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MSB11022 in Moderate to Severe Chronic Plaque Psoriasis

A Randomized, Double-blind Trial to Evaluate the Efficacy, Safety and Immunogenicity of MSB11022 Compared With Humira® in Subjects With Moderate to Severe Chronic Plaque Psoriasis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02660580
Acronym
AURIEL-PsO
Enrollment
443
Registered
2016-01-21
Start date
2016-02-16
Completion date
2017-12-18
Last updated
2023-12-27

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

Conditions

Psoriasis, Plaque Type Psoriasis, Moderate to Severe Plaque Psoriasis

Keywords

Adalimumab, MSB11022, Psoriasis, Phase III

Brief summary

The purpose of this study was to compare the efficacy, safety and immunogenicity of MSB11022 and Humira® in adult subjects with moderate to severe chronic plaque type psoriasis.

Interventions

Participants received EU-Humira subcutaneously in EU-Humira, EU-Humira/EU-Humira and EU-Humira/MSB11022 arm.

Participants received MSB11022 drug subcutaneously MSB11022 (Core Treatment Period), MSB11022 (Extended Treatment Period) and EU-Humira/MSB11022 arm.

Sponsors

Merck KGaA, Darmstadt, Germany
CollaboratorINDUSTRY
Fresenius Kabi SwissBioSim GmbH
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female participants greater than or equal to (\>=) 18 years old with a clinical diagnosis of stable moderate to severe plaque psoriasis (defined by Psoriasis Area and Severity Index \[PASI\] score \>=12, Physician Global Assessment \[PGA\] score \>=3, and \>=10% of body surface area affected at Screening and Baseline \[Day 1 of Week 1\]) who have a history of receipt of or are candidates for systemic therapy or phototherapy for active plaque-type psoriasis despite topical therapy * Participants must not have received more than 1 biologic therapy * Other protocol-defined inclusion criteria could apply

Exclusion criteria

* Participants was excluded if they have erythrodermic, pustular, guttate, or medication-induced forms of psoriasis or other active skin diseases/infections that may interfere with the evaluation of plaque psoriasis * Participants must not have received adalimumab or an investigational or licensed biosimilar of adalimumab; topical therapies for the treatment of psoriasis or ultraviolet B phototherapy within 2 weeks of investigational medicinal product (IMP) administration or plan to take such treatment during the trial; or psoralen combined with ultraviolet A phototherapy or nonbiological systemic therapies for psoriasis within 4 weeks prior to IMP administration * Participants was excluded if they have a history of an ongoing, chronic, or recurrent infectious disease (except for latent tuberculosis \[TB\]); history of active TB; or a history of hypersensitivity to any component of the IMP formulation, comparable drugs, or latex * Other protocol-defined

