A Study of Guselkumab Given After Ustekinumab in Participants With Moderate to Severe Psoriasis in Routine Clinical Practice (G-START)
A Non-Interventional, Multi-Centric, Single Country Observational Study to Assess the Safety and Effectiveness of Guselkumab After Ustekinumab (Originator or Biosimilar) in Moderate to Severe Psoriasis Patients in Clinical Routine
Aperçu de l'étude
Statut
Statut
Les conditions
Les conditions
Type d'étude
Type d'étude
Inscription (Estimé)
Inscription
Contacts et emplacements
Coordonnées de l'étude
Coordonnées de l'étude
- Nom: Study Contact
- Numéro de téléphone: 844-434-4210
- E-mail: Participate-In-This-Study1@its.jnj.com
Lieux d'étude
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Budapest, Hongrie, 1088
- Recrutement
- Semmelweis University
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Critères de participation
Critère d'éligibilité
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion criteria:
- Must have a confirmed diagnosis of moderate-to-severe plaque psoriasis requiring systemic treatment
- Participants who are currently being treated with Ustekinumab (either the originator or its biosimilar) and who are medically indicated to switch to Guselkumab, or for whom this switch is medically indicated, based on the current and valid national psoriasis (PsO) therapeutic protocol
- Participants who, based on the Investigator's decision, should initiate treatment with Guselkumab
- Participants must sign an informed consent form (ICF) allowing for data collection and source data verification in accordance with local requirements
Exclusion criteria:
- Contraindication or hypersensitivity to Guselkumab or any other ingredient in the injection solution
- Pregnancy or breastfeeding
- Currently enrolled in an interventional study
- Currently enrolled in an observational study sponsored or managed by a Janssen company
- Previous use of guselkumab in any indication in participant history
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Nombre de groupes / cohortes
Cohortes et interventions
Groupe / CohorteGroupe / Cohorte |
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Moderate to Severe Psoriasis: Guselkumab Switching From Ustekinumab
Participants with moderate-to-severe psoriasis who are candidates for systemic treatment (according to the guselkumab label) and who are medically indicated to switch from Ustekinumab or its biosimilar to receive Guselkumab in routine clinical practice will be enrolled.
No drug will be provided as a part of this study.
Only data available from routine clinical practice will be collected.
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Que mesure l'étude ?
Principaux critères de jugement
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Percentage of Participants Achieving Absolute Psoriasis Area Severity Index (aPASI) <=3 at Week 20 Following Switch from Ustekinumab to Guselkumab
Délai: At Week 20
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Percentage of participants achieving aPASI less than or equal to (<=) 3 at Week 20 following the switch from Ustekinumab to Guselkumab will be reported.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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At Week 20
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Mesures de résultats secondaires
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Percentage of Participants Achieving aPASI <= 3 at Weeks 4, 12, 36 and 52
Délai: At Weeks 4, 12, 36 and 52
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Percentage of participants achieving aPASI <= 3 will be reported.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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At Weeks 4, 12, 36 and 52
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Percentage of Participants Achieving >= 75% Improvement in PASI (PASI 75) at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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Participants with an absolute percentage improvement of at least 75% will be considered having achieved PASI 75 at Weeks 4, 12, 20, 36 and 52.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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At Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving >= 90% Improvement in PASI (PASI 90) at Weeks 4, 12, 20, 36, and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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Participants with an absolute percentage improvement of at least 90% will be considered having achieved PASI 90 at Weeks 4, 12, 20, 36 and 52.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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At Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving 100% Improvement in PASI (PASI 100) at Weeks 4, 12, 20, 36, and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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Participants with an absolute percentage improvement of 100% will be considered having achieved PASI 100 at Weeks 4, 12, 20, 36 and 52.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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At Weeks 4, 12, 20, 36 and 52
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Absolute Changes in PASI Score from Baseline up to Weeks 4, 12, 20, 36 and 52
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute changes in PASI scores from baseline to Weeks 4, 12, 20, 36 and 52 will be reported.
PASI is a widely used measurement tool used to assess the severity of psoriasis.
The PASI produces a numeric score that can range from 0 (no psoriasis) to 72.
A higher score indicates more severe disease.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute Changes in Body Surface Area (BSA) Score from Baseline up to Weeks 4, 12, 20, 36 and 52
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute changes in BSA scores from baseline upto Weeks 4, 12, 20, 36 and 52 will be reported.
BSA indicates the percentage of the total body surface area affected by psoriasis.
For small-spotted psoriasis lesions, healthy skin between the lesions is not included in the assessment.
