Hidradenitis Suppurativa Patient Experience With Humira Treatment

• Status: Not yet recruiting
• Trial end date: 2022-04-01
• Target enrollment: 0
• Participant gender: All

Summary

Hidradenitis suppurativa (HS) is a chronic relapsing condition with significant psychosocial impact and morbidity, but that doesn't mean that patients will necessarily be adherent to recommended treatments. Patients, especially those on chronic medication therapy, inevitably miss doses. They use too little or too much therapy. They may take medications too soon or too far apart. While adherence to injection treatments tend to be better than adherence to topical or oral treatment, adherence to injections may still be poor.

Traditional methods for measuring medical adherence-including questionnaires, surveys, and diaries- tend to be unreliable overestimate adherence. Chemical markers are problematic because of the tendency for patients to use their medication right before visits, so called "white coat compliance." Our research team has pioneered the use of electronic monitoring devices which measure and record the date and time of medication events to assess adherence in dermatology. The study team have demonstrated the feasibility of using such monitors to measure adherence to adalimumab in patients with psoriasis. Although only a small study, it documented a broad range of how patients use adalimumab and found that adherence was poor in about half of the patients. While the impact of psoriasis on patients' lives is large, adherence is still poor. How adherent patients with hidradenitis are to weekly adalimumab treatment is not yet well characterized.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Wake Forest University Health Sciences
• Treatments: Adalimumab

Criteria

Inclusion Criteria:

• Male and female subjects ages 18 - 70

• Diagnosis of HS for which adalimumab is indicated according to the adalimumab prescribing information.

• All subjects must have a negative TB skin test according to prescribing guidelines.

• Subjects must be starting adalimumab for the first time, prescribed by their dermatologist.

Exclusion Criteria:

• All experimental drugs or devices are to be discontinued at least 1 month prior to initiation of study therapy.

• Subjects who are receiving biologic therapy with a potential therapeutic impact on hidradenitis within 3 months will be excluded.

• Pregnant and nursing females will not be allowed in the study, and females of childbearing potential will have a pregnancy test at baseline. Females of childbearing potential must agree to use approved birth control methods for the duration of the study.

• Subjects who have received live vaccines within a 3 month period prior to enrollment will also be excluded.

• In addition, subjects who have any skin condition or disease that may require concurrent therapy or may confound the evaluation