Phase 2
Completed N=146
An Effectiveness and Safety Study of CNTO 1275 in Patients With Active Psoriatic Arthritis
Source: ClinicalTrials.gov NCT00267956 ↗Enrolled (actual)
146
Serious AEs
3.3%
Results posted
Sep 2012
Primary outcomePrimary: Number of Participants With an American College of Rheumatology (ACR) 20 Response at Week 12 — 10; 32 Participants — p=<0.001
Summary
The purpose of this study is to evaluate the effectiveness and safety of CNTO 1275 (ustekinumab) in patients with psoriatic arthritis.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With an American College of Rheumatology (ACR) 20 Response at Week 12 |
10; 32 | <0.001 sig |
| SECONDARY Number of Participants With an American College of Rheumatology (ACR) 50 Response at Week 12 |
5; 19 | 0.004 sig |
| SECONDARY Number of Participants With an American College of Rheumatology (ACR) 70 Response at Week 12 |
0; 8 | 0.005 sig |
| SECONDARY Change in Health Assessment Questionnaire (HAQ) at Week 12 |
0.00; -0.25 | <0.001 sig |
| SECONDARY Number of Participants With Psoriasis Area and Severity Index (PASI) Score of 75 Percent at Week 12 |
3; 33 | <0.001 sig |
| SECONDARY Change in Dermatology Life Quality Index (DLQI) at Week 12 |
0.00; -6.0 | <0.001 sig |
Eligibility Criteria
Inclusion Criteria
- Have had active psoriatic arthritis for at least 6 months prior to administration of first study injection
- Have an active plaque psoriasis (defined as a lesion of at least 2 cm in diameter), but not in armpits, on chest between breasts or groin
- Women of childbearing potential and all men must be using an effective method of birth control measures (eg, abstinence, oral contraceptives, intrauterine device, barrier method with spermicide, or surgical sterilization) and must agree to continue to use such measures until 12 months after receiving the last injection of study agent
- Have an active arthritis despite disease-modifying anti-rheumatic drugs (DMARD) such as leflunomide, gold, sulfasalazine, but not including methotrexate) or non-steroidal anti-inflammatory agents (NSAID) such as aspirin, ibuprofen, naproxen) therapy. DMARD therapy is defined as taking a DMARD for at least 3 months, or evidence of not tolerating DMARD. NSAID therapy is defined as taking an NSAID for at least 4 weeks
- If the patients are using methotrexate (MTX), they should have started treatment at least 3 months prior to the first administration of study agent and should have no serious toxic side effects attributable to MTX
- Have no signs or symptoms suggestive of active tuberculosis upon medical history, physical examination and chest X-ray
Exclusion Criteria
- Have received DMARDs, other than methotrexate, within 4 weeks prior to the randomization visit
- Have used any biologic within the previous 3 months or 5 times the half-life of the biologic, whichever is longer
- Have received any oral, intravenous or intramuscular medications/treatments that could affect psoriasis (including, but not limited to, oral or injectable corticosteroids, retinoids, 1,25 dihydroxy vitamin D3 and analogues, psoralens, sulfasalazine, hydroxyurea, fumaric acid derivatives, or phototherapy) within 4 weeks of the randomization visit and/or have used topical medications/treatments that could affect psoriasis (eg, corticosteroids, anthralin, calcipotriene, topical vitamin D derivatives, retinoids, tazarotene, methoxsalen, trimethylpsoralens) within 2 weeks of the randomization visit
- Have a history of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic chest infection (eg, bronchiectasis), recurrent urinary tract infection (recurrent pyelonephritis or chronic nonremitting cystitis), or open, draining, or infected skin wounds or ulcers
- Have a history of latent or active granulomatous infection, including tuberculosis (TB), histoplasmosis, or coccidioidomycosis, prior to screening
- Have current signs or symptoms of severe, progressive, or uncontrolled kidney, liver, blood, intestinal, hormonal, lung, heart, nervous, brain, or psychiatric disease
- Have any known cancer or have a history of cancer within the previous 5 years (with the following exception: have had basal cell carcinoma or squamous cell carcinoma in situ of the skin that has been treated, with no evidence of recurrence)
Data sourced from ClinicalTrials.gov (NCT00267956). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.