BSA ranges from 0-100 in which the maximum value is 100.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) <=5 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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DLQI is a 10-item instrument questionnaire designed to assess the impact of the disease on a participant's quality of life.
Each question is evaluated on a 4-point scale ranged from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life.
Scores from all 10 questions are added up to give DLQI total score range from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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At Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving Dermatology Life Quality Index Relevant (DLQI-R) <=5 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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The DLQI-R is calculated by summing the scores of all answered items on the 10-question DLQI questionnaire (each scored 0-3), excluding those marked as "not relevant" (NRR).
The total DLQI-R score ranges from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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At Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving DLQI Score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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DLQI is a 10-item instrument questionnaire designed to assess the impact of the disease on a participant's quality of life.
Each question is evaluated on a 4-point scale ranged from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life.
Scores from all 10 questions are added up to give DLQI total score range from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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At Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving DLQI-R score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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The DLQI-R is calculated by summing the scores of all answered items on the 10-question DLQI questionnaire (each scored 0-3), excluding those marked as "not relevant" (NRR).
The total DLQI-R score ranges from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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At Weeks 4, 12, 20, 36 and 52
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Absolute Changes in DLQI Scores from Baseline up to Weeks 4, 12, 20, 36 and 52
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute changes in DLQI scores from baseline to Week 4, 12, 20, 36 and 52 will be reported.
DLQI is a 10-item instrument questionnaire designed to assess the impact of the disease on a participant's quality of life.
The total DLQI score ranges from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute Changes in DLQI-R Scores from Baseline up to Weeks 4, 12, 20, 36 and 52
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute changes in DLQI-R scores from baseline to Week 4, 12, 20, 36 and 52 will be reported.
The DLQI-R is calculated by summing the scores of all answered items on the 10-question DLQI questionnaire (each scored 0-3), excluding those marked as "not relevant" (NRR).
The total DLQI-R score ranges from 0 (not at all) to 30 (very much).
Higher scores indicate more impact on quality of life of participants.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Absolute Change in Static Physician's Global Assessment of Genitalia (sPGA-G) Score Over Time
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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In participants with anogenital psoriasis at baseline, absolute change in sPGA-G score over time will be reported.
The sPGA-G describes the severity of psoriasis using 6 categories.
Accordingly, the score ranges from 0-5, with higher scores indicating more severe psoriasis.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving sPGA-G Score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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In participants with anogenital psoriasis at baseline, the percentage of participants achieving sPGA-G score of 0 or 1 amongst the participants who had a >= 2 sPGA-G score at baseline will be reported.
The sPGA-G describes the severity of psoriasis using 6 categories.
Accordingly, the score ranges from 0-5, with higher scores indicating more severe psoriasis.
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At Weeks 4, 12, 20, 36 and 52
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Absolute Change in Physician´s Global Assessment of Hands and/or Feet (hf-PGA) Score Over Time
Délai: Baseline up to Weeks 4, 12, 20, 36 and 52
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In participants with palmoplantar psoriasis at baseline, absolute change in hf-PGA score over time will be reported.
The hf-PGA describes the severity of psoriasis using 5 categories.
Accordingly, the score ranges from 0-4, with higher scores indicating more severe psoriasis.
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Baseline up to Weeks 4, 12, 20, 36 and 52
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Percentage of Participants Achieving hf-PGA Score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36 and 52
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In participants with palmoplantar psoriasis at baseline, percentage of participants achieving hf-PGA = 0 or 1 amongst the participants who had a >= 2 hf-PGA at baseline will be reported.
The hf-PGA describes the severity of psoriasis using 5 categories.
Accordingly, the score ranges from 0-4, with higher scores indicating more severe psoriasis.
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At Weeks 4, 12, 20, 36 and 52
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Absolute Change in Scalp-Specific Investigator Global Assessment (ss-IGA) Score Over Time
Délai: Baseline up to Weeks 4, 12, 20, 36, and 52
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In participants with scalp psoriasis at baseline, the absolute change in ss-IGA score over time will be reported.
The ss-IGA describes the severity of psoriasis using 5 categories.
Accordingly, the score ranges from 0-4, with higher scores indicating more severe psoriasis.
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Baseline up to Weeks 4, 12, 20, 36, and 52
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Percentage of Participants Achieving ss-IGA Score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36, and 52
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In participants with scalp psoriasis at baseline, the percentage of participants achieving ss-IGA of 0 or 1 amongst the participants who had a >= 2 ss-IGA score at baseline will be reported.
