A Study of Subcutaneous Risankizumab Injection for Pediatric Participants With Moderate to Severe Plaque Psoriasis to Assess Change in Disease Symptoms

NCT ID: NCT04435600

Last Updated: 2025-05-20

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

139 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-14

Study Completion Date

2024-10-15

Brief Summary

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Psoriasis is a chronic, systemic, inflammatory disease in which skin cells build up and develop thick, red and white scaly patches on the skin. There is an unmet medical need for effective treatment in pediatric patients and this study is being done to evaluate risankizumab in pediatric participants with moderate to severe plaque psoriasis. This study will assess the change in disease symptoms.

Risankizumab is a drug being studied for the treatment for plaque psoriasis in pediatric participants. This study has 4 parts.

Part 1: Participants aged 12 \< 18 will receive a fixed dose of risankizumab. Part 2: Participants aged 12 \< 18 will receive;

* Period A: Risankizumab or ustekinumab based on body weight followed by;
* Period B: Risankizumab or no treatment.
* Period C: Re-treatment with risankizumab (if needed).

Part 3: Participants aged 6 \< 12 will receive risankizumab based on body weight.

Part 4: Participants aged 6 \< 12 will receive risankizumab based on body weight (Japan only: Participants aged 12 \> 18 will receive risankizumab based on body weight).

Around 132 participants will be enrolled in approximately 50 sites worldwide.

Risankizumab and ustekinumab are given as a subcutaneous (under the skin) injection.

Parts 1, 3, and 4: Risankizumab for 40 weeks with a follow-up call 20 weeks later for a study duration of approximately 65 weeks.

Part 2:

* Period A: Risankizumab or ustekinumab for 16 weeks.
* Period B: Risankizumab or no treatment for 36 weeks.
* Period C: Re-treatment with risankizumab for 16 weeks. Follow-up call 20 weeks later for a study duration of approximately 81 weeks. Participants from each Part who meet eligibility criteria for an open-label extension (OLE) study may continue on risankizumab for 216 additional weeks.

There may be a higher burden for study participants compared to standard treatment. Participants will attend monthly visits and medical assessments will check the effect of treatment through blood tests, questionnaires, and checking for side effects.

Detailed Description

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Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Part 1: Risankizumab Dose A

Participants age 12 to less than 18 receive fixed dose of risankizumab Dose A for 40 weeks.

Group Type EXPERIMENTAL

Risankizumab

Intervention Type DRUG

Subcutaneous Injection

Part 2: Ustekinumab Dose A/B/C then Risankizumab Dose A/B

Participants age 12 to less than 18 will receive:

Period A: Ustekinumab Dose A, Dose B, or Dose C based on body weight for 16 weeks (at Week 0 and Week 4).

Period B: Risankizumab Dose A or B based on body weight for 24 weeks.

Group Type EXPERIMENTAL

Risankizumab

Intervention Type DRUG

Subcutaneous Injection

Ustekinumab

Intervention Type DRUG

Subcutaneous Injection

Part 2: Risankizumab Dose A/B

Participants age 12 to less than 18 will receive:

Period A: Risankizumab Dose A or B based on body weight for 16 weeks (at Week 0 and Week 4).

Period B: Participants who respond to Risankizumab in Period A are re-randomized to continue Risankizumab Dose A or B based on body weight for up to 24 weeks or withdraw from treatment until flare.

Period C: Participants withdrawn from treatment in Period B and experience a flare in symptoms at Week 28 or beyond are eligible for re-treatment with Risankizumab Dose A or B based on body weight for 16 weeks (at Week 0 and Week 4).

Group Type EXPERIMENTAL

Risankizumab

Intervention Type DRUG

Subcutaneous Injection

Part 3: Risankizumab Dose A/B

Participants age 6 to less than 12 will receive Risankizumab Dose A or B based on body weight for 40 weeks.

Group Type EXPERIMENTAL

Risankizumab

Intervention Type DRUG

Subcutaneous Injection

Part 4: Risankizumab Dose A/B

Participants age 6 to less than 12 will receive Risankizumab Dose A or B based on body weight for 40 weeks (Japan only: participants age 12 to less than 18 years will be included).

Group Type EXPERIMENTAL

Risankizumab

Intervention Type DRUG

Subcutaneous Injection

Interventions

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Risankizumab

Subcutaneous Injection

Intervention Type DRUG

Ustekinumab

Subcutaneous Injection

Intervention Type DRUG

Other Intervention Names

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SKYRIZI ABBV-066

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of chronic plaque psoriasis for at least 6 months before the Baseline Visit.
* Stable severe or moderate to severe plaque psoriasis as defined in each study part by body surface area (BSA) psoriasis involvement and scores on the Psoriasis Area and Severity Index (PASI) and Static Physician Global Assessment (sPGA).
* Candidate for systemic therapy as assessed by the investigator and meet the disease activity criteria at both the Screening and Baseline Visits per the protocol.

