Risankizumab Versus Secukinumab for Participants With Moderate to Severe Plaque Psoriasis
A Multicenter, Randomized, Open Label, Efficacy Assessor-Blinded Study of Risankizumab Compared to Secukinumab for the Treatment of Adult Subjects With Moderate to Severe Plaque Psoriasis Who Are Candidates for Systemic Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Quebec, Canada, G1V 4X7
- Dermatologique du Quebec /ID# 203050
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Alberta
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Calgary, Alberta, Canada, T3E 0B2
- Beacon Dermatology Inc /ID# 203054
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British Columbia
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Surrey, British Columbia, Canada, V3V 0C6
- Enverus Medical Research /ID# 203043
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New Brunswick
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Fredericton, New Brunswick, Canada, E3B 1G9
- Dr. Irina Turchin PC Inc. /ID# 203052
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 1Z2
- Eastern Canada Cutaneous Resea /ID# 203045
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Ontario
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Hamilton, Ontario, Canada, L8N 1Y2
- Dermatrials Research /ID# 203051
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Quebec
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Saint-Jerome, Quebec, Canada, J7Z 7E2
- Dre Angelique Gagne-Henley M.D. inc. /ID# 203053
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Nice, France, 06202
- Centre Hospitalier Universitaire de Nice - Hopital l'Archet 2 /ID# 203591
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Paris, France, 75010
- Hopital Saint-Louis /ID# 203586
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Reims, France, 51100
- Polyclinique Courlancy /ID# 203588
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Toulouse, France, 31059
- Hopital Larrey - CHU de Toulouse /ID# 203587
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Seine-Maritime
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Rouen CEDEX, Seine-Maritime, France, 76031
- Charles Nicolle CHU Rouen /ID# 203590
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Munich, Germany, 80802
- TU Uniklinik Munchen /ID# 203919
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Lazio
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Roma, Lazio, Italy, 00168
- Policlinico A. Gemelli /ID# 203009
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Lombardia
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Milan, Lombardia, Italy, 20122
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 204982
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Gelderland
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Nijmegen, Gelderland, Netherlands, 6525 GA
- Radboud Universitair Medisch Centrum /ID# 202560
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Noord-Brabant
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Bergen op Zoom, Noord-Brabant, Netherlands, 4624 VT
- Bravis Ziekenhuis /ID# 205232
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Noord-Holland
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Amsterdam, Noord-Holland, Netherlands, 1105 AZ
- Academisch Medical center Amsterdam /ID# 202556
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Lodzkie
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Lodz, Lodzkie, Poland, 90-265
- Dermed Centrum Medyczne Sp. z o.o /ID# 203171
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Malopolskie
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Krakow, Malopolskie, Poland, 31-302
- Klinika Dermatologii Pod Fortem /ID# 204180
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Mazowieckie
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Warsaw, Mazowieckie, Poland, 01-817
- Przychodnia Specjalistyczna High-Med /ID# 203183
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Warsaw, Mazowieckie, Poland, 02-758
- Klinika Ambroziak Sp. z o.o. /ID# 203928
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Podkarpackie
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Rzeszow, Podkarpackie, Poland, 35-055
- KSW nr1 w Rzeszowie /ID# 203776
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Podlaskie
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Białystok, Podlaskie, Poland, 15-351
- Osteo-Medic S.C. /ID# 203742
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Alicante, Spain, 03010
- Hospital General Universitario Alicante /ID# 203764
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Granada, Spain, 18016
- Hospital Universitario Clinico San Cecilio /ID# 203760
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Madrid, Spain, 28006
- Hospital Universitario de la Princesa /ID# 203754
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre /ID# 203756
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Valencia, Spain, 46015
- Hospital Universitario Arnau Vilanova /ID# 203763
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Valencia
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Manises, Valencia, Spain, 46940
- Hospital de Manises /ID# 203757
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Salford, United Kingdom, M6 8HD
- The University of Manchester /ID# 204720
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London, City Of
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London, London, City Of, United Kingdom, E11 1NR
- Whipps Cross Univ Hospital /ID# 204723
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London, London, City Of, United Kingdom, SE1 9RT
- Guy's and St Thomas' NHS Found /ID# 204721
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Arizona
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Glendale, Arizona, United States, 85308
- Advanced Research Associates - Glendale /ID# 204335
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Phoenix, Arizona, United States, 85032
- Alliance Dermatology and MOHs /ID# 204336
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California
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Bakersfield, California, United States, 93309
- Bakersfield Derma & Skin Cance /ID# 202115
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Fremont, California, United States, 94538
- Center for Dermatology Clin Res /ID# 202116
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Los Angeles, California, United States, 90045
- Dermatology Res. Assoc., CA /ID# 202170
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Sacramento, California, United States, 95816
- UC Davis Health /ID# 202263
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San Diego, California, United States, 92103
- Medderm Associates /ID# 202162
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Connecticut
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Farmington, Connecticut, United States, 06032
- UConn Health Main /ID# 201745
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Florida
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North Miami Beach, Florida, United States, 33162-4708
- Tory P Sullivan, MD PA /ID# 202177
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Ocala, Florida, United States, 34470
- Renstar Medical Research /ID# 202113
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Port Orange, Florida, United States, 32127
- Progressive Medical Research /ID# 202183
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West Palm Beach, Florida, United States, 33406-6063
- Integrated Clinical Research LLC /ID# 202152
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Kentucky
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Louisville, Kentucky, United States, 40241
- Dermatology Specialists Resear /ID# 202145
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Maryland
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Rockville, Maryland, United States, 20850
- Dermatology and Skin Cancer Specialists, LLC /ID# 203938
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Massachusetts
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Andover, Massachusetts, United States, 01810
- ORA, Inc. /ID# 204342
