Psoriatic ArthritisPhase 3KEEPsAKE 1NCT03675308
A Study Comparing Risankizumab to Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Have a History of Inadequate Response to or Intolerance to at Least One Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy
A Phase 3 study testing Risankizumab in people with Psoriatic Arthritis, run by AbbVie at 256 sites in 39 countries.
Trial summary
The purpose of this study is to compare the safety and efficacy of risankizumab versus placebo in participants with moderately to severely active psoriatic arthritis (PsA). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Psoriatic Arthritis
- What is being tested?
- Risankizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 964 participants
- Where
- 256 sitesin 39 countries
- Study dates
- 25 Mar 2019to 28 Sep 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) at the Screening Visit.
- Participant has active disease at Baseline defined as ≥ 5 tender joints (based on 68 joint counts) and ≥ 5 swollen joints (based on 66 joint counts)
- Diagnosis of active plaque psoriasis with at least one psoriatic plaque of ≥ 2 cm diameter or nail changes consistent with psoriasis at Screening Visit.
- Participant has demonstrated an inadequate response or intolerance to or contraindication for conventional synthetic disease modifying anti-rheumatic drugs (csDMARD) therapy(ies).
- Presence of either at Screening:
- ≥ 1 erosion on radiograph as determined by central imaging review or;
- High sensitivity C-reactive protein (hsCRP) ≥ 3.0 mg/L.
Who cannot join
- Participant is considered by investigator, for any reason, to be an unsuitable candidate for the study.
- Participant has a known hypersensitivity to risankizumab.
- Participant has previous treatment with biologic agent.
Trial locations and contacts
256 sites in 39 countries.
256 sites in 39 countries
United States59 sites
Center for Rheumatology LLP /ID# 207313
Albany, New York, 12203-3710
Amarillo Ctr for Clin Research /ID# 208347
Amarillo, Texas, 79124
Pinnacle Research Group /ID# 167955
Anniston, Alabama, 36207
Arthritis and Rheumatology /ID# 168046
Atlanta, Georgia, 30342
Arthritis & Rheumatic Disease Specialties /ID# 210802
Aventura, Florida, 33180
Rheumatology and Pulmonary Clinic /ID# 200446
Beckley, West Virginia, 25801
Velocity Clinical Research /ID# 200452
Blue Ash, Ohio, 45242-3763
Rheumatology Associates of South Florida (RASF) - Clinical Research /ID# 211099
Boca Raton, Florida, 33486
New England Research Associates, LLC /ID# 207237
Bridgeport, Connecticut, 06606-1827
NYU Langone Ambulatory Care Brooklyn Heights /ID# 207310
Brooklyn, New York, 11201
Joint & Muscle Research Instit /ID# 208620
Charlotte, North Carolina, 28204
Precision Comprehensive Clinical Research Solutions /ID# 208386
Colleyville, Texas, 76034
Dallas VA Medical Center /ID# 208389
Dallas, Texas, 75216
Danbury Clinical Research, LLC /ID# 209517
Danbury, Connecticut, 06810
Altoona Ctr Clinical Res /ID# 168037
Duncansville, Pennsylvania, 16635
St. Paul Rheumatology /ID# 208471
Eagan, Minnesota, 55121
Precision Comprehensive Clinical Research Solutions /ID# 210597
Fort Worth, Texas, 76107
Aurora Rheumatology and Immunotherapy Center /ID# 168066
Franklin, Wisconsin, 53132
SIMED Health, LLC /ID# 207461
Gainesville, Florida, 32607-2817
Medication Management, LLC /ID# 211734
Greensboro, North Carolina, 27408
Klein and Associates MD /ID# 169483
Hagerstown, Maryland, 21740
Arthritis & Osteoporosis Center /ID# 207236
Hamden, Connecticut, 06518
Sweet Hope Research Specialty Inc /ID# 209393
Hialeah, Florida, 33016-1897
Jacksonville Center for Clinical Research /ID# 209876
Jacksonville, Florida, 32216
Arthritis and Rheumatism Associates /ID# 209882
Jonesboro, Arkansas, 72401-6251
Logan Health Research /ID# 213707
Kalispell, Montana, 59901
Kadlec Clinic Rheumatology /ID# 207969
Kennewick, Washington, 99336
Advanced Rheumatology, PC /ID# 168042
Lansing, Michigan, 48910
June DO, PC /ID# 208915
Lansing, Michigan, 48910
Physician Research Collaboration, LLC /ID# 208670
Lincoln, Nebraska, 68516
Valerius Medical Group & Research Center /ID# 207428
Los Alamitos, California, 90720-5402
Holy Family Memorial, Inc. /ID# 209387
Manitowoc, Wisconsin, 54220
Marietta Memorial Hospital /ID# 210179
Marietta, Ohio, 45750-1635
Paramount Medical Research Con /ID# 201583
Middleburg Heights, Ohio, 44130
Nashville Arthritis and Rheumatology /ID# 168069
Nashville, Tennessee, 37203
Coastal Carolina Health Care /ID# 208619
New Bern, North Carolina, 28562
Affinity Clinical Research /ID# 210816
Oak Brook, Illinois, 60523-1245
Health Research of Oklahoma /ID# 168027
Oklahoma City, Oklahoma, 73103-2400
Gundersen Clinic, Ltd /ID# 209459
Onalaska, Wisconsin, 54650
Rheum Assoc of Central FL /ID# 201622
Orlando, Florida, 32806
HMD Research LLC /ID# 208427
Orlando, Florida, 32819
Sun Valley Arthritis Center Ltd. /ID# 200270
Peoria, Arizona, 85381
AZ Arthritis and Rheumotology Research, PLLC /ID# 209873
Phoenix, Arizona, 85032-9306
Allegheny Health Network Research Institute /ID# 210349
Pittsburgh, Pennsylvania, 15212-4756
IRIS Research and Development, LLC /ID# 208955
Plantation, Florida, 33324
OrthoIllinois /ID# 205300
Rockford, Illinois, 61114-4937
Rheumatology Center of San Diego /ID# 201642
San Diego, California, 92128-2549
