The purpose of the study is to determine the efficacy and safety of two different forms of a topical steroid (clobetasol propionate) in patients with plaque-type psoriasis.
This study is being conducted to obtain efficacy and tolerability data for two clobetasol propionate therapies in the treatment of plaque-type psoriasis. Subjects will be randomized to only one of the two therapies for treatment throughout the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
34
Olux-E (clobetasol propionate 0.05%) foam. Starting at baseline, subjects were to apply twice daily Olux-E foam to the affected elbows and/or knees up to day 15.
Clobetasol propionate 0.05% lotion. Starting at baseline, subjects were to apply twice daily Clobex lotion to the affected elbows and/or knees up to day 15
Wake Forest University Health Sciences Department of Dermatology
Winston-Salem, North Carolina, United States
At Least a One Grade Improvement for the Target Psoriasis Lesion on the Elbow or Knee (Psoriasis Grading Scale)
Number of participants who achieved a minimum 1-grade improvement in elbow and/or knee lesion using the Psoriasis Grading Scale for Target Lesion Score: 0 = No evidence of scaling, erythema, or elevation. 1 = Minimal; occasional scale, faint erythema, slight elevation. 2 = Mild; fine scales, light red color, slight elevation. 3 = Moderate; coarse scales, moderate red coloration and elevation . 4 = Marked; thick scale, bright red coloration, marked elevation. 5 = Severe; very thick tenacious scale predominates, dusky to deep red coloration, very marked elevation.
Time frame: Baseline to day 15
At Least 1 Grade Improvement Psoriasis Grading Scale
Number of participants who achieve a minimum one grade improvement or more in their elbow and/or knee target lesion as defined by the Psoriasis Grading Scale for Target Lesion. The scale is the same as used for the primary outcome (0 through 5).
Time frame: Baseline, days 3 and 8
At Least a 2 Grade Improvement Psoriasis Grading Scale
Number of participants who achieve a minimum two grade improvement or more in their elbow and/or knee target lesion as defined by the Psoriasis Grading Scale for Target Lesion. The scale is the same as used for the primary outcome (0 through 5).
Time frame: Baseline, days 3, 8, 15
At Least a 3 Grade Improvement Psoriasis Grading Scale
Number of participants who achieve a minimum of three grade improvement or more in their elbow and/or knee target lesion as defined by the Psoriasis Grading Scale for Target Lesion. The scale is the same as used for the primary outcome (0 through 5).
Time frame: Baseline, days 3, 8, 15
At Least 1 Grade Improvement in the Psoriasis Global Assessment
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Number of participants who acheive at least a 1 grade improvement in the Psoriasis Global Assessment. 0 = Clear; 1 = Almost Clear; 2 = Mild; 3 = Moderate; 4 = Severe.
Time frame: Baseline, days 3, 8, 15
At Least a 2 Grade Improvement in the Psoriasis Global Assessment
Number of participants who acheive at least a 2 grade improvement in the Psoriasis Global Assessment. 0 = Clear; 1 = Almost Clear; 2 = Mild; 3 = Moderate; 4 = Severe.
Time frame: Baseline, days 3, 8, 15
At Least a 3 Grade Improvement in the Psoriasis Global Assessment
Number of participants who acheive at least a 3 grade improvement in the Psoriasis Global Assessment. 0 = Clear; 1 = Almost Clear; 2 = Mild; 3 = Moderate; 4 = Severe.
Time frame: Baseline, days 3, 8, 15
At Least 1 Grade Improvement in Subject's Global Assessment
Number of participants who achieve treatment success (minimum one grade improvement or more) in their elbow and/or knee target lesion as defined by the Subject's Global Assessment. 0 = My skin is completely clear, except for residual hyperpigmentation. 1 = My psoriasis is almost clear; patchy fine scaling may be present. 2 = My psoriasis is mild, with a small amount of psoriasis. 3 = My psoriasis is moderate, between slight and definitely noticeable. 4 = My psoriasis is very noticeable. 5 = My psoriasis is severe with severe redness, thick scaling, plaques.
Time frame: Baseline, days 3, 8, 15
At Least a 2 Grade Improvement in Subject's Global Assessment
Number of participants who achieve treatment success (minimum two grade improvement or more) in their elbow and/or knee target lesion as defined by the Subject's Global Assessment. 0 = My skin is completely clear, except for residual hyperpigmentation. 1 = My psoriasis is almost clear; patchy fine scaling may be present. 2 = My psoriasis is mild, with a small amount of psoriasis. 3 = My psoriasis is moderate, between slight and definitely noticeable. 4 = My psoriasis is very noticeable. 5 = My psoriasis is severe with severe redness, thick scaling, plaques.
Time frame: Baseline, days 3, 8, 15
At Least a 3 Grade Improvement in Subject's Global Assessment
Number of participants who achieve treatment success (minimum three grade improvement or more) in their elbow and/or knee target lesion as defined by the Subject's Global Assessment. 0 = My skin is completely clear, except for residual hyperpigmentation. 1 = My psoriasis is almost clear; patchy fine scaling may be present. 2 = My psoriasis is mild, with a small amount of psoriasis. 3 = My psoriasis is moderate, between slight and definitely noticeable. 4 = My psoriasis is very noticeable. 5 = My psoriasis is severe with severe redness, thick scaling, plaques.
Time frame: Baseline, days 3, 8, 15
Median Change in Psoriasis Grading Scale
Median improvement in elbow and/or knee lesion using the Psoriasis Grading Scale for Target Lesion Score: 0 = No evidence of scaling, erythema, or elevation. 1 = Minimal; occasional scale, faint erythema, slight elevation. 2 = Mild; fine scales, light red color, slight elevation. 3 = Moderate; coarse scales, moderate red coloration and elevation . 4 = Marked; thick scale, bright red coloration, marked elevation. 5 = Severe; very thick tenacious scale predominates, dusky to deep red coloration, very marked elevation.
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Symptoms and Feelings
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for questions 1 and 2. Score range from 0 to 6. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Daily Activities
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for questions 3 and 4. Score range from 0 to 6. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Leisure
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for questions 5 and 6. Score range from 0 to 6. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Work and School
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for questions 7. Score range from 0 to 3. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Personal Relationships
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for questions 8 and 9. Score range from 0 to 6. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Quality of Life - Treatment
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for question 10. Score range from 0 to 3. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Total Dermatology Life Quality Index (DLQI) Score
Dermatology Quality of Life (DLQI) measures quality of life for people with skin conditions. Sum of scores for all questions. Score range from 0 to 30. A higher score denotes a more impaired quality of life
Time frame: Baseline, Days 3, 8, 15
Dermatology Life Quality Index (DLQI) Categories
Number of participants who indicated one of the following for total DLQI: 0-1 No effect on the patient's life; 2-5 Small effect on the patient's life; 6-10 Moderate effect on the patient's life; 11-20 Very large effect on the patient's life.
Time frame: Days 3, 8, 15