World Health Organization site
Skip Navigation Links

Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Last refreshed on: 12 December 2020
Main ID:  NCT00690846
Date of registration: 02/06/2008
Prospective Registration: No
Primary sponsor: Wake Forest University Health Sciences
Public title: Study to Determine the Safety and Efficacy of Adalimumab in the Treatment of Pyoderma Gangrenosum
Scientific title: A Multi-Center, Open Label Pilot Study to Determine the Safety and Efficacy of Adalimumab in the Treatment of Pyoderma Gangrenosum (HUM 04-37)
Date of first enrolment: July 2007
Target sample size: 0
Recruitment status: Withdrawn
Study type:  Interventional
Study design:  Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 2
Countries of recruitment
United States
Name:     Joseph Jorizzo, MD
Affiliation:  Wake Forest University Health Sciences
Key inclusion & exclusion criteria

Inclusion Criteria:

- Subject is willing and able to give informed consent.

- Subject is willing and able to participate in the study as an outpatient and is
willing to comply with study requirements.

- Subject is 18 years of age or older.

- Subject has a diagnosis of pyoderma gangrenosum that involves total area of 3 cm2 or
greater and is of sufficient severity to warrant systemic agents.

- If female of childbearing potential, subject will have a negative urine pregnancy test
at Screening and Week 0.

- If female, subject will be either post-menopausal for > 1 year, surgically sterile
(hysterectomy or bilateral tubal ligation), or practicing one form of birth control
(abstinence, oral contraceptive, estrogen patch, implant contraception, injectable
contraception, IUD, diaphragm, condom, sponge, spermicides, or vasectomy of partner).
Female subjects will continue to use contraception for 6 months following the last

- Screening laboratory results are within the following parameters:

- Subject has been on a stable dose of antibiotics, oral corticosteroids or other
immunosuppressives, such cyclosporine, tacrolimus, azathioprine, methotrexate, or
mycophenolate mofetil over the previous 4 weeks

Exclusion Criteria:

- Subject has evidence of a clinically significant, unstable or poorly controlled
medical condition.

- Subject has a chest X-ray consistent with an active infection or previous exposure to
TB and/or a positive purified protein derivative test at screening (>5 mm). (Subjects
may participate if they are being actively treated in accordance with CDC guidelines.)

- Subject has a serious, active or recurrent bacterial, viral, or fungal infection. This
includes hepatitis B and C, and HIV.

- Subject has been hospitalized for infection or received IV antibiotics within the
previous 2 months prior to baseline.

- Subject has clinical evidence as determined by the investigator of acutely infected
pyoderma gangrenosum or subject is receiving systemic antibiotics for the treatment of
acute infection. Subjects receiving minocycline, tetracycline, dapsone, or other
antibiotics for anti-inflammatory purposes are permitted.

- Subject has a history of tuberculosis without documented adequate therapy.

- Subject has a history of a central nervous system disorder/demyelinating disease or
symptoms suggestive of multiple sclerosis or optic neuritis.

- Subject has current signs or symptoms or history of systemic lupus erythematosus.

- Subject has been diagnosed with a malignancy within the past 5 years except for
successfully treated non-melanoma skin cancer.

- Subject has signs or symptoms suggestive of a possible lymphoproliferative disease.

- Subject has a diagnosis of severe congestive heart failure (Class III or IV NYHA).

- Subject has had a substance abuse problem within the previous 3 years.

- Subject has been treated with an anti-TNF biologic immune response modifier, such as
infliximab, adalimumab, or etanercept within the past 8 weeks.

- Subject has any dermatologic disease in the target site that may be exacerbated by
treatment or interfere with examination.

- Subject has been administered an investigational drug in another clinical study within
30 days prior to baseline (or 5 half-lives, whichever is longer).

- Subject has a known allergy to adalimumab.

- Subject is female and is pregnant, is considering becoming pregnant during the study
and for 6 months afterwards, or is nursing.

Age minimum: 18 Years
Age maximum: N/A
Gender: All
Health Condition(s) or Problem(s) studied
Pyoderma Gangrenosum
Drug: adalimumab
Primary Outcome(s)
Mean change in the number of ulcers. [Time Frame: 24 weeks]
Secondary Outcome(s)
Secondary ID(s)
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results available:
Date Posted:
Date Completed:
Disclaimer: Trials posted on this search portal are not endorsed by WHO, but are provided as a service to our users. In no event shall the World Health Organization be liable for any damages arising from the use of the information linked to in this section. None of the information obtained through use of the search portal should in any way be used in clinical care without consulting a physician or licensed health professional. WHO is not responsible for the accuracy, completeness and/or use made of the content displayed for any trial record.
Copyright - World Health Organization - Version 3.6 - Version history