A Study of Ustekinumab or Guselkumab in Pediatric Participants With Active Juvenile Psoriatic Arthritis

NCT ID: NCT05083182

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-30

Study Completion Date

2027-08-09

Brief Summary

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The purpose of this study is to evaluate the pharmacokinetics (PK), efficacy, safety and immunogenicity of ustekinumab and guselkumab in active juvenile psoriatic arthritis (jPsA).

Detailed Description

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Conditions

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Arthritis, Juvenile

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: Ustekinumab

Participants will receive a weight-based dose of ustekinumab subcutaneously (SC) at Week 0, Week 4 and then every 12 weeks up to Week 52. Cohort 1 is closed for further enrollment.

Group Type EXPERIMENTAL

Ustekinumab

Intervention Type DRUG

Ustekinumab will be administered as subcutaneous injection.

Cohort 2: Guselkumab

The dose of guselkumab will be based on the participant's weight. Participants will receive guselkumab SC at Weeks 0 and 4 followed by either every 4 weeks (Q4W) (with historical radiographic evidence of joint damage) or every 8 weeks (Q8W) (without historical evidence of joint damage) dosing with the last dose at Week 52. Participants at high risk of joint damage can also be considered for Q4W dosing per investigator.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered as subcutaneous injection.

Interventions

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Ustekinumab

Ustekinumab will be administered as subcutaneous injection.

Intervention Type DRUG

Guselkumab

Guselkumab will be administered as subcutaneous injection.

Intervention Type DRUG

Other Intervention Names

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CNTO1275 STELARA CNTO1959 TREMFYA

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of juvenile psoriatic arthritis (jPsA) by Vancouver criteria with exclusion of enthesitis-related arthritis (ERA). Diagnosis made \>=3 months (that is, 90 days) prior to screening
* Active disease in at least greater than or equal to (\>=) 3 joints at screening and at week 0 (defined as swelling or loss of motion with pain and/or tenderness. Swelling alone meets the criteria for an active arthritic joint. In the absence of swelling, loss of motion with pain or tenderness or both pain and tenderness meet the criteria for an active arthritic joint
* Have active disease despite previous non-biologic disease modifying anti-rheumatic drug (DMARD) and/or non-steroidal anti-inflammatory drug (NSAID) therapy: Non-biologic DMARD therapy is defined as taking a non-biologic DMARD for at least 12 weeks or evidence of intolerance; NSAID therapy is defined as taking an NSAID for at least 4 weeks or evidence of intolerance
* Concurrent use of methotrexate, sulfasalazine, leflunomide, oral corticosteroids or NSAIDs is permitted but must be on stable dose
* Participants must be up to date with all immunizations in agreement with current local immunization guidelines for immunosuppressed patients
* Prior use of anti-TNFα agents, IL-17 inhibitors and other biologics (except non-responders to IL-23 inhibitors) and JAK inhibitors are permitted with sufficient washout period

Exclusion Criteria

* Participants with enthesitis-related arthritis (ERA)
* Have a history of latent or active granulomatous infection, including tuberculosis (TB), histoplasmosis, or coccidioidomycosis prior to screening
* Have a history of, or ongoing, chronic or recurrent infectious disease
* Has evidence of herpes zoster infection within 8 weeks prior to Week 0
* Have a known history of hepatitis C infection or test positive at screening
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Childrens Hospital Los Angeles

Los Angeles, California, United States

Site Status

UCLA

Los Angeles, California, United States

Site Status

Harvard Medical School - Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Northwell Health

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Legacy Emanuel Medical Center

Portland, Oregon, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

STAT Research S A

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Hospital de Ninos de Cordoba

Córdoba, , Argentina

Site Status

Instituto Medico Platense

La Plata, , Argentina

Site Status

Instituto Caici

Rosario, , Argentina

Site Status

Centro Medico Privado de Reumatologia

San Miguel de Tucumán, , Argentina

Site Status

Aarhus Universitetshospital

Aarhus, , Denmark

Site Status

Odense Universitets Hospital

Odense, , Denmark

Site Status

CHU de Caen

Caen, , France

Site Status

Hopital de Bicetre

Le Kremlin-Bicêtre, , France

Site Status

Hopital Nord Marseille

Marseille, , France

Site Status

CHU de Toulouse Hopital des Enfants

Toulouse, , France

Site Status

Hôpital D'Enfants

Vandœuvre-lès-Nancy, , France

Site Status

Charite Universitatsmedizin Berlin Campus Virchow Klinikum

Berlin, , Germany

Site Status

Schon Klinik Hamburg Eilbek

Hamburg, , Germany

Site Status

Asklepios Klinik Sankt Augustin

Sankt Augustin, , Germany

Site Status

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia Presidio Spedali Civili

Brescia, , Italy

Site Status

Istituto Giannina Gaslini

Genova, , Italy

Site Status

Centro Specialistico Ortopedico Traumatologico Gaetano Pini CTO

Milan, , Italy

Site Status

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico

Milan, , Italy

Site Status

IRCCS Ospedale Pediatrico Bambino Gesu

Roma, , Italy

Site Status

CSK, Uniwersyteckie Centrum Pediatrii im.M.Konopnickiej

Lodz, , Poland

Site Status

Centrum Zdrowia Dziecka i Rodziny im Jana Pawla II w Sosnowcu Sp z o o

Sosnowiec, , Poland

Site Status

Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher

Warsaw, , Poland

Site Status

Hosp Univ Vall D Hebron

Barcelona, , Spain

Site Status

Hosp. de La Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Hosp Reina Sofia

Córdoba, , Spain

Site Status

Hosp. Clinico Univ. de Santiago

Santiago de Compostela, , Spain

Site Status

Hosp. Infanta Luisa

Seville, , Spain

Site Status

Hosp. Univ. I Politecni La Fe

Valencia, , Spain

Site Status

Hacettepe Universitesi Hastanesi

Ankara, , Turkey (Türkiye)

Site Status

Istanbul University Cerrahpasa Medical Faculty

Istanbul, , Turkey (Türkiye)

Site Status

Umraniye Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Kocaeli University Medical Faculty

Kocaeli, , Turkey (Türkiye)

Site Status

Great Ormond Street Hospital

London, , United Kingdom

Site Status

Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status

Royal Victoria Infirmary

Newcastle upon Tyne, , United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

Sheffield Children's Hospital

Sheffield, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

Haywood Hospital

Staffordshire, , United Kingdom

Site Status

Royal Stoke University Hospital

Stoke-on-Trent, , United Kingdom

Site Status

Countries

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Mexico Netherlands Russia United States Argentina Denmark France Germany Italy Poland Spain Turkey (Türkiye) United Kingdom

Other Identifiers

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CNTO1275JPA3001

Identifier Type: OTHER

Identifier Source: secondary_id

2020-005503-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR109101

Identifier Type: -

Identifier Source: org_study_id