A Study of Ustekinumab or Guselkumab in Pediatric Participants With Active Juvenile Psoriatic Arthritis (PSUMMIT-Jr)
A Phase 3 Multicenter, Open-label Study to Evaluate the Efficacy, Pharmacokinetics, Safety, and Immunogenicity of Subcutaneously Administered Ustekinumab or Guselkumab in Pediatric Participants With Active Juvenile Psoriatic Arthritis (PSUMMIT-Jr)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Study Contact
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study1@its.jnj.com
Study Locations
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Ciudad Autonoma Buenos Aires, Argentina, C1013AAAB
- STAT Research S A
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Córdoba, Argentina, 5000
- Hospital de Ninos de Cordoba
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La Plata, Argentina, B1900
- Instituto Medico Platense
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Rosario, Argentina, S2000PBJ
- Instituto CAICI
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San Miguel de Tucumán, Argentina, T4000AXL
- Centro Médico Privado de Reumatología
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Aarhus, Denmark, 8200
- Aarhus Universitetshospital
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Odense, Denmark, 5000
- Odense Universitets Hospital
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Caen, France, 14033
- CHU De Caen
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Le Kremlin-Bicêtre, France, 94270
- Hopital de Bicetre
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Marseille, France, 13015
- Hôpital Nord Marseille
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Toulouse, France, 31059
- CHU de Toulouse Hopital des Enfants
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Vandœuvre-lès-Nancy, France, 54511
- Hôpital D'Enfants
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Berlin, Germany, 13353
- Charite Universitatsmedizin Berlin Campus Virchow Klinikum
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Hamburg, Germany, 22081
- Schon Klinik Hamburg Eilbek
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Sankt Augustin, Germany, 53757
- Asklepios Klinik Sankt Augustin
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Brescia, Italy, 25100
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia Presidio Spedali Civili
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Genova, Italy, 16147
- Istituto Giannina Gaslini
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Milan, Italy, 20122
- Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
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Milan, Italy, 20122
- Centro Specialistico Ortopedico Traumatologico Gaetano Pini CTO
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Roma, Italy, 00165
- IRCCS Ospedale Pediatrico Bambino Gesu
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Lodz, Poland, 91-738
- CSK, Uniwersyteckie Centrum Pediatrii im.M.Konopnickiej
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Sosnowiec, Poland, 41 200
- Centrum Zdrowia Dziecka i Rodziny im Jana Pawla II w Sosnowcu Sp z o o
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Warsaw, Poland, 02 637
- Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher
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Barcelona, Spain, 8041
- Hosp. de La Santa Creu I Sant Pau
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Barcelona, Spain, 08035
- Hosp Univ Vall D Hebron
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Córdoba, Spain, 14004
- Hosp Reina Sofia
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Santiago de Compostela, Spain, 15706
- Hosp. Clinico Univ. de Santiago
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Seville, Spain, 41010
- Hosp. Infanta Luisa
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Valencia, Spain, 46026
- Hosp. Univ. I Politecni La Fe
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Ankara, Turkey (Türkiye), 6230
- Hacettepe Universitesi Hastanesi
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Istanbul, Turkey (Türkiye), 34098
- Istanbul University Cerrahpasa Medical Faculty
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Istanbul, Turkey (Türkiye), 34766
- Ümraniye Training and Research Hospital
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Kocaeli, Turkey (Türkiye), 41380
- Kocaeli University Medical Faculty
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London, United Kingdom, WC1N 3JH
- Great Ormond Street Hospital
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Manchester, United Kingdom, M13 9WL
- Royal Manchester Children's Hospital
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Newcastle upon Tyne, United Kingdom, NE1 4LP
- Royal Victoria Infirmary
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Nottingham, United Kingdom, NG7 2UH
- Nottingham University Hospitals NHS Trust
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Sheffield, United Kingdom, S10 2TH
- Sheffield Children's Hospital
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Southampton, United Kingdom, SO16 6YD
- Southampton General Hospital
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Staffordshire, United Kingdom, ST6 7AG
- Haywood Hospital
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Stoke-on-Trent, United Kingdom, ST4 6QG
- Royal Stoke University Hospital
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California
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Los Angeles, California, United States, 90027
- Childrens Hospital Los Angeles
