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Trial ยท NCT01245140

Efficacy of Alitretinoin Treatment in Patients With Pustular Form of Psoriasis

NCT01245140, Phase 2, Completed, Stiefel, a GSK Company; results first posted 2017-04-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy of Alitretinoin Treatment in Patients With Pustular Form of Psoriasis. Trials, record NCT01245140. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01245140

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy of Alitretinoin Treatment in Patients With Pustular Form of Psoriasis
NCT number
NCT01245140
Status
Completed
Phases
Phase 2
Enrollment
33 participants, actual
Lead sponsor
Stiefel, a GSK Company
Conditions
Psoriasis
Interventions
alitretinoin, Placebo
First posted
2010-11-22
Last updated
2017-12-21
Other registries' IDs
eudract:2010-022843-39
Results first posted
2017-04-04

Source ClinicalTrials.gov

Registered outcomes25

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in the Palmo-plantar Pustulosis Psoriasis Area and Severity Index (PPPASI) Score at the End of Treatment (EOT) (Week 24) or at the Last AssessmentBaseline and EOT (Week 24) or the last assessment
The investigator evaluated the PPPASI score on a 5-point scale. The parameters of erythema, total number of pustules, and desquamation were scored for the right/left palm and the right/left sole. After correcting the scores for area (based on a 7-point scale) and the site involved (palm or sole), the PPPASI score per palm/sole was produced. The final PPPASI score was calculated as the sum of the PPPASI score for the right sole + the PPPASI score for the left sole + the PPPASI score for the right palm + the PPPASI score for the left palm and ranges from 0 (no palmo-plantar pustulosis psoriasis \[PPP\]) to 72 (most severe PPP). Change from Baseline is defined as value at the EOT minus the Baseline value.
PrimaryNumber of Participants With PPPASI 50 Response and PPPASI 75 ResponseFrom Baseline until EOT (Week 24) or the last assessment
The investigator evaluated the PPPASI score on a 5-point scale. The parameters of erythema, total number of pustules, and desquamation were scored for the right/left palm and the right/left sole. After correcting the scores for area (based on a 7-point scale) and the site involved (palm or sole), the PPPASI score per palm/sole was produced. The final PPPASI score was calculated as the sum of the PPPASI score for the right sole + the PPPASI score for the left sole + the PPPASI score for the right palm + the PPPASI score for the left palm and ranges from 0 (no palmo-plantar pustulosis psoriasis \[PPP\]) to 72 (most severe PPP). Change from Baseline is defined as value at the EOT minus the Baseline value. PPPASI 50 response and PPPASI 75 response are defined as a 50% and 75% decrease, respectively, in the PPPASI score from Baseline.
SecondaryTotal Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)
The overall number of fresh and older pustules on the left and right palms and soles was assessed at Baseline, at each visit during the treatment period (Weeks 4, 8, 12, 16, and 20), and at the EOT visit. The total pustule count was calculated as the sum of the pustule count for the left/right palm and left/right sole.
SecondaryAbsolute Change From Baseline (BL) in Total Pustule Count at Weeks 4, 8, 12, 16, and 20 and at EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)
The overall number of fresh and older pustules on the left and right palms and soles was assessed at Baseline, at each visit during the treatment period (Weeks 4, 8, 12, 16, and 20), and at the End of Treatment visit. The total pustule count was calculated as the sum of the pustule count for the left/right palm and left/right sole. Change from Baseline is defined as the value at the post-Baseline visit minus the Baseline value.
SecondaryMean Modified Psoriasis Area Severity Index (mPASI) Score at Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)
Psoriatic plaques were graded based on three criteria: redness (R), thickness (T), and scaliness (S). Severity was rated for each criterion on a 5-point scale (0=no involvement, up to 4=severe involvement). Fraction of the total surface area affected on the head, upper extremities, trunk, and lower extremities was graded on a 7-point scale (0=no involvement, up to 6=greater than 90% involvement). The four body regions were weighted to reflect their respective proportion of body surface area, and the composite mPASI score for all body regions was calculated based on the redness, thickness, and scaliness scores of plaques (0-4 each) for the head, upper extremities, trunk, and lower extremities and the area of psoriatic involvement score (0-6). The lowest possible mPASI score was zero and highest up to 72; Higher score values represents greater severity of psoriasis. mPASI scores were continuous, with 0.1 increments within these values.