STAT Research, Inc. /ID# 213805
Springboro, Ohio, 45066
Springfield Clinic /ID# 200244
Springfield, Illinois, 62702-3749
ForCare Clinical Research /ID# 168034
Tampa, Florida, 33613-1244
Advanced Rheumatology of Houston /ID# 208354
The Woodlands, Texas, 77382
DM Clinical Research /ID# 208351
Tomball, Texas, 77375
Arizona Arthritis & Rheumatology Research, PLLC /ID# 209875
Tucson, Arizona, 85704
Southern Arizona VA Health Care System /ID# 209247
Tucson, Arizona, 85723
Inland Rheum Clin Trials Inc. /ID# 201641
Upland, California, 91786
The Center for Rheumatology and Bone Research /ID# 168017
Wheaton, Maryland, 20902
Medvin Clinical Research /ID# 211127
Whittier, California, 90606
Clinical Pharmacology Study Gr /ID# 168019
Worcester, Massachusetts, 01605
Clinical Research Ctr Reading /ID# 168070
Wyomissing, Pennsylvania, 19610
Argentina12 sites
Hospital General de Agudos J. M. Ramos Mejia /ID# 169164
Buenos Aires, Ciuadad Autonoma de Buenos Aires, 1221
Duplicate_Inst de Rehab Psicofisica /ID# 214681
Buenos Aires, 2201
Hospital Italiano de Buenos Aires /ID# 208474
Ciudad Autonoma Buenos Aires, Ciuadad Autonoma de Buenos Aires, 1199
DOM Centro de Reumatologia /ID# 208479
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1111
Fundacion CIDEA /ID# 210494
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1121
Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich /ID# 211622
Ciudad Autonoma de Buenos Aire, Ciuadad Autonoma de Buenos Aires, 1426
Duplicate_Hospital Privado Univesitario /ID# 211623
Córdoba, 5016
Framingham Centro Medico /ID# 210409
La Plata, Buenos Aires, 1902
Centro de Enfermedades del Hígado y Aparato Digestivo /ID# 169163
Rosario, Santa Fe Province, 2000
Instituto CAICI /ID# 169168
Rosario, Santa Fe Province, 2000
Centro Medico Privado de Reumatologia /ID# 208343
San Miguel de Tucumán, Tucumán Province, 4000
Cimer /Id# 169167
San Miguel de Tucumán, 4000
Ukraine12 sites
CNE Cherkasy Regional Hospital of Cherkasy Regional Council /ID# 207912
Cherkasy, 18009
MNPE Chernihiv Regional Hospital of the Chernihiv Region Council /ID# 207730
Chernihiv, 14029
State Institution L. T. Malaya Therapy National Institution of NAMS of Ukraine /ID# 209556
Kharkiv, Kharkiv Oblast, 61039
PNE City Multifunctional Hospital No.18 /ID# 207911
Kharkiv, 61029
Khmelnytskyi Regional Hospital /ID# 207753
Khmelnytskyi, 29000
MI Kryvyi Rih City Clinical Hospital No.2 /ID# 207748
Kryvyi Rih, 50056
Medical Center OK Clinic /ID# 207749
Kyiv, 02091
Communal Enterprise Volyn Regional Clinical hospital of the Volyn Regional Coun /ID# 208276
Lutsk, 43005
Lviv Municipal City Clinical Hospital #4 /ID# 207715
Lviv, 79011
PI "Poltava Regional Clinical Hospital n.a. M.V.Sklifosovsky" /ID# 207872
Poltava, 36011
Scientific Research Institute of Invalid Rehabilitation /ID# 207873
Vinnytsia, Vinnytsia Oblast, 21029
Public Institution 6th City Clinical Hospital /ID# 207754
Zaporizhzhya, 69035
Poland9 sites
Osteo-Medic S.C. /ID# 208008
Bialystok, Podlaskie Voivodeship, 15-351
ClinicMed Daniluk, Nowak Sp.j. /ID# 210824
Bialystok, Podlaskie Voivodeship, 15-879
Spolka Lekarzy INTERCOR /ID# 210191
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-605
Centrum Kliniczno-Badawcze /ID# 208010
Elblag, Warmian-Masurian Voivodeship, 82-300
McBk Sc /Id# 209132
Grodzisk Mazowiecki, Masovian Voivodeship, 05-825
Malopolskie Centrum Kliniczne /ID# 208007
Krakow, Lesser Poland Voivodeship, 30-149
ETYKA-Osrodek Badan Klinicznych /ID# 216241
Olsztyn, Warmian-Masurian Voivodeship, 10-117
Nasz Lekarz Przychodnie Medyczne /ID# 216176
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Centrum Medyczne Reuma Park w Warszawie /ID# 210352
Warsaw, Masovian Voivodeship, 02-691
Russia8 sites
Kazan State Medical University /ID# 169511
Kazan', Tatarstan, Respublika, 420012
LLC Family Outpatient Clinic № /ID# 169510
Korolev, Moscow, 141060
Research Institute of Rheumatology named after V.A. Nasonova /ID# 207643
Moscow, Moscow, 115522
Federal Center for Brain and Neurotechnology /ID# 207646
Moscow, 117997
LLC Medical Center /ID# 169516
Novosibirsk, Novosibirsk Oblast, 630099
Perm Regional Clinical Hospital /ID# 207642
Perm, 614990
Nort-Western State Medical University n.a. Mechnikov /ID# 207641
Saint Petersburg, Sankt-Peterburg, 193015
Ulyanovsk Regional Clinical Hospital /ID# 169515
Ulyanovsk, 432017
Spain8 sites
Hospital Universitario A Coruna - CHUAC /ID# 207826
A Coruña, 15006
Hospital Universitario Torrecardenas /ID# 212716
Almería, 04009
Hospital Universitario Germans Trias i Pujol /ID# 208543
Badalona, Barcelona, 08916
Hospital Parc de Salut del Mar /ID# 209698
Barcelona, 08003
Hospital Clinico Universitario San Carlos /ID# 207832
Madrid, 28040
Hospital Universitario 12 de Octubre /ID# 207827
Madrid, 28041
Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 207830
Sabadell, Barcelona, 08208
Hospital Universitario y Politecnico La Fe /ID# 207831
Valencia, 46026
Australia7 sites
Flinders Medical Centre /ID# 210562
Bedford Park, South Australia, 5042
Emeritus Research /ID# 207202
Camberwell, Victoria, 3124
Monash Medical Centre /ID# 208034
Clayton, Victoria, 3168
The Canberra Hospital /ID# 207592
Garran, Australian Capital Territory, 2605
Royal Brisbane and Women's Hospital /ID# 212785
Herston, Queensland, 4029