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Los Angeles, California, United States, 90095-3075
- UCLA
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Massachusetts
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Boston, Massachusetts, United States, 02215-5450
- Harvard Medical School - Boston Children's Hospital
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New York
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New York, New York, United States, 11040
- Northwell Health
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The Bronx, New York, United States, 10467-2403
- Montefiore Medical Center
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- University of North Carolina
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Ohio
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Cincinnati, Ohio, United States, 45229
- Cincinnati Children's Hospital Medical Center
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Oregon
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Portland, Oregon, United States, 97227
- Legacy Emanuel Medical Center
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of juvenile psoriatic arthritis (jPsA) by Vancouver criteria with exclusion of enthesitis-related arthritis (ERA). Diagnosis made >=3 months (that is, 90 days) prior to screening
- Active disease in at least greater than or equal to (>=) 3 joints at screening and at week 0 (defined as swelling or loss of motion with pain and/or tenderness. Swelling alone meets the criteria for an active arthritic joint. In the absence of swelling, loss of motion with pain or tenderness or both pain and tenderness meet the criteria for an active arthritic joint
- Have active disease despite previous non-biologic disease modifying anti-rheumatic drug (DMARD) and/or non-steroidal anti-inflammatory drug (NSAID) therapy: Non-biologic DMARD therapy is defined as taking a non-biologic DMARD for at least 12 weeks or evidence of intolerance; NSAID therapy is defined as taking an NSAID for at least 4 weeks or evidence of intolerance
- Concurrent use of methotrexate, sulfasalazine, leflunomide, oral corticosteroids or NSAIDs is permitted but must be on stable dose
- Participants must be up to date with all immunizations in agreement with current local immunization guidelines for immunosuppressed patients
- Prior use of anti-TNFα agents, IL-17 inhibitors and other biologics (except non-responders to IL-23 inhibitors) and JAK inhibitors are permitted with sufficient washout period
Exclusion Criteria:
- Participants with enthesitis-related arthritis (ERA)
- Have a history of latent or active granulomatous infection, including tuberculosis (TB), histoplasmosis, or coccidioidomycosis prior to screening
- Have a history of, or ongoing, chronic or recurrent infectious disease
- Has evidence of herpes zoster infection within 8 weeks prior to Week 0
- Have a known history of hepatitis C infection or test positive at screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Cohort 2: Guselkumab
The dose of guselkumab will be based on the participant's weight.
Participants will receive guselkumab SC at Weeks 0 and 4 followed by either every 4 weeks (Q4W) (with historical radiographic evidence of joint damage) or every 8 weeks (Q8W) (without historical evidence of joint damage) dosing with the last dose at Week 52.
Participants at high risk of joint damage can also be considered for Q4W dosing per investigator.
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Guselkumab will be administered as subcutaneous injection.
Other Names:
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Experimental: Cohort 1: Ustekinumab
Participants will receive a weight-based dose of ustekinumab subcutaneously (SC) at Week 0, Week 4 and then every 12 weeks up to Week 52.
Cohort 1 is closed for further enrollment.
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Ustekinumab will be administered as subcutaneous 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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Cohort 1: Area Under the Curve at Steady-state (AUCss) Over a 12-Week Dosing Interval of Ustekinumab at Week 28 by Baseline Age Groups
Time Frame: Week 28
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AUCss is defined as area under the curve at steady-state over a 12-week dosing interval of ustekinumab at Week 28 by baseline age groups.
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Week 28
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Cohort 2: AUCss Over a Dosing Interval (4 or 8 Weeks) of Guselkumab at Week 28 by Baseline Age Groups
Time Frame: Week 28
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AUCss is defined as area under the curve at steady-state over a dosing interval (4 or 8 weeks) of guselkumab at Week 28 by baseline age groups.
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Week 28
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Cohort 1: Steady-state Trough Serum Concentration of Ustekinumab at Week 28 by Baseline Age Groups
Time Frame: Week 28
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Steady-state trough serum concentration of ustekinumab at Week 28 by baseline age groups will be reported.
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Week 28
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Cohort 2: Steady-state Trough Serum Concentration of Guselkumab at Week 28 by Baseline Age Groups
Time Frame: Week 28
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Steady-state trough serum concentration of guselkumab at Week 28 by baseline age groups will be reported.
