Kids with psoriasis get extended relief in new drug study
NCT ID NCT04175613
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at the long-term safety and effects of the drug apremilast in 160 children aged 6 to 17 with moderate to severe plaque psoriasis. Participants who had already completed one year of treatment could continue taking the drug for up to 208 weeks (about 4 years). The goal was to monitor side effects, growth, and sexual development while managing the skin condition over time.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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160 people
The number who actually took part.
- Started
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Dec 2019
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Subject must satisfy the following criteria to be enrolled in the study: 1. Subject is male or female 6 to 17 years of age, inclusive, at the time the informed consent document is signed by the legal guardian. 2. Subject must have a weight of ≥ 20 kg. 3. Subjects must have an age and sex specific BMI value no lower in range than the 5th percentile on the Centers for Disease Control (CDC) growth chart for children and adolescents. 4. Subject must have completed Week 52 (Apremilast Extension Phase) of Study CC-10004-PPSO-003. 5. Subject is able to sign an assent with a legal guardian/s who understand/s and voluntarily sign/s an informed consent prior to any study-related assessments/procedures being conducted. 6. Subject is willing and able to adhere to the study visit schedule and other protocol requirements. 7. All female subjects of childbearing potential (FCBP) must either practice abstinence from heterosexual contact or use one of the approved contraceptive options as described below while on apremilast and for at least 28 days after administration of the last dose of apremilast. For the purpose of this study, a female subject is considered of childbearing potential if she is ≥ 12 years old or has reached menarche, whichever occurred first. At the time of study entry, and at any time during the study when a female subject of childbearing potential's contraceptive measures or ability to become pregnant changes, the Investigator will educate the subject regarding abstinence or contraception options and the correct and consistent use of effective contraceptive methods in order to successfully prevent pregnancy. Females of childbearing potential must have a negative pregnancy test at each visit. All FCBP who engage in activity in which conception is possible must use one of the approved contraceptive options described below: Option 1: Any one of the following effective methods: hormonal contraception (oral, injection, implant, transdermal patch, vaginal ring); intrauterine device (IUD); tubal ligation; or partner's vasectomy; OR Option 2: Male or female condom or nonlatex condom NOT made out of natural \[animal\] membrane \[for example, polyurethane\]; PLUS one additional barrier method: (a) diaphragm with spermicide; (b) cervical cap with spermicide; or (c) contraceptive sponge with spermicide. NOTE: Option 2 may not be acceptable as a contraception option in all countries per local guidelines/regulations. Exclusion Criteria: The presence of any of the following will exclude a subject from enrollment: 1. Subject has a condition, including the presence of laboratory abnormalities, or psychiatric illness, that would place the subject at unacceptable risk if he/she were to participate in the study. 2. Subject has a condition that confounds the ability to interpret data from the study. 3. Subject has evidence of skin conditions, other than psoriasis, that would interfere with clinical assessments. 4. Subject is pregnant or breastfeeding. 5. Subject has guttate, erythrodermic, or pustular psoriasis. 6. Subject has active tuberculosis (TB) or a history of incompletely treated TB. 7. Subject answers "Yes" to any question on the Columbia-Suicide Severity Rating Scale at Visit 16 of study CC-10004-PPSO-003. 8. Subject plans concurrent use of the following therapies that may have a possible effect on psoriasis. 1. Conventional systemic therapy for psoriasis (including but not limited to cyclosporine, corticosteroids, methotrexate, oral retinoids, mycophenolate, thioguanine, hydroxyurea, sirolimus, sulfasalazine, azathioprine, and fumaric acid esters) 2. Biologic therapy: i. Etanercept (or biosimilar) treatment ii. Adalimumab (or biosimilar) treatment iii. Other TNF or interleukin (IL)-17 blockers (such as infliximab, certolizumab pegol, secukinumab, ixekizumab, brodalumab, or their biosimilars) iv. Anti-IL-12 or anti-IL-23 treatment (such as ustekinumab, guselkumab, or tildrakizumab) c) Use of any investigational drug other than apremilast 9. Subject has prolonged sun exposure or use of tanning booths or other ultraviolet (UV) light sources. 10. Children in Care: a child who has been placed under the control or protection of an agency, organization, institution or entity by the courts, the government or a government body, acting in accordance with powers conferred on them by law or regulation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Altai State Medical University
Barnaul, 656038, Russia
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AvantDerm
Toronto, Ontario, M5A 3R6, Canada
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Azienda Ospedaliera di Padova
Padova, 35020, Italy
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Azienda Ospedaliero Universitaria Di Cagliari
Cagliari, 09124, Italy
