Status:

WITHDRAWN

SystemIc iNflammation and Microvascular diSease PreventIon in psoRiatic diseasE

Lead Sponsor:

Brigham and Women's Hospital

Collaborating Sponsors:

The Cleveland Clinic

Conditions:

Psoriasis

Psoriatic Arthritis

Eligibility:

All Genders

40-80 years

Phase:

PHASE4

Brief Summary

This is a single-label open-arm mechanistic clinical study recruiting patients with psoriasis or psoriatic arthritis with elevated cardiovascular risk. Subjects enrolled in this study will receive sta...

Detailed Description

The primary objective of this study is to investigate the impact of maximally tolerated statin (MTS) therapy on coronary flow reserve (CFR), reflecting coronary vasoreactivity and myocardial tissue pe...

Eligibility Criteria

Inclusion

  • Age \> 40 years of age
  • Documented evidence of PsO or PsA by a board-certified dermatologist or rheumatologist, respectively.
  • Subjects on systemic therapy/phototherapy for PsO or PsA will be required to be on stable therapy for at least 3 months prior to enrollment
  • Plus, documented history of at least one of the following:
  • Hypertension
  • Obesity (BMI \> 30)
  • Diabetes Mellitus
  • HsCRP \> 3 mg/L within 30 days of enrollment

Exclusion

  • Patients on statin or PCSK9 inhibitor therapy, or use of statin therapy within the past year
  • Documented history of other systemic inflammatory diseases, which in the opinion of the investigator would be inappropriate for enrollment.
  • Prior history of untreated chronic infection (tuberculosis), severe fungal infection, or known HIV positive, chronic hepatitis B or C infection), prior history of solid malignancy, myeloproliferative or lymphoproliferative disease within 5 years, excluding treated non-melanoma skin cancer
  • NYHA class IV heart failure
  • Active liver disease including unexplained, persistent elevations of serum transaminases or serum transaminase elevation \> 3 x the upper limit of normal.
  • Severe renal impairment
  • Pregnancy

Key Trial Info

Start Date :

April 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 31 2025

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04417114

Start Date

April 1 2021

End Date

March 31 2025

Last Update

July 23 2021

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