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Week 28
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Cohort 1: Percentage of Participants with Juvenile Psoriatic Arthritis (jPsA) Achieving American College of Rheumatology (ACR) Pediatric 30 Response at Week 24
Time Frame: Week 24
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Percentage of Participants with jPsA achieving ACR pediatric 30 response at Week 24 will be reported.
The ACR pediatric 30 response criteria is defined as a 30 percent (%) improvement (that is, a decrease in score) from baseline in greater than or equal to (>=) 3 of the following 6 components, with worsening of >=30% in no more than 1 of the following components: physician global assessment (PGA) of disease activity, patient/participant assessment of overall well-being, number of active joints (defined as swelling or loss of motion with pain and/or tenderness), number of joints with limited range of motion, physician function by childhood health assessment questionnaire (CHAQ) and C-reactive protein (CRP).
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Week 24
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Cohort 2: Percentage of Participants with jPsA Achieving ACR Pediatric 30 Response at Week 24
Time Frame: Week 24
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Percentage of Participants with jPsA achieving ACR pediatric 30 response at Week 24 will be reported.
The ACR pediatric 30 response criteria is defined as a 30% improvement (that is, a decrease in score) from baseline in >=3 of the following 6 components, with worsening of >=30% in no more than 1 of the following components: PGA of disease activity, patient/participant assessment of overall well-being, number of active joints (defined as swelling or loss of motion with pain and/or tenderness), number of joints with limited range of motion, physician function by CHAQ and CRP.
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Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Cohort 1: AUCss Over a 12-Week Dosing Interval of Ustekinumab at Week 52 by Baseline Age Groups
Time Frame: Week 52
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AUCss is defined as area under the curve at steady-state over a 12-week dosing interval of ustekinumab at Week 52 by baseline age groups.
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Week 52
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Cohort 2: AUCss Over a Dosing Interval (4 or 8 Weeks) of Guselkumab at Week 52 by Baseline Age Groups
Time Frame: Week 52
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AUCss is defined as area under the curve at steady-state over a dosing interval (4 or 8 weeks) of guselkumab at Week 52 by baseline age groups.
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Week 52
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Cohorts 1 and 2: Time to Response Measured as Time to Achieving ACR Pediatric 30
Time Frame: Baseline, up to Week 24
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Time to response measured as time to achieving ACR pediatric 30 will be reported.
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Baseline, up to Week 24
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Cohorts 1 and 2: Percentage of Participants with Adverse Events (AEs)
Time Frame: Up to Week 68
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An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
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Up to Week 68
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Cohorts 1 and 2: Percentage of Participants with Serious Adverse Events (SAEs)
Time Frame: Up to Week 68
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A SAE is any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.
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Up to Week 68
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Cohorts 1 and 2: Percentage of Participants with Reasonably Related AEs
Time Frame: Up to Week 68
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Percentage of participants with reasonably related AEs (including injection-site reactions and infections) will be reported.
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Up to Week 68
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Cohorts 1: Steady-state Trough Serum Concentration of Ustekinumab at Week 52 by Baseline Age Groups
Time Frame: Week 52
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Steady-state trough serum concentration of ustekinumab at Week 52 by baseline age groups will be reported.
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Week 52
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Cohorts 2: Steady-state Trough Serum Concentration of Guselkumabat at Week 52 by Baseline Age Groups
Time Frame: Week 52
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Steady-state trough serum concentration of guselkumab at Week 52 by baseline age groups will be reported.
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Week 52
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Cohorts 1 and 2: Percentage of Participants Achieving ACR Pediatric 30 Response at Weeks 4, 8, 12, 16, and 52
Time Frame: Weeks 4, 8, 12, 16 and 52
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The ACR pediatric 30 response criteria is defined as a 30% improvement (that is, a decrease in score) from baseline in >=3 of the following 6 components, with worsening of >=30% in no more than 1 of the following components: PGA of disease activity, patient/participant assessment of overall well-being, number of active joints (defined as swelling or loss of motion with pain and/or tenderness), number of joints with limited range of motion, physician function by CHAQ and CRP.