Rheumatology Research Unit Sunshine Coast /ID# 207200
Maroochydore, Queensland, 4558
Griffith University /ID# 207505
Southport, Queensland, 4222
Canada7 sites
SKIN Centre for Dermatology /ID# 169604
Peterborough, Ontario, K9J 5K2
Groupe de Recherche en Maladies Osseuses Inc /ID# 169598
Sainte-Foy, Quebec, G1V 3M7
Dr. Latha Naik /ID# 212188
Saskatoon, Saskatchewan, S7K 3H3
Percuro Clinical Research, Ltd /ID# 169601
Victoria, British Columbia, V8V 3M9
K. Papp Clinical Research /ID# 169603
Waterloo, Ontario, N2J 1C4
Manitoba Clinic /ID# 206819
Winnipeg, Manitoba, R3A 1M3
CIADS Research Co Ltd /ID# 169600
Winnipeg, Manitoba, R3N 0K6
Croatia7 sites
UHC Osijek /ID# 208623
Osijek, County of Osijek-Baranja, 31000
Klinicki bolnicki centar Rijeka /ID# 208621
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki bolnicki centar Split /ID# 208626
Split, Split-Dalmatia County, 21000
Poliklinika Repromed /ID# 208628
Zagreb, City of Zagreb, 10000
Poliklinika Solmed /ID# 210965
Zagreb, City of Zagreb, 10000
Medical Center Kuna-Peric /ID# 208047
Zagreb, 10000
Poliklinika Bonifarm /ID# 208750
Zagreb, 10000
Serbia7 sites
Institute for Rheumatology /ID# 168194
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 168197
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 168198
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 168199
Belgrade, Beograd, 11000
Military Medical Academy /ID# 168218
Belgrade, Beograd, 11000
Special Hospital for Rheuma /ID# 168255
Novi Sad, Vojvodina, 21000
Special Hospital for Rheuma /ID# 210284
Novi Sad, Vojvodina, 21000
United Kingdom7 sites
NHS Greater Glasgow and Clyde /ID# 214942
Glasgow, Scotland, G12 0XH
Duplicate_Barts Health NHS Trust /ID# 210534
London, London, City of, E11 1NR
Manchester University NHS Foundation Trust /ID# 207928
Manchester, M13 9WL
Duplicate_Wirral University Teaching Hospital NHS Foundation Trust /ID# 210535
Metropolitan Borough of Wirral, CH49 5PE
Portsmouth Hospitals University NHS Trust /ID# 207932
Portsmouth, PO6 3LY
Midlands Partnership NHS Foundation Trust /ID# 214941
Stafford, Staffordshire, ST16 3SR
Torbay and South Devon Nhs Foundation Trust /Id# 207931
Torquay, TQ2 7AA
Mexico6 sites
Centro Peninsular de Investigación Clínica SCP /ID# 208345
Colonia Centro, Yucatán, 97000
Centro Integral en Reumatologia S.A de C.V /ID# 208346
Guadalajara, Jalisco, 44160
CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 208331
Mexico City, Mexico City, 11850
Hospital General Regional No. 1 Dr. Carlos Mac Gregor Sánchez Navarro /ID# 210835
Mexico City, 03100
RM Pharma Specialists S.A de C.V /ID# 208330
Mexico City, 03100
Eukarya PharmaSite, SC /ID# 208431
Monterrey, Nuevo León, 64718
Portugal6 sites
Centro Hospitalar do Baixo Vouga /ID# 215979
Aveiro, 3810-164
CCA Braga - Hospital de Braga /ID# 208146
Braga, 4710-243
Instituto Português De Reumatologia /ID# 208149
Lisbon, 1050-034
Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 208148
Lisbon, 1649-035
Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 208147
Ponte de Lima, Viana do Castelo District, 4990-041
Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE /ID# 208145
Vila Nova de Gaia, Porto District, 4434-502
South Africa6 sites
Arthritis Clinical Research Trials /ID# 167625
Cape Town, Western Cape, 7405
Dr Jenny Potts /ID# 168691
Port Elizabeth, Eastern Cape, 6405
University of Pretoria /ID# 167621
Pretoria, Gauteng, 0001
Dr Elsa van Duuren /ID# 207577
Pretoria, Gauteng, 0002
Synexus Helderberg Clinical Research Centre /ID# 210891
Somerset West, Western Cape, 7130
Winelands Medical Research Centre /ID# 167629
Stellenbosch, Western Cape, 7600
Sweden6 sites
Falu Lasarett /ID# 210322
Falun, 791 31
Skane University hospital /ID# 210070
Malmö, Skåne County, 214 28
Orebro Universitetssjukhuset /ID# 207948
Örebro, Örebro County, 701 85
Duplicate_Karolinska Univ Sjukhuset /ID# 208175
Solna, 171 64
Uppsala University Hospital /ID# 207944
Uppsala, 75185
Duplicate_Vastmanlands Sjukhus /ID# 207943
Västerås, 723 35
Brazil5 sites
EDUMED Educacao em Saude S/S L /ID# 207488
Curitiba, Paraná, 80440-080
CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 207496
Juiz de Fora, Minas Gerais, 36010-570
LMK Sevicos Medicos S/S /ID# 207491
Porto Alegre, Rio Grande do Sul, 90480-000
SER - Serviços Especializados em Reumatologia /ID# 207489
Salvador, Estado de Bahia, 40150-150
CPCLIN - Centro de Pesquisas Clínicas /ID# 207493
São Paulo, 01228-200
Czechia5 sites
Revmacentrum MUDr. Mostera, s.r.o. /ID# 209025
Brno, 615 00
PV MEDICAL Services s.r.o. /ID# 210222
Prague, 130 00
MUDr. Zuzana Stejfova - revmatologicka ambulance /ID# 209027
Prague, 140 00
Affidea Praha s.r.o. /ID# 210223
Prague, 148 00
MEDICAL PLUS, s.r.o. /ID# 210439
Uherské Hradiště, 686 01
Greece5 sites
General Hospital Asklepieio Voulas /ID# 212956
Athens, Attica, 16673
Naval Hospital of Athens /ID# 206838
Athens, 11521
424 General MILITARY Hospital /ID# 210974
Efkarpia (Thessalonikis), Thessaloniki, 56429
University General Hospital of Heraklion PA.G.N.I /ID# 206839
Heraklion, Crete, 71500
Olympion General Clinic SA /ID# 207048
Pátrai, 26443
Israel5 sites
Barzilai Medical Center /ID# 207476
Ashkelon, 7830604
Rambam Health Care Campus /ID# 208170
Haifa, 3109601
Meir Medical Center /ID# 207473
Kfar Saba, 4428164
Rabin Medical Center /ID# 207475
