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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03998683
Other study ID # CR108611
Secondary ID 2018-003206-58CN
Status Completed
Phase Phase 3
First received
Last updated
Start date September 3, 2019
Est. completion date November 30, 2021

Study information

Verified date December 2021
Source Janssen-Cilag Ltd.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the efficacy of guselkumab for the treatment of palmoplantar psoriasis.


Description:

Chronic plaque psoriasis is the most common form of psoriatic skin disease; however, there is growing evidence that other variants including scalp, nail, inverse, and palmoplantar psoriasis are prevalent, undertreated, and are correlated with an increased risk of psoriatic arthritis that may result in significant morbidity with functional impairment and greater impairment in quality of life. Therefore, the main aim of the study is to provide robust efficacy and safety data on guselkumab treatment for palmoplantar non-pustular psoriasis. The study comprises of a Screening Phase (4 Weeks [Week -4 to 0]), a Treatment Phase (up to Week 48) and a post-treatment follow-up phase (up to Week 56). Key efficacy assessments include physician assessments and patient-reported outcomes questionnaires. Safety evaluations will include 12-lead electrocardiogram at baseline, pregnancy testing and monitoring of vital signs at all visits and recording of adverse events throughout the study. Also, participants will be evaluated for signs and symptoms of active tuberculosis at all visits including follow-up visit. Biomarker assessments will include the evaluation of relevant markers in serum for all participants. The study will have an overall duration of 56 weeks.


Recruitment information / eligibility

Status Completed
Enrollment 117
Est. completion date November 30, 2021
Est. primary completion date March 2, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Should have all the following: A confirmed diagnosis of moderate-to-severe palmoplantar-non-pustular psoriasis with palm and/or sole involvement and at least one plaque at a body site other than the palms and soles for at least 6 months, to confirm a diagnosis of chronic psoriasis; psoriatic area and severity index (PASI) score greater than or equal to (>=) 3 and less than (<) 10 at screening and at baseline; Palmoplantar Investigator Global Assessment (ppIGA) score >=3 at screening and at baseline - Should be eligible to receive biological treatments; only participants who are naive to biological treatments can be included - A woman of childbearing potential must have a negative urine pregnancy test at screening and at Week 0 - Agree not to receive a live virus or live bacterial vaccination during the study, or within 12 weeks after the last administration of study intervention - Agree to avoid prolonged sun exposure and agree not to use tanning booths or other ultraviolet (UV) light sources from the first administration of study intervention through 12 weeks after the final dose of study intervention (Week 56) Exclusion Criteria: - Currently has palmoplantar pustulosis, pustular psoriasis, or any other forms other than plaque-type psoriasis (e.g, erythrodermic, guttate), or hyperkeratotic eczema - Has current drug-induced psoriasis (eg, a new onset of psoriasis or an exacerbation of psoriasis from beta blockers, calcium channel blockers, or lithium) - Has received prior systemic treatment with biological agents or Janus Kinase (JAK) inhibitors - Has had prior exposure, known and reported intolerance to guselkumab or excipients, or ineligible to treatment with biological agents - Is infected with human immunodeficiency virus (HIV, positive serology for HIV antibody)

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Guselkumab 100 mg
Guselkumab 100 mg will be administered as SC injection.
Placebo
Placebo will be administered as SC injection.

Locations

Country Name City State
France CHU Bordeaux - Hopital St Andre Bordeaux
France Hôpital Edouard Herriot Lyon Cedex 03
France CHU de Nice Hopital de l Archet Nice
France Hopital Charles Nicolle Rouen
Germany Fachklinik Bad Bentheim Bad Bentheim
Germany University Hospital Dresden Dresden
Germany Universitatsklinikum Frankfurt Frankfurt am Main
Germany MensingDerma research GmbH Hamburg
Germany Universitätsklinikum Schleswig Holstein Campus Lübeck Lubeck
Germany Universitätsmedizin der Johannes Gutenberg-Universität Mainz Mainz
Germany Universitaetsklinikum Muenster Muenster
Germany Centrovital Witten
Italy AOU di Cagliari Cagliari
Italy P.O. Vittorio Emanuele Azienda Ospedaliero Universitaria 'Policlinico Vittorio Emanuele' Catania
Italy Ospedale Santa Chiara AO Universitaria Pisana Pisa
Italy Istituto Clinico Humanitas Rozzano
Spain Hosp. Univ. Germans Trias I Pujol Badalona
Spain Hosp. Univ. 12 de Octubre Madrid
Spain Hosp. Univ. Infanta Leonor Madrid
Spain Hosp. de Manises Valencia
Spain Hosp. Univ. I Politecni La Fe Valencia
United Kingdom Russell's Hall Hospital Dudley
United Kingdom Chapel Allerton Hospital Leeds
United Kingdom Barts Health NHS Trust London
United Kingdom Royal Victoria Infirmary Newcastle upon Tyne
United Kingdom Salford Royal NHS Foundation Trust Salford

Sponsors (1)

Lead Sponsor Collaborator
Janssen-Cilag Ltd.