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Boston, Massachusetts, United States, 02215-5400
- Beth Israel Deaconess Medical Center /ID# 204340
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Minnesota
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New Brighton, Minnesota, United States, 55112
- Minnesota Clinical Study Center /ID# 202369
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Missouri
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Saint Louis, Missouri, United States, 63117
- Central Dermatology, PC /ID# 202156
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New Jersey
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East Windsor, New Jersey, United States, 08520
- Psoriasis Treatment Ctr of Central NJ /ID# 202107
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Ohio
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Cincinnati, Ohio, United States, 45236
- Synexus Research Cincinnati /ID# 202161
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Oregon
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Portland, Oregon, United States, 97210
- Oregon Derm & Res. Ctr /ID# 201652
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Portland, Oregon, United States, 97223
- Oregon Medical Res Center PC /ID# 201651
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Rhode Island
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Johnston, Rhode Island, United States, 02919
- Clinical Partners, LLC /ID# 201736
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Texas
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Houston, Texas, United States, 77004-8097
- Center for Clinical Studies - Houston (Binz) /ID# 202178
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San Antonio, Texas, United States, 78229
- Progressive Clinical Research /ID# 202155
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Webster, Texas, United States, 77598
- Center for Clinical Studies - Webster TX /ID# 202154
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Utah
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Salt Lake City, Utah, United States, 84112-5500
- University of Utah /ID# 204035
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Froedtert Mem Lutheran Hosp /ID# 204896
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of chronic plaque psoriasis with or without psoriatic arthritis for at least 6 months before the Baseline Visit
- Subject has stable moderate to severe chronic plaque psoriasis with or without psoriatic arthritis
- Subject must be a candidate for systemic therapy as assessed by the investigator;
- Subject must be an acceptable candidate to receive secukinumab according to the local label for this compound.
Exclusion Criteria:
- History of erythrodermic psoriasis, generalized or localized pustular psoriasis, medication-induced or medication-exacerbated psoriasis, or new onset guttate psoriasis; or active skin disease other than psoriasis that could interfere with the assessment of psoriasis;
- Chronic infections including HIV, viral hepatitis (hepatitis B, hepatitis C), and/ or active tuberculosis. Subjects with a positive QuantiFERON®-TB/purified protein derivative (PPD) test result may participate in the study if further work up (according to local practice/guidelines) establishes conclusively that the subject has no evidence of active tuberculosis. If presence of latent tuberculosis is established, then treatment must have been initiated and maintained according to local country guidelines.
- Active systemic infection during the last 2 weeks prior to Baseline Visit (exception: common cold)
- History of any documented active or suspected malignancy or history of any malignancy within the last 5 years except for successfully treated non-melanoma skin cancer (NMSC) or localized carcinoma in situ of the cervix
- Previous exposure to risankizumab
- Previous exposure to secukinumab
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Risankizumab
Participants randomized to risankizumab receive 2 injections of active risankizumab (150 mg total dosage) subcutaneously (SC) at Weeks 0 and 4, and then every 12 weeks (q12w) thereafter until the last dose at Week 40 (Week 64 for participants in France).
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Subcutaneous (SC) injection
Other Names:
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ACTIVE_COMPARATOR: Secukinumab
Participants randomized to secukinumab receive 2 injections of active secukinumab (300 mg total dosage) SC at Weeks 0, 1, 2, 3, and 4, and then every 4 weeks (q4w) thereafter until the last dose at Week 48.
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Subcutaneous (SC) injection
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With a 90% Reduction From Baseline Psoriasis Area and Severity Index (PASI 90) at Week 16
Time Frame: Week 16
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The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and the extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination.
The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis.
PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score.
The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Non-responder imputation (NRI) was used for missing data.
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Week 16
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Percentage of Participants With a PASI 90 at Week 52
Time Frame: Week 52
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The PASI is a composite score based on the degree of effect on body surface area of psoriasis and the extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination.
The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis.
PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score.
The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
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Week 52
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With a 100% Reduction From Baseline Psoriasis Area and Severity Index (PASI 100) at Week 52
Time Frame: Week 52
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PASI is a composite score based on the degree of effect on body surface area of psoriasis and the extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination.
The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis.
PASI 100 is defined as 100% reduction in PASI score compared with the Baseline PASI score.
The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
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Week 52
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Percentage of Participants Achieving Static Physician Global Assessment (sPGA) of Clear or Almost Clear at Week 52
Time Frame: Week 52
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The sPGA is an assessment by the investigator of the overall disease severity at the time of evaluation.
Erythema, induration, and scaling of psoriatic lesions are scored on a 5-point scale ranging from 0 (none) to 4 (severe).
The sPGA ranges from 0 to 4, and is calculated as Clear (0) = 0 for all 3; Almost clear (1) = mean > 0, < 1.5; Mild (2) = mean ≥ 1.5, < 2.5; Moderate (3) = mean ≥ 2.5, < 3.5; and Severe (4) = mean ≥ 3.5.
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Week 52
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Percentage of Participants With a 75% Reduction From Baseline Psoriasis Area and Severity Index (PASI 75) at Week 52
Time Frame: Week 52
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The PASI is a composite score based on the degree of effect on body surface area of psoriasis and the extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination.
The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis.
PASI 75 is defined as at least a 75% reduction in PASI score compared with the Baseline PASI score.
The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
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Week 52
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- M16-766
- 2017-004932-12 (EUDRACT_NUMBER)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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