Petah Tikva, 4941492
Sheba Medical Center /ID# 207474
Ramat Gan, Tel Aviv, 5239424
Italy5 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 207269
Ancona, 60126
A.O.U. Policlinico G. Rodolico S.Marco - Presidio San Marco /ID# 207795
Catania, 95124
Duplicate_Azienda Ospedaliero-Universitaria Policlinico di Modena /ID# 207799
Modena, Emilia-Romagna, 41124
Duplicate_Policlinico Univ Tor Vergata /ID# 207271
Rome, 00133
Azienda Ospedaliera Universitaria di Verona/Ospedale Borgo Roma /ID# 207265
Verona, 37134
Latvia5 sites
M & M Centrs LTD /ID# 208733
Adazi, LV-2164
D.Saulites-Kandevicas PP in Cardiology and Rheumatology /ID# 207224
Liepāja, LV-3401
Pauls Stradins Clinical University Hospital /ID# 207220
Riga, 1002
Clinic ORTO /ID# 216218
Riga, LV-1005
Riga East Clinical University Hospital /ID# 207223
Riga, LV-1079
Slovakia5 sites
REUMA-GLOBAL, s.r.o. /ID# 208017
Biely Kostol, 919 34
MEDMAN s.r.o. /ID# 208018
Martin, 036 01
Reum.hapi s.r.o. /ID# 208016
Nové Mesto nad Váhom, 915 01
Thermium s.r.o. /ID# 208015
Piešťany, 921 01
REUMAMED POPRAD s.r.o. /ID# 208407
Poprad, 058 01
Bosnia and Herzegovina4 sites
University Clinical Centre of the Republic of Srpska /ID# 208268
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 208269
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 210047
Banja Luka, Republika Srpska, 78000
Clinical Center University of Sarajevo /ID# 208272
Sarajevo, 71000
Bulgaria4 sites
Medical center Medconsult /ID# 211399
Pleven, 5800
Medical center Excelsior /ID# 167741
Sofia, 1407
Diagnostic consultative center 17 Sofia /ID# 210506
Sofia, 1505
Military Medical Academy Multiprofile Hospital /ID# 210829
Sofia, 1606
Germany4 sites
Immanuel Krankenhaus Berlin /ID# 207218
Buch, 13125
Center of Innovative Diagnostics and Therapeutics (CIRI GmbH) /ID# 209483
Frankfurt, 60590
MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH /ID# 209484
Hamburg, 20095
Rheumazentrum Ruhrgebiet /ID# 207216
Herne, North Rhine-Westphalia, 44649
Lithuania4 sites
VAKK Dr. Kilda's Clinic /ID# 207330
Kaunas, 50128
Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 207331
Kaunas, 50161
Klaipeda University Hospital /ID# 207329
Klaipėda, 92288
Republican Siauliai hospital /ID# 207328
Šiauliai, 76231
Malaysia4 sites
Hospital Selayang /ID# 208938
Batu Caves, Selangor, 68100
Hospital Raja Permaisuri Bainun /ID# 207920
Ipoh, Perak, 30450
University Malaya Med Ctr /ID# 208937
Kuala Lumpur, 59100
Hospital Tuanku Jaafar /ID# 207919
Seremban, Negeri Sembilan, 70300
Romania4 sites
Spitalul Clinic Sf. Maria /ID# 210054
Bucharest, 011172
Spitalul Clinic Judetean de Urgenta Cluj -Napoca /ID# 207340
Cluj-Napoca, 400006
Spitalul Clinic de Recuperare Iasi /ID# 207371
Iași, 700661
Cabinet Medical Dr Triff Carina /Id# 207528
Timișoara, Timiș County, 300766
Belgium3 sites
ReumaClinic /ID# 208213
Genk, 3600
Duplicate_UZ Ghent /ID# 210036
Ghent, Oost-Vlaanderen, 9000
ZNA - Jan Palfijn /ID# 208212
Merksem, 2170
Chile3 sites
CTR Estudios Clinicos /ID# 208166
Providencia, 7500571
Centro Internacional de Estudios Clinicos /ID# 209908
Santiago, 8420383
Clinica Dermacross S.A /ID# 208163
Vitacura Santiago, 7640881
Estonia3 sites
North Estonia Medical Centre /ID# 208325
Mustamäe, Harju, 13419
Innomedica /ID# 211416
Tallinn, Harju, 10117
MediTrials /ID# 207816
Tartu, Tartu, 50708
Finland3 sites
Helsinki University Hospital /ID# 207724
Helsinki, Uusimaa, 00290
Ite Pihlajanlinna Kuopio /ID# 208322
Kuopio, 70100
Turku University Hospital /ID# 207726
Turku, 20520
Netherlands3 sites
Universitair Medisch Centrum Groningen /ID# 208580
Groningen, 9713 GZ
Medisch Centrum Leeuwarden /ID# 168453
Leeuwarden, 8934 AD
Antonius Ziekenhuis /ID# 208587
Sneek, Provincie Friesland, 8601 ZK
New Zealand3 sites
CGM Research Trust /ID# 210498
Burwood, 8083
Waikato Hospital /ID# 213257
Hamilton, Waikato Region, 3240
Middlemore Clinical Trials /ID# 213256
Papatoetoe, Auckland, 2025
Singapore3 sites
National University Hospital /ID# 208599
Singapore, 119074
Singapore General Hospital /ID# 207917
Singapore, 169608
Changi General Hospital /ID# 208965
Singapore, 529889
South Korea3 sites
Kyungpook National Univ Hosp /ID# 207408
Daegu, 41944
Hanyang University Seoul Hospital /ID# 209263
Seoul, Seoul Teugbyeolsi, 04763
Duplicate_Konkuk University Medical Ctr /ID# 207509
Seoul, Seoul Teugbyeolsi, 05030
Taiwan3 sites
Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation /ID# 207567
Chiayi City, 62247
Chung Shan Medical University Hospital /ID# 207257
Taichung, 40201
Linkou Chang Gung Memorial Ho /ID# 207255
Taoyuan City, 333
Denmark2 sites
Aarhus University Hospital /ID# 168761
Aarhus C, Central Jutland, 8000
Bispebjerg and Frederiksberg Hospital /ID# 207576
Frederiksberg, Capital Region, 2000
Puerto Rico1 site
Mindful Medical Research /ID# 211129
San Juan, 00918-3756
About this study
Official title: A Phase 3, Randomized, Double-Blind, Study Comparing Risankizumab to Placebo in Subjects With Active Psoriatic Arthritis (PsA) Who Have a History of Inadequate Response to or Intolerance to at Least One Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy (KEEPsAKE 1)
The purpose of this study is to compare the safety and efficacy of risankizumab versus placebo in participants with moderately to severely active psoriatic arthritis (PsA).
