A Phase 2 interventional study of tofacitinib ointment 20 mg/g and tofacitinib ointment 10 mg/g in Psoriasis Vulgaris and Psoriasis, sponsored by Pfizer. Completed at 54 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-11-25.
Sponsored by Pfizer · Phase 2, Interventional, and Treatment
The study is beng done to test if tofacitinib ointment is safe and effective for people with plaque psoriasis. Two dose strengths of tofacitinib ointment (20 mg/g and 10 mg/g) applied once or twice daily are being tested. The safety and effectiveness of tofacitinib ointment used for 12 weeks will be compared to the safety and effectiveness of placebo ointment (vehicle) used for 12 weeks.
1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.
This study's enrollment of 476 is above the median of 70 across 1,447 interventional studies indexed under Psoriasis.
Browse Psoriasis studies →Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.
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Exclusion Criteria:
Drug: tofacitinib ointment 20 mg/g
Drug: tofacitinib ointment 10 mg/g
Drug: placebo ointment (vehicle)
Drug: tofacitinib ointment 20 mg/g
Drug: tofacitinib ointment 10 mg/g
Drug: placebo ointment (vehicle)
tofacitinib ointment 20 mg/g BID (twice daily) for 12 weeks
tofacitinib ointment 10 mg/g BID (twice daily) for 12 weeks
placebo ointment (vehicle) BID (twice daily) for 12 weeks
tofacitinib ointment 20 mg/g QD (once daily) for 12 weeks
tofacitinib ointment 10 mg/g QD (once daily) for 12 weeks
placebo ointment (vehicle) QD (once daily) for 12 weeks
Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) and Greater Than or Equal to (≥) 2 Grade/Point Improvement From Baseline at Week 12
Clinical signs of plaque psoriasis (erythema \[E\], induration \[I\], and scaling \[S\]) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
Time frame: Baseline, Week 12
Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
Time frame: Baseline, Week 8
Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) at Week 12
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
Time frame: Week 12
Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) at Week 8
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
Time frame: Week 8
Percentage of Participants Achieving a Gestalt Physician's Global Assessment (PGA-G) Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 12
Clinical signs of plaque psoriasis (E, I and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. After scoring each of the PGA subscores, a clinical evaluator of psoriasis performed an assessment of the overall severity of psoriasis and assigned a PGA-G score and category. 0=Clear, except for any residual discoloration (post-inflammatory hyperpigmentation and/or hypopigmentation) and 1=almost clear, the psoriasis is not entirely cleared and remaining plaques are light pink (not including post inflammatory hyperpigmentation), and/or have barely palpable elevation and/or have occasional fine scale. The PGA-G was a static assessment; i.e., without regard to a previous assessment.
Time frame: Baseline, Week 12
Percentage of Participants Achieving a PGA-G Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8
Clinical signs of plaque psoriasis (E, I and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. After scoring each of the PGA subscores, a clinical evaluator of psoriasis performed an assessment of the overall severity of psoriasis and assigned a PGA-G score and category. 0=Clear, except for any residual discoloration (post-inflammatory hyperpigmentation and/or hypopigmentation) and 1=almost clear, the psoriasis is not entirely cleared and remaining plaques are light pink (not including post inflammatory hyperpigmentation), and/or have barely palpable elevation and/or have occasional fine scale. The PGA-G was a static assessment; i.e., without regard to a previous assessment.
Time frame: Baseline, Week 8
Percent Change From Baseline to Week 12 in Psoriasis Area and Severity Index (PASI)
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent (%) area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
Time frame: Baseline, Week 12
Percent Change From Baseline to Week 8 in PASI
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
Time frame: Baseline, Week 8
Percentage of Participants Achieving at Least a 75% Reduction in PASI Response (PASI75), Relative to Baseline at Week 12
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
Time frame: Baseline, Week 12
Percentage of Participants Achieving PASI75, Relative to Baseline at Week 8
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
Time frame: Baseline, Week 8
Percent Change From Baseline to Week 12 in Body Surface Area (BSA) Affected With Psoriasis
Assessment of BSA with psoriasis was performed separately for 4 body regions: head and neck, upper limbs, trunk (including axillae and groin), and lower limbs (including buttocks). The percent surface area with psoriasis was estimated by means of the handprint method, where the full palmar hand of the participant represents approximately 1% of the total BSA. The number of handprints of psoriatic skin in a body region can be used to determine the extent (%) to which a body regions is involved with psoriasis. BSA (%)=the sum of the BSAs of the 4 body regions. BSA assessment excluded head and neck, palms, finger nails, soles and toe nails.