Exclusion Criteria

\- Concurrent clinically significant medical conditions other than the indication being studied or any other reason that the investigator determines would interfere with the participant's participation in this study, would make the participant an unsuitable candidate to receive study drug, or would put the participant at risk by participating in the study.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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UAB Department of Dermatology /ID# 218834

Birmingham, Alabama, United States

Site Status

First OC Dermatology /ID# 217733

Fountain Valley, California, United States

Site Status

Integrative Skin Science and Research /ID# 221741

Sacramento, California, United States

Site Status

University of California San Diego - Rady Children's Hospital San Diego /ID# 217906

San Diego, California, United States

Site Status

Rybear, Inc /ID# 223164

Fort Lauderdale, Florida, United States

Site Status

Solutions Through Adv Rch /ID# 217936

Jacksonville, Florida, United States

Site Status

Olympian Clinical Research- St. Petersburg /ID# 217941

St. Petersburg, Florida, United States

Site Status

Advanced Clinical Research Institute /ID# 222706

Tampa, Florida, United States

Site Status

University Dermatology and Vein Clinic, LLC /ID# 222778

Darien, Illinois, United States

Site Status

Duplicate_Arlington Dermatology /ID# 217472

Rolling Meadows, Illinois, United States

Site Status

Duplicate_Skin Cancer and Dermatology Institute (SCDI) /ID# 221738

Reno, Nevada, United States

Site Status

Duplicate_Forest Hills Dermatology Group /ID# 227941

Kew Gardens, New York, United States

Site Status

Univ Hosp Cleveland /ID# 228483

Cleveland, Ohio, United States

Site Status

The Ohio State University /ID# 217808

Columbus, Ohio, United States

Site Status

Apex Clinical Research Center /ID# 228537

Mayfield Heights, Ohio, United States

Site Status

Vital Prospects Clinical Research Institute, PC /ID# 217960

Tulsa, Oklahoma, United States

Site Status

Medical University of South Carolina /ID# 217735

Charleston, South Carolina, United States

Site Status

Arlington Research Center, Inc /ID# 217471

Arlington, Texas, United States

Site Status

West Virginia University Hospitals /ID# 228352

Morgantown, West Virginia, United States

Site Status

Clinical Investigation Specialist, Inc - Kenosha /ID# 223161

Kenosha, Wisconsin, United States

Site Status

Wisconsin Medical Center /ID# 240005

Milwaukee, Wisconsin, United States

Site Status

Duplicate_Dermatology Research Institute Inc. /ID# 226172

Calgary, Alberta, Canada

Site Status

Karma Clinical Trials /ID# 226177

St. John's, Newfoundland and Labrador, Canada

Site Status

Hospital for Sick Children /ID# 226167

Toronto, Ontario, Canada

Site Status

CHU Sainte-Justine /ID# 226170

Montreal, Quebec, Canada

Site Status

Fachklinik Bad Bentheim /ID# 226014

Bad Bentheim, Lower Saxony, Germany

Site Status

Universitaetsklinikum Bonn /ID# 228880

Bonn, North Rhine-Westphalia, Germany

Site Status

Universitaetsklinikum Muenster /ID# 225988

Münster, North Rhine-Westphalia, Germany

Site Status

Duplicate_Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz /ID# 225987

Mainz, Rhineland-Palatinate, Germany

Site Status

Universitaetsklinikum Carl Gustav Carus Dresden /ID# 228881

Dresden, Saxony, Germany

Site Status

Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 226013

Kiel, Schleswig-Holstein, Germany

Site Status

Nagoya City University Hospital /ID# 230830

Nagoya, Aichi-ken, Japan

Site Status

Hiroshima University Hospital /ID# 256162

Hiroshima, Hiroshima, Japan

Site Status

Mie University Hospital /ID# 230836

Tsu, Mie-ken, Japan

Site Status

Kansai Medical University Hospital /ID# 231215

Hirakata-shi, Osaka, Japan

Site Status

Duplicate_Teikyo University Hospital /ID# 255188

Itabashi-ku, Tokyo, Japan

Site Status

Tokyo Medical University Hospital /ID# 230575

Shinjuku-ku, Tokyo, Japan

Site Status

High-Med Przychodnia Specjalistyczna /ID# 226060

Warsaw, Masovian Voivodeship, Poland

Site Status

Uniwersytecki Szpital Kliniczny im. F. Chopina w Rzeszowie /ID# 226116

Rzeszów, Podkarpackie Voivodeship, Poland

Site Status

Centrum Badan Klinicznych PI-House sp. z o.o. /ID# 228252

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Dermed Centrum Medyczne Sp. z o.o /ID# 226062

Lodz, Łódź Voivodeship, Poland

Site Status

Dermoklinika Centrum Medyczne s.c. /ID# 226063

Lodz, Łódź Voivodeship, Poland

Site Status

Hospital Sant Joan de Deu /ID# 225722

Esplugues de Llobregat, Barcelona, Spain

Site Status

Hospital General Universitario Gregorio Maranon /ID# 225721

Madrid, , Spain

Site Status

Hospital Universitario Infanta Leonor /ID# 225720

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre /ID# 227860

Madrid, , Spain

Site Status

Complejo Hospitalario Universitario de Pontevedra /ID# 226061

Pontevedra, , Spain

Site Status

Duplicate_Royal Devon University Healthcare NHS Foundation Trust /ID# 228078

Exeter, Devon, United Kingdom

Site Status

Duplicate_University Hospital Plymouth NHS Trust /ID# 227230

Plymouth, Devon, United Kingdom

Site Status

Guys and St Thomas NHS Foundation Trust /ID# 227224

London, Greater London, United Kingdom

Site Status

Chelsea and Westminster Hospital /ID# 227231

London, Greater London, United Kingdom

Site Status

NHS Greater Glasgow and Clyde /ID# 227226

Glasgow, Scotland, United Kingdom

Site Status

Frimley Health NHS Foundation Trust /ID# 229525

Camberley, Surrey, United Kingdom

Site Status

Countries

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United States Canada Germany Japan Poland Spain United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2023-504156-10-00

Identifier Type: OTHER

Identifier Source: secondary_id

M19-977

Identifier Type: -

Identifier Source: org_study_id

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