Trial Outcomes & Findings for An Efficacy, Safety, and Pharmacokinetics Study of Subcutaneously Administered Ustekinumab in the Treatment of Moderate to Severe Chronic Plaque Psoriasis in Pediatric Participants Greater Than or Equal to 6 to Less Than 12 Years of Age (NCT NCT02698475)

NCT ID: NCT02698475

Last Updated: 2021-11-01

Results Overview

The PGA is used to determine the participant's psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), marked (4), or severe (5). Higher scores indicate worse disease. Treatment Failure (TF) criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

44 participants

Primary outcome timeframe

Week 12

Results posted on

2021-11-01

Participant Flow

Participant milestones

Participant milestones
Measure
Ustekinumab Standard Dosage
Participants received ustekinumab standard weight-based dose at Weeks 0 and 4 followed by every 12 weeks (q12w) dosing up to Week 40. Ustekinumab was administered as subcutaneous (SC) injections of 0.75 milligrams per kilogram (mg/kg) for participants with weight less than (\<) 60 kilograms (kg), 45 mg for participants with weight greater than or equal to (\>=) 60 kg to less than or equal to (\<=) 100 kg, and 90 mg for participants with weight \> 100 kg. Participants had a safety follow-up till Week 56 (Main study period). During long-term extension (LTE) period, participants who had a beneficial response from ustekinumab treatment continued receiving ustekinumab weight based dose in a q12w regimen from Week 56 onwards until commercially available or marketing authorization being denied or up to Week 264.
Main Study Period
STARTED
44
Main Study Period
COMPLETED
41
Main Study Period
NOT COMPLETED
3
Long-Term Extension Period
STARTED
28
Long-Term Extension Period
COMPLETED
0
Long-Term Extension Period
NOT COMPLETED
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Ustekinumab Standard Dosage
Participants received ustekinumab standard weight-based dose at Weeks 0 and 4 followed by every 12 weeks (q12w) dosing up to Week 40. Ustekinumab was administered as subcutaneous (SC) injections of 0.75 milligrams per kilogram (mg/kg) for participants with weight less than (\<) 60 kilograms (kg), 45 mg for participants with weight greater than or equal to (\>=) 60 kg to less than or equal to (\<=) 100 kg, and 90 mg for participants with weight \> 100 kg. Participants had a safety follow-up till Week 56 (Main study period). During long-term extension (LTE) period, participants who had a beneficial response from ustekinumab treatment continued receiving ustekinumab weight based dose in a q12w regimen from Week 56 onwards until commercially available or marketing authorization being denied or up to Week 264.
Main Study Period
Lack of Efficacy
1
Main Study Period
Protocol Violation
2
Long-Term Extension Period
Lost to Follow-up
1
Long-Term Extension Period
Trial Site Terminated by Sponsor
1
Long-Term Extension Period
Withdrawal by Subject
3
Long-Term Extension Period
Due to Long Term Extension Protocol-Specified Criteria
22
Long-Term Extension Period
Other
1

Baseline Characteristics

An Efficacy, Safety, and Pharmacokinetics Study of Subcutaneously Administered Ustekinumab in the Treatment of Moderate to Severe Chronic Plaque Psoriasis in Pediatric Participants Greater Than or Equal to 6 to Less Than 12 Years of Age

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ustekinumab Standard Dosage
n=44 Participants
Participants received ustekinumab standard weight-based dose at Weeks 0 and 4 followed by every 12 weeks (q12w) dosing up to Week 40. Ustekinumab was administered as subcutaneous (SC) injections of 0.75 milligrams per kilogram (mg/kg) for participants with weight less than (\<) 60 kilograms (kg), 45 mg for participants with weight greater than or equal to (\>=) 60 kg to less than or equal to (\<=) 100 kg, and 90 mg for participants with weight \> 100 kg. Participants had a safety follow-up till Week 56 (Main study period). During long-term extension (LTE) period, participants who had a beneficial response from ustekinumab treatment continued receiving ustekinumab weight based dose in a q12w regimen from Week 56 onwards until commercially available or marketing authorization being denied or up to Week 264.
Age, Continuous
8.9 years
STANDARD_DEVIATION 1.74 • n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
41 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
40 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
Region of Enrollment
Belgium
4 Participants
n=5 Participants
Region of Enrollment
Canada
2 Participants
n=5 Participants
Region of Enrollment
Germany
7 Participants
n=5 Participants
Region of Enrollment
Hungary
10 Participants
n=5 Participants
Region of Enrollment
Netherlands
1 Participants
n=5 Participants
Region of Enrollment
Poland
12 Participants
n=5 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Full analysis set (FAS): all enrolled and treated participants who received at least 1 injection of ustekinumab (partial or complete). Participants who met TF criteria prior to Week 12 or with missing data at Week 12 were considered non-responders at Week 12.

