Skin Tape Harvesting for Transcriptomics Analysis
Status: | Completed |
---|---|
Conditions: | Psoriasis |
Therapuetic Areas: | Dermatology / Plastic Surgery |
Healthy: | No |
Age Range: | 18 - 75 |
Updated: | 11/23/2018 |
Start Date: | August 14, 2017 |
End Date: | September 24, 2018 |
Transcriptomics is the study of how RNA is expressed under specific conditions.
Transcriptomic analyses of lesional skin biopsies can be a useful way to track how a patient
responds to a drug and separate out drug responders from non-responders. However, biopsies
are painful, carry risk of bleeding infections and scarring. A non-invasive approach, such as
tape-harvesting, to obtain transcriptomic data from psoriatic skin would increase our
capabilities to monitor patients on treatment and potentially help us predict if the drug
will be effective sooner. However, it is not known how well tape-harvesting can capture
transcriptomic changes that are occurring in psoriatic skin. The purpose of this study is to
address how well tape-harvesting captures the transcriptomic changes that are occurring in
psoriatic skin.
Transcriptomic analyses of lesional skin biopsies can be a useful way to track how a patient
responds to a drug and separate out drug responders from non-responders. However, biopsies
are painful, carry risk of bleeding infections and scarring. A non-invasive approach, such as
tape-harvesting, to obtain transcriptomic data from psoriatic skin would increase our
capabilities to monitor patients on treatment and potentially help us predict if the drug
will be effective sooner. However, it is not known how well tape-harvesting can capture
transcriptomic changes that are occurring in psoriatic skin. The purpose of this study is to
address how well tape-harvesting captures the transcriptomic changes that are occurring in
psoriatic skin.
Inclusion Criteria:
1. Male or female between ages of 18 to 75 years
2. Psoriasis Group Only: Clinical diagnosis of moderate to severe plaque psoriasis at
least 6 months prior to enrollment with a PASI equal to 5 or greater and PGA 3-4;
3. Psoriasis Group Only: Have lesional and non-lesional skin appropriate for biopsy which
has not been treated with topical therapies 2 weeks prior to biopsy collection;
4. Psoriasis Group Only: Lesional skin for biopsy must have a Target Lesion Severity
Score equal to 6 or greater;
5. Psoriasis Group Only: If subject was on biologic therapy, lesion to be biopsied should
have minimal response to therapy;
6. Psoriasis Group Only: Psoriatic plaque lesion for biopsy on skin areas typically
affected by psoriasis and representative of overall disease severity;
7. Healthy controls will have neither history of skin diseases nor current evidence of
other active inflammatory skin disease.
Exclusion Criteria:
1. Diagnosis of erythrodermic psoriasis, generalized or localized pustular psoriasis,
medication-induced or medication-exacerbated psoriasis, or new onset guttate
psoriasis.
2. Evidence of skin conditions other than psoriasis that would interfere with the
evaluations.
3. Use of systemic anti-psoriasis therapies within 28 days of study initiation, or three
times the half-life of the drug, whichever is longer;
4. Use of UVB therapy or moderate strength non-steroidal topical treatments on lesion to
be biopsied within 14 days of study initiation;
5. Current enrollment in investigational device or investigational drug trial(s), or
receipt of any investigational agent(s) within 28 days before baseline visit;
6. Use of JAK inhibitor within 4 weeks of screening;
7. Known HIV-positive status or known history of any other immuno-suppressing disease;
8. Exposure to hepatitis B or hepatitis C or to high risk factors for hepatitis B or C,
such as intravenous drug use in patient;
9. Pregnant or nursing females;
10. Subjects with a history of keloid formation or hypertrophic scarring;
11. Individuals who have lidocaine sensitivity.
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