Time frame: Baseline, Week 12
Percent Change From Baseline to Week 8 in BSA Affected With Psoriasis
Assessment of BSA with psoriasis was performed separately for 4 body regions: head and neck, upper limbs, trunk (including axillae and groin), and lower limbs (including buttocks). The percent surface area with psoriasis was estimated by means of the handprint method, where the full palmar hand of the participant represents approximately 1% of the total BSA. The number of handprints of psoriatic skin in a body region can be used to determine the extent (%) to which a body regions is involved with psoriasis. BSA (%)=the sum of the BSAs of the 4 body regions. BSA assessment excluded head and neck, palms, finger nails, soles and toe nails.
Time frame: Baseline, Week 8
Change From Baseline to Week 12 in Clinic-Based Itch Severity Item (ISI) Scores
The severity of itch (pruritus) due to psoriasis was assessed using the ISI. Participants were asked to assess their "worst itching due to psoriasis over the past 24 hours" on a numeric rating scale anchored by the terms "no itching" (0) and "worst possible itching" (10) at the ends. Participants completed the ISI assessments at the clinic (i.e., clinic-based).
Time frame: Baseline, Week 12
Change From Baseline to Week 8 in Clinic-Based ISI Scores
The severity of itch (pruritus) due to psoriasis was assessed using the ISI. Participants were asked to assess their "worst itching due to psoriasis over the past 24 hours" on a numeric rating scale anchored by the terms "no itching" (0) and "worst possible itching" (10) at the ends. Participants completed the ISI assessments at the clinic (i.e., clinic-based).
Time frame: Baseline, Week 8
Change From Baseline to Week 12 in the Dermatology Life Quality Index (DLQI) Total Score
DLQI is the dermatology-specific quality of life measure used for psoriatic population. The 10-item questionnaire assesses participant health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment). The DLQI questions are rated by the participant as 0 (not at all/not relevant) to 3 (very much) with a total score range of 0 (best) to 30 (worst); higher scores indicate poor quality of life.
Time frame: Baseline, Week 12
Change From Baseline to Week 8 in the DLQI Total Score
DLQI is the dermatology-specific quality of life measure used for psoriatic population. The 10-item questionnaire assesses participant health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment). The DLQI questions are rated by the participant as 0 (not at all/not relevant) to 3 (very much) with a total score range of 0 (best) to 30 (worst); higher scores indicate poor quality of life.
Time frame: Baseline, Week 8
Percentage of Participants Achieving a Patient's Global Assessment (PtGA) Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 12 for Participants With a PtGA Score ≥2 at Baseline
The PtGA asks the participant to evaluate the overall cutaneous disease at that point in time on a single item, 5-point scale (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=severe).
Time frame: Baseline, Week 12
Percentage of Participants Achieving a PtGA Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8 for Participants With a PtGA Score ≥2 at Baseline
The PtGA asks the participant to evaluate the overall cutaneous disease at that point in time on a single item, 5-point scale (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=severe).
Time frame: Baseline, Week 8
Participants with mild (PGA-C score of 2), moderate (PGA-C score of 3), or severe (PGA-C score of 4) chronic plaque psoriasis were recruited for this study. The primary analysis population for this study included only the participants with mild and moderate disease.
