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NCT04417114WithdrawnPhase 4

SystemIc iNflammation and Microvascular diSease PreventIon in psoRiatic diseasE

Source: ClinicalTrials.gov · Last updated 23 Jul 2021

Reason given: The study was not funded.

Brief summary (registry, in English)

This is a single-label open-arm mechanistic clinical study recruiting patients with psoriasis or psoriatic arthritis with elevated cardiovascular risk. Subjects enrolled in this study will receive statin treatment with rosuvastatin. The statin treatment in this study will be used as an intervention with widely known pleiotropic CV risk reduction effects, including anti-inflammatory reduction. Subjects will be studied before statin therapy and followed for 48 weeks on treatment. The primary outcome will be change in the coronary flow reserve (CFR) as measured by cardiac PET. Overall, this study will examine the impact of statin therapy on changes in CFR as a reflection of impaired coronary vasoreactivity and a manifestation of myocardial ischemia, which may precede clinical CV events (and visible changes in plaque morphology) in high-risk patients with psoriatic disease.

Status (registry)
Withdrawn
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
0 (actual)
First submitted
2 Jun 2020
Start date
1 Apr 2021
Primary completion date
31 Mar 2025
Lead sponsor
Brigham and Women's Hospital
NCT number
NCT04417114

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients on statin or PCSK9 inhibitor therapy, or use of statin therapy within the past year
  • Prior history of untreated chronic infection (tuberculosis), severe fungal infection, or known HIV positive, chronic hepatitis B or C infection), prior history of solid malignancy, myeloproliferative or lymphoproliferative disease within 5 years, excluding treated non-melanoma skin cancer

Other illness

  • Documented history of other systemic inflammatory diseases, which in the opinion of the investigator would be inappropriate for enrollment.
  • NYHA class IV heart failure
  • Severe renal impairment

Lab values

  • Active liver disease including unexplained, persistent elevations of serum transaminases or serum transaminase elevation > 3 x the upper limit of normal.

Other

  • Pregnancy

Who the study is looking for

  • Age > 40 years of age
  • Documented evidence of PsO or PsA by a board-certified dermatologist or rheumatologist, respectively.
  • Subjects on systemic therapy/phototherapy for PsO or PsA will be required to be on stable therapy for at least 3 months prior to enrollment
    • Plus, documented history of at least one of the following:
  • Hypertension
  • Obesity (BMI > 30)
  • Diabetes Mellitus
  • HsCRP > 3 mg/L within 30 days of enrollment

Age in the registry: 40 years to 80 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

This page is information, not medical advice. Discuss any trial with your doctor.