Arthritis, PsoriaticPhase 3ICONIC-PsA 1NCT06878404
A Study to Evaluate the Efficacy and Safety of JNJ-77242113 (Icotrokinra) in Biologic-naïve Participants With Active Psoriatic Arthritis
A Phase 3 study testing Icotrokinra and Active reference comparator in people with Arthritis, Psoriatic, run by Janssen Research & Development, LLC at 155 sites in 16 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of icotrokinra compared to placebo in participants with active psoriatic arthritis (PsA) by assessing the reduction in signs and symptoms of PsA. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Arthritis, Psoriatic
- What is being tested?
- Icotrokinra and Active reference comparator
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 552 participants
- Where
- 155 sitesin 16 countries
- Study dates
- 21 Feb 2025to 4 Feb 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Have a diagnosis of psoriatic arthritis (PsA) for at least 3 months before the first administration of study intervention and meet classification criteria for psoriatic arthritis (CASPAR) at screening
- Have active PsA as defined by: (a) At least 3 swollen joints and at least 3 tender joints at screening and at baseline (b) C-reactive protein (CRP) greater than or equal to (>=) 0.1 milligrams per deciliter (mg/dL) at screening from the central laboratory
- Have at least 1 of the PsA subsets: distal interphalangeal joint involvement, polyarticular arthritis with absence of rheumatoid nodules, arthritis mutilans, asymmetric peripheral arthritis, or spondylitis with peripheral arthritis
- Have active plaque psoriasis with at least one psoriatic plaque of >= 2 cm diameter or nail changes consistent with psoriasis
- A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test (Beta-hCG) at screening and a negative urine pregnancy test at Week 0 prior to administration of study intervention
Who cannot join
- Has previously received any biologic disease-modifying antirheumatic drugs (DMARDs) for PsA or psoriasis
- Has a history or current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic (with the exception of PsA), psychiatric, genitourinary, or metabolic disturbances
- Has known allergies, hypersensitivity, or intolerance to icotrokinra or its excipients
- Has other inflammatory diseases that might confound the evaluations of benefit of icotrokinra therapy, including but not limited to rheumatoid arthritis (RA), systemic lupus erythematosus, or lyme disease
- Participants with fibromyalgia or osteoarthritis symptoms that, in the investigator's opinion, would have potential to interfere with efficacy assessments
Trial locations and contacts
155 sites in 16 countries.
155 sites in 16 countries
China23 sites
Peking University Third Hospital
Beijing, 100191
Beijing Tong Ren Hospital Capital Medical University
Beijing, 100730
The First Bethune Hospital of Jilin University
Changchun, 130021
Xiangya Hospital Central South University
Changsha, 410008
West China Hospital Sichuan University
Chengdu, 610041
Sichuan Provincial Peoples Hospital
Chengdu, 610072
The First Affiliated Hospital of Chongqing Medical University
Chongqing, 4000016
Nanfang Hospital of Southern Medical Hospital
Guangzhou, 510515
The Affiliated Hospital of Guizhou Medical University
Guiyang, 561113
Linyi City People Hospital
Linyi, 276002
Jiangxi Provincial Peoples Hospital
Nanchang, 330006
The Second Affiliated Hospital of Nanchang University
Nanchang, 330008
Affiliated Hospital of Nantong University
Nantong, 226001
Pingxiang People's Hospital
Pingxiang, 337055
Huashan Hospital Fudan University
Shanghai, 200040
Shanghai skin disease hospital
Shanghai, 200443
Shenzhen People s Hospital
Shenzhen, 518020
The Third Hospital of Hebei Medical University
Shijiazhuang, 050051
Second Affiliated Hospital of Soochow University
Suzhou, 215000
Shanxi Bethune Hospital
Taiyuan, 030032
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710006
Affiliated Hospital of Jiangsu University
Zhenjiang, 212001
Poland20 sites
Osteo Medic S C Artur Racewicz Jerzy Supronik
Bialystok, 15-351
Specderm Poznanska sp j
Bialystok, 15-375
ClinicMed Daniluk Nowak Spolka Komandytowa
Bialystok, 15-879
Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy
Bydgoszcz, 85-168
Ambulatorium sp. z o.o.
