Trial Outcomes & Findings for A Study to Compare SB17 (Proposed Ustekinumab Biosimilar) to Stelara® in Subject With Moderate to Severe Plaque Psoriasis (NCT NCT04967508)

NCT ID: NCT04967508

Last Updated: 2025-05-25

Results Overview

Psoriasis area severity index (PASI) measures the activity of psoriasis through erythema, induration and scaling and can range from 0 to 72. The degree of PASI improvement in terms of percent change from baseline at Week 12 is measured.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

503 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2025-05-25

Participant Flow

Participant milestones

Participant milestones
Measure
SB17 (Proposed Ustekinumab Biosimilar)
Subjects were randomised into SB17 (Proposed Ustekinumab Biosimilar) group to receive SB17 (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the SB17 group were re-randomised (to maintain blindness) but continued to receive SB17 during the transition period (i.e., Week 28 and Week 40).
Stelara (Ustekinumab)
Subjects were randomised into Stelara (Ustekinumab) group to receive Stelara (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the Stelara (Ustekinumab) group were re-randomised and either transitioned to SB17 or continued to receive Stelara during the transition period (i.e., Week 28 and Week 40).
Stelara to SB17
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive SB17 once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Stelara to Stelara
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive Stelara (Ustekinumab) once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Main Period
STARTED
249
254
0
0
Main Period
COMPLETED
237
244
0
0
Main Period
NOT COMPLETED
12
10
0
0
Transition Period
STARTED
237
0
122
122
Transition Period
COMPLETED
233
0
117
116
Transition Period
NOT COMPLETED
4
0
5
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Compare SB17 (Proposed Ustekinumab Biosimilar) to Stelara® in Subject With Moderate to Severe Plaque Psoriasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SB17 (Proposed Ustekinumab Biosimilar)
n=249 Participants
Subjects were randomised into SB17 (Proposed Ustekinumab Biosimilar) group to receive SB17 (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the SB17 group were re-randomised (to maintain blindness) but continued to receive SB17 during the transition period (i.e., Week 28 and Week 40).
Stelara (Ustekinumab)
n=254 Participants
Subjects were randomised into Stelara (Ustekinumab) group to receive Stelara (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the Stelara (Ustekinumab) group were re-randomised and either transitioned to SB17 or continued to receive Stelara during the transition period (i.e., Week 28 and Week 40).
Total
n=503 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
234 Participants
n=5 Participants
234 Participants
n=7 Participants
468 Participants
n=5 Participants
Age, Categorical
>=65 years
15 Participants
n=5 Participants
19 Participants
n=7 Participants
34 Participants
n=5 Participants
Age, Continuous
44.0 years
STANDARD_DEVIATION 13.21 • n=5 Participants
44.3 years
STANDARD_DEVIATION 12.42 • n=7 Participants
44.2 years
STANDARD_DEVIATION 12.81 • n=5 Participants
Sex: Female, Male
Female
99 Participants
n=5 Participants
92 Participants
n=7 Participants
191 Participants
n=5 Participants
Sex: Female, Male
Male
150 Participants
n=5 Participants
162 Participants
n=7 Participants
312 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Korean
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Mixed Ethnicity
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Other
247 Participants
n=5 Participants
249 Participants
n=7 Participants
496 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
247 Participants
n=5 Participants
250 Participants
n=7 Participants
497 Participants
n=5 Participants
Body Mass Index (BMI)
27.2 kg/m2
STANDARD_DEVIATION 3.94 • n=5 Participants
26.8 kg/m2
STANDARD_DEVIATION 3.66 • n=7 Participants
27.0 kg/m2
STANDARD_DEVIATION 3.81 • n=5 Participants
Total psoriasis BSA involvement
27.3 %
STANDARD_DEVIATION 13.49 • n=5 Participants
26.7 %
STANDARD_DEVIATION 13.77 • n=7 Participants
27.0 %
STANDARD_DEVIATION 13.62 • n=5 Participants
Duration of psoriasis
15.0 years
STANDARD_DEVIATION 11.38 • n=5 Participants
16.1 years
STANDARD_DEVIATION 11.88 • n=7 Participants
15.6 years
STANDARD_DEVIATION 11.64 • n=5 Participants
PASI at baseline
22.5 index
STANDARD_DEVIATION 7.82 • n=5 Participants
22.1 index
STANDARD_DEVIATION 7.69 • n=7 Participants
22.3 index
STANDARD_DEVIATION 7.75 • n=5 Participants
PGA Score of ≥ 4 (Marked or Severe) at baseline
92 Participants
n=5 Participants
94 Participants
n=7 Participants
186 Participants
n=5 Participants
Dermatology Life Quality Index (DLQI) at baseline
13.4 scores on a scale
STANDARD_DEVIATION 7.24 • n=5 Participants
13.2 scores on a scale
STANDARD_DEVIATION 6.96 • n=7 Participants
13.3 scores on a scale
STANDARD_DEVIATION 7.09 • n=5 Participants
History of psoriatic arthritis
Yes
64 Participants
n=5 Participants
54 Participants
n=7 Participants
118 Participants
n=5 Participants
History of psoriatic arthritis
No
185 Participants
n=5 Participants
200 Participants
n=7 Participants
385 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Psoriasis area severity index (PASI) measures the activity of psoriasis through erythema, induration and scaling and can range from 0 to 72. The degree of PASI improvement in terms of percent change from baseline at Week 12 is measured.