The PGA is used to determine the participant's psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), marked (4), or severe (5). Higher scores indicate worse disease. Treatment Failure (TF) criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants With Physician's Global Assessment (PGA) Score of Cleared (0) or Minimal (1) at Week 12
77.3 percentage of participants
Interval 62.2 to 88.5

SECONDARY outcome

Timeframe: Week 12

Population: FAS. Participants who met TF criteria prior to Week 12 or with missing data at Week 12 were considered non-responders at Week 12.

PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 that is none to maximum severity. The PASI produces a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicates more severe disease. Participants with \>=75% improvement in PASI from baseline were considered PASI 75 responders. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 12
84.1 percentage of participants
Interval 69.9 to 93.4

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS. For participants meeting one or more TF criteria, were considered to have 0 improvement from baseline. Here "N" (number of participants analyzed) signifies participants who were evaluable for this outcome measure at both baseline and Week 12.

CDLQI was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30, with lower scores indicating better quality of life. The higher the score, the greater the impairment in quality of life (QoL). TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=42 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score at Week 12
-6.3 units on a scale
Standard Deviation 6.43

SECONDARY outcome

Timeframe: Week 12

Population: FAS. Participants who met TF criteria prior to Week 12 or with missing data at Week 12 were considered non-responders at Week 12.

PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 that is none to maximum severity. The PASI produces a numeric score that can range from 0 (no psoriasis) to 72 (disease severity). A higher score indicates more severe disease. Participants with \>=90% improvement in PASI from baseline were considered PASI 90 responders. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants Who Achieved PASI 90 Response at Week 12
63.6 percentage of participants
Interval 47.8 to 77.6

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 28, 40, and 52

Population: FAS. Participants who met 1 or more TF criteria were considered as non-responders after TF. In addition, participants with missing data at Week 12 were also considered as non-responders at Week 12. Here 'n' (number analyzed) included all participants who were evaluable at specified timepoints.

The PGA is used to determine the participant's psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), marked (4), or severe (5). Higher scores indicate worse disease. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PGA Score 0
4.8 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PGA Score 0 or 1
33.3 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PGA Score 0 or 1
63.4 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PGA Score 0 or 1 or 2
85.4 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PGA Score 0
38.6 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PGA Score 0 or 1
77.3 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PGA Score 0 or 1 or 2
90.9 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PGA Score 0
45.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PGA Score 0 or 1
85.7 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PGA Score 0 or 1 or 2
95.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PGA Score 0 or 1 or 2
95.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PGA Score 0
52.4 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PGA Score 0 or 1
76.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PGA Score 0 or 1 or 2
90.5 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PGA Score 0
56.1 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PGA Score 0 or 1
75.6 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PGA Score 0 or 1 or 2
90.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PGA Score 0 or 1 or 2
66.7 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PGA Score 0
26.8 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PGA Score 0
45.2 percentage of participants
Percentage of Participants With a PGA Score of Cleared (0), Cleared (0) or Minimal (1), Mild (2) at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PGA Score 0 or 1
83.3 percentage of participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 28, 40, and 52

Population: FAS. Participants who met 1 or more TF criteria were considered as non-responders after TF. In addition, participants with missing data at Week 12 were also considered as non-responders at Week 12. Here 'n' (number analyzed) included all participants who were evaluable at specified timepoints.