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Weeks 4, 8, 12, 16 and 52
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Cohorts 1 and 2: Percentage of Participants Achieving ACR Pediatric 50 and 70 Responses at Weeks 4, 8, 12, 16, 24, and 52
Time Frame: Weeks 4, 8, 12, 16, 24, and 52
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The ACR pediatric 50 and 70 responses are defined as a 50% improvement or 70% improvement (that is, a decrease in score) from baseline in >=3 of the following 6 components, with worsening of >=30% in no more than 1 of the following components: 1 of the following components: PGA of disease activity, patient/participant assessment of overall well-being, number of active joints (defined as swelling or loss of motion with pain and/or tenderness), number of joints with limited range of motion, physician function by CHAQ and CRP.
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Weeks 4, 8, 12, 16, 24, and 52
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Cohorts 1 and 2: Change from Baseline in Clinical Juvenile Arthritis Disease Activity Score (cJADAS) 10 at Weeks 4, 8, 12, 16, 24, and 52
Time Frame: Baseline, up to Weeks 4, 8, 12, 16, 24, and 52
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Change from baseline in cJADAS 10 at Weeks 4, 8, 12, 16, 24, and 52 will be reported.
The cJADAS is calculated as the sum of the scores of its 3 components: (1) physician global rating of overall disease activity, measured on a 10-cm horizontal visual analog scale; (2) parent/child ratings of well-being, assessed on a 10 cm horizontal line VAS; (3) number of active joints, assessed in 10 joints, for a total score ranging from 0 to 30 where 0=no activity and 30=maximum activity.
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Baseline, up to Weeks 4, 8, 12, 16, 24, and 52
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Cohorts 1 and 2: Change from Baseline in Juvenile Arthritis Disease Activity Score (JADAS) 10, 27 and 71 at Weeks 4, 8, 12, 16, 24, and 52
Time Frame: Baseline, up to Weeks 4, 8, 12, 16, 24, and 52
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Change from baseline in JADAS 10, 27 and 71 at Weeks 4, 8, 12, 16, 24, and 52 will be reported.
The JADAS is calculated as the sum of the scores of its 4 components: (1) physician global rating of overall disease activity, measured on a 10-cm horizontal visual analog scale; (2) parent/child ratings of well-being, assessed on a 10 cm horizontal line VAS; (3) number of active joints, assessed in 71, 27, or 10 joints (for JADAS 71, JADAS 27, and JADAS 10, respectively); (4) CRP (truncated to 0-10 mg/dL).
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Baseline, up to Weeks 4, 8, 12, 16, 24, and 52
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Cohorts 1 and 2: Change from Baseline in Psoriasis Area Severity Index (PASI) Score at Week 24
Time Frame: Baseline and Week 24
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Change from baseline in PASI score at Week 24 among the participants with greater than or equal to (>=) 3% body surface area (BSA) psoriatic involvement and a PGA psoriasis score of >=2 (mild) at baseline will be reported.
The PASI includes assessments of 4 areas of the body: the head and neck, the arms, the trunk, and the legs.
The percentage of skin in each area affected by psoriasis is given a numeric score representing the proportion involved.
The severity of the 3 plaque signs of erythema, thickness/induration, and desquamation/scaling, is assessed on a 5-point scale.
The total PASI score is from 0-72, where 0=no disease and 72=more disease.
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Baseline and Week 24
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Cohorts 1: Number of Participants with Antibodies to Ustekinumab
Time Frame: Weeks 52 and 68
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Number of participants with antibodies to ustekinumab (including peak titers) will be reported.
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Weeks 52 and 68
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Cohorts 2 : Number of Participants with Antibodies to Guselkumab
Time Frame: Weeks 52 and 68
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Number of participants with antibodies to guselkumab (including peak titers) will be reported.
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Weeks 52 and 68
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- Musculoskeletal Diseases
- Arthritis
- Joint Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Skin and Connective Tissue Diseases
- Arthritis, Juvenile
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Ustekinumab
- guselkumab
Other Study ID Numbers
Other Study ID Numbers
- CR109101
- 2020-005503-40 (EudraCT Number)
- CNTO1275JPA3001 (Other Identifier: Janssen Research & Development, LLC)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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