A Study of Ustekinumab to Evaluate a "Subject-tailored" Maintenance Dosing Approach in Subjects With Moderate-to-Severe Plaque Psoriasis

NCT ID: NCT01550744

Last Updated: 2017-02-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

478 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2015-07-31

Brief Summary

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The purpose of the study is to assess the effect of extending maintenance dosing intervals beyond 12 weeks on the clinical efficacy and safety of ustekinumab in subjects with moderate-to-severe plaque psoriasis.

Detailed Description

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In this study, a proportion of subjects will receive study agent at its recommended dose and interval (45mg for subjects less than or equal to 100kg, or 90mg for subjects greater than 100kg; every 12 weeks after 2 starter doses at Weeks 0 and 4). The majority of subjects will have the opportunity to receive study agent less frequently during the randomization period depending on the subject's response. The study consists of a 4-week screening period; a 28-week open-label run-in period; a double-blind treatment period from Week 28 to Week 104; a 12 week post-treatment period; and a 20-week safety follow-up. Participants will be randomized for the double blind period into one of two study groups. Group 1 participants will receive an injection of the study medication at a 12 week dosing interval. Group 2 participants will undergo a placebo withdrawal and may receive study agents at an extended interval greater than 12 weeks. During the double-blind treatment period, subjects in Groups 1 and 2 will receive placebo as necessary to maintain the blind.

Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group 1: Approved q12w maintenance regimen

Active ustekinumab study agent q12 weeks with sham/placebo as necessary to maintain blind

Group Type EXPERIMENTAL

Ustekinumab 45 mg

Intervention Type DRUG

Form = Injection, route = subcutaneous

Ustekinumab 90 mg

Intervention Type DRUG

Form = Injection, route = subcutaneous

Placebo

Intervention Type DRUG

Form = Injection, route = subcutaneous

Group 2: Subject-tailored fixed-interval maintenance regimen

Subjects will undergo placebo withdrawal and will receive active study agent up to q24w intervals with sham/placebo injections to maintain the blind.

Group Type EXPERIMENTAL

Ustekinumab 45 mg

Intervention Type DRUG

Form = Injection, route = subcutaneous

Ustekinumab 90 mg

Intervention Type DRUG

Form = Injection, route = subcutaneous

Placebo

Intervention Type DRUG

Form = Injection, route = subcutaneous

Interventions

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Ustekinumab 45 mg

Form = Injection, route = subcutaneous

Intervention Type DRUG

Ustekinumab 90 mg

Form = Injection, route = subcutaneous

Intervention Type DRUG

Placebo

Form = Injection, route = subcutaneous

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Key Eligibility Criteria

* Male or female
* Have had a diagnosis of plaque-type psoriasis at least 6 months prior to the first administration of study agent (subjects with concurrent psoriatic arthritis may be enrolled).
* Have plaque-type psoriasis covering at least 10% of their total BSA at screening and at the time of the first administration of study agent.
* Have a PGA score of ≥ 3 at screening and at the time of the first administration of study agent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Biotech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Biotech, Inc. Clinical Trial

Role: STUDY_DIRECTOR

Janssen Biotech, Inc.

Locations

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Birmingham, Alabama, United States

Site Status

Bakersfield, California, United States

Site Status

Irvine, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Santa Monica, California, United States

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Denver, Colorado, United States

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Bridgeport, Connecticut, United States

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Coral Gables, Florida, United States

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Saint Augustine, Florida, United States

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Tampa, Florida, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Plainfield, Indiana, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Boston, Massachusetts, United States

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Troy, Michigan, United States

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Fridley, Minnesota, United States

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St Louis, Missouri, United States

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Henderson, Nevada, United States

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Lebanon, New Hampshire, United States

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East Windsor, New Jersey, United States

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New York, New York, United States

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The Bronx, New York, United States

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Williamsville, New York, United States

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Gahanna, Ohio, United States

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Norman, Oklahoma, United States

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Portland, Oregon, United States

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Pittsburgh, Pennsylvania, United States

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Yardley, Pennsylvania, United States

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Johnston, Rhode Island, United States

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Nashville, Tennessee, United States

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Arlington, Texas, United States

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Dallas, Texas, United States

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Salt Lake City, Utah, United States

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Norfolk, Virginia, United States

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Spokane, Washington, United States

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Clarksburg, West Virginia, United States

Site Status

Countries

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United States

References

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Loesche MA, Farahi K, Capone K, Fakharzadeh S, Blauvelt A, Duffin KC, DePrimo SE, Munoz-Elias EJ, Brodmerkel C, Dasgupta B, Chevrier M, Smith K, Horwinski J, Tyldsley A, Grice EA. Longitudinal Study of the Psoriasis-Associated Skin Microbiome during Therapy with Ustekinumab in a Randomized Phase 3b Clinical Trial. J Invest Dermatol. 2018 Sep;138(9):1973-1981. doi: 10.1016/j.jid.2018.03.1501. Epub 2018 Mar 17.

Reference Type DERIVED
PMID: 29559344 (View on PubMed)

Blauvelt A, Ferris LK, Yamauchi PS, Qureshi A, Leonardi CL, Farahi K, Fakharzadeh S, Hsu MC, Li S, Chevrier M, Smith K, Goyal K, Chen Y, Munoz-Elias EJ, Callis Duffin K. Extension of ustekinumab maintenance dosing interval in moderate-to-severe psoriasis: results of a phase IIIb, randomized, double-blinded, active-controlled, multicentre study (PSTELLAR). Br J Dermatol. 2017 Dec;177(6):1552-1561. doi: 10.1111/bjd.15722. Epub 2017 Nov 16.

Reference Type DERIVED
PMID: 28600818 (View on PubMed)

Other Identifiers

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CNTO1275PSO3009

Identifier Type: OTHER

Identifier Source: secondary_id

CR100708

Identifier Type: -

Identifier Source: org_study_id

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