Transitioning From Cyclosporine to Alefacept in Psoriasis
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Purpose
The purpose of this study is to devise a safe and effective method for transitioning patients from cyclosporine to alefacept.
| Condition | Intervention | Phase |
|---|---|---|
|
Psoriasis |
Drug: Transitioning patients from cyclosporine to alefacept |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Investigator-Initiated, Use Study of Alefacept (Amevive) in Combination With Tapering Doses of Cyclosporine in Patients With Moderate to Severe Psoriasis |
- Static physicians global assessment (PGA) and quality of life as measured by DLQI
| Estimated Enrollment: | 13 |
| Study Start Date: | October 2003 |
| Estimated Study Completion Date: | May 2007 |
The purpose of this study is to devise a safe and effective method for transitioning patients from cyclosporine to alefacept. Patients in the study are well controlled on cyclosporine and desire to switch to alefacept. The study is done in three phases. In Phase 1 (12 week duration) the two drugs will be overlapped, with cyclosporine slowly tapering. Both drugs will be discontinued after 12 weeks. In Phase 2 (12 weeks duration), patients are off both drugs. In Phase 3 (24 weeks long), patients are on a second course of alefacept alone for 12 weeks and then off for 12 weeks. Topical and UV light treatments are allowed throughout the study. Total length of study is one year.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
- Adult psoriasis patients (18 to 80 years old), who are well controlled on cyclosporine (Static PGA score of mild, minimal or clear) and who need or desire to stop cyclosporine and start alefacept.
Exclusion Criteria
- CD4 <400
- Active infection (other than trivial URI, etc.)
- History of AIDS or Hepatitis B, C
- Inability to understand consent or comply with study requirements
- Pregnancy or Lactation
- History of heart or liver disease
Contacts and Locations| United States, New Jersey | |
| UMDNJ Clinical Research Center | |
| New Brunswick, New Jersey, United States, 08903 | |
| Principal Investigator: | Alice Gottlieb, MD, PhD | University of Medicine and Dentistry New Jersey |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00143806 History of Changes |
| Other Study ID Numbers: | 4513 |
| Study First Received: | August 31, 2005 |
| Last Updated: | December 31, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Medicine and Dentistry New Jersey:
|
psoriasis cyclosporine transition alefacept |
Additional relevant MeSH terms:
|
Psoriasis Skin Diseases, Papulosquamous Skin Diseases Cyclosporins Cyclosporine Alefacept Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antifungal Agents Anti-Infective Agents Therapeutic Uses Dermatologic Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on May 19, 2013