Participants will be given their medication with the electronic adapter cap on it and will receive an initial patient consult intervention, which will focus on medication education and setting expectations of what to anticipate with usage of the prescribed medication

Also known as: Otezla
Arm 1 - Standard of CareArm 3 - Initial patient consult

Eligibility Criteria

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

You may qualify if:

  • Adult 18 years or older
  • Diagnosis of mild psoriasis with Otezla recommendation
  • Non-pregnant
  • English speaking

You may not qualify if:

  • Under 18 years of age
  • Not diagnosis of mild psoriasis
  • Pregnant
  • Non-English speaking

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Related Publications (5)

  • Salisbury KR, Ranpariya VK, Feldman SR. Accountability in reminder-based adherence interventions: A review. Patient Educ Couns. 2022 Aug;105(8):2645-2652. doi: 10.1016/j.pec.2021.12.009. Epub 2021 Dec 15.

    PMID: 34953618BACKGROUND
  • Okwundu N, Cardwell LA, Cline AE, Richardson IM, Feldman SR. Adherence to topical treatment can improve treatment-resistant moderate psoriasis. Cutis. 2020 Feb;105(2):89-91;E2;E3.

    PMID: 32186523BACKGROUND
  • Alinia H, Moradi Tuchayi S, Smith JA, Richardson IM, Bahrami N, Jaros SC, Sandoval LF, Farhangian ME, Anderson KL, Huang KE, Feldman SR. Long-term adherence to topical psoriasis treatment can be abysmal: a 1-year randomized intervention study using objective electronic adherence monitoring. Br J Dermatol. 2017 Mar;176(3):759-764. doi: 10.1111/bjd.15085. Epub 2016 Nov 29.

    PMID: 27664969BACKGROUND
  • West C, Narahari S, O'Neill J, Davis S, Huynh M, Clark A, Boles A, Feldman SR. Adherence to adalimumab in patients with moderate to severe psoriasis. Dermatol Online J. 2013 May 15;19(5):18182.

    PMID: 24011280BACKGROUND
  • Yentzer BA, Wood AA, Sagransky MJ, O'Neill JL, Clark AR, Williams LL, Feldman SR. An Internet-based survey and improvement of acne treatment outcomes. Arch Dermatol. 2011 Oct;147(10):1223-4. doi: 10.1001/archdermatol.2011.277. No abstract available.

    PMID: 22006146BACKGROUND

MeSH Terms

Conditions

Psoriasis

Interventions

apremilast

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Steven R Feldman, MD, PhD

    Wake Forest University Health Science

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
The participant will not know that the electronic cap adapter is actually recording the opening of the medication bottle.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Randomization 1:1:1
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 13, 2022

First Posted

November 1, 2022

Study Start

June 1, 2025

Primary Completion

November 1, 2025

Study Completion

February 1, 2026

Last Updated

May 29, 2025

Record last verified: 2025-05

Locations