The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percentage (%)-100% involvement), and for erythema, induration and scaling, which are each rated on a scale of 0 to 4 that is none to maximum severity. The PASI produces a numeric score that could range from 0 (no psoriasis) to 72 (disease severity). PASI 50, 75, 90, and 100 responders were defined as \>=50%, \>=75%, \>=90%, and 100% improvement in PASI from Baseline respectively. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PASI 75
58.5 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PASI 50
82.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PASI 100
34.1 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PASI 90
63.6 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PASI 90
66.7 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PASI 50
97.6 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PASI 100
38.1 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PASI 75
92.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PASI 90
78.6 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PASI 75
90.5 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PASI 50
92.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PASI 90
70.7 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PASI 75
87.8 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PASI 50
92.7 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PASI 100
2.4 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PASI 90
16.7 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PASI 75
26.2 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4: PASI 50
52.4 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PASI 100
17.1 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8: PASI 90
43.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PASI 75
84.1 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12: PASI 50
93.2 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PASI 100
40.5 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16: PASI 75
83.3 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PASI 90
81.0 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28: PASI 50
92.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40: PASI 100
42.9 percentage of participants
Percentage of Participants Who Achieved a PASI 50, PASI 75, PASI 90 and PASI 100 Response at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52: PASI 100
53.7 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 28, 40, 52

Population: FAS. For participants meeting one or more TF criteria, were considered to have 0% improvement from baseline. Here 'n' (number analyzed) included all participants who were evaluable at specified timepoints.

The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percentage (%)-100% involvement), and for erythema, induration and scaling, which are each rated on a scale of 0 to 4 that is none to maximum severity. The PASI produces a numeric score that could range from 0 (no psoriasis) to 72 (disease severity). PASI 100 responders were defined as 100% improvement in PASI from Baseline respectively. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 4
52.9 percent change
Standard Deviation 27.33
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 8
78.9 percent change
Standard Deviation 21.44
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 12
89.7 percent change
Standard Deviation 13.80
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 16
90.4 percent change
Standard Deviation 13.77
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 28
90.4 percent change
Standard Deviation 21.55
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 40
89.9 percent change
Standard Deviation 23.01
Percent Change From Baseline in PASI Score at Weeks 4, 8, 12, 16, 28, 40, and 52
Week 52
89.1 percent change
Standard Deviation 24.28

SECONDARY outcome

Timeframe: Week 12

Population: FAS. Participants meeting one or more TF criteria were considered as non-responders.

The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percentage (%)-100% involvement), and for erythema, induration and scaling, which are each rated on a scale of 0 to 4 that is none to maximum severity. The PASI produces a numeric score that could range from 0 (no psoriasis) to 72 (disease severity). PASI 50, 75, 90, and 100 responders were defined as \>=50%, \>=75%, \>=90%, and 100% improvement in PASI component from Baseline respectively. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Induration: PASI 75
77.3 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Scaling: PASI 75
84.1 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Scaling: PASI 50
90.9 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Erythema: PASI 100
38.6 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Erythema: PASI 90
61.4 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Erythema: PASI 75
81.8 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Head: PASI 100
52.3 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Head: PASI 50
93.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Trunk: PASI 100
61.4 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Upper extremities: PASI 90
65.9 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Lower extremities: PASI 75
72.7 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Lower extremities: PASI 50
93.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Induration: PASI 100
43.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Induration: PASI 90
61.4 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Induration: PASI 50
93.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Scaling: PASI 100
38.6 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Scaling: PASI 90
63.6 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Erythema: PASI 50
93.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Head: PASI 90
65.9 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Head: PASI 75
79.5 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Trunk: PASI 90
61.4 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Trunk: PASI 75
79.5 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Trunk: PASI 50
88.6 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Upper extremities: PASI 100
65.9 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Upper extremities: PASI 75
79.5 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Upper extremities: PASI 50
84.1 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Lower extremities: PASI 100
68.2 percentage of participants
Percentage of Participants Who Achieved PASI 100, PASI 90, PASI 75 or PASI 50 Response in PASI Components (Induration, Erythema, and Scaling) and Region Components (Head, Trunk, Upper Extremities, and Lower Extremities) at Week 12
Lower extremities: PASI 90
68.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 12, 28, 52

Population: FAS. Participants who met TF criteria prior to Week 12 were assigned 0 change. Here 'n' (number analyzed) included all participants who were evaluable at specified timepoints.

CDLQI was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30. The higher the score, the greater the impairment in quality of life (QoL). TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=44 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score at Weeks 4, 12, 28, and 52
Week 4
-4.1 units on a scale
Standard Deviation 4.88
Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score at Weeks 4, 12, 28, and 52
Week 12
-6.3 units on a scale
Standard Deviation 6.43
Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score at Weeks 4, 12, 28, and 52
Week 28
-6.6 units on a scale
Standard Deviation 5.79
Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score at Weeks 4, 12, 28, and 52
Week 52
-6.4 units on a scale
Standard Deviation 6.10

SECONDARY outcome

Timeframe: Week 12

Population: FAS with CDLQI score \> 1 at baseline. Participants who met 1 or more TF criteria prior to Week 12 or with missing data were considered as nonresponders.

