A study of JNJ-77242113 in participants with moderate-to-severe plaque psoriasis
ISRCTN | ISRCTN76915275 |
---|---|
DOI | https://doi.org/10.1186/ISRCTN76915275 |
EudraCT/CTIS number | 2021-003700-41 |
IRAS number | 1004415 |
ClinicalTrials.gov number | NCT05223868 |
Secondary identifying numbers | 77242113PSO2001, IRAS 1004415, CPMS 51021 |
- Submission date
- 03/02/2022
- Registration date
- 10/05/2022
- Last edited
- 04/10/2024
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Skin and Connective Tissue Diseases
Plain English Summary
Background and study aims
Plaque psoriasis is a common, chronic, inflammatory condition, affecting about 3.5 million patients in the United States, European Union, and Japan. Despite several advanced treatment options, a large proportion of patients are not receiving these therapies and there is a need for safer options, fewer injections, and options for more effective oral medications. The investigational drug is called JNJ-77242113. It targets immune responses in the body and skin which impact diseases, such as psoriasis.
It is hoped that targeting this process may lead to less inflammation and a reduction in psoriasis disease activity. This study is designed to see if JNJ-77242113 is better than a placebo (dummy drug) in reducing psoriasis disease activity.
Who can participate?
Patients aged 18 years and over with moderate to severe plaque psoriasis.
What does the study involve?
This study will last for a maximum of 24 weeks and is divided into three parts:
1. Screening phase: 1 visit (up to 4 weeks)
2. Treatment phase: 7 visits (16 weeks)
3. Safety follow-up phase: 1 visit (4 weeks)
During study visits a variety of tests will be carried out including, but not limited to, blood pressure, heart activity, physical exam, questionnaires and blood samples. Patients will be randomly assigned to receive either oral JNJ-77242113 at one of five different dosing regimens or placebo twice a day during the treatment phase.
What are the possible benefits and risks of participating?
There is no established benefit to participants of this study. Based on scientific theory, taking JNJ-77242113 may improve symptoms of plaque psoriasis. These benefits are not guaranteed to happen and there may not be any benefit to participants by being in this study. In addition, if participants are put into treatment Group 6 (placebo) they will not receive JNJ-77242113 and will only receive placebo during this study.
Participants may experience some benefit from participation in the study that is not due to receiving study drug, but due to regular visits and assessments monitoring overall health. Participation may help other people with psoriasis in the future.
Not all possible side effects and risks related to JNJ-77242113 are known and it is possible that unexpected side effects may arise or may be life-threatening. To minimise the risk associated with this, participants are frequently reviewed at every visit for side effects and adverse events. Participants are educated to report any such problems to the study staff without delay. Any serious adverse events that are reported to the sponsor are thoroughly reviewed by a specialist drug safety team and the sponsor has implemented an Independent Data Review Committee. The participant information sheet, which will be signed by every participant agreeing to participate in the study, includes a detailed section outlining all known risks/side effects to participating in the study.
Where is the study run from?
Janssen-Cilag International NV is the sponsor for this study. The study will be run at multiple healthcare locations both within the UK and around the world.
When is the study starting and how long is it expected to run for?
January 2022 to February 2023
Who is funding the study?
Janssen Research & Development, LLC (Belgium)
Who is the main contact?