Read the detailed description
The study consists of a Screening Period (approximately 35 days), Period 1, Period 2, and a 20-week Follow-up Period. Period 1 is a 24-week randomized, double-blind, placebo-controlled, parallel-group treatment period. Period 2 is the long-term treatment period and starts at Week 24. To maintain the blind to the original treatment allocation, treatment at the Week 24 Visit is blinded: participants randomized to placebo receive blinded risankizumab 150 mg, and participants randomized to risankizumab receive blinded placebo. At Week 28 and for the remaining dosing visits (to Week 316), all participants are to receive open-label risankizumab 150 mg every 12 weeks. Participants will remain blinded to the original randomization allocation for the duration of the study. The total study duration is 336 weeks including a telephone call 140 days (20 weeks) after last dose of study drug.
- Conditions
- Psoriatic Arthritis
- Being tested
- Placebo, Risankizumab
- Medical subject headings
- Arthritis, Psoriatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboBiological
Placebo for risankizumab administered by subcutaneous injection
RisankizumabBiological
Also called ABBV-066, BI 655066, SKYRIZI
Risankizumab administered by subcutaneous injection
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants randomized to receive double-blind placebo at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive 150 mg risankizumab followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316. Receives: Biological: Placebo; Biological: Risankizumab |
| Risankizumab | Experimental | Participants randomized to receive 150 mg risankizumab administered by subcutaneous injection at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive blinded placebo followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316. Receives: Biological: Placebo; Biological: Risankizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 24
Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:
- ≥ 20% improvement in 68-tender joint count;
- ≥ 20% improvement in 66-swollen joint count; and
- ≥ 20% improvement in at least 3 of the 5 following parameters:
- Physician global assessment of disease activity
- Patient global assessment of disease activity
- Patient assessment of pain
- Health Assessment Questionnaire - Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP).
Measured: Baseline and Week 24
Secondary outcomes (13)
Change From Baseline In Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 24
The Health Assessment Questionnaire Disability Index is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores) over the past week. Participants assessed their ability to do each task on a scale from 0 (without any difficulty) to 3 (unable to do). Scores were averaged to provide an overall score ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability.
A negative change from Baseline in the overall score indicates improvement.
Measured: Baseline and Week 24
Percentage of Participants Achieving Psoriasis Area Severity Index (PASI) 90 Response at Week 24
PASI is a composite score based on the percentage of the body surface area (BSA) affected by psoriasis and the intensity of erythema (reddening), induration (thickening or hardening of the skin), and desquamation (peeling of the skin) of lesions assessed at 4 anatomic sites (head, upper extremities, trunk, and lower extremities). At each location, the percentage of BSA involvement is assigned a score from 0 (no involvement) to 6 (90% to 100% involvement), and erythema, induration, and desquamation are scored on a scale from 0 (no symptoms) to 4 (very marked).
The PASI score ranges from 0 (no psoriasis) to 72 (very severe psoriasis). A PASI 90 response is the percentage of participants who achieved at least a 90% reduction (improvement) from Baseline in PASI score.
Measured: Baseline and Week 24
Percentage of Participants With an ACR20 Response at Week 16
Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria:
- ≥ 20% improvement in 68-tender joint count;
- ≥ 20% improvement in 66-swollen joint count; and
- ≥ 20% improvement in at least 3 of the 5 following parameters:
- Physician global assessment of disease activity
- Patient global assessment of disease activity
- Patient assessment of pain
- Health Assessment Questionnaire - Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP).
Measured: Baseline and Week 16
Percentage of Participants Achieving Minimal Disease Activity (MDA) at Week 24
A participant was classified as achieving MDA if 5 of the following 7 criteria were met:
- Tender joint count (out of 68 joints) ≤ 1
- Swollen joint count (out of 66 joints) ≤ 1
- PASI score ≤ 1 (score ranges from 0 - 72) or percent BSA involved with psoriasis ≤ 3%
- Patient's assessment of pain ≤ 15 (VAS from 0 to 100)
- Patient's Global Assessment of disease activity ≤ 20 (VAS from 0 to 100)
- HAQ-DI score ≤ 0.5 (index score ranges from 0 to 3)
- Leeds Enthesitis Index ≤ 1 (assesses the presence or absence of enthesitis at 3 bilateral sites, for an overall score range from 0 to 6)
Measured: Week 24
Change From Baseline in Modified Nail Psoriasis Severity Index (mNAPSI) Score at Week 24
The investigator assessed each fingernail for onycholysis (separation of the nail plate from the nail bed) and oil-drop (salmon patch) dyschromia (reddish-brown discoloration under the nail plate) on a scale of 0 (none present) to 3 (>30% of the nail), pitting (small, sharply defined depressions in the nail surface) on a scale of 0 (0 pits present) to 3 (> 50 pits present), and nail plate crumbling on a scale of 0 (no crumbling) to 3 (>50% of nail has crumbling) and presence (1) or absence (0) of leukonychia (white spots), splinter hemorrhages, nail bed hyperkeratosis, and red spots in the lunula.
The mNAPSI score is calculated as the sum of all the components for all of the participant's fingernails giving a range of possible scores from 0 (absence of nail psoriasis) to 130 (the most severe nail psoriasis). A negative change from Baseline indicates improvement.
Measured: Baseline and Week 24
Change From Baseline in Fingernail-Physician Global Assessment (PGA-F)
The PGA-F is a clinician-rated outcomes assessment used to measure the severity of signs and symptoms associated with fingernail psoriasis. Participant's fingernails were assessed separately for nail bed signs and nail matrix signs of disease on a scale from 0 (clear) to 4 (severe). A participant's overall global score is the worse of the nail bed score and nail matrix score. For example, if a participant had a nail bed score '2' and a nail matrix score of '4,' this participant's overall score was '4.' A negative change from Baseline indicates improvement.
