Efficacy and Safety of Infliximab Biosimilar Remsima in Psoriasis
1 other identifier
interventional
51
1 country
1
Brief Summary
Psoriasis is a persistent condition which demands prolonged management, so it puts heavy financial as well as psychological burden on patients. Severe psoriasis makes work impossible for patients. If it affects exposed parts of the body, it may lead to decrease in self-esteem, social avoidance, and shame. Patients with even mild form of psoriasis have high stigma as compared to other cutaneous diseases. As a result, psoriasis affected individuals experience greater difficulty in social interactions and employment. Patients experience symptoms in psoriasis includes bleeding, itching and inflamed joints. Psoriatic patients develop psoriatic arthritis approximately at 40 years of age which contributes to fatigue in these individuals. Moreover, early age onset of psoriasis leads to more physical impairment. Hence, patients get trapped in a vicious cycle as stress leads to further aggravation of disease. The European Medicine Agency has given its approval regarding the usage of INFLIXIMAB bio similar REMSIMA for psoriasis after taking in consideration its effectiveness from other studies conducted on ankylosing spondylitis and rheumatoid arthritis. This study is being conducted as no data is present on REMSIMA SC in psoriasis patient in Pakistan.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Mar 2022
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
March 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 15, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
August 5, 2023
CompletedFirst Submitted
Initial submission to the registry
September 12, 2023
CompletedFirst Posted
Study publicly available on registry
September 21, 2023
CompletedSeptember 21, 2023
September 1, 2023
1.3 years
September 12, 2023
September 12, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Psoriasis Area Severity Index Score
Patients will be followed 4,8,14 and 24 weeks
24 weeks
Adverse Events
Patients will be followed 4,8,14 and 24 weeks
24 weeks
Study Arms (1)
Remsima
EXPERIMENTALInterventions
The patient will be given one Injection of REMSIMA 120 mg subcutaneously at week 0, 1, 2, 3, 4 and then every 2 weeks i.e., at 6, 8, 10 and 14 weeks. If the weight of the patient is \>80 kg, 2 injections will be given.
Eligibility Criteria
You may qualify if:
- Age between 18-59 years
- Both genders
- Diagnosed patient of Psoriasis
- Moderate to severe psoriasis
- Not responding to topical treatment
- Not responding to conventional systemic treatments i.e., methotrexate, cyclosporine and phototherapy.
- PASI score \>10.
You may not qualify if:
- Patient with active systemic lupus erythematosus or ANA positive patients.
- Patient with active tuberculosis.
- Extremely immunocompromised patient.
- Patient with cardiac disease.
- Patient with allergic reaction to REMSIMA.
- Pregnancy and Lactation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ghurki Hospital
Lahore, Punjab Province, Pakistan
Related Publications (3)
Arsiwala S. Infliximab: efficacy in psoriasis. Indian J Dermatol Venereol Leprol. 2013 Jul;79 Suppl 7:S25-34. doi: 10.4103/0378-6323.115525.
PMID: 23974692BACKGROUNDChaudhari U, Romano P, Mulcahy LD, Dooley LT, Baker DG, Gottlieb AB. Efficacy and safety of infliximab monotherapy for plaque-type psoriasis: a randomised trial. Lancet. 2001 Jun 9;357(9271):1842-7. doi: 10.1016/s0140-6736(00)04954-0.
PMID: 11410193BACKGROUNDGisondi P, Bianchi L, Conti A, Dapavo P, Malagoli P, Piaserico S, Savoia F, Prignano F, Girolomoni G. Infliximab biosimilar CT-P13 in the treatment of chronic plaque psoriasis: data from the Psobiosimilars registry. Br J Dermatol. 2017 Dec;177(6):e325-e326. doi: 10.1111/bjd.15659. Epub 2017 Nov 22. No abstract available.
PMID: 28498543BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Prof. Dr. Haroon Nabi
Professor Department of Dermatology LMDC
- PRINCIPAL INVESTIGATOR
Dr. Nabigha Khalid
Department of Dermatology Ghurki Hospital
- STUDY CHAIR
Dr. Saleha Batool
Assistant Professor Department of Dermatology, SIMS Hospital
- STUDY CHAIR
Dr. Sumera Hanif
Senior Registrar Dermatology Department
- STUDY CHAIR
Dr. Talat Masood Akbar
Associate Professor Dermatology LMDC GTTH
- STUDY CHAIR
Dr. Faria Asad
Professor/ Head of Dermatology Department
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 12, 2023
First Posted
September 21, 2023
Study Start
March 10, 2022
Primary Completion
July 15, 2023
Study Completion
August 5, 2023
Last Updated
September 21, 2023
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share