| Milestone | Mild/Moderate: Tofacitinib 20 mg/Gram (mg/g) Twice Daily (BID) | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g Once Daily (QD) | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD | Severe: Tofacitinib 20 mg/g BID | Severe: Tofacitinib 10 mg/g BID | Severe: Placebo (Vehicle) BID | Severe: Tofacitinib 20 mg/g QD | Severe: Tofacitinib 10 mg/g QD | Severe: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 71 | 70 | 71 | 70 | 74 | 74 | 7 | 7 | 7 | 7 | 6 | 7 |
| Completed | 55 | 52 | 48 | 51 | 57 | 48 | 6 | 5 | 4 | 2 | 4 | 3 |
| Not completed | 16 | 18 | 23 | 19 | 17 | 26 | 1 | 2 | 3 | 5 | 2 | 4 |
| Withdrew: Protocol violation | 1 | 1 | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Other | 2 | 3 | 2 | 2 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Non-compliance with study treatment | 2 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Death | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 6 | 3 | 3 | 3 | 3 | 5 | 0 | 0 | 0 | 1 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 4 | 2 | 0 | 3 | 0 | 0 | 0 | 1 | 0 | 1 |
| Withdrew: Lack of efficacy | 5 | 8 | 7 | 6 | 9 | 8 | 1 | 1 | 2 | 2 | 2 | 0 |
| Withdrew: Adverse event | 0 | 0 | 4 | 6 | 3 | 7 | 0 | 1 | 1 | 1 | 0 | 2 |
Clinical signs of plaque psoriasis (erythema \[E\], induration \[I\], and scaling \[S\]) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) and Greater Than or Equal to (≥) 2 Grade/Point Improvement From Baseline at Week 12 | 21.1 | 12.9 | 16.9 | 20.0 | 21.6 | 17.6 |
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8 | 22.5 | 10.0 | 11.3 | 18.6 | 14.9 | 8.1 |
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) at Week 12 | 33.8 | 25.7 | 23.9 | 27.1 | 29.7 | 23.0 |
Clinical signs of plaque psoriasis (E, I, and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. The PGA-C was a static assessment; i.e., without regard to a previous assessment. The PGA subscores are then summed and averaged after which the total average was rounded to the nearest whole number to determine the PGA-C score and category. A higher score indicated a higher level of severity. 0 is equal to (=) cleared except for any residual discoloration and 1=almost clear, majority of lesions had individual scores for E+I+S that when summed, averaged, and rounded equaled 1.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PGA-C Response of Clear (0) or Almost Clear (1) at Week 8 | 36.6 | 20.0 | 22.5 | 32.9 | 21.6 | 12.2 |
Clinical signs of plaque psoriasis (E, I and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. After scoring each of the PGA subscores, a clinical evaluator of psoriasis performed an assessment of the overall severity of psoriasis and assigned a PGA-G score and category. 0=Clear, except for any residual discoloration (post-inflammatory hyperpigmentation and/or hypopigmentation) and 1=almost clear, the psoriasis is not entirely cleared and remaining plaques are light pink (not including post inflammatory hyperpigmentation), and/or have barely palpable elevation and/or have occasional fine scale. The PGA-G was a static assessment; i.e., without regard to a previous assessment.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a Gestalt Physician's Global Assessment (PGA-G) Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 12 | 18.3 | 11.4 | 14.1 | 15.7 | 18.9 | 12.2 |
Clinical signs of plaque psoriasis (E, I and S) were scored separately according to a 5-point severity scale (0 to 4) to provide PGA subscores, which described the overall severity of each clinical sign. After scoring each of the PGA subscores, a clinical evaluator of psoriasis performed an assessment of the overall severity of psoriasis and assigned a PGA-G score and category. 0=Clear, except for any residual discoloration (post-inflammatory hyperpigmentation and/or hypopigmentation) and 1=almost clear, the psoriasis is not entirely cleared and remaining plaques are light pink (not including post inflammatory hyperpigmentation), and/or have barely palpable elevation and/or have occasional fine scale. The PGA-G was a static assessment; i.e., without regard to a previous assessment.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PGA-G Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8 | 21.1 | 7.1 | 11.3 | 15.7 | 9.5 | 4.1 |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent (%) area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
| Percent Change from Baseline | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percent Change From Baseline to Week 12 in Psoriasis Area and Severity Index (PASI) | -36.6 ± 40.88 | -35.7 ± 43.78 | -32.0 ± 49.47 | -38.6 ± 36.37 | -31.4 ± 42.36 | -30.0 ± 38.68 |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
| Percent Change from Baseline | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percent Change From Baseline to Week 8 in PASI | -36.7 ± 36.01 | -29.1 ± 40.86 | -28.8 ± 37.06 | -36.5 ± 33.87 | -29.0 ± 29.47 | -27.1 ± 32.93 |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving at Least a 75% Reduction in PASI Response (PASI75), Relative to Baseline at Week 12 | 16.9 | 12.9 | 12.7 | 15.7 | 10.8 | 6.8 |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 regions: head, arms, trunk, legs. For each region, percent area of skin involved was estimated: 0=0% to 6=90-100%. Severity was estimated by clinical signs: erythema, induration, scaling; scale: 0=none to 4=maximum. Final PASI = sum of severity parameters for each region\*area score\*weight of region (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0=no disease to 72=maximal disease. The maximum PASI score was \<72 since the PASI assessment excluded scalp, palms, finger nails, soles, and toe nails.