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Achieved Psoriasis Area and Severity Index 75 (PASI 75) at Week 16Week 16PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI-75 response is defined as the percentage of participants who achieved at least a 75% improvement in PASI score from Baseline.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16Week 16PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI 50, 90 and 100 response rate at Week 16 is measured as the percentage of participants who achieved at least 50, 90 and 100% improvement from baseline PASI score at Week 16.
Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24Week 24PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 24 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 24.
Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52Week 52PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 52 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 52.
Percent Change From Baseline in PASI at Week 24 and 52Baseline (Day 1 of Extended Treatment Period), Weeks 24 and 52PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity.
Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline (Day 1 of Core Treatment Period), Week 16PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates Clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates Mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates Moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates Severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).
Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline (Day 1 of Extended Treatment Period), Week 24 and 52PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).
Time to Achieve PASI 50Baseline (Day 1 of Core Treatment Period) up to Month 4PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 50% improvement in PASI from baseline was measured.
Time to Achieve PASI 75Baseline (Day 1 of Core Treatment Period) up to Month 4PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 75% improvement in PASI from baseline was measured.
Time to Achieve PASI 90Baseline (Day 1 of Core Treatment Period) up to Month 4PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 90% improvement in PASI from baseline was measured.
Time to Achieve PASI 100Baseline (Day 1 of Core Treatment Period) up to Month 13.5PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 100% improvement in PASI from baseline was measured.
Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline (Day 1 of Core Treatment Period), Week 16PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).
Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline (Day 1 of Extended Treatment Period), Week 24PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).
Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline (Day 1 of Extended Treatment Period), Week 52PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Baseline (Day 1 of Core Treatment Period) up to Week 16Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Baseline (Day 1 of Extended Treatment Period) up to Week 54Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs.
Number of Participants With Clinically Meaningful Differences in Laboratory ValuesCore Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54Based on categories of low, normal, or high according to the laboratory normal ranges, there were no clinically meaningful differences across the treatment groups in the numbers of participants with shifts in Laboratory parameters including hematology, chemistry and urinalysis from normal at Core Baseline to either low or high during the overall treatment period. Clinical meaningful was determined by the investigator.
Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Week 16Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (\>) 1:160 and negativity is defined as ANA titer less than (\<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA \> 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA \< 10 U/mL.
Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24, 32, 40 and 52Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (\>) 1:160 and negativity is defined as ANA titer less than (\<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA \> 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA \< 10 U/mL.
Percent Change From Baseline in PASI at Week 16Baseline (Day 1 of Core Treatment Period), Week 16PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Percent change from Baseline in PASI score was reported.
Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54Number of participants with clinically significant abnormalities in 12-ECG were reported. Clinical significance was determined by the investigator.
Dermatology Life Quality Index (DLQI) at Week 16Weeks 16The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life).
Dermatology Life Quality Index (DLQI) at Week 24 and 52Week 24 and 52The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life).
European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 16Week 16The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state).
European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 24 and 52The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state).
European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on Visual Analogue Scale (VAS) Score at Week 16Week 16The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state.
European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 24 and 52The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state.
Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 16Week 16HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 24 and 52HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 16Week 16Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain.
Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 24 and 52Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain.
Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16Week 16Number of participants with treatment emergent Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab were reported from baseline to week 16. Data was collected using validated bioanalytical method.
Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24, 32, 40 and 52Number of participants With positive treatment emergent Anti-Drug Antibodies (ADAs) and positive Neutralizing Antibodies (NAbs) to Adalimumab were reported. Data was collected using validated bioanalytical method.
Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 16Week 16Anti-Drug Antibodies (ADAs) Titers for adalimumab at week 16 was reported. Data was collected using validated bioanalytical method.
Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 24, 32, 40 and 52Anti-Drug Antibodies (ADAs) Titers for adalimumab at Week 24, 32, 40 and 50 was reported. Data was collected using validated bioanalytical method.
Observed Serum Concentration at Week 16Week 16Observed serum concentrations at week 16 were reported.
Observed Serum Concentration at Week 24 and 52Week 24 and 52Observed serum concentrations at week 24 and 52 were reported.
Number of Participants With Clinically Meaningful Differences in Vital SignsCore Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54Number of participants with clinically meaningful abnormalities in vital signs were reported. Clinical meaningful was determined by the investigator.

Countries

Bulgaria, Canada, Czechia, Estonia, France, Germany, Hungary, Mexico, Poland, Russia, United Kingdom, United States

Participant flow

Pre-assignment details

Participants were randomized to either MSB11022 or EU-Humira in Core Treatment Period till Week 16. Participants who achieved PASI50 at Week 16 entered Extension Period where participants in MSB11022 were continued to receive MSB11022 & participants in EU-Humira were re-randomized to receive either MSB11022 or EU-Humira for additional 37 weeks.

Participants by arm

ArmCount
MSB11022 (Core Treatment Period)
Participants received MSB11022 subcutaneously at an initial dose of 80 milligram (mg) on Day 1 of Week 1 followed by 40 mg every other week starting at Week 2 up to and including Week 14 in Core Treatment Period.
222
EU-Humira
Participants received EU-Humira subcutaneously at an initial dose of 80 mg on Day 1 of Week 1 followed by 40 mg every other week starting at Week 2 up to and including Week 14 in Core Treatment Period.
221
Total443

