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PsoriasisPhase 3G-PLUSNCT03998683

A Study of Guselkumab for the Treatment of Palmoplantar-non-Pustular Psoriasis

A Phase 3 study testing Guselkumab 100 mg in people with Psoriasis, run by Janssen-Cilag Ltd. at 26 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy of guselkumab for the treatment of palmoplantar psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriasis
What is being tested?
Guselkumab 100 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
117 participants
Where
26 sitesin 5 countries
Study dates
3 Sep 2019to 30 Nov 2021
Phase
Phase 3
Are there results?
None posted in the registry

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

  • Should have all the following: A confirmed diagnosis of moderate-to-severe palmoplantar-non-pustular psoriasis with palm and/or sole involvement and at least one plaque at a body site other than the palms and soles for at least 6 months, to confirm a diagnosis of chronic psoriasis; psoriatic area and severity index (PASI) score greater than or equal to (>=) 3 and less than (<) 10 at screening and at baseline; Palmoplantar Investigator Global Assessment (ppIGA) score >=3 at screening and at baseline
  • Should be eligible to receive biological treatments; only participants who are naive to biological treatments can be included
  • A woman of childbearing potential must have a negative urine pregnancy test at screening and at Week 0
  • Agree not to receive a live virus or live bacterial vaccination during the study, or within 12 weeks after the last administration of study intervention
  • Agree to avoid prolonged sun exposure and agree not to use tanning booths or other ultraviolet (UV) light sources from the first administration of study intervention through 12 weeks after the final dose of study intervention (Week 56)

Who cannot join

  • Currently has palmoplantar pustulosis, pustular psoriasis, or any other forms other than plaque-type psoriasis (e.g, erythrodermic, guttate), or hyperkeratotic eczema
  • Has current drug-induced psoriasis (eg, a new onset of psoriasis or an exacerbation of psoriasis from beta blockers, calcium channel blockers, or lithium)
  • Has received prior systemic treatment with biological agents or Janus Kinase (JAK) inhibitors
  • Has had prior exposure, known and reported intolerance to guselkumab or excipients, or ineligible to treatment with biological agents
  • Is infected with human immunodeficiency virus (HIV, positive serology for HIV antibody)

Trial locations and contacts

26 sites in 5 countries.

26 sites in 5 countries

Germany8 sites
  • Fachklinik Bad Bentheim

    Bad Bentheim, 48455

  • University Hospital Dresden

    Dresden, 01307

  • Universitatsklinikum Frankfurt

    Frankfurt am Main, 60590

  • MensingDerma research GmbH

    Hamburg, 22391

  • Universitätsklinikum Schleswig Holstein Campus Lübeck

    Lübeck, 23538

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

  • Universitaetsklinikum Muenster

    Münster, 48149

  • Centrovital

    Witten, 58453

Other trials in Germany

Spain5 sites
  • Hosp. Univ. Germans Trias I Pujol

    Badalona, 08916

  • Hosp. Univ. Infanta Leonor

    Madrid, 28031

  • Hosp. Univ. 12 de Octubre

    Madrid, 28041

  • Hosp. Univ. I Politecni La Fe

    Valencia, 46026

  • Hosp. de Manises

    Valencia, 46940

Other trials in Spain

United Kingdom5 sites
  • Russell's Hall Hospital

    Dudley, DY1 2HQ

  • Chapel Allerton Hospital

    Leeds, LS7 4SA

  • Barts Health NHS Trust

    London, E11 1NR

  • Royal Victoria Infirmary

    Newcastle upon Tyne, NE1 4LP

  • Salford Royal NHS Foundation Trust

    Salford, M6 8HD

Other trials in United Kingdom

France4 sites
  • CHU Bordeaux - Hopital St Andre

    Bordeaux, 33000

  • Hôpital Edouard Herriot

    Lyon, 69437

  • CHU de Nice Hopital de l Archet

    Nice, 06200

  • Hopital Charles Nicolle

    Rouen, 76031

Other trials in France

Italy4 sites
  • AOU di Cagliari

    Cagliari, 09124

  • P.O. Vittorio Emanuele Azienda Ospedaliero Universitaria 'Policlinico Vittorio Emanuele'

    Catania, 95123

  • Ospedale Santa Chiara AO Universitaria Pisana

    Pisa, 56126

  • Istituto Clinico Humanitas

    Rozzano, 20089

Other trials in Italy

About this study

Official title: A Phase 3b, Multicenter, Interventional, Randomized, Placebo-controlled Study Investigating the Efficacy and Safety of Guselkumab for the Treatment of Palmoplantar-non-Pustular Psoriasis

The purpose of this study is to evaluate the efficacy of guselkumab for the treatment of palmoplantar psoriasis.

