About this trial
This study is a real-world clinical study of adalimumab. The project plans to enrol 30 participants and aims to evaluate the efficacy and safety of adalimumab in Chinese children with plaque psoriasis, with the primary endpoint being the proportion of participants achieving PASI 75 (PASI score reduction ≥75% from baseline) at week 16.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects and their guardians must sign an informed consent form. The research protocol/informed consent form for data collection and data verification should comply with local laws and regulations.
Age 4 years ≤ age ≤ 17 years, regardless of gender;
Subjects weigh ≥ 15kg;
Subjects who respond poorly to local treatment and/or phototherapy or are unsuitable for such treatments;
Disqualifiers
Based on the prescribing information of Adalimumab Solution for Injection and the judgment of the treating physician, the subject is not eligible for treatment with Adalimumab Solution for Injection;
Subjects who received psoralen combined with long-wave ultraviolet (UVA) therapy within 14 days prior to the screening period, or topical medium-wave ultraviolet (UVB) therapy within 7 days prior to the screening period;
Subjects who received non-biological systemic treatments for paediatric psoriasis within 14 days prior to the screening period;
Subjects who are currently using or have used other biological Disease-Modifying Antirheumatic Drug treatments within 12 weeks prior to the screening period;
Trial design
Single group
Treatments tested in this trial
Adalimumab Solution for Injection
DrugAdalimumab is a fully human anti-tumour necrosis factor-alpha monoclonal antibody that inhibits the downstream inflammatory cascade by blocking Tumor Necrosis Factor-α (TNF-α), a core inflammatory factor in psoriasis. In March 2020, adalimumab was approved in China for the treatment of severe plaque psoriasis in children and adolescents aged four years and older who have not responded well to topical therapies and phototherapy or are unsuitable for such treatments.
Treatment groups
Trial outcomes
Primary outcomes
Psoriasis Area and Severity Index 75 at week 16
The proportion of subjects achieving PASI 75 at week 16 (PASI score decreased by ≥75% from baseline).
Secondary outcomes
Psoriasis Area and Severity Index 75 at weeks 8, 32, and 52
Proportion of subjects achieving PASI 75 at weeks 8, 32, and 52
Psoriasis Area and Severity Index 90
Proportion of subjects achieving PASI 90 (PASI score decreased by ≥90% from baseline) at weeks 8, 16, 32, and 52
Psoriasis Area and Severity Index 100
Proportion of subjects achieving PASI 100 (100% reduction in PASI score from baseline) at Weeks 8, 16, 32 and 52
Achieve a Physician's Global Assessment (PGA) score of clear (0) or very mild (1)
Proportion of subjects who achieved a PGA score of clear (0) or almost clear (1) at weeks 8, 16, 32, and 52
Locations
Sponsors and contacts
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