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Une étude de JNJ-77242113 pour le traitement des participants atteints de psoriasis en plaques impliquant des zones spéciales (cuir chevelu, organes génitaux et/ou paumes des mains et plante des pieds) (ICONIC-TOTAL)

27 août 2026 mis à jour par: Janssen Research & Development, LLC

Une étude de phase 3 multicentrique, randomisée, en double aveugle, contrôlée par placebo pour évaluer l'efficacité et l'innocuité du JNJ-77242113 pour le traitement des participants atteints de psoriasis en plaques impliquant des zones spéciales

Le but de l'étude est de voir l'efficacité du JNJ-77242113 chez les participants atteints de psoriasis en plaques affectant des zones spéciales (cuir chevelu, organes génitaux et/ou paumes des mains et plante des pieds).

Aperçu de l'étude

Statut

Actif, ne recrute pas

Les conditions

Type d'étude

Interventionnel

Inscription (Réel)

311

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

      • Berlin, Allemagne, 10789
        • ISA - Interdisciplinary Study Association GmbH
      • Berlin, Allemagne, 13627
        • CRS Clinical Research Services Berlin GMBH
      • Bochum, Allemagne, 44793
        • Niesmann & Othlinghaus GbR
      • Darmstadt, Allemagne, 64283
        • Rosenpark Research GmbH
      • Dresden, Allemagne, 01307
        • Medizinische Fakultaet Carl Gustav Carus Technische Universitaet Dresden
      • Frankfurt am Main, Allemagne, 60590
        • Universitaetsklinikum Frankfurt
      • Hamburg, Allemagne, 20354
        • Dermatologikum Hamburg Gmbh
      • Schwerin, Allemagne, 19055
        • Klinische Forschung Schwerin GmbH
      • Witten, Allemagne, 58453
        • Hautarztpraxis 2
      • Buenos Aires, Argentine, C1417EYG
        • Centro Privado de Medicina Familiar
      • Buenos Aires, Argentine, C1061AAS
        • CIPREC
      • CABA, Argentine, C1012AAY
        • CONEXA Investigacion Clinica S.A.
      • Caba, Argentine, C1060ABN
        • CEDIC Centro de Investigación Clínica
    • Alberta
      • Edmonton, Alberta, Canada, T6G 1C3
        • Alberta Dermasurgery Centre
    • Ontario
      • Markham, Ontario, Canada, L3P 1X3
        • Lynderm Research Inc.
      • Peterborough, Ontario, Canada, K9J 5K2
        • SKiN Centre for Dermatology
      • Richmond Hill, Ontario, Canada, L4B1L1
        • York Dermatology Clinic and Research Centre
    • Quebec
      • Montreal, Quebec, Canada, H2X 2V1
        • Innovaderm Research Inc.
      • Québec, Quebec, Canada, G1V 4X7
        • Centre Dermatologique
    • Saskatchewan
      • Saskatoon, Saskatchewan, Canada, S7K 2C1
        • Skinsense Medical Research
      • Busan, Corée du Sud, 49241
        • Pusan National University Hospital
      • Seongnam-si, Corée du Sud, 13620
        • Seoul National University Bundang Hospital
      • Seoul, Corée du Sud, 03080
        • Seoul National University Hospital
      • Seoul, Corée du Sud, 08308
        • Korea University Guro Hospital
      • Seoul, Corée du Sud, 05030
        • Konkuk University Medical Center
      • Badalona, Espagne, 08916
        • Hosp. Univ. Germans Trias I Pujol
      • Barcelona, Espagne, 08003
        • Hosp. Del Mar
      • Esplugues de Llobregat, Espagne, 08950
        • Hosp. Sant Joan de Deu
      • Granada, Espagne, 18016
        • Hosp. Univ. San Cecilio
      • Madrid, Espagne, 28041
        • Hosp. Univ. 12 de Octubre
      • Manises, Espagne, 46940
        • Hosp. de Manises
      • Seville, Espagne, 41009
        • Hosp. Virgen Macarena
      • Valencia, Espagne, 46026
        • Hosp. Univ. I Politecni La Fe
      • Borgyogyaszati Klinika, Hongrie, 7632
        • Pecsi Tudomanyegyetem
      • Budapest, Hongrie, 1036
        • Obudai Egeszsegugyi Centrum Kft
      • Debrecen, Hongrie, 4031
        • Derma-B Kft
      • Szeged, Hongrie, 6720
        • SZTE AOK Szent-Gyorgyi Albert Klinikai Kozpont, Borgyogyaszati és Allergologiai Klinika
      • Szolnok, Hongrie, 5000
        • Allergo-Derm Bakos Kft.
      • Veszprém, Hongrie, 8200
        • Medmare Egeszsegugyi Es Szolgaltato Bt.
      • Bialystok, Pologne, 15-351
        • Osteo-Medic s.c A. Racewicz, J Supronik
      • Bialystok, Pologne, 15-375
        • Specderm Poznanska sp j
      • Krakow, Pologne, 31-411
        • Centrum Medyczne PROMED
      • Krakow, Pologne, 30 438
        • Centrum Medyczne dr Rajzer Sp z o o
      • Krakow, Pologne, 30-002