Measured: Baseline and Week 24
Percentage of Participants With Resolution of Enthesitis at Week 24
Resolution of enthesitis is defined as a Leeds Enthesitis Index (LEI) score = 0.
LEI is an enthesitis measure developed specifically for PsA and assesses the presence or absence of tenderness at the following 3 bilateral enthesial sites: medial femoral condyles, lateral epicondyles of the humerus, and Achilles tendon insertions. Tenderness on examination is recorded as either present (coded as 1), absent (coded as 0), or not assessed for each of the 6 sites. The LEI is calculated by taking the sum of the scores from the 6 sites. The LEI ranges from 0 to 6 (worst).
To increase the sample size due to the smaller number of participants with enthesitis at Baseline, the pre-specified analysis of the resolution of enthesitis included pooled data from KEEPsAKE 1 (this study) and the companion study KEEPsAKE 2 (M15-998; NCT03671148).
Measured: Week 24
Percentage of Participants With Resolution of Dactylitis at Week 24
Resolution of dactylitis is defined as a Leeds Dactylitis Index (LDI) score = 0.
LDI basic is a score based on finger circumference and tenderness, assessed across all digits. The LDI basic measures the ratio of the circumference of the affected digit to the circumference of the digit on the opposite hand or foot, using a minimum difference of 10% to define a dactylitic digit. The ratio of circumference is multiplied by a tenderness score (1 for tender, 0 for non-tender). If both sides of a digit are considered involved, or the circumference of the contralateral digit cannot be obtained, a standard reference table is used. Scores from each digit are summed to provide the final LDI. A higher LDI indicates worse dactylitis.
To increase sample size due to the smaller number of participants with dactylitis at Baseline, the pre-specified analysis of the resolution of dactylitis included pooled data from KEEPsAKE 1 (this study) and the companion study KEEPsAKE 2 (M15-998; NCT03671148).
Measured: Week 24
Change From Baseline in PsA Modified Total Sharp Score (mTSS) at Week 24
The Sharp-van der Heijde modified scoring method for PsA measures the level of joint damage from radiographs of the hands and feet, and was assessed by 2 independent, blinded readers.
Joint erosion severity was assessed in 20 joints in each hand and wrist and 6 joints in each foot. Each joint was scored from 0 (no erosion) to 5 for hands/wrists or to 10 for feet (complete collapse). The total erosion score ranges from 0 to 320 (worst).
Joint space narrowing (JSN) was assessed in 20 joints of each hand and wrist, and 6 joints of each foot, from 0 (normal) to 4 (complete loss of joint space, bony ankylosis, or luxation). The total JSN score ranges from 0 to 208 (worst).
Joints with gross osteolysis or pencil in cup were assigned the maximum score for both erosions and JSN.
The total mTSS score is the sum of the joint erosion and JSN scores and ranges from 0 (normal) to 528 (worst).
Measured: Baseline and Week 24
Change From Baseline In 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 24
The Short Form 36-Item Health Survey (SF-36) Version 2 is a self-administered questionnaire that measures the impact of disease on overall quality of life during the past 4 weeks. The SF-36 consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).
The physical component summary is a weighted combination of the 8 subscales with positive weighting for physical functioning, role-physical, bodily pain, and general health. The SF-36 PCS ranges from 0 to 100. A linear algorithm was applied to the calculation of the PCS which has a normative mean value of 50. Higher scores are associated with less disability; a score of 100 is equivalent to no disability and a score of 0 is equivalent to maximum disability. A positive change from Baseline score indicates improvement.
Measured: Baseline and Week 24
Change From Baseline In Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24
The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants in the previous 7 days, including physical fatigue (e.g., I feel tired), functional fatigue (e.g., trouble finishing things), emotional fatigue (e.g., frustration), and social consequences of fatigue (e.g., limits social activity). Participants respond to the questions on a scale from 0 (not at all) to 4 (very much).
The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue.
A positive change from Baseline indicates improvement.
Measured: Baseline and Week 24
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response at Week 24
Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR50 response criteria:
- ≥ 50% improvement in 68-tender joint count;
- ≥ 50% improvement in 66-swollen joint count; and
- ≥ 50% improvement in at least 3 of the 5 following parameters:
- Physician global assessment of disease activity
- Patient global assessment of disease activity
- Patient assessment of pain
- Health Assessment Questionnaire - Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP).
Measured: Baseline and Week 24
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response at Week 24
Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR70 response criteria:
- ≥ 70% improvement in 68-tender joint count;
- ≥ 70% improvement in 66-swollen joint count; and
- ≥ 70% improvement in at least 3 of the 5 following parameters:
- Physician global assessment of disease activity
- Patient global assessment of disease activity
- Patient assessment of pain
- Health Assessment Questionnaire - Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP).
Measured: Baseline and Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2018
- Study start25 Mar 2019
- Primary completion8 Oct 2020
- Study completion28 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Psoriatic ArthritisStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 964 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03675308
- Sponsor's protocol ID
- M16-011
- Other IDs
- 2017-002465-22, 2017
- Acronym
- KEEPsAKE 1
- Status last verified
- Aug 2025
- First submitted
- 12 Sep 2018
- Last updated
- 5 Aug 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Publications
Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Lu W, Wang Z, Soliman AM, Eldred A, Barcomb L, Behrens F. Efficacy and safety of risankizumab for active psoriatic arthritis: 24-week results from the randomised, double-blind, phase 3 KEEPsAKE 1 trial. Ann Rheum Dis. 2022 Feb;81(2):225-231. doi: 10.1136/annrheumdis-2021-221019. Epub 2021 Dec 15.
PubMed 34911706Gossec L, Balanescu A, D'Agostino MA, Ogdie A, Sewerin P, Deng Y, Shi L, Sugimoto Y, Zhong S, Xing Y, Lippe R, Kishimoto M. Efficacy of Risankizumab across distinct PsA phenotypes identified with machine learning analytics using data from biologic DMARD-Naive patients in two phase 3 clinical trials. Arthritis Res Ther. 2025 Nov 29;28(1):2. doi: 10.1186/s13075-025-03670-0.
