Moderate to Severe Plaque Psoriasis Clinical Trial
Official title:
Effectiveness of Adalimumab (Humira) in the Treatment of Scalp and Nail Affection in Patients With Moderate to Severe Plaque Psoriasis in Routine Clinical Practice
There is clearly a need for further data on the efficacy of biologic agents in the treatment
of nail and scalp psoriasis, especially in the routine clinical setting. A few case reports
can be found, but no published data exists from non-interventional studies, such as
post-marketing observational studies (PMOS) that reflect routine clinical practice.
The aim of this PMOS is to evaluate the long-term (12-month) efficacy of adalimumab in the
treatment of nail and scalp psoriatic lesions in routine dermatologic practice.
This is post-marketing observational study (PMOS) in which HUMIRA® is prescribed in the
usual manner in accordance with the terms of the local marketing authorization with regards
to dose, population and indication, and following the local prescription and/or
reimbursement guidance.
Follow-up visits are not strictly scheduled, but rather left to the judgment of each
investigator within the 12-month study period for each participant. Five visits are
indicated within the 12-month observational period: Baseline and follow-up at 3 months, 6
months, 9 months and at 12 months (Study End).
As nails are not included in the general measures of disease severity (such as Psoriasis
Area and Severity Index [PASI]), the Nail Psoriasis Severity Index (NAPSI) will be used to
assign a score of nail psoriasis. The scalp, though being involved in the general measures
of disease severity (e.g. PASI), represents only 4-5% of the body surface and is therefore
poorly represented. Psoriasis Scalp Severity Index (PSSI) will be used to quantify the
intensity of scalp psoriasis and its changes during the study. The association between
general skin and localized nail and scalp, and changes in quality of life in response to
adalimumab therapy will also be examined.
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Time Perspective: Prospective
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