The ss-IGA describes the severity of psoriasis using 5 categories.
Accordingly, the score ranges from 0-4, with higher scores indicating more severe psoriasis.
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At Weeks 4, 12, 20, 36, and 52
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Absolute Change in Fingernail Physician's Global Assessment (PGA-F) Score Over Time
Délai: Baseline up to Weeks 4, 12, 20, 36, and 52
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In participants with fingernail psoriasis at baseline, absolute change in PGA-F score over time will be reported.
The PGA-F describes the severity of psoriasis using 5 categories and consists of scores ranging from 0 (Clear), 1 (Minimal), 2 (Mild), 3 (Moderate), 4 (Severe).
Here, higher scores indicate more severity of psoriasis.
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Baseline up to Weeks 4, 12, 20, 36, and 52
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Percentage of Participants Achieving PGA-F Score of 0 or 1 at Weeks 4, 12, 20, 36 and 52
Délai: At Weeks 4, 12, 20, 36, and 52
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In participants with fingernail psoriasis at baseline, the percentage of participants achieving PGA-F score of 0 or 1 amongst participants who had a >=2 PGA-F at baseline will be reported.
The PGA-F describes the severity of psoriasis using 5 categories and consists of scores ranging from 0 (Clear), 1 (Minimal), 2 (Mild), 3 (Moderate), 4 (Severe).
Here, higher scores indicate more severity of psoriasis.
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At Weeks 4, 12, 20, 36, and 52
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Demographic Characteristics: Age
Délai: At Baseline
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Participant's age at the time of starting guselkumab treatment will be reported.
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At Baseline
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Demographic Characteristics: Sex
Délai: At Baseline
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Sex (male, female) of participants at the time of starting guselkumab treatment will be reported.
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At Baseline
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Demographic Characteristics: Weight
Délai: At Baseline
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Weight of participants at the time of starting guselkumab treatment will be reported.
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At Baseline
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Demographic Characteristics: Height
Délai: At Baseline
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Height of participants at the time of starting guselkumab treatment will be reported.
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At Baseline
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Clinical Characteristics: Time Since Psoriasis Diagnosis
Délai: At Baseline
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Time since psoriasis diagnosis (years), in participants starting guselkumab treatment will be reported.
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At Baseline
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Clinical Characteristics: Time Since First Symptoms
Délai: At Baseline
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Time since first symptoms (years), in participants starting guselkumab treatment will be reported.
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At Baseline
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Clinical Characteristics: Severity of Psoriasis
Délai: At Baseline
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Severity of psoriasis (mild, moderate, severe) in participants starting guselkumab treatment will be reported.
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At Baseline
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Clinical Characteristics: Affected Areas
Délai: At Baseline
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Affected areas (anogenital, nail, scalp, palmoplantar), in participants starting guselkumab treatment will be reported.
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At Baseline
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Clinical Characteristics: Prior and Baseline Treatments for Moderate to Severe Psoriasis
Délai: At Baseline
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Prior and baseline treatments for moderate-to-severe psoriasis, including start and stop dates (in years) in participants starting guselkumab treatment will be reported.
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At Baseline
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Number of Participants Switching from Ustekinumab or Biosimilars to Guselkumab
Délai: At Baseline
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Participants switching treatment and reason for switching treatment from Ustekinumab or biosimilars to Guselkumab will be reported.
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At Baseline
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Reason for Guselkumab Discontinuation
Délai: Up to Week 52
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Number of participants discontinuing guselkumab and reason for guselkumab discontinuation if happens during the study will be reported.
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Up to Week 52
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Number of Participants with Specific Psoriatic Comorbidities
Délai: At Baseline
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Specific psoriatic comorbidities at baseline will be reported.
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At Baseline
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Number of Participants with Adverse Events (AE)
Délai: Up to Week 52
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An AE is any untoward medical occurrence in a participant administered with a pharmaceutical product.
An AE does not necessarily have a causal relationship with the treatment.
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Up to Week 52
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Collaborateurs et enquêteurs
Parrainer
Parrainer
Les enquêteurs
Les enquêteurs
- Directeur d'études: Janssen-Cilag Kft. Clinical Trial, Janssen-Cilag Kft.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Début de l'étude
Achèvement primaire (Estimé)
Achèvement primaire
Achèvement de l'étude (Estimé)
Achèvement de l'étude
Dates d'inscription aux études
Première soumission
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Première publication
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour publiée
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
Autres numéros d'identification d'étude
- CNTO1959PSO4038 (Autre identifiant: Janssen Research & Development, LLC)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
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