CYA Versus MMF for Treatment of Moderate-Severe Psoriasis.
Recruitment status was Active, not recruiting
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Purpose
Psoriasis is an immuno-mediated skin disorder, which affects about 2-3% of the population worldwide. For moderate-severe forms of psoriasis systemic immunosuppression is the treatment of choice. This clinical trial was initiated to compare the safety and effectiveness of mycophenolate mofetil and cyclosporine A for the treatment of psoriasis. Patients are randomized to receive either 2.5 mg/kg BW cyclosporine A or 1 g bid mycophenolate mofetil. If after six weeks no decrease in the PASI score occures cyclosporine A doses are increased to 5 mg/kg BW for additional six weeks. In the other arm mycophenolate mofetil is increased to 1 g tid for additional six weeks.
| Condition | Intervention | Phase |
|---|---|---|
|
Psoriasis |
Drug: Cyclosporine A versus mycophenolate mofetil for psoriasis |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open, Multicenter, Randomized Clinical Trial in Patients With Moderate-Severe Psoriasis (PASI > 10) to Compare the Efficacy of Mycophenolate Mofetil Versus Cyclosporine A. |
- Comparison of the two treatment arms with regard to time until psoriasis recurrence.
- The treatment that leads to a 75% decrease of the initial PASI score.
- The time until complete remission.
- The time until partial remission has occured.
- The rate of complete remission.
- The rate of partial remission.
- The cumulative cyclosporine A or mycophenolate mofetil doses.
| Estimated Enrollment: | 50 |
| Study Start Date: | May 2000 |
| Estimated Study Completion Date: | October 2006 |
Not needed.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- moderate-to-severe psoriasis (PASI Score equal and greated 10)
- written informed consent
- for female patients effective birth control
Exclusion Criteria:
- psoriasis arthritis
- psoriasis palmo-plantaris
- erythrodermic psoriasis
- drug-induced psoriasis
- pregnancy
- previous treatment with cyclosporine A or mycophenolate mofetil
- pregnancy
- reduced liver function
- high blood pressure
- reduced kidney function
- severe viral or bacterial infection
- 2 weeks before or after vaccinations
- innate or acquired immunodeficiency
- severe neurologic or psychiatric symptoms
- participation in other trials
- other reasons voiced by the treating physician
Contacts and Locations| Germany | |
| Nicolas Hunzelmann | |
| Cologne, Germany | |
| Prof. Michael Sticherling | |
| Leipzig, Germany | |
| Principal Investigator: | Stefan Beissert, Professor | Department of Dermatology, University Hospital Muenster, Muenster, Germany |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00295425 History of Changes |
| Other Study ID Numbers: | TALSB002, 4016406 |
| Study First Received: | February 22, 2006 |
| Last Updated: | October 4, 2006 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University Hospital Muenster:
|
psoriasis randomized clinical trial cyclosporine A mycophenolate mofetil immunosuppression |
Additional relevant MeSH terms:
|
Psoriasis Skin Diseases, Papulosquamous Skin Diseases Cyclosporins Cyclosporine Mycophenolic Acid Mycophenolate mofetil 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 Antibiotics, Antineoplastic Antineoplastic Agents |
ClinicalTrials.gov processed this record on May 16, 2013