Read the detailed description

Chronic plaque psoriasis is the most common form of psoriatic skin disease; however, there is growing evidence that other variants including scalp, nail, inverse, and palmoplantar psoriasis are prevalent, undertreated, and are correlated with an increased risk of psoriatic arthritis that may result in significant morbidity with functional impairment and greater impairment in quality of life. Therefore, the main aim of the study is to provide robust efficacy and safety data on guselkumab treatment for palmoplantar non-pustular psoriasis. The study comprises of a Screening Phase (4 Weeks [Week -4 to 0]), a Treatment Phase (up to Week 48) and a post-treatment follow-up phase (up to Week 56). Key efficacy assessments include physician assessments and patient-reported outcomes questionnaires. Safety evaluations will include 12-lead electrocardiogram at baseline, pregnancy testing and monitoring of vital signs at all visits and recording of adverse events throughout the study. Also, participants will be evaluated for signs and symptoms of active tuberculosis at all visits including follow-up visit. Biomarker assessments will include the evaluation of relevant markers in serum for all participants. The study will have an overall duration of 56 weeks.

Conditions
Psoriasis
Being tested
Guselkumab 100 mg, Placebo
Medical subject headings
Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Guselkumab 100 mgDrug

    Also called CNTO1959

    Guselkumab 100 mg will be administered as SC injection.

  • PlaceboDrug

    Placebo will be administered as SC injection.

Study groups in NCT03998683
Study groupRoleWhat they receive
Guselkumab GroupExperimentalParticipants will receive guselkumab 100 mg SC injections at Weeks 0, 4, 12 and placebo subcutaneous (SC) injection at Week 16 in double-blind phase followed by guselkumab 100 mg SC injections at Weeks 20, 28, 36, and 44 in open-label phase.
Receives: Drug: Guselkumab 100 mg; Drug: Placebo
Placebo GroupPlacebo comparatorParticipants will receive placebo SC injection at Weeks 0, 4, 12 and guselkumab 100 mg SC injection at Week 16 in double-blind phase followed by guselkumab 100 mg SC injection at Week 20, 28, 36, and 44 in open-label phase.
Receives: Drug: Guselkumab 100 mg; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants who Achieve Palmoplantar Pustulosis Psoriasis Area and Severity Index 75 (ppPASI75) Response at Week 16

    Percentage of participants who achieve ppPASI75 response, defined as improvement greater than or equal to (>=) 75 percent (%) in the ppPASI score at Week 16 will be reported. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles.

    Measured: Week 16

Secondary outcomes (16)
  1. Change from Baseline in Body Surface Area (BSA) Score at Weeks 16, 24 and 48

    Change from baseline in BSA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups by measuring the arithmetic mean of the affected skin surface.

    Measured: Baseline and Weeks 16, 24 and 48

  2. Change from Baseline in absolute PASI Score at Weeks 16, 24 and 48

    Change from baseline in absolute PASI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups.

    Measured: Baseline, Weeks 16, 24 and 48

  3. Percentage of Participants Achieving PASI 75 Score at Weeks 16, 24 and 48

    Percentage of participants achieving PASI 75 score (participants who achieve >=75% improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles.

    Measured: Weeks 16, 24 and 48

  4. Percentage of Participants Achieving PASI 90 Score at Weeks 16, 24 and 48

    Percentage of participants achieving PASI 90 score (participants who achieve >=90 % improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles.

    Measured: Weeks 16, 24 and 48

  5. Percentage of Participants Achieving PASI 100 at Weeks 16, 24 and 48

    Percenatge of participants who achieving PASI 100 score (participants who achieve >=100 % improvement in PASI score) at Weeks 16, 24 and 48 will be reported in guselkumab versus the placebo group. PASI is a common clinical tool used to measure the severity and extent of psoriasis. The PASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles.

