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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04439526
Other study ID # CR108761
Secondary ID CNTO1959PSO4013
Status Completed
Phase
First received
Last updated
Start date June 10, 2020
Est. completion date November 21, 2023

Study information

Verified date January 2024
Source Janssen-Cilag S.p.A.
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The purpose of this study is to investigate the effectiveness profile of guselkumab used in a real-life setting in participants with moderate facial and/or genital psoriasis. Effectiveness will be evaluated using the static Physicians Global Assessment (sPGA) for the facial region and the sPGA for the genital region.


Recruitment information / eligibility

Status Completed
Enrollment 356
Est. completion date November 21, 2023
Est. primary completion date November 21, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: Participants included in the study: - must have a first or confirmed diagnosis of psoriasis, requiring systemic treatment with significant involvement (defined as a Static Physician's Global Assessment [sPGA] score greater than or equal to [>=] 3) involving the facial and/or genital regions - must have started treatment according to the approved indication as described in the current version of summary of product characteristics (SmPC) of the product approved in Italy. Enrollment may occur at any time after the first injection of guselkumab but before completion of the next visit at week 4 or 12 as scheduled according to common clinical practice - must sign an informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements Exclusion Criteria: Participants will be excluded from the study if they: - have any contraindication to the use of guselkumab, as stated in the current SmPC of the product approved in Italy - received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before the start of guselkumab treatment - are currently enrolled in another clinical trial or investigational study - are currently enrolled in an observational study sponsored or managed by a Janssen company - participant unable to read, to write, to understand and sign the informed consent form (ICF)

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Guselkumab
Participants with moderate facial and/or genital psoriasis treated with guselkumab (as prescribed by their physician) in real world practice will be observed in this study.

Locations

Country Name City State
Italy Policlinico di Bari Ospedale Giovanni XXIII Bari
Italy Policlinico Sant'Orsola Malpighi Bologna
Italy Ospedale San Giovanni di Dio Cagliari
Italy PO G.Rodolico, AOU Policlinico-Vittorio Emanuele Catania Catania
Italy Azienda Ospedaliera Universitaria - OO.RR. San Giovanni di Dio Ruggi d'Aragona Cava de' Tirreni
Italy Università D'Annunzio Chieti
Italy Azienda Ospedaliero Universitaria di Ferrara Cona
Italy Ospedale Sant'Antonio Abate Erice
Italy Azienda Sanitaria di Firenze-Ospedale Piero Palagi Firenze
Italy IRCCS Aor San Martino IST Genova
Italy Ospedale San Salvatore L'Aquila
Italy AO Papardo Messina
Italy Azienda Ospedaliera Universitaria Policlinico G. Martino Messina
Italy Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milano
Italy IRCCS Ospedale San Raffaele Milano
Italy Az. Ospedaliero - Universitaria di Modena Modena
Italy Azienda Ospedaliera Univ.- Università Degli studi della Campania - Luigi Vanvitelli Napoli
Italy Azienda Ospedaliera Universitaria Federico II Napoli
Italy Università del Piemonte Orientale - Ospedale Maggiore della Carità di Novara Novara
Italy Azienda Ospedaliera Universitaria di Padova Padova
Italy Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone Palermo
Italy Ospedale Maggiore, Azienda Ospedaliero Universitaria di Parma Parma
Italy Ospedale S. Maria Della Misericordia Perugia
Italy Azienda Ospedaliero Universitaria Pisana Pisa
Italy Grande Ospedale Metropolitano 'Bianchi-Melacrino-Morelli' Reggio Calabria Reggio Calabria
Italy Arcispedale Santa Maria Nuova - IRCCS Reggio Emilia
Italy AOU Policlinico Umberto I Roma
Italy ISG San Gallicano Roma
Italy Istituto Dermopatico dell'Immacolata Roma
Italy Policinico A Gemelli Roma
Italy Policlinico Tor Vergata Roma
Italy Istituto Clinico Humanitas Rozzano
Italy Azienda Ospedaliera Santa Maria Terni
Italy Ospedale Alfredo Fiorini Terracina
Italy Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino Torino
Italy A.O. Universitaria Ospedali Riuniti di Ancona Torrette Di Ancona
Italy Azienda Ospedaliero Universitaria S.Maria Della Misericordia Udine
Italy Ospedale S.S. Giovanni e Paolo Venezia

Sponsors (1)

Lead Sponsor Collaborator
Janssen-Cilag S.p.A.