SecondaryChange From Baseline in the mPASI Score at EOT (Week 24) or at the Last AssessmentBaseline and EOT (Week 24) or the last assessment
Psoriatic plaques were graded based on three criteria: redness (R), thickness (T), and scaliness (S). Severity was rated for each criterion on a 5-point scale (0=no involvement, up to 4=severe involvement). Fraction of the total surface area affected on the head, upper extremities, trunk, and lower extremities was graded on a 7-point scale (0=no involvement, up to 6=greater than 90% involvement). The four body regions were weighted to reflect their respective proportion of body surface area, and the composite mPASI score for all body regions was calculated based on redness, thickness, and scaliness scores of plaques (0-4 each) for head, upper extremities, trunk, lower extremities and area of psoriatic involvement score (0-6). Lowest possible mPASI score was 0 and highest up to 72; Higher score values represents greater severity of psoriasis. mPASI scores were continuous, with 0.1 increments within these values. Change from Baseline is defined as the value at EOT minus baseline value.
SecondaryNumber of Participants With mPASI 50 Response and mPASI 75 ResponseFrom Baseline until EOT (Week 24)
Psoriatic plaques were graded based on three criteria: redness (R), thickness (T), and scaliness (S). Severity was rated for each criterion on a 5-point scale (0=no involvement, up to 4=severe involvement). The fraction of the total surface area affected on the head, upper extremities, trunk, and lower extremities was graded on a 7-point scale (0=no involvement, up to 6=greater than 90% involvement). The four body regions were weighted to reflect their respective proportion of body surface area, and the composite mPASI score for all body regions was calculated. mPASI 50 response and mPASI 75 response is defined as a 50% and 75% decrease, respectively, in the mPASI score from Baseline.
SecondaryMean Nail Psoriasis Severity Index (NAPSI) Score for Nail Bed Psoriasis and Nail Matrix Psoriasis at Baseline, Week 12, and EOT (Week 24)Baseline, Week 12, and EOT (Week 24)
The severity of nail lesions was assessed for all participants with psoriatic nail involvement by obtaining the NAPSI score. Scores were taken for fingernails only. No scores were taken for participants with traumatic or fungal changes in nails. The nail was divided into four quadrants, each of which was rated with a 0 or 1, based on the absence (0) or presence (1) of pathological signs resulting from involvement of both the nail matrix and the nail bed. Each nail was given a score for nail bed psoriasis (0-4) and nail matrix psoriasis (0-4) depending on the presence of nail psoriasis in that quadrant. Possible scores for matrix and nail bed psoriasis: 0=none, 1=present in 1/4 nail, 2=present in 2/4 nail, 3=present in 3/4 nail, 4=present in 4/4 nail. NAPSI score for nail matrix (0-4) and nail bed (0-4) were reported at Baseline, Week 12, and at the EOT visit (Week 24).
SecondaryAbsolute Change From Baseline in NAPSI Score for Nail Bed Psoriasis and Nail Matrix Psoriasis at Week 12, and EOT (Week 24)Baseline, Week 12, and EOT (Week 24)
The severity of nail lesions was assessed for all participants with psoriatic nail involvement by obtaining the NAPSI score. Scores were taken for fingernails only. No scores were taken for participants with traumatic or fungal changes in nails. The nail was divided into four quadrants, each of which was rated with a 0 or 1, based on the absence (0) or presence (1) of pathological signs resulting from involvement of both the nail matrix and the nail bed. Each nail was given a score for nail bed psoriasis (0-4) and nail matrix psoriasis (0-4) depending on the presence of nail psoriasis in that quadrant. Possible scores for matrix and nail bed psoriasis: 0=none, 1=present in 1/4 nail, 2=present in 2/4 nail, 3=present in 3/4 nail, 4=present in 4/4 nail. NAPSI score for nail matrix (0-4) and nail bed (0-4) were reported at Baseline, Week 12, and at the EOT visit (Week 24). Change from Baseline is defined as the value at the post-Baseline visit minus the Baseline value.
SecondaryNumber of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) and an AE/SAE Related to Study TreatmentFrom Baseline until safety follow up (Week 29)
An AE was any adverse change from the participant's Baseline (pre-treatment) clinical condition, including intercurrent illness, which occurred during the course of a clinical study after written informed consent had been given, whether considered related to treatment or not. The relationship of AEs to the study treatment was assessed as unrelated, remotely related, possibly related, and probably related. For an AE to be considered serious, it fell into one or more of the following categories: results in death, is life threatening, results in persistent or significant disability/incapacity, results in or prolongs inpatient hospitalization, and is a congenital abnormality or birth defect.