        • Specjalistyczny gabinet dermatologiczny Aplikacyjno Badawczy Marek Brzewski Pawel Brzewski Spolka Cywilna
      • Lodz, Pologne, 90-265
        • Dermed Centrum Medyczne Sp z o o
      • Osielsko, Pologne, 86031
        • Dermodent Centrum Medyczne Aldona Czajkowska Rafal Czajkowski S C
      • Poznan, Pologne, 61 731
        • Clinical Research Center sp z o o MEDIC R s k
      • Poznan, Pologne, 60 529
        • SOLUMED Centrum Medyczne
      • Warsaw, Pologne, 02 953
        • Klinika Ambroziak Dermatologia
      • Warsaw, Pologne, 01 817
        • Dorota Bystrzanowska High-Med. Przychodnia Specjalistyczna
      • Wroclaw, Pologne, 52 416
        • Centrum Medyczne Oporow
      • Wroclaw, Pologne, 51 685
        • Wro Medica
      • Harrow, Royaume-Uni, HA1 3UJ
        • London North West University Healthcare NHS Trust
      • Salford, Royaume-Uni, M6 8HD
        • Salford Royal Hospital
      • Southampton, Royaume-Uni, SO16 6YD
        • University Hospital Southampton NHS Foundation Trust
      • Hsinchu, Taïwan, 30059
        • National Taiwan University Hospital Hsin Chu Branch
      • Kaohsiung City, Taïwan, 83301
        • Kaohsiung Chang Gung Memorial Hospital
      • Taipei, Taïwan, 10048
        • National Taiwan University Hospital
      • Taoyuan, Taïwan, 33382
        • Linkou Chang Gung Memorial Hospital
      • Konya, Turquie (Türkiye), 42080
        • Necmettin Erbakan University Meram Medical Faculty
      • Samsun, Turquie (Türkiye), 55270
        • Ondokuz Mayis University
      • Trabzon, Turquie (Türkiye), 61080
        • Karadeniz Teknik University Medical Faculty
    • Arizona
      • Scottsdale, Arizona, États-Unis, 85260
        • Center for Dermatology and Plastic Surgery
    • Arkansas
      • Fort Smith, Arkansas, États-Unis, 72916
        • Johnson Dermatology
    • California
      • Encinitas, California, États-Unis, 92024
        • California Dermatology & Clinical Research Institute
    • Florida
      • Tampa, Florida, États-Unis, 33613
        • Forcare Clinical Research Inc
    • Georgia
      • Alpharetta, Georgia, États-Unis, 30022
        • Hamilton Research LLC
    • Illinois
      • Rolling Meadows, Illinois, États-Unis, 60008
        • Arlington Dermatology
      • West Dundee, Illinois, États-Unis, 60118
        • Dundee Dermatology
    • Indiana
      • Indianapolis, Indiana, États-Unis, 46250
        • Dawes Fretzin Clinical Research Group LLC
      • Plainfield, Indiana, États-Unis, 46168
        • Indiana Clinical Trial Center
    • Louisiana
      • Lake Charles, Louisiana, États-Unis, 70605
        • Dermatology and Advanced Aesthetics
    • Massachusetts
      • Beverly, Massachusetts, États-Unis, 01915
        • Allcutis Research 1
    • Michigan
      • Fort Gratiot, Michigan, États-Unis, 48059
        • Hamzavi Dermatology
    • Minnesota
      • New Brighton, Minnesota, États-Unis, 55112
        • Minnesota Clinical Study Center
    • Missouri
      • Saint Joseph, Missouri, États-Unis, 64506
        • MediSearch Clinical Trials
    • Nebraska
      • Omaha, Nebraska, États-Unis, 68144
        • Skin Specialists
    • New Jersey
      • East Windsor, New Jersey, États-Unis, 08520
        • Schweiger Dermatology Group
    • Ohio
      • Boardman, Ohio, États-Unis, 44512
        • Optima Research
    • Oregon
      • Portland, Oregon, États-Unis, 97210
        • Oregon Dermatology and Research Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, États-Unis, 19103
        • Paddington Testing Co, Inc.
      • Pittsburgh, Pennsylvania, États-Unis, 15213
        • University of Pittsburgh Medical Center
    • Texas
      • Arlington, Texas, États-Unis, 76011
        • Arlington Research Center, inc.
      • Houston, Texas, États-Unis, 77004
        • Center for Clinical Studies 1
      • Pflugerville, Texas, États-Unis, 78660
        • Austin Institute for Clinical Research
      • San Antonio, Texas, États-Unis, 78229
        • Dermatology Clinical Research Center of San Antonio
      • San Antonio, Texas, États-Unis, 78213
        • Progressive Clinical Research
      • Webster, Texas, États-Unis, 77598
        • Center for Clinical Studies
    • Utah
      • Bountiful, Utah, États-Unis, 84010
        • Cope Family Medicine - Ogden Clinic
    • Washington
      • Mill Creek, Washington, États-Unis, 98012
        • Frontier Derm Partners CRO, LLC