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Achieving a Static Physician's Global Assessment (sPGA) Score of Clear (0) or Almost Clear (1) and at Least a 2-grade Improvement for the Facial Region The sPGA for the facial region is a physician global rating of psoriasis severity, which evaluates plaque thickness, scaling and erythema, at a given point in time. The sPGA comprises a 6-point rating scale from 0 to 5 where 0 = clear, 1 = minimal/ almost clear, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe. Week 52
Primary Percentage of Participants Achieving a sPGA Score of Clear (0) or Almost Clear (1) and at Least a 2-grade Improvement for the Genital Region The sPGA for the genital region is a physician global ratings of psoriasis severity, which evaluates plaque thickness, scaling and erythema, at a given point in time. The sPGA comprises a 6-point rating scale from 0 to 5 where 0 = clear, 1 = minimal/ almost clear, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe. Week 52
Secondary Percentage of Participants Achieving a sPGA Score of Clear (0) or Almost Clear (1) and at least a 2-grade Improvement for the Facial Region The sPGA for the facial region is a physician global rating of psoriasis severity, which evaluates plaque thickness, scaling and erythema, at a given point in time. The sPGA comprises a 6-point rating scale from 0 to 5 where 0 = clear, 1 = minimal/ almost clear, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe. Week 12, Week 28
Secondary Percentage of Participants Achieving a sPGA Score of Clear (0) or Almost Clear (1) and at least a 2-grade Improvement for the Genital Region The sPGA for the genital region is a physician global rating of psoriasis severity, which evaluates plaque thickness, scaling and erythema, at a given point in time. The sPGA comprises a 6-point rating scale from 0 to 5 where 0 = clear, 1 = minimal/ almost clear, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe. Week 12, Week 28
Secondary Change from Baseline in the Dermatology Quality of life Index (DLQI) Total Score for the Facial Region The DLQI is a 10-item questionnaire that measures the impact of skin disease on participants' quality of life. Each question is evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate greater impact on quality of life. The DLQI is calculated by summing the scores of the questions and ranges from 0 to 30 where 0-1 = no effect at all on the participant's life; 2-6 = small effect on the participant's life; 7-12 = moderate effect on the participant's life; 13-18 = very large effect on the participant's life; 19-30 = extremely large effect on the participant's life. Higher scores indicate greater impact on quality of life of participants. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in the DLQI Total Score for the Genital Region The DLQI is a 10-item questionnaire that measures the impact of skin disease on participants' quality of life. Each question is evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate greater impact on quality of life. The DLQI is calculated by summing the scores of the questions and ranges from 0 to 30 where 0-1 = no effect at all on the participant's life; 2-6 = small effect on the participant's life; 7-12 = moderate effect on the participant's life; 13-18 = very large effect on the participant's life; 19-30 = extremely large effect on the participant's life. Higher scores indicate greater impact on quality of life of participants. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in the SF-36 Physical Component Summary (PCS) Score for the Facial Region The SF-36 is a survey that measures 8 domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Each item is scored on a scale of 0 to 100. Worst value is 0 and best value is 100. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in the SF-36 PCS Score for the Genital Region The SF-36 is a survey that measures 8 domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Each item is scored on a scale of 0 to 100. Worst value is 0 and best value is 100. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in the SF-36 Mental Component Summary (MCS) Score for the Facial Region The SF-36 is a survey that measures 8 domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Each item is scored on a scale of 0 to 100. Worst value is 0 and best value is 100. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in the SF-36 MCS Score for the Genital Region The SF-36 is a survey that measures 8 domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Each item is scored on a scale of 0 to 100. Worst value is 0 and best value is 100. Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in Pain/Itch/Discomfort Visual Analogue Scale (VAS) Scores for the Facial Region Each VAS is a patient-rated assessment designed to evaluate the intensity of pain, itch or discomfort on a linear scale of 0-100. Operationally, each VAS is represented by a 100 mm horizontal line anchored by extreme descriptors at each end, where 0 = "No Symptom" and 100 = "Worst Symptom Imaginable". Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in Pain/Itch/Discomfort VAS Scores for the Genital Region Each VAS is a patient-rated assessment designed to evaluate the intensity of pain, itch or discomfort on a linear scale of 0-100. Operationally, each VAS is represented by a 100 mm horizontal line anchored by extreme descriptors at each end, where 0 = "No Symptom" and 100 = "Worst Symptom Imaginable". Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in Redness/Scaling/Thickness VAS Scores for the Facial Region Each VAS is a patient-rated assessment designed to evaluate the intensity of redness, scaling, and thickness on a linear scale of 0-100. Operationally, each VAS is represented by a 100 mm horizontal line anchored by extreme descriptors at each end, where 0 = "No Sign" and 100 = "Worst Sign Imaginable". Baseline, Week 12, Week 28, Week 52
