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A Long-term Extension Study of JNJ-77242113 in Participants With Moderate-to-Severe Plaque Psoriasis

Phase 2
Completed
Conditions
Plaque Psoriasis
Interventions
Registration Number
NCT05364554
Lead Sponsor
Janssen Research & Development, LLC
Brief Summary

The purpose of this study is to evaluate long-term clinical response of JNJ-77242113 treatment in participants with moderate-to-severe plaque psoriasis.

Detailed Description

The populations of people living with moderate to severe psoriasis is approximately 3.5 billion which are mostly managed with topical and conventional therapies. JNJ-77242113, investigational drug, targets the immune responses in the body and skin which impacts diseases, such as psoriasis and this study evaluates JNJ-77242113 as options of advanced therapies in moderate to severe plaque psoriasis. This is a long-term extension study of JNJ-77242113 in eligible participants who have completed the Week 16 visit of the originating Study 77242113PSO2001. The total duration of this study will be up to 40 weeks which will include a 36-week treatment period, and a 4-week safety follow-up period after the last study intervention administration. Safety will be assessed by adverse events (AEs), clinical safety laboratory assessments, electrocardiograms (ECGs), vital signs and physical examinations.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
227
Inclusion Criteria
  • Must have completed the Week 16 visit in Protocol 77242113PSO2001
  • In the opinion of the investigator, may benefit from inclusion in this long term extension (LTE) study
  • Must agree to avoid prolonged sun exposure and avoid use of tanning booths or other ultraviolet light sources during the study
  • Must agree to discontinue all topical therapies that could affect psoriasis or the psoriasis area severity index (PASI) or investigator's global assessment (IGA) evaluation, other than nonmedicated emollient and salicylic acid shampoos, prior to first administration of study intervention
  • Agree not to receive a live virus or live bacterial vaccination during the study, or within 4 weeks after the last administration of study intervention
Exclusion Criteria
  • Was permanently discontinued from study intervention in Protocol 77242113PSO2001 for any reason
  • Has received any biologic therapy or experimental therapy since completion of the originating study, 77242113PSO2001
  • Has received any live virus or bacterial vaccination within 12 weeks before the first administration of study intervention
  • Has received the bacille Calmette-Guerin (BCG) vaccine within 12 months of the first administration of study intervention
  • Currently has hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or has other clinically active liver disease, or tests positive for HBsAg or anti-HCV

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 4: JNJ-77242113 Dose 1 Twice Daily (BID)JNJ-77242113Participants originally randomized to JNJ-77242113 Dose 1 BID in originating study 77242113PSO2001 will continue to receive JNJ-77242113 Dose 1 BID from Week 0 through Week 36 in this study.
Group 1: JNJ-77242113 Dose 1 Once Daily (QD)JNJ-77242113Participants originally randomized to JNJ-77242113 Dose 1 QD in originating study 77242113PSO2001 will continue to receive JNJ-77242113 Dose 1 QD from Week 0 through Week 36 in this study.
Group 6: JNJ-77242113 Dose 3 QDJNJ-77242113Participants originally randomized to placebo in originating Study 77242113PSO2001 will receive JNJ-77242113 Dose 3 QD from Week 0 through Week 36 in this study.
Group 2: JNJ-77242113 Dose 2 QDJNJ-77242113Participants originally randomized to JNJ-77242113 Dose 2 QD in originating study 77242113PSO2001 will continue to receive JNJ-77242113 Dose 2 QD from Week 0 through Week 36 in this study.
Group 3: JNJ-77242113 Dose 3 QDJNJ-77242113Participants originally randomized to JNJ-77242113 Dose 3 QD in originating study 77242113PSO2001 will continue to receive JNJ-77242113 Dose 3 QD from Week 0 through Week 36 in this study.
Group 5: JNJ-77242113 Dose 3 BIDJNJ-77242113Participants originally randomized to JNJ-77242113 Dose 3 BID in originating study 77242113PSO2001 will continue to receive JNJ-77242113 Dose 3 BID from Week 0 through Week 36 in this study.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Psoriasis Area Severity Index (PASI) 75 Score at Week 36Week 36

Percentage of participants achieving PASI 75 score (greater than or equal to \[\>=\] 75 percent \[%\] improvement in PASI from baseline of the originating study \[77242113PSO2001\]) at Week 36 will be reported. 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 and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in PASI Total Score at Week 36Baseline and Week 36

Change from baseline of the originating study (77242113PSO2001) in PASI total score at Week 36 will be reported. 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 and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.

Percentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 36Week 36

Percentage of participants who achieve an IGA score of cleared (0) or minimal (1) at Week 36 will be reported. The IGA documents the investigator's assessment of the participants 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), or severe (4).

Percentage of Participants Achieving PASI 100 Score at Week 36Week 36

Percentage of participants achieving PASI 100 score (\>=100% improvement in PASI from baseline of the originating study \[77242113PSO2001\]) at Week 36 will be reported. 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 and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.

Change from Baseline in PSSD Signs Score at Week 36Baseline and Week 36

Change from baseline of originating study (77242113PSO2001) in PSSD signs score at Week 36 will be reported. The PSSD includes PRO questionnaire designed to measure the severity of psoriasis symptoms and signs over the previous 7 days for the assessment of treatment benefit. The PSSD is a self-administered PRO instrument that includes 11 items covering symptoms (itch, pain, stinging, burning, and skin tightness) and patient-observable signs (skin dryness, cracking, scaling, shedding or flaking, redness, and bleeding) using 0 to 10 numerical rating scales for severity. Two sub scores will be derived each ranging from 0 to 100: the psoriasis symptom score and the psoriasis sign score. A higher score indicates more severe disease.

Number of Participants with Serious Adverse Events (SAEs)Up to Week 40

SAE is an adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Percentage of Participants Achieving PASI 90 Score at Week 36Week 36

Percentage of participants achieving PASI 90 score (\>=90% improvement in PASI from baseline of the originating study \[77242113PSO2001\]) at Week 36 will be reported. 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 and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.

Percentage of Participants Achieving PSSD Signs Score=0 at Week 36 Among Participants With a Baseline (in the Originating Study) Signs Score >=1Week 36

Percentage of participants achieving PSSD signs score=0 at week 36 among participants with a baseline (in the originating study) signs score \>=1 will be reported. The PSSD includes PRO questionnaire designed to measure the severity of psoriasis symptoms and signs over the previous 7 days for the assessment of treatment benefit. The PSSD is a self-administered PRO instrument that includes 11 items covering symptoms (itch, pain, stinging, burning, and skin tightness) and patient-observable signs (skin dryness, cracking, scaling, shedding or flaking, redness, and bleeding) using 0 to 10 numerical rating scales for severity. Two sub scores will be derived each ranging from 0 to 100: the psoriasis symptom score and the psoriasis sign score. A higher score indicates more severe disease.

Change from Baseline in Psoriasis Symptoms and Signs Diary (PSSD) Symptoms Scores at Week 36Baseline and Week 36

Change from baseline of originating Study (77242113PSO2001) in PSSD symptoms scores at Week 36 will be reported. The PSSD includes patient-reported outcome (PRO) questionnaire designed to measure the severity of psoriasis symptoms and signs over the previous 7 days for the assessment of treatment benefit. The PSSD is a self-administered PRO instrument that includes 11 items covering symptoms (itch, pain, stinging, burning, and skin tightness) and patient-observable signs (skin dryness, cracking, scaling, shedding or flaking, redness, and bleeding) using 0 to 10 numerical rating scales for severity. Two sub scores will be derived each ranging from 0 to 100: the psoriasis symptom score and the psoriasis sign score. A higher score indicates more severe disease.

Percentage of Participants Achieving PSSD Symptoms Score=0 at Week 36 Among Participants With a Baseline (in the Originating Study) Symptoms Score >=1Week 36

Percentage of participants achieving PSSD symptoms score=0 at Week 36 among participants with a baseline (in the originating study 77242113PSO2001) symptoms score \>=1 will be reported. The PSSD includes PRO questionnaire designed to measure the severity of psoriasis symptoms and signs over the previous 7 days for the assessment of treatment benefit. The PSSD is a self-administered PRO instrument that includes 11 items covering symptoms (itch, pain, stinging, burning, and skin tightness) and patient-observable signs (skin dryness, cracking, scaling, shedding or flaking, redness, and bleeding) using 0 to 10 numerical rating scales for severity. Two sub scores will be derived each ranging from 0 to 100: the psoriasis symptom score and the psoriasis sign score. A higher score indicates more severe disease.

Number of Participants with Adverse Events (AEs)Up to Week 40

An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention.