Elblag, 82-300
Centrum Kliniczno Badawcze
Elblag, 82-300
Centrum Medyczne Pratia Gdynia
Gdynia, 81-338
Malopolskie Badania Kliniczne Sp z o o
Krakow, 30-002
Specjalistyczny gabinet dermatologiczny Aplikacyjno Badawczy Marek Brzewski Pawel Brzewski Spolka Cywilna
Krakow, 30-002
Centrum Medyczne All Med
Krakow, 30-033
Pratia MCM Krakow
Krakow, 30-727
Dermed Centrum Medyczne Sp z o o
Lodz, 90-265
Zespol Poradni Specjalistycznych Reumed Filia nr 1
Lublin, 20-607
NZOZ Lecznica MAK MED S C
Nadarzyn, 05-830
Etyka Osrodek Badan Klinicznych
Olsztyn, 10-117
MICS Centrum Medyczne Torun
Torun, 87-100
MICS Centrum Medyczne Warszawa
Warsaw, 00-874
Centrum Medyczne Reuma Park
Warsaw, 02-665
DermMedica Sp z o o
Wroclaw, 51-503
Centrum Medyczne Oporow
Wroclaw, 52-416
Czechia13 sites
RHEUMA s r o
Břeclav, 690 02
Revmatologie s r o
Brno, 63800
Revmacentrum MUDr Mostera s r o
Brno-Židenice, 615 00
L K N Arthrocentrum
Hlučín, 748 01
Revimex Pro s r o
Karvina Frystat, 73301
CCR Ostrava S R O
Ostrava, 70200
MUDr Rosypalova s r o
Ostrava, 70800
Revmatologicky ustav
Prague, 128 00
Revmatologicka Ordinace
Prague, 140 00
Thomayerova nemocnice
Prague, 140 59
FN Motol
Prague, 150 00
Medical Plus S R O
Uherské Hradiště, 68601
PV Medical S R O
Zlín, 76001
Hungary12 sites
Betegapolo Irgalmas Rend Budai Irgalmasrendi Korhaz
Budapest, 1027
Revita Kft
Budapest, 1027
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036
Synexus Magyarorszag Kft
Budapest, 1036
Qualiclinic Kft
Budapest, 1134
Uno Medical Trials Ltd.
Budapest, 1152
University of Debrecen
Debrecen, 4032
Bekes Varmegyei Kozponti Korhaz Pandy Kalman Tagkorhaz
Gyula, 5700
Obudai Egeszsegugyi Centrum Kft 1
Kaposvár, 7400
University of Szeged
Szeged, 6725
MAV Korhaz es Rendelointezet
Szolnok, 5000
Vital Medical Center Orvosi es Fogaszati Kozpont
Veszprém, 8200
Spain12 sites
Hosp Univ A Coruna
A Coruña, 15006
Hosp Univ Vall D Hebron
Barcelona, 08035
Hosp. Clinic de Barcelona
Barcelona, 8036
Hosp Reina Sofia
Córdoba, 14004
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp Regional Univ de Malaga
Málaga, 29009
Corporacio Sanitari Parc Tauli
Sabadell, 08208
Hosp. Univ. Marques de Valdecilla
Santander, 39008
Hosp. Virgen Macarena
Seville, 41009
Hosp. Infanta Luisa
Seville, 41010
Hosp. Quiron Sagrado Corazon
Seville, 41013
Hosp. Virgen Del Rocio
Seville, 41013
Germany10 sites
Fachklinik Bad Bentheim
Bad Bentheim, 48455
Charite Universitaetsmedizin Berlin
Berlin, 10117
ISA - Interdisciplinary Study Association GmbH
Berlin, 10789
Universitatsklinikum Carl Gustav Carus Dresden
Dresden, 01307
Medizinische Fakultat der Albert Ludwigs Universitat Freiburg
Freiburg im Breisgau, 79104
Hamburger Rheuma Forschungszentrum II
Hamburg, 20095
Rheumazentrum Ruhrgebiet
Herne, 44649
Studienzentrum Dr Schwarz Germany
Langenau, 89129
Johannes Wesling Klinikum Minden
Minden, 32429
Universitatsklinikum Tubingen
Tübingen, 72076
India10 sites
Marengo Cims Hospital
Ahmedabad, 380060
Apollo Hospitals
Bhubaneswar, 751005
Nizams Institute of Medical Sciences
Hyderabad, 500082
Apollo Multispeciality Hospital Ltd
Kolkata, 700054
Kokilaben Dhirubhai Ambani Hsp And Med Research Inst
Mumbai, 400053
JSS Hospital
Mysuru, 570004
All India Institute of Medical Sciences
New Delhi, 110029
Indraprastha Apollo Hospital
New Delhi, 1100776
Fortis Hospital
Noida, 201301
SIDS Hospital & Research Centre
Surat, 395002
Japan10 sites
Fukuoka University Hospital
Fukuoka, 814 0180
Kagawa University Hospital
Kita Gun, 761 0793
Nagoya City University Hospital
Nagoya, 467 8602
Maeshima Rheumatology Clinic
Ōita, 870 0030
Public Interest Incorporated Foundation Nipoon Life Saiseikai Nippon Life Hospital
Osaka, 550 0006
Sasebo Chuo Hospital
Sasebo, 857 1195
Tohoku University Hospital
Sendai, 980 8574
Teikyo University Hospital
tabashi City, 173 8606
Kyorin University Hospital
Tokyo, 181 8611
Mie University Hospital
Tsu, 514 8507
United States9 sites
Arthritis and Rheumatology Research Institute
Allen, Texas, 75013
Joint and Muscle Research Institute
Charlotte, North Carolina, 28204
Omega Research Consultants
DeBary, Florida, 32713
Altoona Center For Clinical Research
Duncansville, Pennsylvania, 16635
Naiara Alvarez MD Integrative Rheumatology of South TX
Harlingen, Texas, 78550
Arthritis and Rheumatism Associates ARA Jonesboro
Jonesboro, Arkansas, 72401
Integral Rheumatology And Immunology Specialists
Plantation, Florida, 33324
Clinical Research of West Florida
Tampa, Florida, 33606
Willow Rheumatology and Wellness PLLC
Willowbrook, Illinois, 60527
Argentina8 sites
Cosultorios Reumatologógicos Pampa
Buenos Aires, 1428
Mindout Research
Buenos Aires, C1417EYG
Hospital Central Militar Cirujano Mayor Dr Cosme Argerich
Buenos Aires, C1426BOS
Arsema
Ciudad de Buenos Aires, C1431
Centro Medico Privado de Reumatologia Tucuman
Ciudad de San Miguel de Tucuman, T4000AXL
Consultora Integral de Salud SRL
Córdoba, CP5000
MR Medicina Reumatologica
San Fernando, B1646GHP
Instituto Medico De Alta Complejidad (IMAC)
San Isidro, B1642IPN
Denmark6 sites
Aarhus University Hospital
Aarhus N, 8200
Sydvestjysk Sygehus
Esbjerg, 6700
Frederiksberg Hospital
Frederiksberg, 2000
Regionshospitalet Godstrup
Herning, 7400
Svendborg Hospital Odense University Hospital
Svendborg, 5700
Vejle Sygehus
Vejle, 7100
Taiwan6 sites
National Taiwan University Hospital Hsin Chu Branch
Hsinchu, 300
Chang Gung Memorial Hospital
Kaohsiung City, 833
National Cheng Kung University Hospital
Tainan, 704
Chi Mei Medical Center Yong Kang
Tainan, 710
Taipei Veterans General Hospital
Taipei, 112
Linkou Chang Gung Memorial Hospital
Taoyuan, 333
Thailand6 sites
Phramongkutklao Hospital
Bangkok, 10400
Rajavithi Hospital
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Saraburi Hospital
Changwat Sara Buri, 18000
Phra Nakhon Si Ayutthaya Hospital
Phra Nakhon Si Ayutthaya, 13000
Songklanagarind hospital
Songkhla, 90110
Australia5 sites
Ipswich Hospital
Ipswich, 4305
Rheumatology Research Unit
Maroochydore, 4558
BJC Health
Parramatta, 2150
Queen Elizabeth Hospital
South Woodville, 5011
Royal Darwin Hospital
Tiwi, 0810
Bulgaria4 sites
MC Medtech Services Ltd
Haskovo, 6304
Exacta Medica
Pleven, 5803
Medical Center Artmed
Plovdiv, 4002
Medical Center Teodora
Rousse, 7012
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of JNJ-77242113 for the Treatment of Biologic-naïve Participants With Active Psoriatic Arthritis
The purpose of this study is to evaluate the efficacy of icotrokinra compared to placebo in participants with active psoriatic arthritis (PsA) by assessing the reduction in signs and symptoms of PsA.
- Conditions
- Arthritis, Psoriatic
- Being tested
- Icotrokinra, Placebo, Active reference comparator
- Medical subject headings
- Arthritis, Psoriatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IcotrokinraDrug
Also called JNJ-77242113
Icotrokinra will be administered.
PlaceboDrug
Placebo will be administered.
Active reference comparatorDrug
Active reference drug will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Group I: Icotrokinra Dose 1 | Experimental | Participants will receive icotrokinra dose 1. Participants who continue into a long term extension (LTE) will continue to receive icotrokinra dose 1. Receives: Drug: Icotrokinra |
| Group II: Icotrokinra Dose 2 | Experimental | Participants will receive icotrokinra dose 2. Participants who continue into a LTE will continue to receive icotrokinra dose 2. Receives: Drug: Icotrokinra |
| Group III: Placebo | Placebo comparator | Participants will receive placebo matched to icotrokinra and will cross over to receive icotrokinra dose 1 or dose 2. Participants who continue into the LTE will continue to receive icotrokinra dose 1 or dose 2. Receives: Drug: Icotrokinra; Drug: Placebo |
| Group IV: Active Reference Comparator | Active comparator | Participants will receive active reference drug. Participants who continue into a LTE will cross-over to receive icotrokinra dose 1 or dose 2. Receives: Drug: Icotrokinra; Drug: Active reference comparator |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of Participants who Achieve an American College of Rheumatology (ACR) ACR 20 Response at Week 16
The ACR 20 responders are participants with an improvement of greater than or equal to (>=) 20 percent (%) from baseline in both the tender and swollen joint count and in at least 3 of the 5 assessments (patient's assessment of pain visual analog scale (VAS), patient's global assessment of disease activity VAS scale, physician's global assessment of disease activity VAS scale, health assessment questionnaire and C-reactive protein).
Measured: Week 16
Secondary outcomes (14)
Proportion of Participants Who Achieve Psoriatic Area and Severity Index (PASI) 75 Response at Week 16 Among Participants with Baseline Body Surface Area (BSA) Greater Than Equal to (>=) 3 Percent (%) and an IGA Score of >=2 at Baseline
The PASI is a system used for assessing and grading the severity of psoriatic lesions. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 to 6, and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease. A PASI 75 response represents participants who achieved at least a 75 percent improvement from baseline in the PASI score.
Measured: Week 16
Proportion of Participants Who Achieve PASI 90 Response at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
The PASI is a system used for assessing and grading the severity of psoriatic lesions. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 to 6, and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease. A PASI 90 response represents participants who achieved at least a 90 percent improvement from baseline in the PASI score.
Measured: Week 16
Proportion of Participants Who Achieve PASI 100 Response at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
The PASI is a system used for assessing and grading the severity of psoriatic lesions. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas were assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 to 6, and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease. A PASI 100 response represents participants who achieved at least a 100 percent improvement from baseline in the PASI score.
Measured: Week 16
Proportion of Participants with an Investigator Global Assessment (IGA) Psoriasis Score of 0 or 1 And >=2 Grade Improvement From Baseline at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
Proportion of participants with an IGA psoriasis score of 0 or 1 and >=2 grade improvement from baseline at week 16 among participants with >=3% BSA and an IGA score of >=2 at baseline will be reported. The IGA documents the investigator's assessment of the participant's psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling, each using a 5-point scale: using 0 (no evidence), 1 (minimal), 2 (mild), 3 (moderate), and 4 (severe) scale. The IGA score of psoriasis is based upon the average of induration, erythema, and scaling scores. The participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), or severe (4).
Measured: Week 16
Proportion of Participants who Achieve an ACR 50 Response at Week 16
The ACR 50 responders are participants with an improvement of >= 50 % from baseline in both the tender and swollen joint count and in at least 3 of the 5 assessments (patient's assessment of pain VAS, patient's global assessment of disease activity VAS scale, physician's global assessment of disease activity VAS scale, health assessment questionnaire and C-reactive protein).
Measured: Week 16
Proportion of Participants who Achieve an ACR 70 Response at Week 16
The ACR 70 responders are participants with an improvement of >= 70 % from baseline in both the tender and swollen joint count and in at least 3 of the 5 assessments (patient's assessment of pain VAS, patient's global assessment of disease activity VAS scale, Physician's global assessment of disease activity VAS scale, health assessment questionnaire and C-reactive protein).
Measured: Week 16
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score At Week 16
The HAQ-DI score consists of questions referring to 8 categories: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and common daily activities. Responses in each functional area are scored from 0 to 3 (0=no difficulty and 3=inability to perform a task in that area). Overall score is computed as the sum of domain scores and divided by the number of domains answered. Total possible score range is 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Measured: From Baseline to Week 16
Changes From Baseline in 36-Item Short Form Survey (SF-36) Physical Component Summary (PCS) Score at Week 16
SF-36 is a standardized survey evaluating 8 aspects of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a domain is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Score from physical function, role physical, bodily pain, and general health domains are averaged to calculate PCS. Total score range for PCS is 0-100 (100=highest level of physical functioning).
Measured: From Baseline to Week 16
Proportion of Participants With Resolution of Enthesitis at Week 16 Among Those With Enthesitis at Baseline
Enthesitis will be assessed using the Leeds Enthesitis Index (LEI). The LEI was developed to assess enthesitis in participants with PsA, and evaluates the presence (score of 1) or absence of pain (score of 0) by applying local pressure to lateral elbow epicondyle, left and right, medial femoral condyle, left and right, and achilles tendon insertion, left and right. LEI scores ranging from 0 (0 sites with tenderness) to 6 (worst possible score; 6 sites with tenderness). Resolution is defined as participants have enteritis (LEI score >0) at baseline and no enthesis (LEO score =0) at the visit (week 16).
Measured: Week 16
Change From Baseline in Enthesitis Score (LEI) at Week 16 in Participants With Enthesitis at Baseline
Enthesitis will be assessed using the LEI. The LEI was developed to assess enthesitis in participants with PsA, and evaluates the presence (score of 1) or absence of pain (score of 0) by applying local pressure to Lateral elbow epicondyle, left and right, Medial femoral condyle, left and right, and Achilles tendon insertion, left and right. LEI total scores ranging from 0 (0 sites with tenderness) to 6 (worst possible score; 6 sites with tenderness).
Measured: From Baseline to Week 16
Proportion of Participants With Resolution of Dactylitis at Week 16 Among Those With Dactylitis at Baseline
Dactylitis is characterized by swelling of the entire finger or toe. The severity of dactylitis is scored on a scale of 0-3, where 0=tenderness and 3=extreme tenderness in each digit of the hands and feet. The range of total dactylitis scores for a participant is 0-60. Higher score indicates greater degree of tenderness. Resolution is defined as participants have dactylitis (score >0) at baseline and no dactylitis (score =0) at the visit (week 16).
Measured: Week 16
Change From Baseline in Dactylitis Score at Week 16 in Participants With Dactylitis at Baseline
Dactylitis is characterized by swelling of the entire finger or toe. The severity of dactylitis is scored on a scale of 0-3, where 0=tenderness and 3=extreme tenderness in each digit of the hands and feet. The range of total dactylitis scores for a participant is 0-60. Higher score indicates greater degree of tenderness.
Measured: From Baseline to Week 16
Proportion of Participants who Achieve Minimal Disease Activity (MDA) at Week 16
MDA criteria are a composite of 7 outcome measures used in PsA. Participants are classified as achieving MDA if they fulfill 5 of 7 outcome measures: tender joint count less than or equal to (<=) 1; swollen joint count <= 1; psoriasis activity and severity index <= 1 or body surface area <= 3; patient pain VAS score of <= 15; patient global disease activity VAS (arthritis and psoriasis) score of <= 20; health assessment questionnaire (HAQ) score <= 0.5; and tender entheseal points <= 1.
Measured: Week 16
Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Score at Week 16
The FACIT-fatigue is a self-administered, 13-item questionnaire measuring items on tiredness, weakness, and difficulty conducting usual activities due to fatigue. Responses to all items are rated on a 5-point likert response scale ranging from 0 "not at all" to 4 "very much." The total score ranges from 0 to 52, with higher values indicating less fatigue.
Measured: From Baseline to Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2025
- Study start21 Feb 2025
- Primary completion25 May 2026
- Study completion4 Feb 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Arthritis, PsoriaticStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe 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
- 552 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06878404
- Sponsor's protocol ID
- 77242113PSA3001
- Other IDs
- 77242113PSA3001, 2023-509239-19-00, 2023
- Acronym
- ICONIC-PsA 1
- Status last verified
- Nov 2026
- First submitted
- 13 Mar 2025
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/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
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of JNJ-77242113 for the Treatment of Biologic-naïve Participants With Active Psoriatic Arthritis
- ClinicalTrials.gov ID
- NCT06878404
- Acronym / sponsor ID
- ICONIC-PsA 1 / 77242113PSA3001
- Conditions
- Arthritis, Psoriatic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 552 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 21 Feb 2025 (actual)
- Primary completion
- 25 May 2026 (actual)
- Study completion
- 4 Feb 2028 (estimated)
- First posted
- 17 Mar 2025 (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.
The purpose of this study is to evaluate the efficacy of icotrokinra compared to placebo in participants with active psoriatic arthritis (PsA) by assessing the reduction in signs and symptoms of PsA.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Group I: Icotrokinra Dose 1 | Experimental | Drug: IcotrokinraParticipants will receive icotrokinra dose 1. Participants who continue into a long term extension (LTE) will continue to receive icotrokinra dose 1. |
| Group II: Icotrokinra Dose 2 | Experimental | Drug: IcotrokinraParticipants will receive icotrokinra dose 2. Participants who continue into a LTE will continue to receive icotrokinra dose 2. |
| Group III: Placebo | Placebo comparator | Drug: Icotrokinra, Drug: PlaceboParticipants will receive placebo matched to icotrokinra and will cross over to receive icotrokinra dose 1 or dose 2. Participants who continue into the LTE will continue to receive icotrokinra dose 1 or dose 2. |
| Group IV: Active Reference Comparator | Active comparator | Drug: Icotrokinra, Drug: Active reference comparatorParticipants will receive active reference drug. Participants who continue into a LTE will cross-over to receive icotrokinra dose 1 or dose 2. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have a diagnosis of psoriatic arthritis (PsA) for at least 3 months before the first administration of study intervention and meet classification criteria for psoriatic arthritis (CASPAR) at screening
- Have active PsA as defined by: (a) At least 3 swollen joints and at least 3 tender joints at screening and at baseline (b) C-reactive protein (CRP) greater than or equal to (>=) 0.1 milligrams per deciliter (mg/dL) at screening from the central laboratory
- Have at least 1 of the PsA subsets: distal interphalangeal joint involvement, polyarticular arthritis with absence of rheumatoid nodules, arthritis mutilans, asymmetric peripheral arthritis, or spondylitis with peripheral arthritis
- Have active plaque psoriasis with at least one psoriatic plaque of >= 2 cm diameter or nail changes consistent with psoriasis
- A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test (Beta-hCG) at screening and a negative urine pregnancy test at Week 0 prior to administration of study intervention
Key exclusion criteria (5 listed)
