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Completed

NCT Number: NCT05174598

A Clinical Trial to Evaluate Efficacy and Safety of Two Different Formulations of Topical Calcipotriol in Patients With Mild to Moderate Plaque Psoriasis

This study is a Phase III, multicentre, randomized, observer blind, parallel group, three arms, controlled clinical trial to evaluate the efficacy and safety of topically applied Calcipotriol/AKVANO 50 μg/g cutaneous solution against Calcipotriol Ointment 50 micrograms/g, Sandoz and placebo in patients with mild to moderate plaque psoriasis

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

AC Subbareddy Government Hospital, Nellore, Andhra Pradesh, India

Loading trial locations.

About this study

Total 278 patients with mild to moderate plaque psoriasis were randomized into the study. Study medications were applied twice daily for 8 weeks of study duration.

Patient's condition was assessed using of Physician's Global Assessment (PGA) and PASI Scale.

Primary objective of this study is to assess the therapeutic equivalence of Calcipotriol/AKVANO, 50 μg/g cutaneous solution with Calcipotriol Ointment 50 micrograms/g, Sandoz based on PASI score.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients (Non-pregnant) of plaque psoriasis aged 18 to 65 years having either Fitzpatrick skin type I-III or IV-VI.<br/>
  • Diagnosis of stable plaque psoriasis for 6 month by a dermatologist with lesions on arms, legs or trunk.
  • Mild to moderate psoriasis on Physician's global assessment (PGA),
  • Body Surface Area (BSA) involvement of 5-10% (both included) and PASI ≥ 5.
  • Patients must be willing to provide written informed consent and willing to comply with study requirements

Exclusion criteria

  • Predominantly palmo-plantar, flexural, scalp and nail location of psoriasis
  • Guttate, erythrodermic, or pustular psoriasis as sole or predominant form of psoriasis.
  • Patient with any uncontrolled systemic disease
  • Patient with positive serology tests like HIV, HCV & HBsAg.
  • Patient with presence of any skin disease that might interfere with the diagnosis or evaluation of the test medications.
  • Patient with spontaneously improving or rapidly deteriorating plaque psoriasis.
  • Use of systemic agents within four weeks prior to screening.
  • Use of biologic agents within four weeks prior to study entry.
  • Use of topical drugs that might alter the course of psoriasis or has received ultraviolet B treatment within two weeks prior to study entry.
  • Use of phototherapy with psoralen ultraviolet A treatment within four weeks prior to study entry.
  • Known sensitivity to any of the study treatments and/or study treatment's components.
  • Need for surgery or hospitalization during the study
  • Pregnant or nursing Female patient or planning a pregnancy
  • Concurrent involvement in any other clinical study within 30 days prior to entering the study

Treatment and study plan

Calcipotriol/AKVANO, 50 μg/g cutaneous solution

Drug

Topical spray formulation containing Calcipotriol 50 μg/g. Twice daily treatment by spraying on a psoriasis affected area for 8 weeks.

Calcipotriol Ointment 50 micrograms/g

Drug

Topical Ointment formulation containing Calcipotriol 50 micrograms/g. Twice daily treatment by applying on a psoriasis affected area for 8 weeks.

Placebo

Other

Topical spray formulation containing Vehicle of test formulation. Twice daily treatment by spraying on a psoriasis affected area for 8 weeks.

Primary outcomes

  1. Change in Psoriasis Area and Severity Index

    Time frame: Baseline to 8 weeks Post-randomization

    Assessment of severity of psoriasis by comparing the change in Psoriasis Area and Severity Index between test and comparator (score ranging from 0 to 72, higher score means worsening of the disease)

Secondary outcomes

  1. Assessment of Physician's Global Assessment (PGA)

    Time frame: Baseline to 2, 4 and 8 weeks of treatment Post-randomization

    Proportion of patients achieving PGA 0 or 1 with Test and comparator

  2. Incidence of Adverse Events and SAEs (Safety and Tolerability)

    Time frame: Till 8 weeks Post-randomization

    Incidence of Adverse Event and Serious Adverse Event between three treatment arms

  3. More than 50 % reduction in PASI Score (PASI 50)

    Time frame: Baseline to 2, 4 and 8 weeks of treatment Post-randomization

    Proportion of patients achieving >50 % reduction in PASI Score (PASI50) with Test and comparator

  4. More than 75 % reduction in PASI Score (PASI 75)

    Time frame: Baseline to 2, 4 and 8 weeks of treatment Post-randomization

    Proportion of patients achieving >75 % reduction in PASI Score (PASI75) with Test and comparator.

  5. Change in Irritation based on Visual Analogue scale (VAS)

    Time frame: Baseline to 2, 4 and 8 weeks of treatment Post-randomization

    To evaluate change in irritation based on Visual Analogue scale between three treatment arms Visual Analogue scale (VAS) ranges from 0 to 10 (higher scores mean worse outcome)

  6. Change in itching based on Visual Analogue scale

    Time frame: Baseline to 2, 4 and 8 weeks of treatment Post-randomization

    To evaluate change in itching based on Visual Analogue scale between three treatment arms, Visual Analogue scale (VAS) ranges from 0 to 10 (higher scores mean worse outcome)

Sponsors and collaborators

Lead sponsor

Cadila Pharnmaceuticals

Industry

Collaborators

  • Lipidor AB, Svärdvägen 13 SE-182 33 Danderyd, Sweden

Registry information

Official study title

A Phase III, Multicentre, Randomized, Observer Blind, Parallel Group, Three Arms, Controlled Clinical Trial to Evaluate the Efficacy and Safety of Topically Applied Calcipotriol/AKVANO 50 μg/g Cutaneous Solution Against Calcipotriol Ointment 50 Micrograms/g, Sandoz and Placebo in Patients With Mild to Moderate Plaque Psoriasis

Acronym: AKP01

Important dates

Study start
2018
Primary completion
2019
Study completion
2020
First posted
Jan 3, 2022
Registry last updated
Mar 3, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.