CDLQI was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30. The higher the score, the greater impairment in quality of life. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=39 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants With a CDLQI Score of 0 or 1 at Week 12 in Participants With a Baseline CDLQI Score Greater Than (>) 1
61.5 percentage of participants
Interval 44.6 to 76.6

SECONDARY outcome

Timeframe: Weeks 4, 12, 28, and 52

Population: FAS with CDLQI \> 1 at baseline. Participants who met 1 or more TF criteria were considered as nonresponders after TF. In addition, participants with missing data at Week 12 were considered as nonresponders at Week 12. Here 'n' (number analyzed) included all participants who were evaluable at specified timepoints.

CDLQI was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30. The total score ranges from 0 to 30. The higher the score, the greater impairment in quality of life. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=39 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants With a CDLQI Score of 0 or 1 at Weeks 4, 12, 28 and 52 in Participants With a Baseline CDLQI Score > 1
Week 4
37.8 percentage of participants
Percentage of Participants With a CDLQI Score of 0 or 1 at Weeks 4, 12, 28 and 52 in Participants With a Baseline CDLQI Score > 1
Week 12
61.5 percentage of participants
Percentage of Participants With a CDLQI Score of 0 or 1 at Weeks 4, 12, 28 and 52 in Participants With a Baseline CDLQI Score > 1
Week 28
62.2 percentage of participants
Percentage of Participants With a CDLQI Score of 0 or 1 at Weeks 4, 12, 28 and 52 in Participants With a Baseline CDLQI Score > 1
Week 52
58.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS. Participants who met TF criteria prior to Week 12 were assigned 0 change. Here 'N' (number of participants analyzed) included all participants who were evaluable for this outcome measure.

CDLQI was used to assess the impact of psoriasis on subject health-related quality of life. The CDLQI has 10 items assessing health-related quality of life (HRQOL) in patients with skin disease each measured on a scale from 0 (Not at all) to 3 (Very much). The total score ranges from 0 to 30. The total score ranges from 0 to 30. The higher the score, the greater impairment in quality of life. TF criteria- discontinued study agent due to lack of efficacy or adverse event of psoriasis or who started protocol-prohibited medication/therapy.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=42 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Change From Baseline in CDLQI Component Scores at Week 12
Symptoms and feelings
-1.9 units on a scale
Standard Deviation 1.81
Change From Baseline in CDLQI Component Scores at Week 12
Leisure
-1.7 units on a scale
Standard Deviation 2.19
Change From Baseline in CDLQI Component Scores at Week 12
School or holidays
-0.5 units on a scale
Standard Deviation 0.80
Change From Baseline in CDLQI Component Scores at Week 12
Personal relationships
-0.8 units on a scale
Standard Deviation 1.71
Change From Baseline in CDLQI Component Scores at Week 12
Sleep
-0.4 units on a scale
Standard Deviation 0.91
Change From Baseline in CDLQI Component Scores at Week 12
Treatment
-0.9 units on a scale
Standard Deviation 1.14

SECONDARY outcome

Timeframe: Weeks 80, 104, 128, 152, 176

Population: FAS; all participants enrolled in the LTE who received at least an injection of ustekinumab at Week 56 (partial or complete). Here "N" (number of participants analyzed) signifies participants who were evaluable for this outcome measure and 'n' (number analyzed): participants evaluated at given timepoints.

The PGA is used to determine the participant's psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participant's psoriasis was assessed as cleared (0), minimal (1), mild (2), moderate (3), marked (4), or severe (5). Higher scores indicated worse disease.

Outcome measures

Outcome measures
Measure
Ustekinumab Standard Dose (Main Study)
n=25 Participants
Participants received ustekinumab -standard weight-based dose at Weeks 0 and 4 followed by q12w dosing up to Week 40. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg. Participants had a safety follow-up till Week 56.
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 104: PGA score 0
50 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 80: PGA score 0
64 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 80: PGA score 0 or 1
80 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 80: PGA score 0 or 1 or 2
100 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 104: PGA score 0 or 1
70 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 104: PGA score 0 or 1 or 2
100 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 128: PGA score 0
60 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 128: PGA score 0 or 1
80 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 128: PGA score 0 or 1 or 2
95 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 152: PGA score 0
53.8 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 152: PGA score 0 or 1
61.5 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 152: PGA score 0 or 1 or 2
100 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 176: PGA score 0
33.3 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 176: PGA score 0 or 1
66.7 percentage of participants
Percentage of Participants With PGA Score of Cleared (0), Cleared (0) or Minimal (1), Cleared (0) or Minimal (1) or Mild (2) at Weeks 80, 104, 128, 152, and 176
Week 176: PGA score 0 or 1 or 2
100 percentage of participants