- Has previously received any biologic disease-modifying antirheumatic drugs (DMARDs) for PsA or psoriasis
- Has a history or current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic (with the exception of PsA), psychiatric, genitourinary, or metabolic disturbances
- Has known allergies, hypersensitivity, or intolerance to icotrokinra or its excipients
- Has other inflammatory diseases that might confound the evaluations of benefit of icotrokinra therapy, including but not limited to rheumatoid arthritis (RA), systemic lupus erythematosus, or lyme disease
- Participants with fibromyalgia or osteoarthritis symptoms that, in the investigator's opinion, would have potential to interfere with efficacy assessments
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 |
|---|---|---|
| IcotrokinraAlso: JNJ-77242113Icotrokinra will be administered. | Drug | Group I: Icotrokinra Dose 1, Group II: Icotrokinra Dose 2, Group III: Placebo, Group IV: Active Reference Comparator |
| PlaceboPlacebo will be administered. | Drug | Group III: Placebo |
| Active reference comparatorActive reference drug will be administered. | Drug | Group IV: Active Reference Comparator |
Primary outcome
Proportion of Participants who Achieve an American College of Rheumatology (ACR) ACR 20 Response at Week 16
Time frame: Week 16
The ACR 20 responders are participants with an improvement of greater than or equal to (>=) 20 percent (%) from baseline in both the tender and swollen joint count and in at least 3 of the 5 assessments (patient's assessment of pain visual analog scale (VAS), patient's global assessment of disease activity VAS scale, physician's global assessment of disease activity VAS scale, health assessment questionnaire and C-reactive protein).
14 secondary outcomes
Proportion of Participants Who Achieve Psoriatic Area and Severity Index (PASI) 75 Response at Week 16 Among Participants with Baseline Body Surface Area (BSA) Greater Than Equal to (>=) 3 Percent (%) and an IGA Score of >=2 at Baseline
Time frame: Week 16
Proportion of Participants Who Achieve PASI 90 Response at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
Time frame: Week 16
Proportion of Participants Who Achieve PASI 100 Response at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
Time frame: Week 16
Proportion of Participants with an Investigator Global Assessment (IGA) Psoriasis Score of 0 or 1 And >=2 Grade Improvement From Baseline at Week 16 Among Participants with Baseline BSA >=3% and an IGA Score of >=2 at Baseline
Time frame: Week 16
Proportion of Participants who Achieve an ACR 50 Response at Week 16
Time frame: Week 16
Proportion of Participants who Achieve an ACR 70 Response at Week 16
Time frame: Week 16
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score At Week 16
Time frame: From Baseline to Week 16
Changes From Baseline in 36-Item Short Form Survey (SF-36) Physical Component Summary (PCS) Score at Week 16
Time frame: From Baseline to Week 16
Proportion of Participants With Resolution of Enthesitis at Week 16 Among Those With Enthesitis at Baseline
Time frame: Week 16
Change From Baseline in Enthesitis Score (LEI) at Week 16 in Participants With Enthesitis at Baseline
Time frame: From Baseline to Week 16
Proportion of Participants With Resolution of Dactylitis at Week 16 Among Those With Dactylitis at Baseline
Time frame: Week 16
Change From Baseline in Dactylitis Score at Week 16 in Participants With Dactylitis at Baseline
Time frame: From Baseline to Week 16
Proportion of Participants who Achieve Minimal Disease Activity (MDA) at Week 16
Time frame: Week 16
Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Score at Week 16
Time frame: From Baseline to Week 16
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/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
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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.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
155 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Icotrokinra and Active reference comparator in people with Arthritis, Psoriatic, run by Janssen Research & Development, LLC at 155 sites in 16 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: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 155 sites in China, Poland, Czechia, Hungary, Spain and 11 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?
This study is still under way. Results are not available in the source record yet.
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?
Proportion of Participants who Achieve an American College of Rheumatology (ACR) ACR 20 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 Nov 2026.