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Not yet recruitingNCT07892339Updated Oct 23, 2026

Efficacy of Crisaborole 2% Ointment Versus Tacrolimus 0.1% Ointment in the Treatment of Intertriginous and/or Anogenital Psoriasis: A Prospective Randomized Controlled Study.

A Phase 3 interventional study of Crisaborole 2% topical ointment and tacrolimus ointment 0.1% in Psoriasis and Psoriasis Genital, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Cairo University · Phase 3, Interventional, and Treatment

Updated Oct 23, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if topical application of crisaborole 2% ointment can treat flexural and/or genital psoriasis in adult patients of both genders. It will also learn about the safety of crisaborole 2% ointment.

The main questions it aims to answer is:

  • Does crisaborole 2% ointment work effectively in flexural and/or genital psoriasis in adults?
  • is crisaborole 2% ointment well tolerated in flexural and/or genital psoriasis in adults?
  • Is crisaborole 2% ointment comparable to tacrolimus 0.1% ointment in terms of efficacy and safety in flexural and/or genital psoriasis in adults?

Researchers will compare crisaborole 2% ointment to tacrolimus 0.1% ointment to see if crisaborole works as effective and is as well-tolerated.

Participants will:

  • apply topical crisaborole 2% ointment or tacrolimus 0.1% ointment twice daily for 6 weeks to plaques of flexural and/or genital psoriasis.
  • Visit the clinic once every 2 weeks for checkups and photography.
  • Keep a diary of their symptoms.
Read the detailed description

The proposed study is a prospective, open-label randomized clinical study that will enrolled adult patients with intertriginous and/or anogenital psoriasis who will be recruited from KAPU (Kasr Al-Ainy Psoriasis Unit), Dermatology outpatient clinic, Dermatology department, Kasr AlAiny hospitals, Cairo University. The study aims to assess the efficacy, safety and tolerability of crisaborole 2% ointment in the treatment of intertriginous and/or anogenital psoriasis in comparison to tacrolimus 0.1% ointment in adults.

02

Conditions studied

  • Psoriasis
  • Psoriasis Genital

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Keywords

  • psoriasis
  • genital psoriasis
  • flexural psoriasis
  • anogenital psoriasis
  • intertriginous psoriasis
  • crisaborole
  • tacrolimus
  • TLSS
  • PASI
03

In context

Psoriasis

1,928 studies on the registry are indexed under Psoriasis; 234 are open to participants now.

This study's planned enrollment of 40 is below the median of 70 across 1,472 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Cairo University is the lead sponsor of 4,907 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults (≥18 years) of both genders.
  • A confirmed clinical and dermoscopic diagnosis of intertriginous and/or anogenital psoriasis.
  • PASI\<10% and /or BSA\<10%.
  • Target Lesion Severity Score (TLSS) ≥ 3.

Exclusion criteria

Exclusion Criteria:

  • Generalized Plaque Psoriasis ≥ 10% BSA and /or PASI ≥ 10.
  • Erythrodermic and Pustular Psoriasis.
  • Associated PSA or Other Co-morbidities.
  • Pregnant and lactating females.
  • A documented history of hypersensitivity or severe cutaneous reactions to any component of the active study medications (crisaborole or tacrolimus).
  • Pre-existing signs of skin atrophy, telangiectasia or striae in the target area.
  • Clinical or mycological evidence of concurrent fungal or bacterial infection in the target area.
  • Immunosuppressive conditions or concurrent immunosuppressive therapy
  • Use of phototherapy within 1 month prior to enrollment.
  • Use of any topical antipsoriatic therapies within 1 month prior to enrollment.
  • Use of any systemic antipsoriatic therapies within 3 months for conventional systemic agents or biologics, extending to 6 months for patients previously on acitretin.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Crisaborole 2% ointment

    Participants will be instructed to apply a thin layer of Crisaborole 2% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks.

    Drug: Crisaborole 2% topical ointment

  • Active comparator
    Tacrolimus 0.1% ointment

    Participants will be instructed to apply a thin layer of Tacrolimus 0.1% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks.