Outcomes25

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in the Palmo-plantar Pustulosis Psoriasis Area and Severity Index (PPPASI) Score at the End of Treatment (EOT) (Week 24) or at the Last AssessmentBaseline and EOT (Week 24) or the last assessmentFull Analysis Set : treated participants with \>=1 efficacy result after receiving study medication.Scores on a scaleMEAN
PRIMARYNumber of Participants With PPPASI 50 Response and PPPASI 75 ResponseFrom Baseline until EOT (Week 24) or the last assessmentFull Analysis SetParticipantsNUMBER
SECONDARYTotal Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)Full Analysis Set. Only participants available at the specified time points were analyzed (n=X, X).Pustule countMEAN
SECONDARYAbsolute Change From Baseline (BL) in Total Pustule Count at Weeks 4, 8, 12, 16, and 20 and at EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)Full Analysis Set. Only participants available at the specified time points were analyzed (n=X, X).Pustule countMEAN
SECONDARYMean Modified Psoriasis Area Severity Index (mPASI) Score at Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)Baseline; Weeks 4, 8, 12, 16, and 20; and EOT (Week 24)Full Analysis Set. Only participants available at the specified time points were analyzed (n=X, X).Scores on a scaleMEAN
SECONDARYChange From Baseline in the mPASI Score at EOT (Week 24) or at the Last AssessmentBaseline and EOT (Week 24) or the last assessmentFull Analysis SetScores on a scaleMEAN
SECONDARYNumber of Participants With mPASI 50 Response and mPASI 75 ResponseFrom Baseline until EOT (Week 24)Full analysis set. Participants with lesions in areas of the body other than the hands and feet were assessed.ParticipantsNUMBER
SECONDARYMean Nail Psoriasis Severity Index (NAPSI) Score for Nail Bed Psoriasis and Nail Matrix Psoriasis at Baseline, Week 12, and EOT (Week 24)Baseline, Week 12, and EOT (Week 24)Full Analysis Set. Only participants available at the specified time points were analyzed (n=X, X).Scores on a scaleMEAN
SECONDARYAbsolute Change From Baseline in NAPSI Score for Nail Bed Psoriasis and Nail Matrix Psoriasis at Week 12, and EOT (Week 24)Baseline, Week 12, and EOT (Week 24)Full Analysis Set. Only participants available at the specified time points were analyzed (n=X, X).Scores on a scaleMEAN
SECONDARYNumber of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) and an AE/SAE Related to Study TreatmentFrom Baseline until safety follow up (Week 29)Safety Population: all randomized participants who received at least one dose of study medicationParticipantsNUMBER

Results by group314

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in the Palmo-plantar Pustulosis Psoriasis Area and Severity Index (PPPASI) Score at the End of Treatment (EOT) (Week 24) or at the Last AssessmentMatching Placebo-44.6Standard Deviation 45.9Scores on a scale
Change From Baseline in the Palmo-plantar Pustulosis Psoriasis Area and Severity Index (PPPASI) Score at the End of Treatment (EOT) (Week 24) or at the Last AssessmentAlitretinoin 30 mg-45.2Standard Deviation 32.8Scores on a scale
Number of Participants With PPPASI 50 Response and PPPASI 75 ResponseMatching PlaceboPPPASI 50 response6Participants
Number of Participants With PPPASI 50 Response and PPPASI 75 ResponseAlitretinoin 30 mgPPPASI 50 response11Participants
Number of Participants With PPPASI 50 Response and PPPASI 75 ResponseMatching PlaceboPPPASI 75 response3Participants
Number of Participants With PPPASI 50 Response and PPPASI 75 ResponseAlitretinoin 30 mgPPPASI 75 response5Participants
Total Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Matching PlaceboBaseline, n=9, 2282.7Standard Deviation 59.1Pustule count
Total Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Alitretinoin 30 mgBaseline, n=9, 22106.0Standard Deviation 128.2Pustule count
Total Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Matching PlaceboWeek 4, n=9, 2071.6Standard Deviation 66.5Pustule count
Total Pustule Count at Baseline; Weeks 4, 8, 12, 16, and 20; and at EOT (Week 24)Alitretinoin 30 mgWeek 4, n=9, 2031.0Standard Deviation 43.5Pustule count

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMatching Placebo9
Overall StudySTARTEDAlitretinoin 30 mg24
Overall StudyCOMPLETEDMatching Placebo6
Overall StudyCOMPLETEDAlitretinoin 30 mg14
Overall StudyNOT COMPLETEDMatching Placebo3
Overall StudyNOT COMPLETEDAlitretinoin 30 mg10

Adverse events62

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsMatching Placebo19
otherNasopharyngitisInfections and infestationsAlitretinoin 30 mg724
otherBronchitisInfections and infestationsMatching Placebo19
otherBronchitisInfections and infestationsAlitretinoin 30 mg124
otherHeadacheNervous system disordersMatching Placebo29
otherHeadacheNervous system disordersAlitretinoin 30 mg824
otherCheilitisGastrointestinal disordersMatching Placebo19
otherCheilitisGastrointestinal disordersAlitretinoin 30 mg324
otherNauseaGastrointestinal disordersMatching Placebo19
otherNauseaGastrointestinal disordersAlitretinoin 30 mg224

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMatching Placebo
Total, all-cause mortalityAlitretinoin 30 mg
Total, other adverse eventsMatching Placebo89
Total, other adverse eventsAlitretinoin 30 mg1624
Total, serious adverse eventsMatching Placebo09
Total, serious adverse eventsAlitretinoin 30 mg124

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Alitretinoin 30 mg vs Matching Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01245140

GET https://conductscience.org/api/trials/v1/NCT01245140/registered?page=2