Outcome measures

Outcome measures
Measure
Stelara (Ustekinumab)
n=249 Participants
Subjects were randomised into Stelara (Ustekinumab) group to receive Stelara (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the Stelara (Ustekinumab) group were re-randomised and either transitioned to SB17 or continued to receive Stelara during the transition period (i.e., Week 28 and Week 40).
SB17 (Proposed Ustekinumab Biosimilar)
n=243 Participants
Subjects were randomised into SB17 (Proposed Ustekinumab Biosimilar) group to receive SB17 (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the SB17 group were re-randomised (to maintain blindness) but continued to receive SB17 during the transition period (i.e., Week 28 and Week 40).
Percent Change From Baseline in PASI at Week 12
86.3 Percent change
Standard Error 2.41
85.7 Percent change
Standard Error 2.53

Adverse Events

SB17 (Proposed Ustekinumab Biosimilar)

Serious events: 7 serious events
Other events: 50 other events
Deaths: 0 deaths

Stelara (Ustekinumab)

Serious events: 6 serious events
Other events: 62 other events
Deaths: 0 deaths

Stelara to SB17

Serious events: 2 serious events
Other events: 28 other events
Deaths: 0 deaths

Stelara to Stelara

Serious events: 3 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SB17 (Proposed Ustekinumab Biosimilar)
n=249 participants at risk
Subjects were randomised into SB17 (Proposed Ustekinumab Biosimilar) group to receive SB17 (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the SB17 group were re-randomised (to maintain blindness) but continued to receive SB17 during the transition period (i.e., Week 28 and Week 40).
Stelara (Ustekinumab)
n=254 participants at risk
Subjects were randomised into Stelara (Ustekinumab) group to receive Stelara (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the Stelara (Ustekinumab) group were re-randomised and either transitioned to SB17 or continued to receive Stelara during the transition period (i.e., Week 28 and Week 40).
Stelara to SB17
n=122 participants at risk
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive SB17 once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Stelara to Stelara
n=122 participants at risk
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive Stelara (Ustekinumab) once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Cardiac disorders
Acute myocardial infarction
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Cardiac disorders
Atrial fibrillation
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)
Gastrointestinal disorders
Salivary gland calculus
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Infections and infestations
Pneumonia
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Injury, poisoning and procedural complications
Fibula fracture
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Injury, poisoning and procedural complications
Joint dislocation
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Injury, poisoning and procedural complications
Meniscus injury
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Injury, poisoning and procedural complications
Tibia fracture
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)
Nervous system disorders
Ischaemic stroke
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Renal and urinary disorders
Prerenal failure
0.40%
1/249 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/254 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
Reproductive system and breast disorders
Ovarian cyst torsion
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)
Reproductive system and breast disorders
Pelvic adhesions
0.00%
0/249 • Overall Period (up to 52 weeks)
0.39%
1/254 • Number of events 1 • Overall Period (up to 52 weeks)
0.00%
0/122 • Overall Period (up to 52 weeks)
0.82%
1/122 • Number of events 1 • Overall Period (up to 52 weeks)

Other adverse events

Other adverse events
Measure
SB17 (Proposed Ustekinumab Biosimilar)
n=249 participants at risk
Subjects were randomised into SB17 (Proposed Ustekinumab Biosimilar) group to receive SB17 (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the SB17 group were re-randomised (to maintain blindness) but continued to receive SB17 during the transition period (i.e., Week 28 and Week 40).
Stelara (Ustekinumab)
n=254 participants at risk
Subjects were randomised into Stelara (Ustekinumab) group to receive Stelara (45 mg) via subcutaneous injection at Week 0, 4, and then every 12 weeks until Week 28 (i.e., Week 0, Week 4, and Week 16). At Week 28, subjects in the Stelara (Ustekinumab) group were re-randomised and either transitioned to SB17 or continued to receive Stelara during the transition period (i.e., Week 28 and Week 40).
Stelara to SB17
n=122 participants at risk
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive SB17 once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Stelara to Stelara
n=122 participants at risk
Subjects, who were randomised at Week 0 to receive Stelara (Ustekinumab) in the Main Period, were re-randomised at Week 28 to receive Stelara (Ustekinumab) once every 12 weeks during the transition period (i.e., Week 28 and Week 40).
Infections and infestations
Nasopharyngitis
9.2%
23/249 • Number of events 26 • Overall Period (up to 52 weeks)
9.1%
23/254 • Number of events 30 • Overall Period (up to 52 weeks)
9.8%
12/122 • Number of events 16 • Overall Period (up to 52 weeks)
8.2%
10/122 • Number of events 12 • Overall Period (up to 52 weeks)
Infections and infestations
COVID-19
7.2%
18/249 • Number of events 19 • Overall Period (up to 52 weeks)
11.4%
29/254 • Number of events 29 • Overall Period (up to 52 weeks)
9.8%
12/122 • Number of events 12 • Overall Period (up to 52 weeks)
12.3%
15/122 • Number of events 15 • Overall Period (up to 52 weeks)
Infections and infestations
Upper respiratory tract infection
4.8%
12/249 • Number of events 15 • Overall Period (up to 52 weeks)
6.3%
16/254 • Number of events 19 • Overall Period (up to 52 weeks)
6.6%
8/122 • Number of events 10 • Overall Period (up to 52 weeks)
6.6%
8/122 • Number of events 9 • Overall Period (up to 52 weeks)

Additional Information

Director of Clinical Trials

Samsung Bioepis Co., Ltd

Phone: +82-32-728-0371

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place