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Long-Term Safety Study of Deucravacitinib versus Ustekinumab in Participants with Psoriasis (PRAGMATYK)

A Phase 3b/4 Multi-center, Randomized, Open-label, Long-term Safety Study of Deucravacitinib in Comparison to Ustekinumab in Participants with Moderate-to-Severe Plaque Psoriasis (PRAGMATYK)

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250528
Enrollment
3040
Registered
2025-11-27
Start date
2025-11-27
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Plaque Psoriasis

Interventions

Deucravacitinib or ustekinumab at a specific dose on a specific day

Sponsors

Leonardis De Francesco
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Participants with moderate-to-severe plaque psoriasis: - Deemed by the Investigator to be a candidate for phototherapy or systemic treatment for psoriasis, including ustekinumab - Have at least 1 of the following cardiovascular risk factors: -- Current cigarette smoker -- Diagnosis of hypertension -- Diagnosis of hyperlipidemia -- Diabetes mellitus type 1 or 2 -- History of one or more of the following cardiovascular events: Coronary intervention (PCI) or coronary artery bypass grafting (CABG), myocardial infarction (heart attack), cardiac arrest, hospitalization for unstable angina, acute coronary syndrome, stroke, or transient ischemic attack -- Obesity -- Family history of premature coronary heart disease or sudden death in a first-degree male relative younger than 55 years of age or in a first-degree female relative younger than 65 years of age

Exclusion criteria

Exclusion criteria: - Having recent history of 1 of the following cardiovascular events: -- MI, stroke, or coronary revascularization, or VTE within 90 days prior to Day 1. -- Unstable CVD, defined as a recent clinical cardiovascular event (eg, unstable angina, rapid atrial fibrillation), or a cardiac hospitalization (eg, pacemaker implantation, HF) within 90 days prior to Day 1. - Having evidence of active cancer or history of cancer (solid organ or hematologic malignancy including myelodysplastic syndrome) or lymphoproliferative disease within the previous 5 years (other than resected cutaneous basal cell or squamous cell carcinoma, or carcinoma of cervix in situ that has been treated with no evidence of recurrence). - Other protocol define inclusion/exclusion criteria apply.

Design outcomes

Primary

MeasureTime frame
MACE defined as non-fatal myocardial infarction [MI], nonfatal stroke, and cardiovascular death

Secondary

MeasureTime frame
Number of participants with non-fatal MI Number of participants with non-fatal stroke Death due to cardiovascular events Number of participants with coronary revascularization Number of participants with 3-point MACE (non-fatal MI, non-fatal stroke, and cardiovascular death) Number of participants with pulmonary embolism (PE) Number of participants with deep vein thrombosis (DVT) Number of participants with composite venous thromboembolism (VTE) Number of participants with arterial thromboembolic events (including retinal artery occlusion) Number of participants with heart failure (HF) requiring hospitalization or urgent visit Number of participants with Malignancy excluding non-melanoma skin cancer (NMSC) Number of participants with NMSC Number of participants with opportunistic infections Number of participants with Serious AEs (SAEs) All-cause mortality AEs leading to permanent treatment discontinuation Change from baseline in liver function test Change from baseline in fasting lipid panel

Countries

Argentina, Australia, Belgium, Brazil, Bulgaria, Canada, Chile, China, Czechia, Denmark, France, Germany, Hungary, Italy, Japan, Mexico, Poland, Puerto Rico, Romania, South Korea, Spain, Sweden, Taiwan, United Kingdom, United States

Contacts

Public ContactFrancesco Leonardis

Bristol-Myers Squibb

MG-JP-RCO-JRCT@bms.com+81-120-093-507

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026