An interventional study of Raster-Scan Optoacoustic Mesoscopy and Multispectral Optoacoustic Tomography in Psoriasis (PsO) and Psoriasis Arthritis, sponsored by University of Erlangen-Nürnberg Medical School. Not yet recruiting. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-21.
Sponsored by University of Erlangen-Nürnberg Medical School · Not applicable, Interventional, and Basic science
This study investigates changes in the skin and joints of people with psoriasis (PsO) and psoriatic arthritis (PsA) using two non-invasive imaging methods called raster-scan optoacoustic mesoscopy (RSOM) and multispectral optoacoustic tomography (MSOT).
The study will include 192 adults, including people with PsO, people with PsA, people at increased risk of developing these conditions, and healthy participants. RSOM will be used to examine small blood vessels and other features of the skin, while MSOT will be used to examine joints and tissue characteristics. In selected participants, a small skin sample will also be collected for laboratory analysis.
The researchers will investigate relationships between the imaging findings, clinical characteristics, and laboratory findings from skin samples. Computer-based and artificial intelligence (AI)-supported methods will also be used to explore patterns across these different types of data.
The aim is to improve the understanding of changes associated with PsO and PsA and to identify potential imaging features that could be investigated as biomarkers in future studies. The imaging and AI analyses performed in this study are for research purposes only and will not be used to make clinical diagnoses or treatment decisions.
1,928 studies on the registry are indexed under Psoriasis; 234 are open to participants now.
This study's planned enrollment of 192 is above the median of 70 across 1,472 interventional studies indexed under Psoriasis.
Browse Psoriasis studies →University of Erlangen-Nürnberg Medical School is the lead sponsor of 275 studies on the registry; 52 are open to participants now.
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Exclusion Criteria:
Participants without psoriasis or psoriatic arthritis who have predefined risk factors for psoriasis according to the study protocol. Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments.
Device: Raster-Scan Optoacoustic Mesoscopy · Device: Multispectral Optoacoustic Tomography
Participants with mild to moderate psoriasis (PASI ≤20) without psoriatic arthritis. Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments. A skin biopsy may be obtained from a characteristic skin lesion for histological and immunohistochemical analysis.
Device: Raster-Scan Optoacoustic Mesoscopy · Device: Multispectral Optoacoustic Tomography · Procedure: Skin Biopsy and Skin Sample Collection
Participants with severe psoriasis (PASI \>20) without psoriatic arthritis. Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments. A skin biopsy may be obtained from a characteristic skin lesion for histological and immunohistochemical analysis.
Device: Raster-Scan Optoacoustic Mesoscopy · Device: Multispectral Optoacoustic Tomography · Procedure: Skin Biopsy and Skin Sample Collection
Participants with severe psoriatic arthritis (DAPSA \>28). Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments. In participants with a cutaneous manifestation, a skin biopsy may be obtained from a characteristic skin lesion for histological and immunohistochemical analysis.
Device: Raster-Scan Optoacoustic Mesoscopy · Device: Multispectral Optoacoustic Tomography · Procedure: Skin Biopsy and Skin Sample Collection
Participants with severe psoriatic arthritis (DAPSA \>28). Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments. In participants with a cutaneous manifestation, a skin biopsy may be obtained from a characteristic skin lesion for histological and immunohistochemical analysis.
Device: Raster-Scan Optoacoustic Mesoscopy · Device: Multispectral Optoacoustic Tomography · Procedure: Skin Biopsy and Skin Sample Collection
Healthy participants without psoriasis, psoriatic arthritis, or predefined psoriasis risk factors. Participants undergo RSOM and MSOT imaging and the other protocol-defined study assessments. If a participant independently undergoes a planned vascular surgical procedure, a small skin sample may be obtained from the existing surgical incision without an additional skin incision.
Device: Raster-Scan Optoacoustic Mesoscopy
Participants undergo non-invasive raster-scan optoacoustic mesoscopy (RSOM) of predefined skin regions. The RSOM probe is placed on the skin to assess skin morphology and microvascular features. Up to three characteristic skin lesions and corresponding contralateral reference sites may be examined, together with predefined lesion-free skin regions of the extremities. Each individual RSOM measurement lasts approximately 45-90 seconds, with a total RSOM examination time of approximately 20 minutes.
Participants undergo non-invasive multispectral optoacoustic tomography (MSOT). Reference measurements are performed over the radial artery, cephalic vein, and a predefined muscle region. MSOT measurements are subsequently performed at the finger and toe joints and bilaterally at the shoulder, elbow, and knee joints. Each joint measurement lasts approximately 10 seconds, with a total MSOT examination time of approximately 20 minutes.
In participants with suitable skin lesions, a study-specific punch skin biopsy of up to 4 mm is obtained from a characteristic skin lesion for histological and immunohistochemical analysis. No study-specific skin biopsy is performed in participants without skin lesions. If such participants independently undergo a planned vascular surgical procedure, a small skin sample may be obtained from the existing surgical incision without an additional skin incision or surgical procedure.
Association between RSOM parameters and clinical disease severity
Association between quantitative RSOM-derived skin parameters and clinical disease severity. RSOM parameters include microvascular and dermal features.
Time frame: Baseline (Day 1)
Association between RSOM parameters and histological features of skin biopsies
Association between quantitative RSOM-derived skin parameters and histological and immunohistochemical features obtained from skin biopsies, including mast cell-related, inflammatory, and angiogenesis-related markers.
Time frame: Baseline (Day 1)
Association between MSOT parameters and clinical disease severity
Association between quantitative MSOT-derived parameters and clinical disease severity in participants with psoriasis and psoriatic arthritis. MSOT parameters include oxygenated hemoglobin (HbO2), deoxygenated hemoglobin (Hb), total hemoglobin (THb), lipid, water, and collagen-related signals.
Time frame: Baseline (Day 1)
Association between MSOT parameters and histological features of skin biopsies
Association between quantitative MSOT-derived parameters and histological and immunohistochemical features obtained from skin biopsies, including mast cell-related, inflammatory, and angiogenesis-related markers.
Time frame: Baseline (Day 1)
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
Start is estimated for Oct 2026; primary completion for Dec 2027, 14 months later.
Of 118 non-industry interventional studies with no phase under Psoriasis, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 41. This study's planned 14 months is below that.
Counting every sponsor, half of 136 studies reached it within 18 months; a quarter within 8 and three quarters within 37.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.
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