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving PASI75, Relative to Baseline at Week 8 | 14.1 | 8.6 | 7.0 | 15.7 | 6.8 | 6.8 |
Assessment of BSA with psoriasis was performed separately for 4 body regions: head and neck, upper limbs, trunk (including axillae and groin), and lower limbs (including buttocks). The percent surface area with psoriasis was estimated by means of the handprint method, where the full palmar hand of the participant represents approximately 1% of the total BSA. The number of handprints of psoriatic skin in a body region can be used to determine the extent (%) to which a body regions is involved with psoriasis. BSA (%)=the sum of the BSAs of the 4 body regions. BSA assessment excluded head and neck, palms, finger nails, soles and toe nails.
| Percent Change from Baseline | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percent Change From Baseline to Week 12 in Body Surface Area (BSA) Affected With Psoriasis | -32.8 ± 40.92 | -27.5 ± 36.40 | -27.7 ± 43.43 | -24.6 ± 36.29 | -15.6 ± 36.63 | -11.2 ± 56.38 |
Assessment of BSA with psoriasis was performed separately for 4 body regions: head and neck, upper limbs, trunk (including axillae and groin), and lower limbs (including buttocks). The percent surface area with psoriasis was estimated by means of the handprint method, where the full palmar hand of the participant represents approximately 1% of the total BSA. The number of handprints of psoriatic skin in a body region can be used to determine the extent (%) to which a body regions is involved with psoriasis. BSA (%)=the sum of the BSAs of the 4 body regions. BSA assessment excluded head and neck, palms, finger nails, soles and toe nails.
| Percent Change from Baseline | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percent Change From Baseline to Week 8 in BSA Affected With Psoriasis | -25.4 ± 44.75 | -22.5 ± 35.87 | -20.5 ± 34.90 | -17.8 ± 28.59 | -9.0 ± 30.08 | -11.7 ± 38.29 |
The severity of itch (pruritus) due to psoriasis was assessed using the ISI. Participants were asked to assess their "worst itching due to psoriasis over the past 24 hours" on a numeric rating scale anchored by the terms "no itching" (0) and "worst possible itching" (10) at the ends. Participants completed the ISI assessments at the clinic (i.e., clinic-based).
| Score on a Scale | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Change From Baseline to Week 12 in Clinic-Based Itch Severity Item (ISI) Scores | -2.88 ± 3.140 | -2.89 ± 3.320 | -1.73 ± 2.460 | -2.38 ± 3.182 | -1.94 ± 3.151 | -1.50 ± 2.961 |
The severity of itch (pruritus) due to psoriasis was assessed using the ISI. Participants were asked to assess their "worst itching due to psoriasis over the past 24 hours" on a numeric rating scale anchored by the terms "no itching" (0) and "worst possible itching" (10) at the ends. Participants completed the ISI assessments at the clinic (i.e., clinic-based).
| Score on a Scale | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Change From Baseline to Week 8 in Clinic-Based ISI Scores | -3.07 ± 2.971 | -2.38 ± 2.984 | -1.45 ± 2.847 | -2.49 ± 2.769 | -1.91 ± 3.166 | -1.34 ± 3.285 |
DLQI is the dermatology-specific quality of life measure used for psoriatic population. The 10-item questionnaire assesses participant health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment). The DLQI questions are rated by the participant as 0 (not at all/not relevant) to 3 (very much) with a total score range of 0 (best) to 30 (worst); higher scores indicate poor quality of life.
| Score on a Scale | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Change From Baseline to Week 12 in the Dermatology Life Quality Index (DLQI) Total Score | -4.6 ± 5.55 | -3.2 ± 5.32 | -2.6 ± 5.45 | -5.6 ± 7.04 | -3.3 ± 5.97 | -2.3 ± 6.34 |
DLQI is the dermatology-specific quality of life measure used for psoriatic population. The 10-item questionnaire assesses participant health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment). The DLQI questions are rated by the participant as 0 (not at all/not relevant) to 3 (very much) with a total score range of 0 (best) to 30 (worst); higher scores indicate poor quality of life.
| Score on a Scale | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Change From Baseline to Week 8 in the DLQI Total Score | -4.6 ± 5.16 | -2.6 ± 4.98 | -2.8 ± 4.01 | -5.0 ± 5.85 | -2.7 ± 4.79 | -2.2 ± 5.63 |
The PtGA asks the participant to evaluate the overall cutaneous disease at that point in time on a single item, 5-point scale (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=severe).
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a Patient's Global Assessment (PtGA) Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 12 for Participants With a PtGA Score ≥2 at Baseline | 8.8 | 17.5 | 7.3 | 13.2 | 14.5 | 7.7 |
The PtGA asks the participant to evaluate the overall cutaneous disease at that point in time on a single item, 5-point scale (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=severe).
| Percentage of Participants | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|
| Percentage of Participants Achieving a PtGA Response of Clear (0) or Almost Clear (1) and ≥2 Grade/Point Improvement From Baseline at Week 8 for Participants With a PtGA Score ≥2 at Baseline | 5.0 | 6.3 | 10.9 | 10.0 | 6.0 | 1.7 |
Collected over SAEs were assessed from informed consent through and including 28 calendar days after last administration of study treatment. Non-SAEs were recorded from time of first dose of study treatment through last participant visit.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Mild/Moderate: Tofacitinib 20 mg/g BID | — | 0/71 (0%) | 30/71 (42.3%) |
| Mild/Moderate: Tofacitinib 10 mg/g BID | — | 5/70 (7.1%) | 29/70 (41.4%) |
| Mild/Moderate: Placebo (Vehicle) BID | — | 2/71 (2.8%) | 27/71 (38%) |
| Mild/Moderate: Tofacitinib 20 mg/g QD | — | 0/70 (0%) | 34/70 (48.6%) |
| Mild/Moderate: Tofacitinib 10 mg/g QD | — | 2/74 (2.7%) | 28/74 (37.8%) |
| Mild/Moderate: Placebo (Vehicle) QD | — | 1/74 (1.4%) | 40/74 (54.1%) |
| Severe: Tofacitinib 20 mg/g BID | — | 0/7 (0%) | 2/7 (28.6%) |
| Severe: Tofacitinib 10 mg/g BID | — | 0/7 (0%) | 4/7 (57.1%) |
| Severe: Placebo (Vehicle) BID | — | 0/7 (0%) | 4/7 (57.1%) |
| Severe: Tofacitinib 20 mg/g QD | — | 0/7 (0%) | 3/7 (42.9%) |
| Severe: Tofacitinib 10 mg/g QD | — | 0/6 (0%) | 2/6 (33.3%) |
| Severe: Placebo (Vehicle) QD | — | 1/7 (14.3%) | 2/7 (28.6%) |
| Event | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD | Severe: Tofacitinib 20 mg/g BID | Severe: Tofacitinib 10 mg/g BID | Severe: Placebo (Vehicle) BID | Severe: Tofacitinib 20 mg/g QD | Severe: Tofacitinib 10 mg/g QD | Severe: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Transient ischaemic attackNervous system disorders | 0/71 | 0/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 1/7 |
| Cardiac failure congestiveCardiac disorders | 0/71 | 1/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Myocardial infarctionCardiac disorders | 0/71 | 1/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Non-cardiac chest painGeneral disorders | 0/71 | 1/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Abdominal wound dehiscenceInjury, poisoning and procedural complications | 0/71 | 1/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Diabetes mellitusMetabolism and nutrition disorders | 0/71 | 1/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| OsteoarthritisMusculoskeletal and connective tissue disorders | 0/71 | 0/70 | 1/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Psoriatic arthropathyMusculoskeletal and connective tissue disorders | 0/71 | 0/70 | 1/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| ArrhythmiaCardiac disorders | 0/71 | 0/70 | 0/71 | 0/70 | 1/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Atrial fibrillationCardiac disorders | 0/71 | 0/70 | 0/71 | 0/70 | 0/74 | 1/74 | 0/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Event | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD | Severe: Tofacitinib 20 mg/g BID | Severe: Tofacitinib 10 mg/g BID | Severe: Placebo (Vehicle) BID | Severe: Tofacitinib 20 mg/g QD | Severe: Tofacitinib 10 mg/g QD | Severe: Placebo (Vehicle) QD |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PsoriasisSkin and subcutaneous tissue disorders | 1/71 | 1/70 | 0/71 | 7/70 | 6/74 | 6/74 | 1/7 | 0/7 | 0/7 | 2/7 | 0/6 | 1/7 |
| Ear infectionInfections and infestations | 1/71 | 0/70 | 0/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 0/7 | 0/7 | 1/6 | 0/7 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 0/71 | 0/70 | 0/71 | 1/70 | 0/74 | 1/74 | 0/7 | 0/7 | 0/7 | 0/7 | 1/6 | 0/7 |
| NasopharyngitisInfections and infestations | 3/71 | 2/70 | 1/71 | 5/70 | 7/74 | 11/74 | 0/7 | 1/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| NauseaGastrointestinal disorders | 2/71 | 1/70 | 1/71 | 1/70 | 3/74 | 0/74 | 1/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| Chest painGeneral disorders | 0/71 | 0/70 | 1/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 1/7 | 0/7 | 0/6 | 0/7 |
| FatigueGeneral disorders | 0/71 | 0/70 | 1/71 | 0/70 | 0/74 | 0/74 | 0/7 | 0/7 | 1/7 | 0/7 | 0/6 | 0/7 |
| Oedema peripheralGeneral disorders | 0/71 | 0/70 | 0/71 | 1/70 | 0/74 | 0/74 | 0/7 | 1/7 | 0/7 | 0/7 | 0/6 | 0/7 |
| BronchitisInfections and infestations | 2/71 | 1/70 | 0/71 | 1/70 | 1/74 | 1/74 | 1/7 | 0/7 | 1/7 | 0/7 | 0/6 | 0/7 |
| Upper respiratory tract infectionInfections and infestations | 2/71 | 10/70 | 6/71 | 2/70 | 0/74 | 1/74 | 1/7 | 0/7 | 0/7 | 0/7 | 0/6 | 0/7 |
Full Analysis Set (FAS) - included all participants who were randomized to the study, received at least one dose of the randomized investigational drug (tofacitinib or vehicle), and were in a baseline PGA-C category of mild (2), moderate (3) or severe (4).
| Age, Customized(Participants) | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD | Severe: Tofacitinib 20 mg/g BID | Severe: Tofacitinib 10 mg/g BID | Severe: Placebo (Vehicle) BID | Severe: Tofacitinib 20 mg/g QD | Severe: Tofacitinib 10 mg/g QD | Severe: Placebo (Vehicle) QD | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| < 18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| 18-44 years | 30 | 23 | 25 | 21 | 30 | 25 | 2 | 0 | 1 | 3 | 3 | 2 | 165 |
| 45-64 years | 28 | 34 | 34 | 38 | 35 | 39 | 4 | 6 | 4 | 2 | 2 | 2 | 228 |
| >= 65 years | 13 | 13 | 12 | 11 | 9 | 10 | 1 | 1 | 2 | 2 | 1 | 3 | 78 |
| Sex: Female, Male(Participants) | Mild/Moderate: Tofacitinib 20 mg/g BID | Mild/Moderate: Tofacitinib 10 mg/g BID | Mild/Moderate: Placebo (Vehicle) BID | Mild/Moderate: Tofacitinib 20 mg/g QD | Mild/Moderate: Tofacitinib 10 mg/g QD | Mild/Moderate: Placebo (Vehicle) QD | Severe: Tofacitinib 20 mg/g BID | Severe: Tofacitinib 10 mg/g BID | Severe: Placebo (Vehicle) BID | Severe: Tofacitinib 20 mg/g QD | Severe: Tofacitinib 10 mg/g QD | Severe: Placebo (Vehicle) QD | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 28 | 23 | 30 | 33 | 24 | 32 | 1 | 3 | 1 | 1 | 0 | 0 | 176 |
| Male | 43 | 47 | 41 | 37 | 50 | 42 | 6 | 4 | 6 | 6 | 6 | 7 | 295 |
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