PubMed 41318485Ostor A, Van den Bosch F, Papp K, Keiserman M, Blanco R, Crowley A, White D, Biljan A, Madihlaba T, Carter K, Liu F, Soliman AM, Ashley D, Chen M, Glotfelty L, Kivitz A. Efficacy and Safety of Risankizumab for Active Psoriatic Arthritis: 196-Week Results from the KEEPsAKE 1 and KEEPsAKE 2 Randomized Clinical Trials. Rheumatol Ther. 2025 Dec;12(6):1103-1123. doi: 10.1007/s40744-025-00793-3. Epub 2025 Sep 30.
PubMed 41028616Mease PJ, Warren RB, Nash P, Grouin JM, Lyris N, Willems D, Taieb V, Eells J, McInnes IB. Comparative Effectiveness of Bimekizumab and Risankizumab in Patients with Psoriatic Arthritis at 52 Weeks Assessed Using a Matching-Adjusted Indirect Comparison. Rheumatol Ther. 2024 Oct;11(5):1403-1412. doi: 10.1007/s40744-024-00706-w. Epub 2024 Aug 9.
PubMed 39120849Kwatra SG, Khattri S, Amin AZ, Ranza R, Kaplan B, Shi L, Padilla B, Soliman AM, McGonagle D. Enthesitis and Dactylitis Resolution with Risankizumab for Active Psoriatic Arthritis: Integrated Analysis of the Randomized KEEPsAKE 1 and 2 Trials. Dermatol Ther (Heidelb). 2024 Jun;14(6):1517-1530. doi: 10.1007/s13555-024-01174-4. Epub 2024 May 13.
PubMed 38739215Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Carter K, Lippe R, Photowala H, Drogaris L, Soliman AM, Chen M, Padilla B, Behrens F. Efficacy and Safety of Risankizumab for Active Psoriatic Arthritis: 100-Week Results from the Phase 3 KEEPsAKE 1 Randomized Clinical Trial. Rheumatol Ther. 2024 Jun;11(3):617-632. doi: 10.1007/s40744-024-00654-5. Epub 2024 Mar 18.
PubMed 38498141Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Lu W, Soliman AM, Eldred A, Barcomb L, Behrens F. Efficacy and safety of risankizumab for active psoriatic arthritis: 52-week results from the KEEPsAKE 1 study. Rheumatology (Oxford). 2023 Jun 1;62(6):2113-2121. doi: 10.1093/rheumatology/keac607.
PubMed 36282530Thakre N, D'Cunha R, Goebel A, Liu W, Pang Y, Suleiman AA. Population Pharmacokinetics and Exposure-Response Analyses for Risankizumab in Patients with Active Psoriatic Arthritis. Rheumatol Ther. 2022 Dec;9(6):1587-1603. doi: 10.1007/s40744-022-00495-0. Epub 2022 Sep 30.
PubMed 36178584Kristensen LE, Soliman AM, Papp K, White D, Barcomb L, Lu W, Eldred A, Behrens F. Risankizumab improved health-related quality of life, fatigue, pain and work productivity in psoriatic arthritis: results of KEEPsAKE 1. Rheumatology (Oxford). 2023 Feb 1;62(2):629-637. doi: 10.1093/rheumatology/keac342.
PubMed 35801915
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Study Comparing Risankizumab to Placebo in Subjects With Active Psoriatic Arthritis (PsA) Who Have a History of Inadequate Response to or Intolerance to at Least One Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy (KEEPsAKE 1)
- ClinicalTrials.gov ID
- NCT03675308
- Acronym / sponsor ID
- KEEPsAKE 1 / M16-011
- Conditions
- Psoriatic Arthritis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 964 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 25 Mar 2019 (actual)
- Primary completion
- 8 Oct 2020 (actual)
- Study completion
- 28 Sep 2026 (estimated)
- First posted
- 18 Sep 2018 (actual)
- Results
- Posted 24 Feb 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the safety and efficacy of risankizumab versus placebo in participants with moderately to severely active psoriatic arthritis (PsA).
Detailed description
The study consists of a Screening Period (approximately 35 days), Period 1, Period 2, and a 20-week Follow-up Period. Period 1 is a 24-week randomized, double-blind, placebo-controlled, parallel-group treatment period. Period 2 is the long-term treatment period and starts at Week 24. To maintain the blind to the original treatment allocation, treatment at the Week 24 Visit is blinded: participants randomized to placebo receive blinded risankizumab 150 mg, and participants randomized to risankizumab receive blinded placebo. At Week 28 and for the remaining dosing visits (to Week 316), all participants are to receive open-label risankizumab 150 mg every 12 weeks. Participants will remain blinded to the original randomization allocation for the duration of the study. The total study duration is 336 weeks including a telephone call 140 days (20 weeks) after last dose of study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Biological: Placebo, Biological: RisankizumabParticipants randomized to receive double-blind placebo at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive 150 mg risankizumab followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316. |
| Risankizumab | Experimental | Biological: Placebo, Biological: RisankizumabParticipants randomized to receive 150 mg risankizumab administered by subcutaneous injection at Week 0, Week 4, and Week 16 in Period 1. At Week 24 participants will receive blinded placebo followed by open-label 150 mg risankizumab at Week 28, and every 12 weeks thereafter in Period 2 until the final dosing time point at Week 316. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Clinical diagnosis of PsA with symptom onset at least 6 months prior to the Screening Visit and fulfillment of the Classification Criteria for PsA (CASPAR) at the Screening Visit.
- Participant has active disease at Baseline defined as ≥ 5 tender joints (based on 68 joint counts) and ≥ 5 swollen joints (based on 66 joint counts)
- Diagnosis of active plaque psoriasis with at least one psoriatic plaque of ≥ 2 cm diameter or nail changes consistent with psoriasis at Screening Visit.
- Participant has demonstrated an inadequate response or intolerance to or contraindication for conventional synthetic disease modifying anti-rheumatic drugs (csDMARD) therapy(ies).
- Presence of either at Screening:
Key exclusion criteria (3 listed)
- Participant is considered by investigator, for any reason, to be an unsuitable candidate for the study.
- Participant has a known hypersensitivity to risankizumab.