Adverse Events

Ustekinumab Standard Dosage (Main Study)

Serious events: 3 serious events
Other events: 27 other events
Deaths: 0 deaths

Ustekinumab Standard Dosage (Long-Term Extension [LTE])

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ustekinumab Standard Dosage (Main Study)
n=44 participants at risk
Participants received ustekinumab standard weight-based dose at Weeks 0 and 4 followed by every 12 weeks (q12w) dosing up to Week 40. Ustekinumab was administered as subcutaneous (SC) injections of 0.75 milligrams per kilogram (mg/kg) for participants with weight less than (\<) 60 kilograms (kg), 45 mg for participants with weight greater than or equal to (\>=) 60 kg to less than or equal to (\<=) 100 kg, and 90 mg for participants with weight \> 100 kg. Participants had a safety follow-up till Week 56.
Ustekinumab Standard Dosage (Long-Term Extension [LTE])
n=28 participants at risk
Participants who had a beneficial response from ustekinumab treatment continued receiving ustekinumab weight based dose in a every 12 weeks (q12w) regimen from Week 56 onwards until commercially available or marketing authorization being denied or up to Week 264. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg.
Infections and infestations
Infectious Mononucleosis
2.3%
1/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Injury, poisoning and procedural complications
Eyelid Injury
2.3%
1/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
3.6%
1/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Psychiatric disorders
Attention Deficit/Hyperactivity Disorder
2.3%
1/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.

Other adverse events

Other adverse events
Measure
Ustekinumab Standard Dosage (Main Study)
n=44 participants at risk
Participants received ustekinumab standard weight-based dose at Weeks 0 and 4 followed by every 12 weeks (q12w) dosing up to Week 40. Ustekinumab was administered as subcutaneous (SC) injections of 0.75 milligrams per kilogram (mg/kg) for participants with weight less than (\<) 60 kilograms (kg), 45 mg for participants with weight greater than or equal to (\>=) 60 kg to less than or equal to (\<=) 100 kg, and 90 mg for participants with weight \> 100 kg. Participants had a safety follow-up till Week 56.
Ustekinumab Standard Dosage (Long-Term Extension [LTE])
n=28 participants at risk
Participants who had a beneficial response from ustekinumab treatment continued receiving ustekinumab weight based dose in a every 12 weeks (q12w) regimen from Week 56 onwards until commercially available or marketing authorization being denied or up to Week 264. Ustekinumab was administered as SC injections of 0.75 mg/kg for participants with weight \<60 kg, 45 mg for participants with weight \>=60 kg to \<=100 kg, and 90 mg for participants with weight \>100 kg.
Gastrointestinal disorders
Abdominal Pain
6.8%
3/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Gastrointestinal disorders
Vomiting
0.00%
0/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
General disorders
Injection Site Erythema
13.6%
6/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Gastroenteritis
6.8%
3/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
10.7%
3/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Nasopharyngitis
25.0%
11/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
28.6%
8/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Otitis Media
6.8%
3/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Pharyngitis
13.6%
6/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
3.6%
1/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Respiratory Tract Infection
0.00%
0/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Tonsillitis
9.1%
4/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Upper Respiratory Tract Infection
13.6%
6/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Infections and infestations
Viral Upper Respiratory Tract Infection
2.3%
1/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
7.1%
2/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
10.7%
3/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Respiratory, thoracic and mediastinal disorders
Cough
4.5%
2/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
10.7%
3/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
2.3%
1/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
10.7%
3/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
Skin and subcutaneous tissue disorders
Psoriasis
6.8%
3/44 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.
0.00%
0/28 • Up to Week 264
The safety analysis set included all the enrolled participants who received at least 1 injection of ustekinumab (partial or complete) during the study.

Additional Information

Senior Director

Janssen Research & Development, LLC

Phone: 844-434-4210

Results disclosure agreements

  • Principal investigator is a sponsor employee If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER