Moderate Plaque PsoriasisPhase 4IMMpactfulNCT06333860
A Study to Learn How Safe and Effective Risankizumab is When Compared to Deucravacitinib to Treat Participants With Moderate Plaque Psoriasis and Who Need to Try Systemic Treatment (Works Throughout the Whole Body)
A Phase 4 study testing Risankizumab and Deucravacitinib in people with Moderate Plaque Psoriasis, run by AbbVie at 88 sites in 12 countries.
Trial summary
Psoriasis is a long-term skin disease which causes red, itchy, scaly patches most commonly on the knees, elbows, scalp, and torso (chest, back, and abdomen). In participants with psoriasis, certain skin cells multiply much faster and the skin can develop rough patches that may be red or white with scales. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Moderate Plaque Psoriasis
- What is being tested?
- Risankizumab and Deucravacitinib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 393 participants
- Where
- 88 sitesin 12 countries
- Study dates
- 10 May 2024to 19 Mar 2026
- Phase
- Phase 4
- 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
- Participant with a diagnosis of chronic plaque psoriasis (PsO) with or without psoriatic arthritis, for at least 6 months prior to Baseline.
- Stable moderate chronic plaque psoriasis at both Screening and Baseline as defined as:
- Body Surface Area (BSA) ≥ 10% and ≤ 15%,
- Psoriasis Area and Severity Index (PASI) ≥ 12, and
- Static Physician Global Assessment (sPGA) = 3 (moderate) based on a 5-point scale (0 to 4).
- Participant must be a candidate for systemic therapy as assessed by the investigator
- Psoriasis inadequately controlled by topicals, phototherapy and/or systemic treatments (including, but not limited to, methotrexate, apremilast, cyclosporine A, corticosteroids, and/or cyclophosphamide)
Who cannot join
- Participants with any form of PsO other than chronic plaque PsO (e.g., pustular PsO, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic, or guttate PsO).
- Participants with a history of current drug-induced PsO or a drug-induced exacerbation of preexisting PsO.
- Participants with a history of active ongoing inflammatory skin diseases other than PsO (with or without PsA) that could interfere with the assessment of PsO (e.g., hyperkeratotic eczema).
- Participants with a history of severe renal insufficiency defined as creatinine clearance < 30 mL/min and/or requiring hemodialysis or peritoneal dialysis.
- Participantswith a history of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months.
- Participants with a history of an allergic reaction or significant sensitivity to constituents of the study drugs (and its excipients) and/or other products in the same class.
Show all 30Show fewer
- Participants who have had major surgery performed within 12 weeks prior to randomization or planned during the conduct of the study (e.g., hip replacement, aneurysm removal, stomach ligation).
- Participants with evidence of:
- Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection, defined as:
- HBV: Hepatitis B surface antigen (HBs Ag) positive (+) test or detected sensitivity on the HBV DNA PCR qualitative test for subjects who are hepatitis B core antibody (HBc Ab) positive (+) (and for hepatitis B surface antibody [HBs Ab] positive [+] participants where mandated by local requirements).
- HCV: HCV RNA detectable in any participant with anti-HCV antibody (HCV Ab).
- Human immunodeficiency virus (HIV), defined as confirmed positive anti-HIV Ab test and considered to have unstable disease (Unless meeting criteria for stable disease) Participants with HIV with no history of AIDS-defining conditions AND stable disease for at least 6 months prior to screening can be enrolled. Criteria for stable disease is achieved if all below criteria are met. Documentation of "stable disease" can be done at the Screening visit or by documentation of labs performed within 1 month of the Randomization visit, in addition to the subject's medical history.
- On stable antiretroviral therapy;
- Viral load (HIV RNA) below the lower limit of quantification by a validated and approved plasma HIV-1 RNA quantitative assay;
- CD4+ T cell count ≥ 500 cells/μL.
- Participants with any of the following medical diseases or disorders:
- Recent (within past 6 months) cerebrovascular accident or myocardial infarction;
- History of an organ transplant which requires continued immunosuppression;
- Active or suspected malignancy or history of any malignancy within the last 5 years except for successfully treated non-melanoma skin cancer (NMSC) or localized carcinoma in situ of the cervix.
- Prior history of suicide attempt at any time in the subject's lifetime prior to signing the informed consent and randomization, or major depression or suicidal ideation or attempt requiring hospitalization within the last 3 years prior to signing the informed consent.
- Hereditary problems of galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption.
- Participants who received within 30 days prior to Baseline any:
- Other systemic immunomodulating treatments (including, but not limited to:
- e.g., methotrexate, apremilast, cyclosporine A, corticosteroids, cyclophosphamide, tofacitinib [Xeljanz®]);
- Other systemic PsO treatments (e.g., retinoids, fumarates, any other drug known to possibly benefit PsO);
- Photochemotherapy (e.g., PUVA), phototherapy (e.g., UVB) or prolonged exposure or use of tanning booths or ultraviolet light sources.
- Participants who received within 14 days prior to Baseline any topical treatment for PsO or any other skin condition (including, but not limited to: e.g., corticosteroids, vitamin D analogues, vitamin A analogues, pimecrolimus, retinoids, salicyl vaseline, salicylic acid, lactic acid, tacrolimus, tar, urea, or anthralin).
- Participants who have been treated with any strong cytochrome P450 enzyme inducers (e.g., rifampin, phenobarbital, carbamazepine, phenytoin, St. John's Wort) within 30 days or 5 half-lives of start of treatment with deucravacitinib.
- Participants who received any live viral or bacterial vaccine within 4 weeks prior to the first dose of study drug, or expect the need for live vaccination during study participation including at least 147 days (21 weeks or as guided by the local risankizumab label [if approved], whichever is longer) after the last dose of risankizumab or at least 30 days after the last dose of deucravacitinib.
- Participants who have been treated with any investigational drug within 30 days or 5 half-lives of the drug (whichever is longer) prior to the first dose of study drug or be currently enrolled in another interventional clinical study.
Trial locations and contacts
88 sites in 12 countries.
88 sites in 12 countries
United States39 sites
University of Michigan Health System - Ann Arbor /ID# 265233
Ann Arbor, Michigan, 48109
Arlington Research Center, Inc /ID# 263908
Arlington, Texas, 76011
Bellaire Dermatology Associates /ID# 263897
Bellaire, Texas, 77401
Total Skin and Beauty Dermatology Center /ID# 263011
Birmingham, Alabama, 35205
Clearlyderm Dermatology - West Boca /ID# 264963
Boca Raton, Florida, 33428
MetroBoston Clinical Partners /ID# 263860
Boston, Massachusetts, 02135-3511
Dermatology Trial Associates /ID# 264480
Bryant, Arkansas, 72022
U.S. Dermatology Partners - Cedar Park /ID# 263906
Cedar Park, Texas, 78613
University Dermatology and Vein Clinic, LLC /ID# 263028
Chicago, Illinois, 60640-7972
Clinical Research Institute of Michigan - Clinton Township Office /ID# 264968
Clinton Township, Michigan, 48038
Driven Research /ID# 263002
Coral Gables, Florida, 33134
Dermatology Treatment and Research Center /ID# 267071
Dallas, Texas, 75230
First OC Dermatology /ID# 263003
Fountain Valley, California, 92708
Advanced Research Associates - Glendale /ID# 263621
Glendale, Arizona, 85308
Skin Care Research - Hollywood /ID# 263877
Hollywood, Florida, 33021-6748
Dawes Fretzin, LLC /ID# 264578
Indianapolis, Indiana, 46256
Clinical Partners /ID# 263862
Johnston, Rhode Island, 02919
Dermatology and Skin Center of Lees Summit /ID# 263560
Lee's Summit, Missouri, 64064-2301
Physician Research Collaboration, LLC /ID# 263568
Lincoln, Nebraska, 68516
International Dermatology Research /ID# 264911
Miami, Florida, 33144
Lenus Research and Medical Group /ID# 263886
Miami, Florida, 33172
Wellness Clinical Research - Miami Lakes /ID# 263887
Miami Lakes, Florida, 33016
Texas Dermatology Research Center /ID# 264487
Plano, Texas, 75025
Oregon Dermatology & Research Center /ID# 263674
Portland, Oregon, 97210
StracSkin, PLLC /ID# 263024
Portsmouth, New Hampshire, 03801
Health Concepts /ID# 263016
Rapid City, South Dakota, 57702
Skin Cancer and Dermatology Institute - Reno /ID# 263697
Reno, Nevada, 89509
Arlington Dermatology /ID# 263001
Rolling Meadows, Illinois, 60008
Integrative Skin Science and Research /ID# 264504
Sacramento, California, 95815
Physioseq, LLC /ID# 265035
Sacramento, California, 95825
Dermatology Clinical Research Center of San Antonio /ID# 263869
San Antonio, Texas, 78229
Medderm Associates Dermatology /ID# 263858
San Diego, California, 92103
Southern California Dermatology /ID# 263021
Santa Ana, California, 92701
Clear Dermatology & Aesthetics Center /ID# 263626
Scottsdale, Arizona, 85260
Premier Clinical Research /ID# 263679
Spokane, Washington, 99202
Skin Care Research - Tampa /ID# 263880
Tampa, Florida, 33607-6438
Advanced Clinical Research Institute /ID# 263878
Tampa, Florida, 33607
Center for Clinical Studies - Clear Lake /ID# 263009
Webster, Texas, 77598
Center for Clinical Studies - Clear Lake /ID# 263917
Webster, Texas, 77598
Germany7 sites
Fachklinik - Bad Bentheim /ID# 263066
Bad Bentheim, Lower Saxony, 48455
Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 263955
Berlin, 10117
Dermatologie Mahlow /ID# 263072
Blankenfelde-Mahlow, Brandenburg, 15831
Universitaetsklinikum Freiburg /ID# 263069
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Hautarztpraxis Langenau /ID# 263070
Langenau, Baden-Wurttemberg, 89129
Beldio Research GmbH /ID# 263073
Memmingen, Bavaria, 87700
Universitaetsklinikum Muenster /ID# 263061
Münster, North Rhine-Westphalia, 48149
Australia6 sites
Skin Health Institute /ID# 263116
Carlton, Victoria, 3053
Sinclair Dermatology - Melbourne /ID# 262997
East Melbourne, Victoria, 3002
Premier Dermatology /ID# 263119
Kogarah, New South Wales, 2217
Paratus Clinical Research Woden /ID# 263120
Phillip, Australian Capital Territory, 2606
The Skin Hospital - Sydney /ID# 263634
Sydney, New South Wales, 2010
Veracity Clinical Research /ID# 263091
Woolloongabba, Queensland, 4102
Canada6 sites
Dermatology Research Institute - Blackfoot Trail /ID# 264476
Calgary, Alberta, T2J 7E1
Beacon Dermatology Inc /ID# 264266
Calgary, Alberta, T3A 2N1
Private Practice - Dr. Angelique Gagne-Henley /ID# 264267
Saint-Jérôme, Quebec, J7Z 7E2
Toronto Dermatology Centre /ID# 264273
Toronto, Ontario, M3H 5Y8
Private Practice - Dr. Kim Papp Clinical Research /ID# 264269
Waterloo, Ontario, N2J 1C4
Wiseman Dermatology Research /ID# 265317
Winnipeg, Manitoba, R3M 3Z4
Greece5 sites
University General Hospital Attikon /ID# 263421
Athens, Attica, 12462
General Hospital Andreas Syggros /ID# 263418
Athens, Attica, 16121
General Hospital Andreas Syggros /ID# 263708
Athens, Attica, 16121
Hospital of Skin and Venereal Diseases- Thessaloniki /ID# 263419
Thessaloniki, 54643
Papageorgiou General Hospital /ID# 263414
Thessaloniki, 56429
Hungary5 sites
Semmelweis Egyetem /ID# 263483
Budapest, 1085
UNO Medical Trials /ID# 263478
Budapest, 1135
Debreceni Egyetem-Klinikai Kozpont /ID# 263484
Debrecen, Hajdú-Bihar, 4032
Derm-surg /ID# 263799
Kaposvár, Somogy County, 7400
Szegedi Tudomanyegyetem /ID# 263800
Szeged, 6720
Puerto Rico5 sites
Private Practice - Dr. Alma Cruz /ID# 263212
Carolina, 00985
Pan American Center for Oncology Trials /ID# 263206
Rio Piedras, 00935
Clinical Research Puerto Rico /ID# 263213
San Juan, 00909-1711
GCM Medical Group, PSC /ID# 263198
San Juan, 00917
Mindful Medical Research /ID# 263201
San Juan, 00918-3756
Italy4 sites
IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 263986
Bologna, 40138
Duplicate_Azienda Ospedaliera Universitaria Federico II /ID# 264034
Naples, Napoli, 80131
Azienda Ospedaliero Universitaria Pisana /ID# 263468
Pisa, 56126
IRCCS Istituto Clinico Humanitas /ID# 263466
Rozzano, Lombardy, 20089
Belgium3 sites
Cliniques Universitaires UCL Saint-Luc /ID# 263106
Brussels, Brussels Capital, 1200
UZ Gent /ID# 263107
Ghent, Oost-Vlaanderen, 9000
CHU de Liege /ID# 263108
Liège, 4000
Spain3 sites
Hospital General Universitario de Alicante Doctor Balmis /ID# 262977
Alicante, 03010
Hospital Clinic de Barcelona /ID# 263040
Barcelona, 08036
Hospital Universitario de La Princesa /ID# 262980
Madrid, 28006
United Kingdom3 sites
Victoria Hospital /ID# 262984
Kirkcaldy, Fife, KY2 5AH
Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 262981
London, Greater London, E1 2ES
Northern Care Alliance NHS Group /ID# 262983
Salford, M6 8HD
Netherlands2 sites
Amsterdam UMC, locatie AMC /ID# 263550
Amsterdam, North Holland, 1105 AZ
Spaarne Gasthuis - Hoofddorp /ID# 263165
Hoofddorp, North Holland, 2134 TM
About this study
Official title: A Phase 4 Multicenter, Randomized, Open-label, Efficacy Assessor Blinded Study of Risankizumab Compared to Deucravacitinib for the Treatment of Adult Subjects With Moderate Plaque Psoriasis Who Are Candidates for Systemic Therapy
Psoriasis is a long-term skin disease which causes red, itchy, scaly patches most commonly on the knees, elbows, scalp, and torso (chest, back, and abdomen). In participants with psoriasis, certain skin cells multiply much faster and the skin can develop rough patches that may be red or white with scales. There are many types of psoriasis, but plaque psoriasis is the most common. The exact cause of psoriasis is unknown, but researchers think it may be caused by the body's immune system not working properly.
This study is designed to enroll 336 participants 18 years of age and older with have been diagnosed with moderate chronic plaque psoriasis for at least 6 months prior to Baseline (Day 1) and who have not previously been treated with a biologic treatment (natural substance that is made by using living cells in a laboratory). This is a Phase 4, randomized, open-label, assessor blinded, active comparator study with 2 Parts. Phase 4 studies test treatments that have already been approved to treat patients with a condition or disease. This study is open-label, which means that both participants and study doctors know which study treatment is given to participants
Read more
Participants will be administered subcutaneous (SC) treatment of risankizumab every 12 weeks for up to 44 weeks or provided deucravacitinib oral tablets to be taken once daily.
There may be higher treatment burden for participants in this trial compared to their standard of care (due to study procedures). Participants will attend regular (weekly, monthly) visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
- Conditions
- Moderate Plaque Psoriasis
- Being tested
- Risankizumab, Deucravacitinib
- Keywords
- risankizumab, deucravacitinib
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RisankizumabDrug
Solution for Subcutaneous (SC) injection
DeucravacitinibDrug
Oral tablet
| Study group | Role | What they receive |
|---|---|---|
| Period A: Arm 1 Risankizumab Dose A | Experimental | Participants will be centrally randomized at the Baseline (Day 1) visit to receive Risankizumab as a single SC injection Receives: Drug: Risankizumab |
| Period A: Arm 2 Deucravacitinib Dose A | Experimental | Participants will be centrally randomized at the Baseline (Day 1) visit to receive Deucravacitinib orally once per day until the day prior to Week 16 Receives: Drug: Deucravacitinib |
| Period B: Arm 2a Risankizumab Dose A (Continued) | Experimental | Participants initially randomized to risankizumab (Arm 1) will continue to receive risankizumab as a single SC injection at Weeks 16, 28, and 40 Receives: Drug: Risankizumab |
| Period B: Arm 2b Deucravacitinib Dose A | Experimental | Participants initially randomized to Deucravacitinib (Arm 2) will be re-randomized at the Week 16 visit to receive Deucravacitinib orally once per day up to Week 52 Receives: Drug: Deucravacitinib |
| Period B: Arm 2a Risankizumab Dose A | Experimental | Participants initially randomized to Deucravacitinib (Arm 2) will be re-randomized at the Week 16 visit to receive Risankizumab as a single SC injection at Weeks 16, 20, 32, and 44 Receives: Drug: Risankizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Period A: Percentage of Participants Achieving 90% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 90)
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Measured: At Week 16
Period A: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 (Clear) or 1 (Almost Clear) with at least 2-grade improvement from Baseline
The static Physicians Global Assessment (sPGA) is an assessment by the investigator of the overall disease severity at the time of evaluation. Erythema (E), induration (I), and desquamation (D) are scored on a 5-point scale ranging from 0 (none) to 4 (severe). The sPGA composite score ranges from 0 to 4 and is calculated as Clear (0) = 0 for all three; Almost clear (1) = mean >0, <1.5; Mild (2) = mean ≥1.5, <2.5; Moderate (3) = mean ≥2.5, <3.5; and Severe (4) = mean ≥3.5.
Measured: Baseline, Week 16
Period B: Percentage of Participants Achieving 90% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 90) in the Intent to Treat Population for non-responders in Period B (ITT_B_NR).
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Measured: At Week 52
Number of Participants Experiencing Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not the event is considered causally related to the use of the product.
Measured: Baseline up to 73 Weeks
Secondary outcomes (4)
Period A: Percentage of Participants Achieving 100% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 100)
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 100 is defined as at least a 100% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Measured: At Week 16
Period A: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 with at least 2-grade improvement from Baseline
The static Physicians Global Assessment (sPGA) is an assessment by the investigator of the overall disease severity at the time of evaluation. Erythema (E), induration (I), and desquamation (D) are scored on a 5-point scale ranging from 0 (none) to 4 (severe). The sPGA composite score ranges from 0 to 4 and is calculated as Clear (0) = 0 for all three; Almost clear (1) = mean >0, <1.5; Mild (2) = mean ≥1.5, <2.5; Moderate (3) = mean ≥2.5, <3.5; and Severe (4) = mean ≥3.5.
Measured: Baseline. Week 16
Period B: Percentage of Participants Achieving 100% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 100) among participants in the ITT_B_NR Population
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 100 is defined as at least a 100% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Measured: At Week 52
Period B: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 with at least 2-grade improvement from Baselineamong participants in the ITT_B_NR Population.
The static Physicians Global Assessment (sPGA) is an assessment by the investigator of the overall disease severity at the time of evaluation. Erythema (E), induration (I), and desquamation (D) are scored on a 5-point scale ranging from 0 (none) to 4 (severe). The sPGA composite score ranges from 0 to 4 and is calculated as Clear (0) = 0 for all three; Almost clear (1) = mean >0, <1.5; Mild (2) = mean ≥1.5, <2.5; Moderate (3) = mean ≥2.5, <3.5; and Severe (4) = mean ≥3.5.
Measured: At Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2024
- Study start10 May 2024
- Primary completion19 Mar 2026
- Study completion19 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Moderate Plaque PsoriasisStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 393 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
- NCT06333860
- Sponsor's protocol ID
- M24-541
- Other IDs
- 2023-509738-20-00, 2023
- Acronym
- IMMpactful
- Status last verified
- Apr 2026
- First submitted
- 21 Mar 2024
- Last updated
- 15 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Publications
Magnolo N, Soung J, Frew J, Costanzo A, Ruiz-Santiago H, Eyerich K, Llamas-Velasco M, Bukhalo M, Sivamani RK, Moore A, Wu T, Xie J, Patel M, Ashley D, Kaplan B, Stakias V, Espaillat R, Warren RB. Risankizumab versus Deucravacitinib in Adults With Moderate Plaque Psoriasis: 16-Week Results from the Phase 4 IMMpactful Trial. Dermatol Ther (Heidelb). 2026 Jul;16(7):3415-3429. doi: 10.1007/s13555-026-01779-x. Epub 2026 May 17.
PubMed 42143644
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 4 Multicenter, Randomized, Open-label, Efficacy Assessor Blinded Study of Risankizumab Compared to Deucravacitinib for the Treatment of Adult Subjects With Moderate Plaque Psoriasis Who Are Candidates for Systemic Therapy
- ClinicalTrials.gov ID
- NCT06333860
- Acronym / sponsor ID
- IMMpactful / M24-541
- Conditions
- Moderate Plaque Psoriasis
- Keywords
- risankizumab, deucravacitinib
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 393 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 10 May 2024 (actual)
- Primary completion
- 19 Mar 2026 (actual)
- Study completion
- 19 Mar 2026 (actual)
- First posted
- 27 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Psoriasis is a long-term skin disease which causes red, itchy, scaly patches most commonly on the knees, elbows, scalp, and torso (chest, back, and abdomen). In participants with psoriasis, certain skin cells multiply much faster and the skin can develop rough patches that may be red or white with scales. There are many types of psoriasis, but plaque psoriasis is the most common. The exact cause of psoriasis is unknown, but researchers think it may be caused by the body's immune system not working properly.
This study is designed to enroll 336 participants 18 years of age and older with have been diagnosed with moderate chronic plaque psoriasis for at least 6 months prior to Baseline (Day 1) and who have not previously been treated with a biologic treatment (natural substance that is made by using living cells in a laboratory). This is a Phase 4, randomized, open-label, assessor blinded, active comparator study with 2 Parts. Phase 4 studies test treatments that have already been approved to treat patients with a condition or disease. This study is open-label, which means that both participants and study doctors know which study treatment is given to participants
Participants will be administered subcutaneous (SC) treatment of risankizumab every 12 weeks for up to 44 weeks or provided deucravacitinib oral tablets to be taken once daily.
There may be higher treatment burden for participants in this trial compared to their standard of care (due to study procedures). Participants will attend regular (weekly, monthly) visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Period A: Arm 1 Risankizumab Dose A | Experimental | Drug: RisankizumabParticipants will be centrally randomized at the Baseline (Day 1) visit to receive Risankizumab as a single SC injection |
| Period A: Arm 2 Deucravacitinib Dose A | Experimental | Drug: DeucravacitinibParticipants will be centrally randomized at the Baseline (Day 1) visit to receive Deucravacitinib orally once per day until the day prior to Week 16 |
| Period B: Arm 2a Risankizumab Dose A (Continued) | Experimental | Drug: RisankizumabParticipants initially randomized to risankizumab (Arm 1) will continue to receive risankizumab as a single SC injection at Weeks 16, 28, and 40 |
| Period B: Arm 2b Deucravacitinib Dose A | Experimental | Drug: DeucravacitinibParticipants initially randomized to Deucravacitinib (Arm 2) will be re-randomized at the Week 16 visit to receive Deucravacitinib orally once per day up to Week 52 |
| Period B: Arm 2a Risankizumab Dose A | Experimental | Drug: RisankizumabParticipants initially randomized to Deucravacitinib (Arm 2) will be re-randomized at the Week 16 visit to receive Risankizumab as a single SC injection at Weeks 16, 20, 32, and 44 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Participant with a diagnosis of chronic plaque psoriasis (PsO) with or without psoriatic arthritis, for at least 6 months prior to Baseline.
- Stable moderate chronic plaque psoriasis at both Screening and Baseline as defined as:
- Participant must be a candidate for systemic therapy as assessed by the investigator
- Psoriasis inadequately controlled by topicals, phototherapy and/or systemic treatments (including, but not limited to, methotrexate, apremilast, cyclosporine A, corticosteroids, and/or cyclophosphamide)
Key exclusion criteria (30 listed)
- Participants with any form of PsO other than chronic plaque PsO (e.g., pustular PsO, palmoplantar pustulosis, acrodermatitis of Hallopeau, erythrodermic, or guttate PsO).
- Participants with a history of current drug-induced PsO or a drug-induced exacerbation of preexisting PsO.
- Participants with a history of active ongoing inflammatory skin diseases other than PsO (with or without PsA) that could interfere with the assessment of PsO (e.g., hyperkeratotic eczema).