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Bashkiria State Medical University
Ufa, 450083, Russia
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Cabinet du Docteur Ruer-Mulard Mireille
Martigues, 13500, France
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California Dermatology Institute
Thousand Oaks, California, 91320, United States
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Centre Hospitalier Universitaire Saint Pierre
Brussels, 1000, Belgium
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Centre Hospitalier Universitaire de Toulouse - Hopital Larrey
Toulouse, 31400, France
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Chelyabinsk Regional Clinical Skin and Venereal Dispensary
Chelyabinsk, 454048, Russia
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Ciocca Dermatology
Miami, Florida, 33173, United States
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Clinical Dispensary of Dermatology and Venereology of Krasnodar Territory of the Ministry of Health
Krasnodar, 350020, Russia
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Cliniques Universitaires Saint Luc
Brussels, 1200, Belgium
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Dawes Fretzin Dermatology Group Inc
Indianapolis, Indiana, 46256, United States
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Driscoll Childrens Hospital
San Antonio, Texas, 78218, United States
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Fakultni nemocnice Kralovske Vinohrady
Prague, 100 34, Czechia
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First OC Dermatology
Irvine, California, 92697, United States
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Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Milan, 20122, Italy
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General University Hospital of Alicante
Alicante, 3010, Spain
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Hopsital Germans Trias I Pujol
Badalona, 08916, Spain
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Hospital 12 de Octubre
Madrid, 28041, Spain
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Hospital General Universitario Gregorio Maranon
Madrid, 28007, Spain
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Hospital Infantil Universitario Nino Jesus
Madrid, 28009, Spain
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Hospital La Paz
Madrid, 28046, Spain
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Hospital Marques de Valdecilla
Santander, 39008, Spain
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Hospital Sant Joan de Deu
Esplugues de Llobregat, Catalonia, 08950, Spain
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Johnson Dermatology Clinic
Fort Smith, Arkansas, 72916, United States
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Karma Clinical Trials
St. John's, Newfoundland and Labrador, A1C 2H5, Canada
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LLC Medical Center Zdorovaya Semiya
Novosibirsk, 630099, Russia
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LLC PiterKlinika
Saint Petersburg, 196158, Russia
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Moscow Scientific Practical Center of Dermatology Venerology and Cosmetology
Moscow, 119071, Russia
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National Medical Research Center for Children Health
Moscow, 119991, Russia
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Phoenix Childrens Hospital
Phoenix, Arizona, 85016, United States
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Pierre Wolkenshtein Skin Diseases Clinic LLC
Saint Petersburg, 191123, Russia
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Republican Clinical Dermatology and Venerology Dispensary
Kazan', 420012, Russia
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Saint Petersburg State Pediatric Medical University
Saint Petersburg, 194100, Russia
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Skin Care Physicians of Georgia
Macon, Georgia, 31217, United States
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Solutions Through Advanced Research Inc
Jacksonville, Florida, 32256, United States
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Soroka University Medical Center
Bear Sheva, 8410101, Israel
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Stanford University School of Medicine
Palo Alto, California, 94304, United States
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State Scientific Center for Dermatovenereology and Cosmetology
Moscow, 107076, Russia
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Stollery Childrens Hospital
Edmonton, Alberta, T6G 2B7, Canada
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Synexus Czech sro
Prague, 120 00, Czechia
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Universitair Ziekenhuis Gent
Ghent, 9000, Belgium
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University of Wisconsin Hospital and Clinics
Madison, Wisconsin, 53715-1375, United States
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Ural Scientific Research Institute of Dermatovenereology and Immunopathology
Yekaterinburg, 620076, Russia
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Winnipeg Clinic Dermatology Research
Winnipeg, Manitoba, R3C 0N2, Canada
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Wright State Physicians
Fairborn, Ohio, 45324, United States
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Yarosavl State Medical Academy
Yaroslavl, 150000, Russia
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