Trial Locations

Locations (59)

Pacific Skin Institute

🇺🇸

Sacramento, California, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Forcare Clinical Research Inc

🇺🇸

Tampa, Florida, United States

Arlington Dermatology

🇺🇸

Rolling Meadows, Illinois, United States

Indiana Clinical Trial Center

🇺🇸

Plainfield, Indiana, United States

Hamzavi Dermatology

🇺🇸

Fort Gratiot, Michigan, United States

Vivida Dermatology

🇺🇸

Las Vegas, Nevada, United States

Windsor Dermatology, PC

🇺🇸

East Windsor, New Jersey, United States

Oregon Dermatology and Research Center

🇺🇸

Portland, Oregon, United States

Dermed Centrum Medyczne Sp z o o

🇵🇱

Lodz, Poland

Dermodent Centrum Medyczne Aldona Czajkowska Rafal Czajkowski S C

🇵🇱

Osielsko, Poland

Klinika Ambroziak Estederm Sp. z o.o

🇵🇱

Warszawa, Poland

Wro Medica

🇵🇱

Wroclaw, Poland

Hosp. Univ. Germans Trias I Pujol

🇪🇸

Barcelona, Spain

Hosp. Univ. 12 de Octubre

🇪🇸

Madrid, Spain

Hosp. Univ. I Politecni La Fe

🇪🇸

Valencia, Spain

Hosp. de Manises

🇪🇸

Valencia, Spain

Chang Gung Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei City, Taiwan

Chang-Gung Memorial Hospital, LinKou Branch

🇨🇳

Taoyuan, Taiwan

Guys and St Thomas NHS Foundation Trust

🇬🇧

London, United Kingdom

Niesmann & Othlinghaus GbR

🇩🇪

Bochum, Germany

Rosenpark Research GmbH

🇩🇪

Darmstadt, Germany

Universitatsklinikum Frankfurt

🇩🇪

Frankfurt am Main, Germany

Nomura Dermatology Clinic

🇯🇵

Yokohama, Japan

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Nzoz Zdrowie Osteo-Medic

🇵🇱

Bialystok, Poland

University of Pittsburgh Department of Dermatology

🇺🇸

Pittsburgh, Pennsylvania, United States

Modern Research Associates

🇺🇸

Dallas, Texas, United States

Center for Clinical Studies

🇺🇸

Webster, Texas, United States

Premier Clinical Research

🇺🇸

Spokane, Washington, United States

Dermatrials Research

🇨🇦

Hamilton, Ontario, Canada

Alliance Clinical Trials

🇨🇦

Waterloo, Ontario, Canada

XLR8 Medical Research

🇨🇦

Windsor, Ontario, Canada

Innovaderm Research Inc.

🇨🇦

Montreal, Quebec, Canada

Centre Hospitalier Le Mans

🇫🇷

Le Mans, France

Hopital Charles Nicolle

🇫🇷

Rouen, France

HIA Sainte Anne

🇫🇷

Toulon, France

Fachklinik Bad Bentheim

🇩🇪

Bad Bentheim, Germany

ISA - Interdisciplinary Study Association GmbH

🇩🇪

Berlin, Germany

CRS Clinical Research Services Berlin GmbH

🇩🇪

Berlin, Germany

Derma-Study-Center Friedrichshafen GmbH

🇩🇪

Friedrichshafen, Germany

MensingDerma research GmbH

🇩🇪

Hamburg, Germany

Universitaetsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Universitatsklinikum Schleswig Holstein Kiel

🇩🇪

Kiel, Germany

Gemeinschaftspraxis Scholz/Sebastian/Schilling

🇩🇪

Mahlow, Germany

Hautarztpraxis

🇩🇪

Witten, Germany

Takagi Dermatological Clinic

🇯🇵

Obihiro-shi, Japan

Kume Clinic

🇯🇵

Sakai City, Japan

Sapporo Skin Clinic

🇯🇵

Sapporo, Japan

Shizuoka General Hospital

🇯🇵

Shizuoka, Japan

Shirasaki Dermatology Clinic

🇯🇵

Takaoka, Japan

Toyama Prefectural Central Hospital

🇯🇵

Toyama, Japan

Seoul National University Bundang Hospital

🇰🇷

Gyeonggi-do, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Konkuk University Medical Center

🇰🇷

Seoul, Korea, Republic of

KyungHee University Hospital

🇰🇷

Seoul, Korea, Republic of

University Hospital Southampton NHS Foundation Trust

🇬🇧

Southampton, United Kingdom

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