    Measured: Weeks 16, 24 and 48

  6. Change from Baseline in Palmoplantar Quality-of-Life Instrument (ppQLI) Score at Weeks 16, 24 and 48

    Change from baseline in ppQLI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. ppQLI assesses relevant dimensions affected by palmoplantar psoriasis (pain/discomfort, functionality, and social/activity limitations) to assess quality of life.

    Measured: Baseline and Weeks 16, 24 and 48

  7. Change from Baseline in Dermatology Life Quality Index (DLQI) Score at Weeks 16, 24 and 48

    Change from baseline in DLQI score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. DLQI a 10-item questionnaire that can be used to assess overall quality-of-life.

    Measured: Baseline and Weeks 16, 24 and 48

  8. Change from Baseline in European Quality of Life, 5-Dimension, 5-Level (EQ-5D-5L) Score at Weeks 16, 24 and 48

    Change from baseline in EQ-5D- 5L score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. EQ-5D-5L is a standardized instrument to measure health-related quality of life.

    Measured: Baseline and Weeks 16, 24 and 48

  9. Change from Baseline in Palmoplantar Investigator Global Assessment (ppIGA) Score at Weeks 16, 24 and 48

    Change from baseline in ppIGA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups to assess psoriasis overall lesions.

    Measured: Baseline and Weeks 16, 24 and 48

  10. Change from Baseline in Fingernail-Physician Global Assessment (f-PGA) Score at Weeks 16, 24 and 48

    Change from baseline in f-PGA score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups to assess fingernails separately for nail bed and nail matrix for signs of disease.

    Measured: Baseline and Weeks 16, 24 and 48

  11. Percentage of Participants who Achieve ppPASI75 response at Weeks 24 and 48

    Percentage of participants who achieve ppPASI75 response, defined as improvement >=75% in the ppPASI score at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of disease of the palms and/or soles.

    Measured: Weeks 24 and 48

  12. Percentage of Participants who Achieve ppPASI90 response at Weeks 24 and 48

    Percentage of participants who achieve ppPASI90 response (participants who achieve >=90 % improvement in the ppPASI score) at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of the affection of the palms and/or soles.

    Measured: Weeks 24 and 48

  13. Percentage of Participants who Achieve ppPASI100 response at Weeks 24 and 48

    Percentage of participants who achieve ppPASI100 response (participants who achieve >=100 % improvement in the ppPASI score) at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. The ppPASI is an assessment tool based on the PASI that assesses erythema, pustules, desquamation and the extent of the affection of the palms and/or soles.

    Measured: Weeks 24 and 48

  14. Change from Baseline in Work Productivity and Activity Impairment: Psoriasis (WPAI: PSO) Score at Weeks 16, 24 and 48

    Change from baseline in WPAI: PSO score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. WPAI-PSO is a questionnaire which includes 6 questions to measure work productivity and activity impairment related to skin psoriasis.

    Measured: Baseline and Weeks 16, 24 and 48

  15. Change from Baseline in Numerical Rating Scale: Pain (NRS:P) Score at Weeks 16, 24 and 48

    Change from baseline in NRS:P score at Week 16 will be reported in the guselkumab versus placebo group and at Weeks 24 and 48 will be reported separately for guselkumab and placebo-crossover groups. NRS:P is a self-administered scale that assess pain intensity in participants.

    Measured: Baseline and Weeks 16, 24 and 48

  16. Number of Participants with Adverse Event (AEs) as a Measure of Safety and Tolerability

    An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

    Measured: Up to 56 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jun 2019
  2. Study start3 Sep 2019
  3. Primary completion2 Mar 2021
  4. Study completion30 Nov 2021

Resources

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
117 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03998683
Sponsor's protocol ID
CR108611
Other IDs
2018-003206-58, CNTO1959PSO3013, 2018
Acronym
G-PLUS
Status last verified
Dec 2021
First submitted
25 Jun 2019
Last updated
3 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Guselkumab 100 mg in people with Psoriasis, run by Janssen-Cilag Ltd. at 26 sites in 5 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 5 inclusion and 5 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: finished, as of the sponsor's last update on 3 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Germany, Spain, United Kingdom, France, Italy. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 who Achieve Palmoplantar Pustulosis Psoriasis Area and Severity Index 75 (ppPASI75) Response at Week 16 (time frame: Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Jan 2022.

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