About this trial
This study will evaluate whether pentoxifylline, when used as an add-on treatment to standard topical therapy, is effective and safe for adults with mild-to-moderate plaque psoriasis. Participants will be randomly assigned to receive either pentoxifylline or placebo twice daily for 12 weeks, while continuing their standard topical treatment. The study will compare improvement in psoriasis severity, itch, physician assessment, quality of life, and adverse events between the two groups. Participants will be followed for a total of 16 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 to 65 years.
Clinical diagnosis of mild-to-moderate plaque psoriasis, defined as Psoriasis Area and Severity Index (PASI) score 3 to 10 or body surface area (BSA) involvement 3% to 10%, as assessed by a physician.
Receiving stable standard topical therapy for at least 2 weeks before enrollment.
Able and willing to provide written informed consent.
Disqualifiers
Use of biologic agents within 12 weeks before enrollment.
Psoriatic arthritis requiring systemic therapy.
Pregnant or breastfeeding.
Severe liver disease or severe kidney disease.
Trial design
Parallel
Treatments tested in this trial
Pentoxifylline 400 mg Oral Tablet
DrugPentoxifylline 400 mg capsule will be taken orally twice daily after meals, once in the morning and once in the evening, for 12 weeks. The intervention will be given as add-on therapy while participants continue standard topical treatment for plaque psoriasis.
Placebo
DrugMatching placebo capsule will be taken orally twice daily after meals, once in the morning and once in the evening, for 12 weeks. The placebo will be given as add-on therapy while participants continue standard topical treatment for plaque psoriasis.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of Participants Achieving PASI 50
Proportion of participants who achieve at least a 50% reduction from baseline in Psoriasis Area and Severity Index (PASI) score. PASI is a physician-assessed measure of psoriasis severity based on erythema, induration, scaling, and affected body surface area.
Secondary outcomes
Proportion of Participants Achieving PASI 75
Proportion of participants who achieve at least a 75% reduction from baseline in Psoriasis Area and Severity Index (PASI) score.
Proportion of Participants Achieving PASI 90
Proportion of participants who achieve at least a 90% reduction from baseline in Psoriasis Area and Severity Index (PASI) score.
Percent Change in PASI Score From Baseline
Percent change from baseline in Psoriasis Area and Severity Index (PASI) score. PASI is assessed by a physician based on erythema, induration, scaling, and affected body surface area.
Sponsors and contacts
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Wasuchon Chaichan
Lead sponsor
University of Phayao
Sponsor institution
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