    Drug: tacrolimus ointment 0.1%

Interventions

  • Participants will be instructed to apply a thin layer of Crisaborole 2% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks. The amount to be applied will be guided by the fingertip unit (FTU), with approximately 1 FTU considered sufficient to cover 2% of adult body surface area (BSA), corresponding roughly to the area of two adult palms

  • Participants will be instructed to apply a thin layer of Tacrolimus 0.1% ointment twice daily to the affected intertriginous and/or anogenital lesions for 6 weeks. The amount to be applied will be guided by the fingertip unit (FTU), with approximately 1 FTU considered sufficient to cover 2% of adult body surface area (BSA), corresponding roughly to the area of two adult palms

06

What researchers measure

Primary outcomes

  1. Target Lesion Severity Score (TLSS)

    The TLSS will be used to assess the clinical severity of a representative psoriatic lesion during the study period. This score is commonly employed in clinical trials evaluating topical therapies for localized psoriasis because it allows detailed assessment of changes within a selected target plaque over time. The TLSS evaluates three principal clinical signs of psoriasis: erythema, scaling, and plaque elevation/induration. Each parameter is graded separately on a 5-point scale ranging from 0 to 4, where 0 indicates absence of the sign, 1 indicates mild involvement, 2 moderate involvement, 3 marked involvement, and 4 very marked or severe involvement. The total TLSS is calculated by summing the individual scores, resulting in a total score ranging from 0 to 12, with higher scores reflecting greater lesion severity.

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  2. Static Physician's Global Assessment (sPGA)

    The sPGA is a validated investigator-based assessment tool that rates disease severity at a single point in time based on plaque characteristics including erythema, scaling, and induration. Scores are typically graded on a 5-point scale ranging from 0 (clear) to 4 (severe disease). The static Physician's Global Assessment (sPGA) will be used to evaluate the overall clinical severity of psoriasis lesions throughout the study.

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  3. Dynamic Physician Global Assessment (dPGA)

    Dynamic PGA provides a global assessment of the change in psoriasis severity between baseline and the end of treatment. The change will be assessed by comparing standardized clinical photographs that will be obtained at baseline with those that will be obtained at week 6 by a blinded investigator. The dynamic PGA will be scored on an 11-point scale ranging from -5 to +5, with positive scores indicating improvement, zero indicating no meaningful change, and negative scores indicating deterioration

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

Secondary outcomes

  1. Visual Analogue Scale (VAS) for Pain and Pruritus

    Subjective localized symptoms, including pain, burning, and itching, will be assessed using a standardized VAS.

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  2. Patient Satisfaction Score

    Subjective overall satisfaction with the assigned topical therapy will be recorded from 0 (unsatisfied) to 10 (completely satisfied) via a standardized scale.

    Time frame: At the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  3. Psoriasis Area and Severity Index (PASI)

    The PASI is the most widely used clinician-rated instrument for assessing the severity and extent of psoriasis. It combines the evaluation of lesion severity and the percentage of affected body surface area into a single composite score. The body is divided into four regions: head (10%), upper limbs (20%), trunk (30%), and lower limbs (40%). For each region, three clinical signs of psoriasis-erythema (redness), induration (thickness), and desquamation (scaling)-are rated on a 5-point scale from 0 (none) to 4 (severe); The area affected in each region is scored from 0 (0%) to 6 (90-100%). Regional scores are then weighted and summed to produce a total PASI score ranging from 0 to 72, with higher scores indicating greater disease severity.

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

  4. Dermatology Life Quality Index (DLQI)

    Validated Arabic translation will be used. DLQI is a validated questionnaire which grades QoL by assessing the following domains: (a) physical symptoms and feelings (questions 1 and 2), (b) daily activities (questions 3 and 4), (c) leisure (questions 5 and 6), (d) work/school (questions 7), (e) personal relationships (questions 8 and 9), and (f) treatment (question 10). Each question is scored as "very much" (score 3), "a lot" (score 2), "a little" (score 1), and "not at all" (score 0), keeping in mind the problems faced the previous week due to the disease. Final DLQI score is the sum of all scores (range 0-30). High scores indicate poor QoL.

