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Validation of 5-Point Investigator Global Assessments for Pemphigus

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ClinicalTrials.gov Identifier: NCT05534776
Recruitment Status : Recruiting
First Posted : September 9, 2022
Last Update Posted : September 19, 2022
Sponsor:
Information provided by (Responsible Party):
Dedee Murrell, Premier Specialists, Australia

Tracking Information
First Submitted Date August 29, 2022
First Posted Date September 9, 2022
Last Update Posted Date September 19, 2022
Estimated Study Start Date September 21, 2022
Estimated Primary Completion Date August 30, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: September 7, 2022)
  • IGA-PV-M (D/P/F), IGA-PV-S (D/P/F), IGA-PF (D/P/F) [ Time Frame: Baseline ]
    IGA score of pemphigus severity, possible score from 0-4
  • Pemphigus Disease Activity Index (PDAI) Score [ Time Frame: Baseline ]
    Possible score from 0-263
  • Autoimmune Bullous Skin Disorder Intensity Score (ABSIS) [ Time Frame: Baseline ]
    Possible score from 0-206
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Validation of 5-Point Investigator Global Assessments for Pemphigus
Official Title Validation of 5-Point Investigator Global Assessments for Pemphigus
Brief Summary This study aims to explore the reliability and validity of newly developed Investigator Global Assessments (IGAs) in scoring the severity of pemphigus. IGAs are simple 5-point scales ranging from clear - severe and are preferred by the FDA as endpoints in clinical trials.
Detailed Description

This study aims to obtain statistical data regarding the inter-rater and intra-rater reliability of the IGAs, Pemphigus Disease Activity Index (PDAI) and Autoimmune Bullous Skin Disease Intensity Score (ABSIS) as well as the convergent validity of the IGAs with the PDAI and objective component of the ABSIS.

Photograph sets of pemphigus lesions will be gathered from the lead site and participant sites. They will be de-identified and printed in a two hardcopy booklets; the first containing 20 photo sets and the second containing 17 new photo sets and 3 repeat photo sets. In the first part of the study, 8 dermatologists will score 20 sets of photographs of pemphigus lesions (a mixture of skin and mucosal lesions), using the IGAs for pemphigus as well as the PDAI and ABSIS. The first booklet will be mailed to dermatologists and they will use the booklet to score each photo set and will submit their scores in a confidential online survey. In the second part of the study, the second booklet will be sent to dermatologists in the same manner 4 weeks later, and each dermatologist will score the photo sets using the same scoring tools. It is estimated that each scoring session will take two hours to complete. Data gathered here will allow for calculation of inter-rater reliability and intra-rater reliability of the IGAs and convergent validity of the IGAs with PDAI and ABSIS.

Later, a sub-study will occur to calculate minimal clinically important differences (MCID) for the IGAs and PDAI. This will involve scoring pemphigus severity of patients at Premier Specialists using PDAI and IGA scores and a Likert score to classify patients as improved, stable or deteriorated compared to previous visits.

Study Type Observational
Study Design Observational Model: Other
Time Perspective: Cross-Sectional
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Patients of the special bullous clinic at the lead site's dermatology practice who have been diagnosed with pemphigus.
Condition Pemphigus
Intervention Other: Investigator Global Assessments (IGAs)
5-Point scale from 0-4 to score the severity of pemphigus, where 0=clear, 1=almost clear, 2=mild, 3=moderate and 4=severe.
Study Groups/Cohorts
  • First Scoring Session
    Participants whose de-identified photos will be printed in the first booklet for the first scoring session.
    Intervention: Other: Investigator Global Assessments (IGAs)
  • Second Scoring Session
    Participants whose de-identified photos will be printed in the second booklet for the second scoring session.
    Intervention: Other: Investigator Global Assessments (IGAs)
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: September 7, 2022)
40
Original Estimated Enrollment Same as current
Estimated Study Completion Date August 30, 2023
Estimated Primary Completion Date August 30, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Having pemphigus diagnosed by a qualified dermatologist
  • Aged 18 or older at the time of photography

Exclusion Criteria:

  • Those whose photographs are unable to be adequately de-identified
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Bianca Wills 0452409850 premierspectrialsbianca@gmail.com
Contact: Darby Boucher 0426836596 darbyboucher@icloud.com
Listed Location Countries Australia,   Bulgaria,   Greece,   Iran, Islamic Republic of,   Israel,   Singapore,   Turkey
Removed Location Countries  
 
Administrative Information
NCT Number NCT05534776
Other Study ID Numbers IGA Pemphigus
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Current Responsible Party Dedee Murrell, Premier Specialists, Australia
Original Responsible Party Same as current
Current Study Sponsor Premier Specialists, Australia
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators Not Provided
PRS Account Premier Specialists, Australia
Verification Date September 2022