Secondary Change from Baseline in Redness/Scaling/Thickness VAS Scores for the Genital Region Each VAS is a patient-rated assessment designed to evaluate the intensity of redness, scaling, and thickness on a linear scale of 0-100. Operationally, each VAS is represented by a 100 mm horizontal line anchored by extreme descriptors at each end, where 0 = "No Sign" and 100 = "Worst Sign Imaginable". Baseline, Week 12, Week 28, Week 52
Secondary Percentage of Participants Achieving an Overall sPGA Score of Clear (0) or Almost Clear (1) and at least a 2-grade Improvement Among Participants with an Overall sPGA Score greater than or equal to (>=) 3 at baseline The overall sPGA is defined as physician global rating of psoriasis severity, which evaluates plaque thickness, scaling and erythema, at a given point in time. The sPGA comprises a 6-point rating scale from 0 to 5 where 0 = clear, 1 = minimal/ almost clear, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe. Baseline, Week 12, Week 28, Week 52
Secondary Percentage of Participants Achieving a Psoriasis Area and Severity Index (PASI) 100 Response Among Participants with a PASI Score >10 at Baseline The PASI is a tool to assess and grade the severity of psoriasis and response to therapy. In the PASI, the body is divided into four areas: the head, trunk, upper extremities and lower extremities. Each of these areas is assessed separately for the percentage of surface area involved, which translates to a numeric score that ranges from 0 to 6, and for degree of erythema, scaling and induration/thickness, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72, with higher score indicating more severe disease status. A PASI 100 response is defined as 100 percent (%) improvement in PASI score from baseline. Baseline, Week 12, Week 28, Week 52
Secondary Percentage of Participants Achieving a PASI 90 Response Among Participants with a PASI Score >10 at Baseline The PASI is a tool to assess and grade the severity of psoriasis and response to therapy. In the PASI, the body is divided into four areas: the head, trunk, upper extremities and lower extremities. Each of these areas is assessed separately for the percentage of surface area involved, which translates to a numeric score that ranges from 0 to 6, and for degree of erythema, scaling and induration/thickness, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72, with higher score indicating more severe disease status. A PASI 90 response is defined as >=90% improvement in PASI score from baseline. Baseline, Week 12, Week 28, Week 52
Secondary Percentage of Participants Achieving a PASI 75 Response Among Participants with a PASI Score >10 at Baseline The PASI is a tool to assess and grade the severity of psoriasis and response to therapy. In the PASI, the body is divided into four areas: the head, trunk, upper extremities and lower extremities. Each of these areas is assessed separately for the percentage of surface area involved, which translates to a numeric score that ranges from 0 to 6, and for degree of erythema, scaling and induration/thickness, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72, with higher score indicating more severe disease status. A PASI 75 response is defined as >=75% improvement in PASI score from baseline. Baseline, Week 12, Week 28, Week 52
Secondary Mean Percent Change in PASI Score from Baseline The PASI is a tool to assess and grade the severity of psoriasis and response to therapy. In the PASI, the body is divided into four areas: the head, trunk, upper extremities and lower extremities. Each of these areas is assessed separately for the percentage of surface area involved, which translates to a numeric score that ranges from 0 to 6, and for degree of erythema, scaling and induration/thickness, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72, with higher score indicating more severe disease status. Mean percent change from baseline in PASI score will be assessed. Baseline, Week 12, Week 28, Week 52
Secondary Mean Change in Percent Body Surface Area (BSA) from Baseline in Participants with BSA >10% at Baseline BSA affected by psoriasis of <5% is considered mild psoriasis, 5-10% moderate psoriasis, and >10% severe psoriasis. Baseline, Week 12, Week 28, Week 52
Secondary Percentage of Participants Achieving an Absolute PASI Score of Less Than (<) 3 Among Participants with a PASI Score of >10 at Baseline The PASI is a tool to assess and grade the severity of psoriasis and response to therapy. In the PASI, the body is divided into four areas: the head, trunk, upper extremities and lower extremities. Each of these areas is assessed separately for the percentage of surface area involved, which translates to a numeric score that ranges from 0 to 6, and for degree of erythema, scaling and induration/thickness, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72, with higher score indicating more severe disease status. Percentage of participants who achieve an absolute PASI score <3 will be assessed. Baseline, Week 12, Week 28, Week 52
Secondary Treatment Satisfaction Questionnaire for Medication (TSQM-9) The TSQM-9 is a 9-item generic participant-reported outcome instrument to assess participants' satisfaction with medication and covers domains of effectiveness, convenience and global satisfaction. The instrument is scored by domain with scores ranging from 0-100, where a lower score indicates lower satisfaction. Week 52
Secondary Persistency with Guselkumab Persistency with treatment is defined as duration of time from initiation to last dose of therapy, as well as the percentage of participants still on treatment at the end of the observation period. Up to Week 52
Secondary Narrative Plots at Enrollment and Week 52 Participants will be invited to fill in two narrative plots; one at the enrollment visit and one at the week 52 visit. Baseline (at enrollment) and Week 52
Secondary Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) 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. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Up to Week 52
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