SHP-141C in Plaque Type Psoriasis

Inclusion Criteria:

1. Mild to moderate chronic plaque-type psoriasis.
2. psoriasis of at least one year.
3. Stable disease for at least two weeks prior to the commencement of study treatment.
4. One nominated target lesions must have areas of at least 86 x 57 mm2.
5. BMI of less than 35 kg/m2. -

Exclusion Criteria:

1. Dermatological Conditions

   • Subjects with erythrodermic, guttate, palmar, plantar or generalised pustular forms of psoriasis.
   • Subjects with scalp, palmar or plantar psoriasis only.
   • Subjects with any skin condition other than psoriasis, in particular eczema, cutaneous infections, significant sun damage or an inherited skin disorder (other than psoriasis).

2. Concurrent Medical Conditions

   • History of clinically significant intercurrent disease of any type (other than psoriasis).
   • A history of moderate or severe asthma during the last 10 years.
   • Major chronic inflammatory disease .
   • Congenital immunodeficiency or cancer prone syndrome.
   • History of abnormal bleeding tendencies or thrombophlebitis, or a history of Hepatitis B, Hepatitis C or HIV infection.
   • History of malignancy (other than adequately treated skin carcinoma or carcinoma-in-situ of the cervix).

3. Laboratory Status

   • Any evidence of organ dysfunction, which is confirmed on re-examination to be clinically significant (i.e. in the opinion of the Medical Officer would jeopardise the safety of the subject or impact on the validity of the study results),
   • A creatinine clearance of less than 75 mL/min.
   • Liver function test > 1.5 x upper limit of normal other than an isolated bilirubin.
   • Hepatitis B surface antigen, Hepatitis C antibody, HIV antibodies.

4. Treatment with any of the following within 4 weeks prior to the commencement of study treatment and for the duration of the study:

   • Systemic retinoids.
   • Immunosuppressant agents (e.g. methotrexate, cyclosporine, azathioprine, thioguanine prednisone, prednisolone, hydroxyurea or mycophenolate mofetil).
   • Phototherapy or photochemotherapy.
   • High potency topical corticosteroids.
   • "Alternative medicine" treatments for psoriasis.
   • Prolonged sun exposure or tanning bed use, which may in the opinion of the Investigator, modify disease activity.

5. Topical treatment of the 2 target lesions with any of the following within 2 weeks prior to commencement of study treatment and for the duration of the study

   • Moderate potency topical corticosteroids.
   • Vitamin D analogues and topical retinoids.
   • Keratolytics, coal tar and dithranol.
6. Concurrent Medications Subjects have received or anticipate receiving a new medicine (prescription, over-the-counter or herbal), given systemically or topically, within 14 days prior to the start of dosing. Subjects may be enrolled if stable on existing therapy (having been on it for at least 60 days) as determined by the Principal Investigator.
7. Hypersensitivity History of allergy and/or hypersensitivity to any of the stated ingredients of the formulations or other topical agents. A known hypersensitivity to lignocaine, or all surgical dressings that may be used in the study procedures.
8. Females who are lactating, pregnant or planning to become pregnant.
9. Drug and Alcohol Abuse History of, or current evidence of, abuse of alcohol or any drug substance, licit or illicit, or positive urine drug and alcohol screen for drugs of abuse and alcohol.
10. Psychiatric Disorder History of any psychiatric illness which may impair the ability to provide written informed consent