- Participant has previous treatment with biologic agent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo for risankizumab administered by subcutaneous injection | Biological | Placebo, Risankizumab |
| RisankizumabAlso: ABBV-066, BI 655066, SKYRIZIRisankizumab administered by subcutaneous injection | Biological | Placebo, Risankizumab |
Primary outcome
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 24
Time frame: Baseline and Week 24
Participants who met the following 3 conditions for improvement from Baseline were classified as meeting the ACR20 response criteria: 1. ≥ 20% improvement in 68-tender joint count; 2. ≥ 20% improvement in 66-swollen joint count; and 3. ≥ 20% improvement in at least 3 of the 5 following parameters: * Physician global assessment of disease activity * Patient global assessment of disease activity * Patient assessment of pain * Health Assessment Questionnaire - Disability Index (HAQ-DI) * High-sensitivity C-reactive protein (hsCRP).
13 secondary outcomes
Change From Baseline In Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 24
Time frame: Baseline and Week 24
Percentage of Participants Achieving Psoriasis Area Severity Index (PASI) 90 Response at Week 24
Time frame: Baseline and Week 24
Percentage of Participants With an ACR20 Response at Week 16
Time frame: Baseline and Week 16
Percentage of Participants Achieving Minimal Disease Activity (MDA) at Week 24
Time frame: Week 24
Change From Baseline in Modified Nail Psoriasis Severity Index (mNAPSI) Score at Week 24
Time frame: Baseline and Week 24
Change From Baseline in Fingernail-Physician Global Assessment (PGA-F)
Time frame: Baseline and Week 24
Percentage of Participants With Resolution of Enthesitis at Week 24
Time frame: Week 24
Percentage of Participants With Resolution of Dactylitis at Week 24
Time frame: Week 24
Change From Baseline in PsA Modified Total Sharp Score (mTSS) at Week 24
Time frame: Baseline and Week 24
Change From Baseline In 36-Item Short Form Health Survey (SF-36) Physical Component Summary (PCS) Score at Week 24
Time frame: Baseline and Week 24
Change From Baseline In Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24
Time frame: Baseline and Week 24
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response at Week 24
Time frame: Baseline and Week 24
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response at Week 24
Time frame: Baseline and Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 34911706Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Lu W, Wang Z, Soliman AM, Eldred A, Barcomb L, Behrens F. Efficacy and safety of risankizumab for active psoriatic arthritis: 24-week results from the randomised, double-blind, phase 3 KEEPsAKE 1 trial. Ann Rheum Dis. 2022 Feb;81(2):225-231. doi: 10.1136/annrheumdis-2021-221019. Epub 2021 Dec 15.
- Derived from this study: PubMed 41318485Gossec L, Balanescu A, D'Agostino MA, Ogdie A, Sewerin P, Deng Y, Shi L, Sugimoto Y, Zhong S, Xing Y, Lippe R, Kishimoto M. Efficacy of Risankizumab across distinct PsA phenotypes identified with machine learning analytics using data from biologic DMARD-Naive patients in two phase 3 clinical trials. Arthritis Res Ther. 2025 Nov 29;28(1):2. doi: 10.1186/s13075-025-03670-0.
- Derived from this study: PubMed 41028616Ostor A, Van den Bosch F, Papp K, Keiserman M, Blanco R, Crowley A, White D, Biljan A, Madihlaba T, Carter K, Liu F, Soliman AM, Ashley D, Chen M, Glotfelty L, Kivitz A. Efficacy and Safety of Risankizumab for Active Psoriatic Arthritis: 196-Week Results from the KEEPsAKE 1 and KEEPsAKE 2 Randomized Clinical Trials. Rheumatol Ther. 2025 Dec;12(6):1103-1123. doi: 10.1007/s40744-025-00793-3. Epub 2025 Sep 30.
- Derived from this study: PubMed 39120849Mease PJ, Warren RB, Nash P, Grouin JM, Lyris N, Willems D, Taieb V, Eells J, McInnes IB. Comparative Effectiveness of Bimekizumab and Risankizumab in Patients with Psoriatic Arthritis at 52 Weeks Assessed Using a Matching-Adjusted Indirect Comparison. Rheumatol Ther. 2024 Oct;11(5):1403-1412. doi: 10.1007/s40744-024-00706-w. Epub 2024 Aug 9.
- Derived from this study: PubMed 38739215Kwatra SG, Khattri S, Amin AZ, Ranza R, Kaplan B, Shi L, Padilla B, Soliman AM, McGonagle D. Enthesitis and Dactylitis Resolution with Risankizumab for Active Psoriatic Arthritis: Integrated Analysis of the Randomized KEEPsAKE 1 and 2 Trials. Dermatol Ther (Heidelb). 2024 Jun;14(6):1517-1530. doi: 10.1007/s13555-024-01174-4. Epub 2024 May 13.
- Derived from this study: PubMed 38498141Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Carter K, Lippe R, Photowala H, Drogaris L, Soliman AM, Chen M, Padilla B, Behrens F. Efficacy and Safety of Risankizumab for Active Psoriatic Arthritis: 100-Week Results from the Phase 3 KEEPsAKE 1 Randomized Clinical Trial. Rheumatol Ther. 2024 Jun;11(3):617-632. doi: 10.1007/s40744-024-00654-5. Epub 2024 Mar 18.
- Derived from this study: PubMed 36282530Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Lu W, Soliman AM, Eldred A, Barcomb L, Behrens F. Efficacy and safety of risankizumab for active psoriatic arthritis: 52-week results from the KEEPsAKE 1 study. Rheumatology (Oxford). 2023 Jun 1;62(6):2113-2121. doi: 10.1093/rheumatology/keac607.
- Derived from this study: PubMed 36178584Thakre N, D'Cunha R, Goebel A, Liu W, Pang Y, Suleiman AA. Population Pharmacokinetics and Exposure-Response Analyses for Risankizumab in Patients with Active Psoriatic Arthritis. Rheumatol Ther. 2022 Dec;9(6):1587-1603. doi: 10.1007/s40744-022-00495-0. Epub 2022 Sep 30.
- Derived from this study: PubMed 35801915Kristensen LE, Soliman AM, Papp K, White D, Barcomb L, Lu W, Eldred A, Behrens F. Risankizumab improved health-related quality of life, fatigue, pain and work productivity in psoriatic arthritis: results of KEEPsAKE 1. Rheumatology (Oxford). 2023 Feb 1;62(2):629-637. doi: 10.1093/rheumatology/keac342.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
256 sites in 39 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Risankizumab in people with Psoriatic Arthritis, run by AbbVie at 256 sites in 39 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 5 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 256 sites in United States, Argentina, Ukraine, Poland, Russia and 34 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Feb 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 24 (time frame: Baseline and Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03675308, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2025.