Evaluation of DEAT0217 versus standard of care to compare effectiveness and safety in treating moderate psoriasis in adult patients

ISRCTN ISRCTN28479470
DOI https://doi.org/10.1186/ISRCTN28479470
Secondary identifying numbers CEBDEV-04032020
Submission date
25/11/2021
Registration date
16/12/2021
Last edited
26/11/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and Study Aims
Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales. These patches normally appear on your elbows, knees, scalp, and lower back, but can appear anywhere on your body. Most people are only affected with small patches. In some cases, the patches can be itchy or sore.

This is a prospective, multicenter, open-label study for evaluation of efficacy and safety of a new device (DEAT0217) versus the standard of care (e.g calcipotriol) in adult patients diagnosed with mild to moderate psoriasis.

Who can participate?
Adult subjects 18 years or older diagnosed with mild to moderate plaque psoriasis.

What does the study involve?
Participants will be randomly allocated to receive DEAT0217 applied twice a day for 4 weeks, or the standard of care.

What are the possible benefits and risks of participating?
Benefits:
This treatment could be very useful for you in the treatment of mild to moderate psoriasis, by reducing the symptoms associated with this diagnosis and improving the quality of life. Study treatment may bring you personal benefits, or it may not. Even if there are no benefits for you, the results of this study could help discover new treatments that reduce the symptoms of this condition.
Your participation in this study is voluntary.
If, according to the treatment plan, the expected results are not obtained, your doctor will decide whether or not to continue the treatment.
Risks:
You are not required to participate in this study, and your study doctor will tell you about other treatments and their risks and benefits. The treatment strategy for your condition will be recommended to you by your doctor. Thus, your doctor may prescribe an alternative to study treatment.

Where is the study run from?
Devintec SAGL (Switzerland)

When is the study starting and how long is it expected to run for?
May 2020 to November 2020

Who is funding the study?
Devintec SAGL, Lugano, Switzerland

Who is the main contact?
Alina Iordache
alina.iordache@cebis-int.com

Contact information

Mrs Alina Iordache
Scientific

222 Calea Plevnei 3rd Floor
Bucharest
060016
Romania

ORCiD logoORCID ID 0000-0002-5931-0463
Phone +40 737 640 721
Email alina.iordache@cebis-int.com

Study information

Study designInterventional multi center open label randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleA prospective, multicenter, open-label study to evaluate the safety and efficacy of DE-AT0217 versus standard of care (e.g. calcipotriol) in adult patients diagnosed with mild to moderate psoriasis
Study acronymCLEAR Study
Study objectivesThis is a prospective, multicenter, open-label study for evaluation of efficacy and safety of DEAT0217 versus standard of care (e.g calcipotriol) in adult patients diagnosed with mild to moderate psoriasis.
Ethics approval(s)Approved 06/05/2020, National Committee of Medical Bioethics for clinical trials (Stefan Cel Mare 19-21 Road, District 2, Bucharest, Romania; +40 (0)212102880; comisia.bioetica@adsm.ro.), ref: CPMP/ICH/135/95; ICH Topic E6
Health condition(s) or problem(s) studiedAdult patients diagnosed with mild to moderate psoriasis.
InterventionThe primary objective is to assess the clinical efficacy of the DE-AT0217 in relieving the symptomatology of mild to moderate psoriasis.

The investigational medical device will be administered to the subjects who meet the eligibility criteria and give their informed consent to participate in the study. The treatment with DE-AT0217 will be administered by topical route, according to the approved leaflet.

The treatment will be administered according to the approved leaflet for 29 consecutive days;

Visits:
Visit 1 (Day 0- Screening visit)
Visit 2- Day 15 (after 14 days of treatment)
Visit 3 - Day 29 (after 14 days of treatment)
Visit 4 – Day 43 (after 14 days from the end of the treatment)

Each investigator was asked to enroll the subjects in a 1:1 ratio to avoid systematic errors that could occur during group assignment or due to subjectivity.
Intervention typeDevice
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)DE-AT0217
Primary outcome measureEfficacy is the primary measure. It will be evaluated from baseline to day 29 in terms of:
1. Erythema, Induration/Thickness, Scaling measured using PASI50
2. How much the skin problem has affected patient's life over the last week measured using the Dermatology Life Quality Index (DLQI)
3. Degree of erythema, induration, scale, averaged over the entire body measured using the sPGA
4. Itch measured using VAS on a scale of "no itch" (left) to "worst imaginable itch" (right)

The criteria for efficacy evaluation will be the comparison of symptomatology reduction based, on clinical observations (PASI, DLQI, PGI and VAS scores), between baseline and 4th Visit.
The criteria for safety evaluation will be the frequency of AEs occurrence, the number of drop-outs due to side effects and the disease progression.
Secondary outcome measuresSafety measured using patient records throughout the study:
1. Percentage of participants who experienced an AE
2. Number of drop-out due to side effects
3. Disease progression
Overall study start date06/05/2020
Completion date11/11/2020

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants42
Total final enrolment42
Key inclusion criteria1. Adult subjects 18 years or older
2. Subjects willing to sign the informed consent
3. Subjects previously diagnosed with mild to moderate plaque psoriasis
4. Subjects willing and able to comply with all clinic visits and study-related procedures
Key exclusion criteria1. Use of systemic and topical anti psoriatic therapy on the areas within 2 weeks prior to the beginning of the study
2. Concomitant use of systemic anti psoriatic therapy (e.g. methotrexate, biologics, phototherapy)
3. Concomitant use of topical corticotherapy
3. Any dermatological disease that might interfere psoriasis clinical evaluation or bring the subject in danger, or have other serious dermatological disease other than psoriasis
4. Pregnant or breast-feeding women or women planning to become pregnant or breastfeed during the study.
5. Hypersensitivity or allergy to any of the IMP ingredients
Date of first enrolment24/06/2020
Date of final enrolment28/09/2020

Locations

Countries of recruitment

  • Romania

Study participating centres

Emergency County Hospital
Tudor Vladimirescu, 48.
Targoviste
130095
Romania
Individual Medical Office of Dermatology Prof. Dr. Orasan Remus Ioan
Bulevardul 21 Decembrie 1989 23
Cluj
400000
Romania
Colentina Clinical Hospital
Șoseaua Ștefan cel Mare 19-21
Bucharest
020125
Romania

Sponsor information

Devintec SAGL
Industry

Corso Elvezia 14
Lugano
6900
Switzerland

Phone +41 91 601 40 51
Email info@devintecpharma.com
Website https://devintecpharma.com/

Funders

Funder type

Industry

Devintec SAGL

No information available

Results and Publications

Intention to publish date11/11/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planResults obtained from this study are property of the Sponsor. In case of publication, the Investigators will be informed and will be free to cooperate as Authors.
IPD sharing planThe data will be collected under the study confidentiality and for the study purpose only, according to the approved informed consent form. The study data will be archived according to the sponsor requirements and local regulatory requirements.

The datasets generated during and/or analysed during the current study are available from the corresponding authors on reasonable request:
Rosca Valentina, Emergency County Hospital
Orasan Remus. Individual Medical Office of Dermatology Prof. Dr. Orasan Remus Ioan
Magda Constantin, Colentina Clinical Hospital

Editorial Notes

26/11/2021: Trial's existence confirmed by National Committee of Medical Bioethics for clinical trials.