Sarah Currie (JanssenUKRegistryQueries@its.jnj.com)
Contact information
Principal Investigator
Guy’s Hospital
Great Maze Pond
London
SE1 9RT
United Kingdom
0000-0001-5151-5539 |
Scientific
50-100 Holmers Farm Way
High Wycombe
HP12 4DP
United Kingdom
Phone | +44 (0)800 731 8450 / 10494 567 444 |
---|---|
medinfo@its.jnj.com |
Study information
Study design | Multicentre double-blind parallel-group randomized placebo-controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details to request a participant information sheet |
Scientific title | A Phase IIb multicenter, randomized, placebo-controlled, dose-ranging study to evaluate the efficacy and safety of JNJ-77242113 for the treatment of moderate-to-severe plaque psoriasis |
Study acronym | FRONTIER 1 |
Study hypothesis | Main objectives: 1. To evaluate the dose-response of JNJ-77242113 at Week 16 in participants with moderate-to-severe plaque psoriasis Secondary objectives: 2. To characterize the additional efficacy of JNJ-77242113 versus placebo in participants with moderate-to-severe plaque psoriasis 3. To evaluate the effect of JNJ-77242113 treatment on patient-reported psoriasis severity versus placebo in participants with moderate-to-severe plaque psoriasis 4. To evaluate the effect of JNJ-77242113 treatment on dermatology-specific health-related quality of life versus placebo in participants with moderate-to-severe plaque psoriasis 5. To evaluate the effect of JNJ-77242113 treatment on general health-related quality of life versus placebo in participants with moderate-to-severe plaque psoriasis 6. To assess the safety and tolerability of JNJ-77242113 in participants with moderate-to-severe plaque psoriasis |
Ethics approval(s) | Approved 11/04/2022, London-Westminster Research Ethics Committee (Equinox House, City Link, Nottingham, NG2 4LA, UK; +44 (0)207 104 8066, +44 (0)207 1048236; westminster.rec@hra.nhs.uk), ref: 22/LO/0125 |
Condition | Plaque psoriasis |
Intervention | The total duration of this study is up to 24 weeks which includes a screening period of less than or equal to (≤) 4 weeks, a 16-week treatment period, and a 4-week safety follow-up period. Participants will be randomly assigned to one of 6 treatment arms by an online interactive web randomisation system tool. Each active cohort group will also receive a placebo to maintain blinding of dose regimens throughout the trial: Group 1 will receive dose 1 of JNJ-77242113 once daily and placebo Group 2 will receive dose 2 of JNJ-77242113 once daily and placebo Group 3 will receive dose 3 of JNJ-77242113 once daily and placebo Group 4 will receive dose 1 of JNJ-77242113 twice daily and placebo Group 5 will receive dose 3 of JNJ-77242113 twice daily and placebo Group 6 will receive placebo twice daily |
Intervention type | Drug |
Pharmaceutical study type(s) | |
Phase | Phase II |
Drug / device / biological / vaccine name(s) | JNJ-77242113 |
Primary outcome measure | Percentage of participants achieving Psoriasis Area Severity Index (PASI) 75 score (greater than or equal to [≥] 75 percentage [%] improvement from baseline in PASI) determined at Week 16. The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body is divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas is assessed and scored separately for erythema, induration, and scaling, which are each rated on a scale of 0 to 4 and extent of involvement on a scale of 0 to 6. The PASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease. |
Secondary outcome measures | 1. Change from baseline in PASI Total Score reported at Week 16. Change from baseline in PASI total score will be minored from baseline to week 16 and reported at Week 16 2. Percentage of participants achieving PASI 90 score (≥90% improvement from baseline in PASI) determined at Week 16 3. Percentage of participants achieving PASI 100 score (100% improvement from baseline in PASI) determined at Week 16 4. Percentage of participants achieving an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) determined at Week 16. 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. The participant's psoriasis is assessed as cleared (0), minimal (1), mild (2), moderate (3), or severe (4) 5. Percentage of participants achieving an Investigator's Global Assessment (IGA) Score of Cleared (0) determined at Week 16 6. Change from baseline in Body Surface Area (BSA) reported at Week 16. Body Surface Area is a commonly used measure of severity of skin disease. It is defined as the percentage of the surface area of the body involved with the condition being assessed, (that is, plaque psoriasis) 7. Change from baseline in Psoriasis Symptoms and Signs Diary (PSSD) Symptoms Scores reported at Week 16. The PSSD includes a patient-reported outcome (PRO) questionnaire designed to measure the severity of psoriasis symptoms and signs over the previous 7 days for the assessment of treatment benefit. The PSSD is a self-administered PRO instrument that includes 11 items covering symptoms (itch, pain, stinging, burning, and skin tightness) and patient-observable signs (skin dryness, cracking, scaling, shedding or flaking, redness, and bleeding) using 0 to 10 numerical rating scales for severity. Two subscores will be derived each ranging from 0 to 100: the psoriasis symptom score and the psoriasis sign score. A higher score indicates more severe disease. 