    Time frame: From enrollment to the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

Other outcomes

  1. Pigmentary Alterations

    Detailed comparative assessments tracking the emergence of post-inflammatory hyperpigmentation or hypopigmentation within the target areas will be carried out across both cohorts.

    Time frame: At the end of treatment at 6 weeks and at 10 weeks (4 weeks after treatment cessation).

07

Study locations

1 site
  • Faculty of Medicine, Cairo University
    Cairo, Egypt
08

References and documents

Publications

  • Hashim PW, Chima M, Kim HJ, Bares J, Yao CJ, Singer G, Chen T, Genece J, Baum D, Kimmel GW, Nia JK, Gagliotti M, Lebwohl MG. Crisaborole 2% ointment for the treatment of intertriginous, anogenital, and facial psoriasis: A double-blind, randomized, vehicle-controlled trial. J Am Acad Dermatol. 2020 Feb;82(2):360-365. doi: 10.1016/j.jaad.2019.06.1288. Epub 2019 Jul 3. PubMed 31279028 ↗
  • Dattola A, Silvestri M, Bennardo L, Del Duca E, Longo C, Bianchi L, Nistico S. Update of calcineurin inhibitors to treat inverse psoriasis: A systematic review. Dermatol Ther. 2018 Nov;31(6):e12728. doi: 10.1111/dth.12728. Epub 2018 Oct 8. PubMed 30295379 ↗
  • Li H, Zuo J, Tang W. Phosphodiesterase-4 Inhibitors for the Treatment of Inflammatory Diseases. Front Pharmacol. 2018 Oct 17;9:1048. doi: 10.3389/fphar.2018.01048. eCollection 2018. PubMed 30386231 ↗
  • Milakovic M, Gooderham MJ. Phosphodiesterase-4 Inhibition in Psoriasis. Psoriasis (Auckl). 2021 Mar 17;11:21-29. doi: 10.2147/PTT.S303634. eCollection 2021. PubMed 33763335 ↗
  • Reynolds KA, Pithadia DJ, Lee EB, Wu JJ. Treatments for inverse psoriasis: a systematic review. J Dermatolog Treat. 2020 Dec;31(8):786-793. doi: 10.1080/09546634.2019.1620912. Epub 2019 May 31. PubMed 31100992 ↗
  • Beck KM, Yang EJ, Sanchez IM, Liao W. Treatment of Genital Psoriasis: A Systematic Review. Dermatol Ther (Heidelb). 2018 Dec;8(4):509-525. doi: 10.1007/s13555-018-0257-y. Epub 2018 Aug 25. PubMed 30145740 ↗
  • Yang EJ, Beck KM, Sanchez IM, Koo J, Liao W. The impact of genital psoriasis on quality of life: a systematic review. Psoriasis (Auckl). 2018 Aug 28;8:41-47. doi: 10.2147/PTT.S169389. eCollection 2018. PubMed 30214891 ↗
  • Dopytalska K, Sobolewski P, Blaszczak A, Szymanska E, Walecka I. Psoriasis in special localizations. Reumatologia. 2018;56(6):392-398. doi: 10.5114/reum.2018.80718. Epub 2018 Dec 23. PubMed 30647487 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07892339
Lead sponsor
Cairo University
Responsible party
Riham Mohyeeldeen Mohamed (Doctor, Cairo University) — Principal investigator
First posted
Oct 23, 2026
Start date
Oct 25, 2026 (estimated)
Primary completion
Dec 13, 2026 (estimated)
Completion
Jan 10, 2027 (estimated)
Last update
Oct 23, 2026

Study contacts

Riham M Mohamed, MD, MSc., PhD
Contact
riham.mohye@cu.edu.eg
+201066239360

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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