- Participants with a history of severe renal insufficiency defined as creatinine clearance < 30 mL/min and/or requiring hemodialysis or peritoneal dialysis.
- Participantswith a history of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months.
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 |
|---|---|---|
| RisankizumabSolution for Subcutaneous (SC) injection | Drug | Period A: Arm 1 Risankizumab Dose A, Period B: Arm 2a Risankizumab Dose A, Period B: Arm 2a Risankizumab Dose A (Continued) |
| DeucravacitinibOral tablet | Drug | Period A: Arm 2 Deucravacitinib Dose A, Period B: Arm 2b Deucravacitinib Dose A |
Primary outcome
Period A: Percentage of Participants Achieving 90% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 90)
Time frame: At Week 16
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Period A: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 (Clear) or 1 (Almost Clear) with at least 2-grade improvement from Baseline
Time frame: Baseline, Week 16
The static Physicians Global Assessment (sPGA) is an assessment by the investigator of the overall disease severity at the time of evaluation. Erythema (E), induration (I), and desquamation (D) are scored on a 5-point scale ranging from 0 (none) to 4 (severe). The sPGA composite score ranges from 0 to 4 and is calculated as Clear (0) = 0 for all three; Almost clear (1) = mean >0, <1.5; Mild (2) = mean ≥1.5, <2.5; Moderate (3) = mean ≥2.5, <3.5; and Severe (4) = mean ≥3.5.
Period B: Percentage of Participants Achieving 90% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 90) in the Intent to Treat Population for non-responders in Period B (ITT_B_NR).
Time frame: At Week 52
The Psoriasis Area and Severity Index (PASI) is a composite score based on the degree of effect on body surface area of psoriasis and extension of erythema (reddening), induration (thickness), desquamation (scaling) of the lesions and area affected as observed on the day of examination. The severity of each sign was assessed using a 5-point scale, where 0=no symptoms, 1=slight, 2=moderate, 3=marked, 4=very marked. The PASI score ranges from 0 to 72, where 0 indicates no psoriasis and 72 indicates very severe psoriasis. PASI 90 is defined as at least a 90% reduction in PASI score compared with the Baseline PASI score. The percent reduction in score is calculated as (PASI score at Baseline - score at follow-up visit) / PASI score at Baseline * 100.
Number of Participants Experiencing Adverse Events (AEs)
Time frame: Baseline up to 73 Weeks
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not the event is considered causally related to the use of the product.
4 secondary outcomes
Period A: Percentage of Participants Achieving 100% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 100)
Time frame: At Week 16
Period A: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 with at least 2-grade improvement from Baseline
Time frame: Baseline. Week 16
Period B: Percentage of Participants Achieving 100% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 100) among participants in the ITT_B_NR Population
Time frame: At Week 52
Period B: Percentage of Participants Achieving a Static Physician Global Assessment (sPGA) Score of 0 with at least 2-grade improvement from Baselineamong participants in the ITT_B_NR Population.
Time frame: At Week 52
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2026.
- Derived from this study: PubMed 42143644Magnolo N, Soung J, Frew J, Costanzo A, Ruiz-Santiago H, Eyerich K, Llamas-Velasco M, Bukhalo M, Sivamani RK, Moore A, Wu T, Xie J, Patel M, Ashley D, Kaplan B, Stakias V, Espaillat R, Warren RB. Risankizumab versus Deucravacitinib in Adults With Moderate Plaque Psoriasis: 16-Week Results from the Phase 4 IMMpactful Trial. Dermatol Ther (Heidelb). 2026 Jul;16(7):3415-3429. doi: 10.1007/s13555-026-01779-x. Epub 2026 May 17.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
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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
88 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Risankizumab and Deucravacitinib in people with Moderate Plaque Psoriasis, run by AbbVie at 88 sites in 12 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 30 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 15 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 88 sites in United States, Germany, Australia, Canada, Greece and 7 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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?
Period A: Percentage of Participants Achieving 90% Improvement in Psoriasis Area Severity Index (PASI) Score (PASI 90) (time frame: At Week 16). The study lists 4 primary outcomes in all. 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 NCT06333860, which also lists 1 linked publication.
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 15 Apr 2026.