Countries where clinical trial is conducted

France,  Germany,  Italy,  Spain,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants who Achieve Palmoplantar Pustulosis Psoriasis Area and Severity Index 75 (ppPASI75) Response at Week 16 Percentage of participants who achieve ppPASI75 response, defined as improvement greater than or equal to (>=) 75 percent (%) in the ppPASI score at Week 16 will be reported. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles. Week 16
Secondary Change from Baseline in Body Surface Area (BSA) Score at Weeks 16, 24 and 48 Change from baseline in BSA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups by measuring the arithmetic mean of the affected skin surface. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in absolute PASI Score at Weeks 16, 24 and 48 Change from baseline in absolute PASI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. Baseline, Weeks 16, 24 and 48
Secondary Percentage of Participants Achieving PASI 75 Score at Weeks 16, 24 and 48 Percentage of participants achieving PASI 75 score (participants who achieve >=75% improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles. Weeks 16, 24 and 48
Secondary Percentage of Participants Achieving PASI 90 Score at Weeks 16, 24 and 48 Percentage of participants achieving PASI 90 score (participants who achieve >=90 % improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles. Weeks 16, 24 and 48
Secondary Percentage of Participants Achieving PASI 100 at Weeks 16, 24 and 48 Percenatge of participants who achieving PASI 100 score (participants who achieve >=100 % improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles. Weeks 16, 24 and 48
Secondary Change from Baseline in Palmoplantar Quality-of-Life Instrument (ppQLI) Score at Weeks 16, 24 and 48 Change from baseline in ppQLI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. ppQLI assesses relevant dimensions affected by palmoplantar psoriasis (pain/discomfort, functionality, and social/activity limitations) to assess quality of life. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in Dermatology Life Quality Index (DLQI) Score at Weeks 16, 24 and 48 Change from baseline in DLQI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. DLQI a 10-item questionnaire that can be used to assess overall quality-of-life. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in European Quality of Life, 5-Dimension, 5-Level (EQ-5D-5L) Score at Weeks 16, 24 and 48 Change from baseline in EQ-5D- 5L score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. EQ-5D-5L is a standardized instrument to measure health-related quality of life. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in Palmoplantar Investigator Global Assessment (ppIGA) Score at Weeks 16, 24 and 48 Change from baseline in ppIGA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups to assess psoriasis overall lesions. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in Fingernail-Physician Global Assessment (f-PGA) Score at Weeks 16, 24 and 48 Change from baseline in f-PGA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups to assess fingernails separately for nail bed and nail matrix for signs of disease. Baseline and Weeks 16, 24 and 48
Secondary Percentage of Participants who Achieve ppPASI75 response at Weeks 24 and 48 Percentage of participants who achieve ppPASI75 response, defined as improvement >=75% in the ppPASI score at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles. Weeks 24 and 48
Secondary Percentage of Participants who Achieve ppPASI90 response at Weeks 24 and 48 Percentage of participants who achieve ppPASI90 response (participants who achieve >=90 % improvement in the ppPASI score) at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of the affection of the palms and/or soles. Weeks 24 and 48
Secondary Percentage of Participants who Achieve ppPASI100 response at Weeks 24 and 48 Percentage of participants who achieve ppPASI100 response (participants who achieve >=100 % improvement in the ppPASI score) at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of the affection of the palms and/or soles. Weeks 24 and 48
Secondary Change from Baseline in Work Productivity and Activity Impairment: Psoriasis (WPAI: PSO) Score at Weeks 16, 24 and 48 Change from baseline in WPAI: PSO score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. WPAI-PSO is a questionnaire which includes 6 questions to measure work productivity and activity impairment related to skin psoriasis. Baseline and Weeks 16, 24 and 48
Secondary Change from Baseline in Numerical Rating Scale: Pain (NRS:P) Score at Weeks 16, 24 and 48 Change from baseline in NRS:P score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. NRS:P is a self-administered scale that assess pain intensity in participants. Baseline and Weeks 16, 24 and 48
Secondary Number of Participants with Adverse Event (AEs) as a Measure of Safety and Tolerability An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Up to 56 weeks
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