8. Change from baseline in PSSD Signs Score reported at Week 16 9. Percentage of participants achieving PSSD Symptoms Score = 0 determined at Week 16 in participants with a baseline Symptoms Score ≥1 10. Percentage of participants achieving PSSD Sign Score = 0 determined at Week 16 in participants with a baseline Sign Score ≥1 11. Percentage of participants achieving a Dermatology Life Quality Index (DLQI) of 0 or 1 determined at Week 16 in participants with baseline DLQI Score >1. The DLQI is a dermatology-specific health-related quality of life (HRQoL) instrument designed to assess the impact of the disease on a participant's HRQoL. It is a 10-item questionnaire that assesses HRQoL over the past 7 days and in addition to evaluating overall HRQoL, can be used to assess 6 different aspects that may affect quality of life: symptoms and feelings, daily activities, leisure, work or school performance, personal relationships, and treatment. The total score ranges from 0 to 30 with a higher score indicating a greater impact on HRQoL. 12. Change from baseline in Patient-reported Outcomes Measurement Information System (PROMIS-29) Domain Score reported at Week 16. The PROMIS-29 is a 29-item generic HRQoL instrument assessing 7 PROMIS domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and ability to participate in social roles and activities) with 4 questions for each domain. These questions are ranked on a 5-point Likert scale. There is also a numerical rating scale that ranges from 0 (No pain) to 10 (Worst pain imaginable) for pain intensity. The raw domain scores are converted to standardized T-scores with a mean of 50 and a standard deviation of 10. Higher scores on anxiety, depression, fatigue, sleep disturbance, and pain interference indicate more severe symptoms. Higher scores on physical function and social participation indicate better health outcomes. 13. Percentage of participants achieving ≥5-point improvement from baseline in PROMIS-29 Domain Score determined at Week 16 14. Number of participants with Adverse Events (AEs) monitored up to Week 24. An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product 15. Number of participants with Serious Adverse Events (SAEs) monitored up to Week 24. SAE is an adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important. |
Overall study start date | 21/01/2022 |
Overall study end date | 24/02/2023 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Both |
Target number of participants | 240 |
Participant inclusion criteria | 1. Participant has a diagnosis of plaque psoriasis, with or without psoriatic arthritis (PsA), for at least 6 months prior to the first administration of study intervention 2. Participant is a candidate for phototherapy or systemic treatment for plaque psoriasis 3. Participant has a total body surface area (BSA) greater than or equal to (≥) 10 percent (%) at screening and baseline 4. Participant has a total Psoriasis area and severity index (PASI) ≥12 at screening and baseline 5. Participant has a total Investigator global assessment (IGA) ≥3 at screening and baseline |
Participant exclusion criteria | 1. Participant has a nonplaque form of psoriasis (for example, erythrodermic, guttate, or pustular) 2. Participant has current drug-induced psoriasis (for example, a new onset of psoriasis or an exacerbation of psoriasis from beta-blockers, calcium channel blockers, or lithium) 3. Participant have previously received any other therapeutic agent directly targeted to interleukin 23 receptor (IL-23R) (including but not limited to guselkumab, tildrakizumab, or risankizumab) 4. Participant has received any therapeutic agent directly targeted to interleukin 17 receptor (IL-17) or interleukin 12/23 receptor (IL-12/23) (including but not limited to secukinumab, ixekizumab, brodalumab, or ustekinumab) or has received anti-tumor necrosis factor [TNF]-alpha biologic therapy (including, but not limited to adalimumab) within 12 weeks or 5 half-lives, whichever is longer, of the first administration of study intervention 5. Participant has received agents that deplete B cells (including, but not limited to, rituximab, or alemtuzumab) within 26 weeks of the first administration of study intervention |
Recruitment start date | 24/01/2022 |
Recruitment end date | 17/10/2022 |
Locations
Countries of recruitment
- Canada
- Czech Republic
- England
- France
- Germany
- Japan
- Korea, South
- Poland
- Spain
- Taiwan
- United Kingdom
- United States of America
Study participating centres
HU16 5JQ
United Kingdom
Wakefield
WF1 4DG
United Kingdom
Dudley
DY1 2HQ
United Kingdom
Guy's Hospital
Great Maze Pond
London
SE1 9RT
United Kingdom
Southampton
SO16 6YD