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

Critère d'intégration:

  • Diagnostic du psoriasis en plaques, avec ou sans rhumatisme psoriasique (RP), au moins 26 semaines avant la première administration de l'intervention de l'étude
  • Candidat à la photothérapie ou au traitement systémique du psoriasis en plaques
  • Nécessité de répondre aux critères : Surface corporelle totale (BSA) supérieure ou égale à (>=) 1 pour cent (%) au moment de la sélection et au départ, et évaluation globale de l'investigateur (IGA) (globale) >= 2 au moment du dépistage et au départ et à au moins un des éléments suivants : score d'évaluation globale de l'investigateur spécifique au cuir chevelu (ss-IGA) >=3 au moment de la sélection et de référence, et/ou évaluation globale statique des organes génitaux par le médecin (sPGA-G) >=3 au moment de la sélection et de référence, et/ou ou score d'évaluation globale des mains et des pieds (hf-PGA) par le médecin > = 3 au moment du dépistage et de l'inclusion.
  • Échec de réponse à au moins un traitement topique (par exemple, corticostéroïdes, inhibiteurs de la calcineurine et/ou analogues de la vitamine D) utilisé pour le traitement du psoriasis
  • Confirmation du psoriasis en plaques dans une zone non spéciale (par exemple, zones excluant le cuir chevelu, les organes génitaux et palmoplantaires) au moment du dépistage et de l'inclusion

Critère d'exclusion:

  • Forme de psoriasis sans plaques (par exemple, érythrodermique, en gouttes ou pustuleux)
  • Dermatoses autres que le psoriasis en plaques (telles que la dermatite de contact) ou la pustulose palmoplantaire de la zone palmoplantaire (si hf-PGA >=3 au départ)
  • Psoriasis actuel d'origine médicamenteuse (par exemple, une nouvelle apparition de psoriasis ou une exacerbation du psoriasis due aux bêtabloquants, aux inhibiteurs calciques ou au lithium)
  • Un diagnostic actuel ou des signes ou symptômes de troubles rénaux, hépatiques, cardiaques, vasculaires, pulmonaires, gastro-intestinaux, endocriniens, neurologiques, hématologiques, rhumatologiques, psychiatriques ou métaboliques graves, progressifs ou incontrôlés.
  • Allergies, hypersensibilité ou intolérance connues au JNJ-77242113 ou à ses excipients

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Double

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: JNJ-77242113
Les participants recevront le JNJ-77242113 de la semaine 0 à la semaine 156.
JNJ-77242113 sera administré par voie orale.
Comparateur placebo: Placebo
Les participants recevront un placebo de la semaine 0 à la semaine 16, puis recevront JNJ-77242113 de la semaine 16 à la semaine 156.
Le placebo sera administré par voie orale.
JNJ-77242113 sera administré par voie orale.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of 0 or 1 and a Greater Than or Equal to (>=) 2-Grade Improvement From Baseline at Week 16
Délai: Week 16
IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema, scaling, each using 5 point scale. Induration:0=no evidence of plaque elevation, 1=minimal plaque elevation,=0.25 millimeters(mm); 2=mild plaque elevation,=0.5 mm; 3=moderate plaque elevation,=0.75 mm; 4=severe plaque elevation,>1 mm; Erythema: 0=no evidence of erythema, hyperpigmentation may be present, 1=faint erythema, 2=light red coloration, 3=moderate red coloration, 4=bright red coloration; Scaling: 0=no evidence of scaling, 1=minimal; occasional fine scale over less than 5% of lesion, 2=mild; fine scale dominates, 3=moderate; coarse scale predominates, 4=severe; thick, scale predominates. Final IGA score was based upon average of induration, erythema and scaling scores assessed on 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe(4). Higher score=more severe disease. Baseline=closest measurement taken prior to or at time of first study drug administration date.
Week 16

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Changement par rapport à la valeur initiale du score PASI total à la semaine 16
Délai: Baseline (Semaine 0), Semaine 16
Le changement par rapport à la valeur de référence du score total PASI à la semaine 16 a été rapporté. Le PASI était un système utilisé pour évaluer et classer la gravité des lésions psoriasiques et leur réponse au traitement. Dans le système PASI, le corps était divisé en 4 régions : la tête, le tronc, les membres supérieurs et les membres inférieurs. Chacune de ces zones était évaluée et notée séparément pour l'érythème, l'induration et la desquamation, qui étaient chacune notées sur une échelle de 0 à 4 (0 = aucune, 1 = légère, 2 = modérée, 3 = sévère et 4 = très sévère) et l'étendue de l'atteinte de 0 (indiquait aucune atteinte) à 6 (90 % - 100 % d'atteinte). Le PASI produisait un score total numérique qui pouvait aller de 0 (pas de psoriasis) à 72 (psoriasis maximum). Un score plus élevé indiquait une plus grande sévérité du psoriasis. La valeur de référence était définie comme la mesure la plus proche prise avant ou à la date de la première administration du médicament de l'étude.
Baseline (Semaine 0), Semaine 16
Change From Baseline in Body Surface Area (BSA) at Week 16
Délai: Baseline (Week 0), Week 16
A BSA was commonly used measure of severity of skin disease. It was defined as the percentage of surface area of the body involved with the condition being assessed, (that is, plaque psoriasis). BSA was assessed using hand print method where the surface area of the participant's hand including the palm and all 5 digits was used as a guide to estimate 1% BSA. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Percent Change From Baseline in PASI Total Score at Week 16
Délai: Baseline (Week 0), Week 16
Percent change from baseline in PASI total score at Week 16 was reported. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed and scored separately for erythema, induration, and scaling, which were each rated on a scale of 0 to 4 (0=none, 1 = slight, 2 = moderate, 3 = severe and 4 = very severe) and extent of involvement from 0 (indicated no involvement) to 6 (90% - 100% involvement). The PASI produced a numeric total score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated greater severity of psoriasis. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Percentage of Participants Who Achieved Dermatological Life Quality Index (DLQI) Score of 0 or 1 at Week 16 Among Participants With a Baseline DLQI Score >1
Délai: Week 16
The DLQI was a dermatology specific health-related quality of life (HRQoL) instrument designed to assess the impact of the disease on a participant's HRQoL. It was a 10-item questionnaire that assesses HRQoL over the past week and in addition to evaluating overall HRQoL, could be used to assess 6 different aspects that may affect quality of life: symptoms and feelings, daily activities, leisure, work or school performance, personal relationships, and treatment. Each question was scored on a 4-point scale of 0 to 3 (0 = not at all, 1 = a little; 2 = a lot; or 3 = very much, where higher score indicated more impact on QoL). The total score was sum of scores from all 10 questions and it ranged from 0 (not at all) to 30 (very much), with a higher score indicating greater impact on HRQoL. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percent Change From Baseline in Modified Nail Psoriasis Severity Index (mNAPSI) Score at Week 16 Among Participants With a Baseline mNAPSI Score >0
Délai: Baseline (Week 0), Week 16
Percent change from baseline in mNAPSI score at week 16 was reported. The mNAPSI was an index used for assessing and grading the severity of nail psoriasis. Each of the participant's ten fingernails were evaluated on 7 features. The first three features were each scored from 0 to 3 in severity and were 1 = onycholysis and oil-drop dyschromia, 2 = pitting, and 3 = nail plate crumbling. Next four features was each scored 0 absent or 1 present, and are (1) leukonychia, (2) splinter hemorrhages (3) nail bed hyperkeratosis, and (4) red spots in lunula. Each fingernail was rated for the presence and severity of seven features to give a total fingernail score of 0-13 (0= no involvement, 13 = greatest involvement). Total mNAPSI score is the sum of the 10 fingernail scores (range 0-130; 0= no involvement, 130= greatest involvement). Higher the score the more severe the nail bed psoriasis. Baseline = closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Change From Baseline in PSSD Sign Score at Week 16
Délai: Baseline (Week 0), Week 16
Change from baseline in PSSD sign score at Week 16 was reported. PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. Each individual item score over seven days was averaged into a weekly item score. Sign score was derived by averaging the 6 weekly sign item scores when at least 3 items are available (>=50% of 6 items). Average score was then multiplied by 10 to convert into 0-100 scoring (0-least severe, 100-most severe). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Change From Baseline in Domain Scores of the Patient Reported Outcomes Measurement Information System-29 (PROMIS-29) Score at Week 16
Délai: Baseline (Week 0), Week 16
PROMIS-29, 29-item generic HRQoL survey, assesses each 7 PROMIS domains (depression; anxiety; physical function; pain interference; fatigue; sleep disturbance; ability to participate in social roles and activities) with 4 questions and pain intensity. Questions ranked on 5-point Likert Scale (1=never, 2=rarely, 3=sometimes, 4=often and 5=always). Pain intensity was rated on 11-point scale (0=no pain; 10=worst imaginable pain). Higher score= worst pain. Each domain included 4 items, plus a single pain intensity item totaling 29 items. Raw score of each PROMIS domain was converted into a standardized score with mean of 50; standard deviation (SD) of 10 (T-Score). Higher PROMIS T-score=more of concept being measured i.e. higher scores in anxiety, depression, fatigue, pain interference, sleep disturbance= worse symptoms, higher scores in physical function, social roles= better functioning. Baseline: closest measurement taken prior to/at the time of first study drug administration date.
Baseline (Week 0), Week 16
Number of Participants With Adverse Events (AEs)
Délai: From Week 0 to Week 160
From Week 0 to Week 160
Number of Participants With Serious Adverse Events (SAEs)
Délai: From Week 0 to Week 160
From Week 0 to Week 160
Percentage of Participants Who Achieved a Scalp Specific (ss)-IGA Score of 0 or 1 at Week 16 Among Participants With a Baseline Ss-IGA Score >=3
Délai: Week 16
The ss-IGA instrument was used to evaluate the disease severity of scalp psoriasis. The lesions were assessed in terms of the clinical signs of redness, thickness, and scaliness which was scored as: absence of disease = 0, very mild disease = 1, mild disease = 2, moderate disease = 3, and severe disease = 4. A higher score indicated more severe disease. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Psoriasis Scalp Severity Index (PSSI) 90 at Week 16 Among Participants With a Baseline Ss-IGA Score >=3
Délai: Week 16
PSSI 90 response is defined as a percentage of participants who achieved at least 90% improvement from baseline in the PSSI score. PSSI is a physician assessment of erythema, induration and desquamation and percent of scalp that is covered with a scores range from 0 (none) to 4 (very severe). The composite score is derived from the sum of scores for erythema, induration, and desquamation multiplied by the score recorded for the extent of the scalp area involved, 1 (<10%) to 6 (90%-100%) with a total score ranging from 0 (less severity) to 72 (more severity). Higher scores indicating more severe symptoms. Baseline=closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Static Physician's Global Assessment of Genitalia (sPGA-G) Score of 0 or 1 at Week 16 Among Participants With a Baseline sPGA Score >=3
Délai: Week 16
The sPGA-G was a 6-point scale to assess the severity of genital psoriasis at a given time point. The sPGA-G evaluates erythema, plaque elevation, and scale of genital psoriatic lesions. The severity of genital psoriasis was assessed as clear (0), minimal (1), mild (2), moderate (3), severe (4), and very severe (5). Higher score indicates more severity. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Physician's Global Assessment of Hands and Feet (Hf-PGA) Score of 0 or 1 at Week 16 Among Participants With a Baseline Hf-PGA Score >=3
Délai: Week 16
The hf-PGA assesses the severity of hand and foot psoriasis using a 5-point scale to score the plaques on the hands and feet. hf-PFA was categorized from 0 to 4 where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher score indicates more severity. Meeting the hf-PGA 0 or 1 criteria defined as having an hf-PGA score of clear (0) or almost clear (1) among participants. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved an IGA Score of 0 at Week 16
Délai: Week 16
The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 point scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, >1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Week 16
Percentage of Participants Who Achieved Psoriasis Symptom and Signs Diary (PSSD) Symptom Score of 0 at Week 16 Among Participants With a Baseline PSSD Symptom Score >0
Délai: Week 16
PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. Each individual item score over seven days was averaged into a weekly item score. Symptom score was derived by averaging the 5 weekly symptom item scores when at least 3 items are available (>=50% of 5 items). Average score was then multiplied by 10 to convert into 0-100 scoring (0-least severe, 100-most severe). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved >=4-Point Improvement From Baseline in PSSD Itch Score at Week 16 Among Participants With a Baseline PSSD Itch Score >=4
Délai: Week 16
PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was a self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. PSSD itch item score over seven days was averaged into a weekly itch score, ranging from 0 to 10 with higher scores indicating severe disease. Baseline=closest measurement taken prior to or at time of first study drug administration date.
Week 16
Percentage of Participants Who Achieved Genital Psoriasis Sexual Frequency Questionnaire (GenPs-SFQ) Item 2 Score of 0 or 1 at Week 16 Among Participants With a Baseline sPGA-G Score >=3 and a Baseline GenPs-SFQ Item 2 Score >=2
Délai: Week 16
The GenPs-SFQ was a 2-item participant-reported instrument used to assess the impact of genital psoriasis on the frequency of sexual activity in the last 7 days. Item 1 assesses overall frequency of sexual activity in the last 7 days (none/zero, once, or 2 or more times), and item 2 assesses how frequently genital psoriasis symptoms have limited the frequency of sexual activity in the last 7 days (0 = never, 1 = rarely, 2 = sometimes, 3 = often, or 4 = always). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date. Lower scores of item 2 indicated less limitation of sexual activity due to genital psoriasis.
Week 16
Percentage of Participants Who Achieved >=4-Point Improvement From Baseline in Scalp Itch Numeric Rating Scale (NRS) Score at Week 16 Among Participants With a Baseline Ss-IGA Score >=3 and a Baseline Scalp Itch NRS Score >=4
Délai: Week 16
The Scalp Itch NRS is a single item instrument that evaluates the severity of scalp itch in adult and adolescent populations over the past 24 hours. The instrument uses an NRS score ranging from 0 (no scalp itch) to 10 (worst scalp itch imaginable), with higher scores indicative of greater symptom severity. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved >=4-Point Improvement From Baseline in Genital Psoriasis Symptoms Score (GPSS) Genital Itch NRS Score at Week 16 Among Participants With a Baseline sPGA-G Score >=3 and a Baseline GPSS Genital Itch NRS Score >=4
Délai: Week 16
The GPSS is a participant-administered assessment of 8 symptoms: itch, pain, discomfort, stinging, burning, redness, scaling, and cracking. Each respondent is asked to answer the questions based on the psoriasis symptoms in his or her genital area. The overall severity for each individual genital psoriasis symptom is indicated by selecting the number from an NRS of 0 to 10 that best describes the worst level of each symptom in the genital area in the past 24 hours, ranging from 0 (no severity) to 10 (worst imaginable severity). Higher scores indicate greater itch intensity. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 90 at Week 16
Délai: Week 16
Percentage of participants who achieved PASI-90 score (>=90% improvement from baseline in PASI) at Week 16 was reported. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed and scored separately for erythema, induration, and scaling, which were each rated on a scale of 0 to 4 (0 = none, 1 = slight, 2 = moderate, 3 = severe and 4 = very severe) and extent of involvement from 0 (indicated no involvement) to 6 (90% - 100% involvement). The PASI produced a numeric total score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated greater severity of psoriasis. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved PASI 75 at Week 16
Délai: Week 16
Percentage of participants who achieved PASI-75 score (>=75% improvement from baseline in PASI) at Week 16 was reported. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed and scored separately for erythema, induration, and scaling, which were each rated on a scale of 0 to 4 (0 = none, 1 = slight, 2 = moderate, 3 = severe and 4 = very severe) and extent of involvement from 0 (indicated no involvement) to 6 (90% - 100% involvement). The PASI produced a numeric total score that could range from 0 (no psoriasis) to 72 (maximum psoriasis). Higher score indicated greater severity of psoriasis. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Fingernail Physician's Global Assessment (fPGA) Score of 0 or 1 at Week 16 Among Participants With a Baseline f-PGA Score >=2
Délai: Week 16
Percentage of participants who achieved f-PGA score of 0 or 1 at Week 16 was reported. f-PGA 0 or 1 criteria was defined as an f-PGA score of clear (0) or minimal (1). The f-PGA is a 5-point scale used to assess fingernails separately for nail bed signs and nail matrix signs of disease. A global score of between 0 indicating clear, and 4 indicating severe. The overall condition of the fingernails is rated on a 5-point scale: 0 = clear, 1 = minimal, 2 = mild, 3 = moderate, and 4 = severe. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved PSSD Symptoms Score of 0 at Week 8 Among Participants With a Baseline PSSD Symptom Score >0
Délai: Week 8
PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. Each individual item score over seven days was averaged into a weekly item score. Symptom score was derived by averaging the 5 weekly symptom item scores when at least 3 items are available (>=50% of 5 items). Average score was then multiplied by 10 to convert into 0-100 scoring (0-least severe, 100-most severe). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 8
Change From Baseline in PSSD Symptoms Score at Week 16
Délai: Baseline (Week 0), Week 16
Change from baseline in PSSD symptoms scores at Week 16 was reported. PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. Each individual item score over seven days was averaged into a weekly item score. Symptom score was derived by averaging the 5 weekly symptom item scores when at least 3 items are available (>=50% of 5 items). Average score was then multiplied by 10 to convert into 0-100 scoring (0-least severe, 100-most severe). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Percentage of Participants Achieving >=4-Point Improvement From Baseline in PSSD Itch Score at Week 4 Among Participants With a Baseline Itch Score >=4
Délai: Week 4
PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was a self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. PSSD itch item score over seven days was averaged into a weekly itch score, ranging from 0 to 10 with higher scores indicating severe disease. Baseline=closest measurement taken prior to or at time of first study drug administration date.
Week 4
Percentage of Participants Who Achieved PSSD Sign Score of 0 at Week 16 Among Participants With a Baseline PSSD Sign Score >0
Délai: Week 16
PSSD was a PRO questionnaire designed to measure severity of psoriasis symptoms and signs for assessment of treatment benefit. 24-hour recall version was used. PSSD was self-administered PRO instrument that included 11 items covering symptoms (itch, pain, stinging, burning and skin tightness) and participant observable signs (skin dryness, cracking, scaling, shedding or flaking, redness and bleeding) using 0 to 10 numerical rating scales for severity. Each individual item score over seven days was averaged into a weekly item score. Sign score was derived by averaging the 6 weekly sign item scores when at least 3 items are available (>=50% of 6 items). Average score was then multiplied by 10 to convert into 0-100 scoring (0-least severe, 100-most severe). The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Percentage of Participants Who Achieved Children's Dermatological Life Quality Index (CDLQI) Score of 0 or 1 at Week 16 Among Adolescent Participants With a Baseline CDLQI Score >1
