A Study Evaluating the Efficacy and Safety of Guselkumab Administered Subcutaneously in Participants With Active Psoriatic Arthritis
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ClinicalTrials.gov Identifier: NCT03158285 |
Recruitment Status :
Completed
First Posted : May 18, 2017
Results First Posted : November 5, 2020
Last Update Posted : December 22, 2022
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Sponsor:
Janssen Research & Development, LLC
Information provided by (Responsible Party):
Janssen Research & Development, LLC
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Condition |
Arthritis, Psoriatic |
Interventions |
Drug: Guselkumab Drug: Placebo |
Enrollment | 741 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | A total of 741 participants were randomized and 739 participants received at least one dose of study drug: 246 in placebo group, 248 in guselkumab 100 mg q8w group, and 245 in guselkumab 100 mg q4w group. Two participants were randomized in error and were never treated. Disposition is presented till active treatment period (Week100). |
Arm/Group Title | Placebo to Guselkumab 100 mg q4w | Guselkumab 100 mg q8w | Guselkumab 100 mg q4w |
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Participants were randomized to receive placebo matched to guselkumab subcutaneous injections every 4 weeks through Week 20 in the placebo controlled period (PCP), then to receive guselkumab 100 milligrams (mg) subcutaneous injection from Week 24 every 4 weeks through Week 100 in the active treatment period. | Participants were randomized to receive guselkumab 100 mg subcutaneous injections at Weeks 0 and 4, then every 8 weeks (q8w) through Week 100 and placebo matched to guselkumab injections at Week 8 then q8w through Week 100. | Participants were randomized to receive guselkumab 100 mg subcutaneous injections every 4 weeks (q4w) through Week 100. |
Period Title: Placebo-controlled Period: Week 0 - 24 | |||
Started | 246 | 248 | 245 |
Pooled Population: Enthesitis Assessment | 255 [1] | 230 [2] | 243 [3] |
Pooled Population: Dactylitis Assessment | 154 [4] | 160 [5] | 159 [6] |
Completed | 240 | 240 | 236 |
Not Completed | 6 | 8 | 9 |
Reason Not Completed | |||
Adverse Event | 4 | 2 | 6 |
Lack of Efficacy | 0 | 3 | 3 |
Withdrawal by Subject | 1 | 1 | 0 |
Lost to Follow-up | 0 | 1 | 0 |
Other | 1 | 1 | 0 |
[1]
Pooled population (255) = 77 (CNTO1959PSA3001[NCT03162796]) + 178 (CNTO1959PSA3002)
[2]
Pooled population (230)= 72 (CNTO1959PSA3001) + 158 (CNTO1959PSA3002)
[3]
Pooled population (243)= 73 (CNTO1959PSA3001) + 170 (CNTO1959PSA3002)
[4]
Pooled population (154) = 55 (CNTO1959PSA3001) + 99 (CNTO1959PSA3002)
[5]
Pooled population (160) = 49 (CNTO1959PSA3001) + 111 (CNTO1959PSA3002)
[6]
Pooled population (159) = 38 (CNTO1959PSA3001) + 121 (CNTO1959PSA3002)
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Period Title: Active Treatment Period: Week 24 - 52 | |||
Started | 238 [1] | 240 | 234 [1] |
Completed | 228 | 234 | 227 |
Not Completed | 10 | 6 | 7 |
Reason Not Completed | |||
Adverse Event | 3 | 0 | 1 |
Lack of Efficacy | 5 | 3 | 4 |
Withdrawal by Subject | 1 | 2 | 1 |
Pregnancy | 0 | 0 | 1 |
Other | 1 | 1 | 0 |
[1]
2 participants did not enter the active treatment.
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Period Title: Active Treatment Period: Week 52-100 | |||
Started | 228 | 232 [1] | 227 |
Completed | 210 | 223 | 219 |
Not Completed | 18 | 9 | 8 |
Reason Not Completed | |||
Adverse Event | 7 | 5 | 3 |
Lack of Efficacy | 1 | 1 | 3 |
Withdrawal by Subject | 5 | 2 | 1 |
Pregnancy | 0 | 0 | 1 |
Death | 1 | 0 | 0 |
Other | 4 | 1 | 0 |
[1]
2 participants did not enter the active treatment.
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Baseline Characteristics
Arm/Group Title | Placebo to Guselkumab 100 mg q4w | Guselkumab 100 mg q8w | Guselkumab 100 mg q4w | Total | |
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Participants were randomized to receive placebo matched to guselkumab subcutaneous injections every 4 weeks through Week 20 in the placebo controlled period (PCP), then to receive guselkumab 100 milligrams (mg) subcutaneous injection from Week 24 every 4 weeks through Week 100 in the active treatment period. | Participants were randomized to receive guselkumab 100 mg subcutaneous injections at Weeks 0 and 4, then every 8 weeks (q8w) through Week 100 and placebo matched to guselkumab injections at Week 8 then q8w through Week 100. | Participants were randomized to receive guselkumab 100 mg subcutaneous injections every 4 weeks (q4w) through Week 100. | Total of all reporting groups | |
Overall Number of Baseline Participants | 246 | 248 | 245 | 739 | |
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[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 246 participants | 248 participants | 245 participants | 739 participants | |
46.3 (11.68) | 44.9 (11.89) | 45.9 (11.47) | 45.7 (11.68) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 246 participants | 248 participants | 245 participants | 739 participants | |
Female |
129 52.4%
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119 48.0%
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103 42.0%
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351 47.5%
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Male |
117 47.6%
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129 52.0%
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142 58.0%
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388 52.5%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 246 participants | 248 participants | 245 participants | 739 participants | |
Hispanic or Latino |
1 0.4%
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1 0.4%
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0 0.0%
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2 0.3%
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Not Hispanic or Latino |
245 99.6%
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247 99.6%
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245 100.0%
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737 99.7%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 246 participants | 248 participants | 245 participants | 739 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Asian |
4 1.6%
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8 3.2%
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3 1.2%
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15 2.0%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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White |
242 98.4%
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240 96.8%
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242 98.8%
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724 98.0%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 246 participants | 248 participants | 245 participants | 739 participants |
BULGARIA | 14 | 9 | 6 | 29 | |
CZECH REPUBLIC | 13 | 5 | 15 | 33 | |
ESTONIA | 5 | 8 | 5 | 18 | |
LATVIA | 3 | 3 | 0 | 6 | |
LITHUANIA | 8 | 8 | 4 | 20 | |
MALAYSIA | 3 | 6 | 3 | 12 | |
POLAND | 35 | 27 | 23 | 85 | |
RUSSIAN FEDERATION | 92 | 77 | 104 | 273 | |
SPAIN | 3 | 12 | 4 | 19 | |
TAIWAN | 0 | 1 | 0 | 1 | |
TURKEY | 2 | 8 | 6 | 16 | |
UKRAINE | 65 | 83 | 73 | 221 | |
UNITED STATES | 3 | 1 | 2 | 6 |