United Kingdom
Montreal
H2X 2V1
Canada
Peterborough
K9J 5K2
Canada
Surrey
V3R 6A7
Canada
Mississauga
L4Y 4C5
Canada
Waterloo
N2J 1C4
Canada
Calgary
T2J 7E1
Canada
Windsor
N8W 1E6
Canada
Hamilton
L8N 1Y2
Canada
Praha
775 20
Czech Republic
Plzen
305 99
Czech Republic
Pardubice
53002
Czech Republic
Ceske Budejovice
37087
Czech Republic
Praha 2
128 08
Czech Republic
Nachod
547 01
Czech Republic
Praha
10 100 00
Czech Republic
Praha 8
180 81
Czech Republic
Prague
15000
Czech Republic
Prague
180 81
Czech Republic
Praha
130 00
Czech Republic
Toulon
83800
France
Rouen
76031
France
Lyon Cedex 03
69437
France
Le Mans
72037
France
St Priest En Jarez
42270
France
Reims
51100
France
La Tronche
38700
France
Brest
29200
France
Dresden
01307
Germany
Hamburg
22391
Germany
Kiel
24105
Germany
Dresden
01097
Germany
Berlin
10783
Germany
Witten
58453
Germany
Berlin
10117
Germany
Munster
48149
Germany
Bochum
44793
Germany
Frankfurt am Main
60590
Germany
Heidelberg
69120
Germany
Mahlow
15831
Germany
Leipzig
04103
Germany
Berlin
10789
Germany
Mainz
55131
Germany
Bad Bentheim
48455
Germany
Darmstadt
64283
Germany
Bonn
53127
Germany
Koeln
50937
Germany
Friedrichshafen
88045
Germany
Tokyo
161-8521
Japan
Osaka Fu
593-8324
Japan
Matsudo
271-0092
Japan
Sapporo
060-0063
Japan
Obihiro-shi
080-0013
Japan
Kofu
400-8506
Japan
Yokohama
221-0825
Japan
Nishinomiya
663-8186
Japan
Matsudo-shi
270-2223
Japan
Shizuoka
420-8527
Japan
Tamana
865-0005
Japan
Takaoka
933-0871
Japan
Toyama
930-8550
Japan
Minato
108-0014
Japan
Seongnam
463-707
Korea, South
Seoul
05030
Korea, South
Busan
49241
Korea, South
Seoul
102-1703
Korea, South
Seoul
05505
Korea, South
Seoul
03080
Korea, South
Seoul
03722
Korea, South
Wroclaw
51-685
Poland
Osielsko
86031
Poland
Bialystok
15-351
Poland
Lodz
90-265
Poland
Warszawa
02962
Poland
Warsaw
02-953
Poland
Bialystok
15-888
Poland
Krakow
31-559
Poland
Valencia
46026
Spain
Madrid
28041
Spain
Barcelona
08916
Spain
Valencia
46940
Spain
Pontevedra
36001
Spain
Barakaldo
48902
Spain
Córdoba
14004
Spain
Bilbao
48013
Spain
Taipei City
10048
Taiwan
Taoyuan
333
Taiwan
Tainan
70403
Taiwan
Kaohsiung
83342
Taiwan
East Windsor
08520
United States of America
Portland
97223
United States of America
Rolling Meadows
60008
United States of America
Dallas
75231
United States of America
Ocala
34470
United States of America
Indianapolis
46250
United States of America
3601 5th Ave
Pittsburgh
15213
United States of America
Tampa
33613
United States of America
Johnston
02919
United States of America
Plainfield
46168
United States of America
Phoenix
85032
United States of America
Pflugerville
78660
United States of America
Rockville
20850
United States of America
Norfolk
23502
United States of America
Portland
97210
United States of America
Houston
77004
United States of America
Murray
84107
United States of America
South Bend
46617-2808
United States of America
Sellersville
18960
United States of America
Cromwell
06416
United States of America
Webster
77598
United States of America
Fort Gratiot
48059
United States of America
Las Vegas
89119
United States of America
Sacramento
95815
United States of America
San Francisco
94132
United States of America
Alpharetta
30022
United States of America
Seattle
98101
United States of America
Phoenix
85006
United States of America
Spokane
99202
United States of America
Clearwater
33756
United States of America
Athens
45701
United States of America
Sponsor information
Industry
Turnhoutseweg 30
Beerse
2340
Belgium
prderacta@prdgb.jnj.com | |
Website | https://www.janssen.com/netherlands/ |
https://ror.org/04yzcpd71 |
Funders
Funder type
Industry
Private sector organisation / For-profit companies (industry)
- Alternative name(s)
- Janssen R&D, Janssen Research & Development, Janssen Research & Development, LLC, Janssen Research & Development LLC, Janssen Pharmaceutical Companies of Johnson & Johnson, Research & Development at Janssen, JRD, J&J PRD
- Location
- United States of America
Results and Publications
Intention to publish date | 31/10/2024 |
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Individual participant data (IPD) Intention to share | Yes |
IPD sharing plan summary | Available on request |
Publication and dissemination plan | 1. Peer-reviewed scientific journals 2. Study results will be available to participants via the provision of a Plain Language Summary at the end of the study and in addition results will be published in the EudraCT database |
IPD sharing plan | The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at https://www.janssen.com/clinicaltrials/ 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 outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
HRA research summary | 28/06/2023 | No | No | ||
Other unpublished results | 04/10/2024 | No | No |
Additional files
Editorial Notes
04/10/2024: A file of unpublished results was added.
07/06/2022: Internal review.
08/04/2022: ISRCTN received notification of combined HRA/MHRA approval for this trial on 08/04/2022.
03/02/2022: Trial's existence confirmed by the HRA.