Status:

TERMINATED

Monitoring and Modifying Atherosclerosis in Psoriasis Patients Study

Lead Sponsor:

Massachusetts General Hospital

Collaborating Sponsors:

Immunex Corporation

Conditions:

Psoriasis

Eligibility:

All Genders

18-80 years

Brief Summary

The main aims of this study are to determine whether: a) psoriasis patients with or without arthritis have more cardiovascular inflammation than healthy subjects and b)3 months of etanercept (enbrel) ...

Detailed Description

Psoriasis is a common disease characterized by skin lesions and systemic inflammation with or without arthritis. Patients with psoriasis have a higher risk of cardiovascular disease than healthy subje...

Eligibility Criteria

Inclusion

  • FOR PSORIASIS PATIENTS
  • men and women age 18-80 with moderate-to-severe psoriasis (with or without arthritis) newly initiating biologic therapy with etanercept (enbrel) 50 mg once or twice weekly

Exclusion

  • pregnancy or breastfeeding
  • women of child-bearing potential refusing to practice abstinence or to use a reliable barrier form of birth control including condoms, IUD, or diaphragm
  • history of acute coronary syndrome or coronary artery stenting or surgery, or significant autoimmune/inflammatory disease other than psoriasis or a related psoriatic condition
  • previous therapy for psoriasis with a biologic agent within the past 4 months
  • new initiation of a statin or antihyperglycemic agent within the past 3 months
  • screening hemoglobin \< 11
  • conditions which would make MDCT coronary angiography/ cardiac FDG-PET protocol unsafe or unfeasible including: significant renal dysfunction with an eGFR by Cockcroft-Gault equation of \<60 ml/min, contrast dye allergy, contraindication to beta-blockers (e.g. severe asthma, hypotension, or heart block), or contraindication to nitroglycerin (uninterruptable administration of phosphodiesterase inhibitors), body weight greater than 320 lbs (PET scanner table limitation)
  • report by subject of any significant radiation exposure over the course of the year prior to enrollment; significant exposure is defined as:
  • more than 2 myocardial perfusion studies within the past 12 months
  • more than 2 CT angiograms within the past 12 months
  • concurrent enrollment in a clinical trial judged by the investigator to introduce concerns about safety or confounding
  • FOR HEALTHY CONTROL SUBJECTS
  • Inclusion Criteria:
  • men and women age 18-80 without psoriasis

Key Trial Info

Start Date :

February 1 2012

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 1 2016

Estimated Enrollment :

29 Patients enrolled

Trial Details

Trial ID

NCT01522742

Start Date

February 1 2012

End Date

January 1 2016

Last Update

March 17 2017

Active Locations (1)

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1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114