The main purpose of the current study will be to provide real - world evidence regarding the safety and effectiveness of secukinumab in the management of patients with moderate to severe chronic plaque psoriasis.
PURE is a multi-national, prospective, observational cohort study of patients with moderate to severe chronic plaque psoriasis aimed at assessing the real-world safety and effectiveness of secukinumab and other indicated therapies. The study will enroll patients for whom, prior to and independent of study enrollment, the treating physician has decided to treat with secukinumab, or one of the other indicated therapies regimens approved for the management of moderate to severe chronic plaque psoriasis. Two study cohorts will be defined by patients treated with secukinumab (Cohort 1), and patients treated with other indicated therapies (systemic, phototherapy, or biologic therapy; Cohort 2). Each investigator will recruit approximately the same number of patients in each treatment arm. 2,500 patients (1,250 patients in each cohort) will be followed over a period of 5 years from the Baseline assessment (Visit 1).
Study Type
OBSERVATIONAL
Enrollment
2,376
Novartis Investigative Site
Edmonton, Alberta, Canada
Novartis Investigative Site
Nanaimo, British Columbia, Canada
Novartis Investigative Site
Surrey, British Columbia, Canada
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Incidence of all adverse events in the study cohorts as measured by: 1. The proportion of patients that experience at least one event; and 2. The number of events per participant
Time frame: Change from Baseline through month 60
Percentage of Participants Achieving PASI 50/75/90/100 Response or IGA 0 or 1 Response
PASI: Combined assessment of lesion severity and affected area into a single score: 0 (no disease) to 72(maximal disease). Body is divided into 4 areas for scoring (head, arms, trunk, legs; each area is scored by itself and scores are combined for final PASI. For each area, percent of skin involved is estimated: 0 (0%) to 6 (90-100%), and severity is estimated by clinical signs, erythema, induration and desquamation; scale 0 (none) to 4 (maximum). Final PASI = sum of severity parameters for each area\* area score weight of section(head: 0.1, arms: 0.2 body: 0.3 legs: 0.4)
Time frame: Change from Baseline through month 60
Mean change for Work Productivity and Activity Impairment (WPAI) score
Time frame: Change from Baseline through month 60
Mean change for Hospital Anxiety and Depression Scale (HADS) score
Time frame: Change from Baseline through month 60
Mean change for Psoriasis Symptom Diary (PSD) score
Time frame: Change from Baseline through month 60
Mean change for Treatment Satisfaction Scale (TSS) score
Time frame: Change from Baseline through month 60
Mean change for Dermatology Life Quality Index (DLQI) score
Time frame: Change from Baseline through month 60
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Novartis Investigative Site
Vancouver, British Columbia, Canada
Novartis Investigative Site
Brandon, Manitoba, Canada
Novartis Investigative Site
Winnepeg, Manitoba, Canada
Novartis Investigative Site
Winnipeg, Manitoba, Canada
Novartis Investigative Site
Fredericton, New Brunswick, Canada
Novartis Investigative Site
St. John's, Newfoundland and Labrador, Canada
Novartis Investigative Site
St. John's, Newfoundland and Labrador, Canada
...and 3 more locations
Mean change for Psoriasis Epidemiology Screening Tool (PEST) score
Time frame: Change from Baseline through month 60
Mean change for direct and indirect cost associated to Psoriasis
Time frame: Change from Baseline through month 60