Délai: Week 16
The CDLQI was an adapted version of the DLQI for the pediatric population and was utilized in the adolescent population in this study. The CDLQI is a 10-item instrument that has 4 item response options and a recall period of 1 week. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of questions 1-10 and ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children. The instrument is designed for use in children, is self-explanatory and can be simply handed to the participant who asked to fill it in with the help of the child's parent or caregiver. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Week 16
Change From Baseline in Domain Scores of the PROMIS-25 Pediatric Score at Week 16
Délai: Baseline (Week 0), Week 16
The PROMIS-25 was utilized in the adolescent population and is a 25-item generic HRQoL survey. Six PROMIS domains (physical function mobility, anxiety, depressive symptoms, fatigue, peer relationships, pain interference) are each assessed with 4 questions. Questions ranked on 5-point Likert Scale (1=never, 2=rarely, 3=sometimes, 4=often, 5=always). Higher score=worst pain. Raw scores for each domain were converted to T-scores using standardized score with a mean of 50 and a standard deviation (SD) of 10 with an observed range 20 to 80. For anxiety, depressive symptoms, fatigue, and pain interference, a negative change indicates an improvement while for physical function mobility and peer relationships, a positive change indicates an improvement. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Change From Baseline in Palmoplantar Quality of Life Instrument (ppQLI) Hands Score at Week 16 Among Participants With a Baseline Hf-PGA Score >=3
Délai: Baseline (Week 0), Week 16
The ppQLI assesses impact on patient quality of life due to palmoplantar psoriasis over the past month in adult and adolescent populations. Sixteen items evaluate hand functionality, pain, and social impact due to psoriasis. Fourteen items evaluate foot functionality, pain, and physical limitations due to psoriasis. All items use verbal rating scales ranging from 1 to 5. The ppQLI yields a score for hands, ranging from 16 to 80, and a score for feet, ranging from 14 to 70. Higher score indicating more severe disease. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Change From Baseline in ppQLI Feet Score at Week 16 Among Participants With a Baseline Hf-PGA Score >=3
Délai: Baseline (Week 0), Week 16
The ppQLI assesses impact on patient quality of life due to palmoplantar psoriasis over the past month in adult and adolescent populations. Sixteen items evaluate hand functionality, pain, and social impact due to psoriasis. Fourteen items evaluate foot functionality, pain, and physical limitations due to psoriasis. All items use verbal rating scales ranging from 1 to 5. The ppQLI yields a score for hands, ranging from 16 to 80, and a score for feet, ranging from 14 to 70. Higher score indicating more severe disease. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16
Change From Baseline in Genital Psoriasis Symptoms Score (GPSS) Total Score at Week 16 Among Participants With a Baseline sPGA-G Score >=3
Délai: Baseline (Week 0), Week 16
The GPSS was a participant-administered assessment of 8 symptoms: itch, pain, discomfort, stinging, burning, redness, scaling, and cracking. Each respondent was asked to answer the questions based on the psoriasis symptoms in his or her genital area. The overall severity for each individual genital psoriasis symptom was indicated by selecting the number from an NRS of 0 to 10 that best describes the worst level of each symptom in the genital area in the past 24 hours, ranging from 0 (no severity) to 10 (worst imaginable severity). Results from each symptom assessment were summed to generate a total GPSS score ranging from 0 (no genital psoriasis symptoms) to 80 (worst imaginable genital psoriasis symptoms). A negative change from baseline indicates an improvement in genital psoriasis symptoms. The baseline was defined as the closest measurement taken prior to or at the time of the first study drug administration date.
Baseline (Week 0), Week 16

Collaborateurs et enquêteurs

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Les enquêteurs

  • Directeur d'études: Janssen Research &Development, LLC Clinical trial, Janssen Research & Development, LLC

Publications et liens utiles

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Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

12 octobre 2023

Achèvement primaire (Réel)

19 juin 2024

Achèvement de l'étude (Estimé)

17 février 2027

Dates d'inscription aux études

Première soumission

18 octobre 2023

Première soumission répondant aux critères de contrôle qualité

18 octobre 2023

Première publication (Réel)

23 octobre 2023

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

28 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

27 août 2026

Dernière vérification

1 août 2026

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • 77242113PSO3003 (Autre identifiant: Janssen Research & Development, LLC)

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Description du régime IPD

La politique de partage de données des sociétés pharmaceutiques Janssen de Johnson & Johnson est disponible sur www.janssen.com/clinical-trials/transparency. Comme indiqué sur ce site, les demandes d'accès aux données de l'étude peuvent être soumises via le site du projet Yale Open Data Access (YODA) à l'adresse yoda.yale.edu.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Oui

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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