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Core Treatment Period (Week 1 to 16)Adverse Event29000
Core Treatment Period (Week 1 to 16)Lack of Efficacy02000
Core Treatment Period (Week 1 to 16)Lost to Follow-up12000
Core Treatment Period (Week 1 to 16)Other un-specified10000
Core Treatment Period (Week 1 to 16)Protocol Violation31000
Core Treatment Period (Week 1 to 16)Randomized, not treated11000
Core Treatment Period (Week 1 to 16)Withdrawal by Subject14000
Extended Treatment Period(Week 16 to 52)Adverse Event00864
Extended Treatment Period(Week 16 to 52)Lack of Efficacy00422
Extended Treatment Period(Week 16 to 52)Lost to Follow-up00011
Extended Treatment Period(Week 16 to 52)Other un-specified00101
Extended Treatment Period(Week 16 to 52)Protocol Violation00201
Extended Treatment Period(Week 16 to 52)Withdrawal by Subject00322

Baseline characteristics

CharacteristicEU-HumiraTotalMSB11022 (Core Treatment Period)
Age, Continuous42.7 years
STANDARD_DEVIATION 12
43.6 years
STANDARD_DEVIATION 12.5
44.5 years
STANDARD_DEVIATION 12.8
Ethnicity
Hispanic or Latino
23 Participants46 Participants23 Participants
Ethnicity
Missing
2 Participants2 Participants0 Participants
Ethnicity
Not Hispanic or Latino
196 Participants395 Participants199 Participants
Race
American Indian or Alaska Native
8 Participants18 Participants10 Participants
Race
Asian
9 Participants14 Participants5 Participants
Race
Black or African American
1 Participants3 Participants2 Participants
Race
Missing/Not collected at this site
2 Participants2 Participants0 Participants
Race
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race
Other
1 Participants1 Participants0 Participants
Race
White
200 Participants405 Participants205 Participants
Sex: Female, Male
Female
73 Participants148 Participants75 Participants
Sex: Female, Male
Male
148 Participants295 Participants147 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 2210 / 2200 / 2131 / 1010 / 101
other
Total, other adverse events
30 / 22134 / 22059 / 21332 / 10125 / 101
serious
Total, serious adverse events
8 / 2216 / 22012 / 2133 / 1014 / 101

Outcome results

Primary

Percentage of Participants Who Achieved Psoriasis Area and Severity Index 75 (PASI 75) at Week 16

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI-75 response is defined as the percentage of participants who achieved at least a 75% improvement in PASI score from Baseline.

Time frame: Week 16

Population: The per-protocol (PP) Analysis Set included all randomized and treated participants who did not have any major protocol deviations during the Core Treatment Period with respect to factors likely to affect the efficacy of treatment.

ArmMeasureValue (NUMBER)
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved Psoriasis Area and Severity Index 75 (PASI 75) at Week 1689.7 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved Psoriasis Area and Severity Index 75 (PASI 75) at Week 1691.6 Percentage of Participants
95% CI: [-7.82, 4.07]
Secondary

Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 16

Anti-Drug Antibodies (ADAs) Titers for adalimumab at week 16 was reported. Data was collected using validated bioanalytical method.

Time frame: Week 16

Population: SAF analysis set was used. Here Number of Participants analyzed signifies those who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)Dispersion
MSB11022 (Core Treatment Period)Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 168.0 TitersFull Range 1
EU-HumiraAnti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 168.0 TitersFull Range 1
Secondary

Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52

Anti-Drug Antibodies (ADAs) Titers for adalimumab at Week 24, 32, 40 and 50 was reported. Data was collected using validated bioanalytical method.

Time frame: Week 24, 32, 40 and 52

Population: ETP-SAF analysis set was used. Here Number analyzed signifies those participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEDIAN)
MSB11022 (Core Treatment Period)Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 2416.0 Titers
MSB11022 (Core Treatment Period)Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 3216.0 Titers
MSB11022 (Core Treatment Period)Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 4016.0 Titers
MSB11022 (Core Treatment Period)Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 528.0 Titers
EU-HumiraAnti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 5216.0 Titers
EU-HumiraAnti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 2416.0 Titers
EU-HumiraAnti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 4016.0 Titers
EU-HumiraAnti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 3216.0 Titers
EU-Humira/MSB11022Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 528.0 Titers
EU-Humira/MSB11022Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 3216.0 Titers
EU-Humira/MSB11022Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 4016.0 Titers
EU-Humira/MSB11022Anti-Drug Antibodies (ADAs) Titers for Adalimumab at Week 24, 32, 40 and 52Week 2416.0 Titers
Secondary

Dermatology Life Quality Index (DLQI) at Week 16

The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life).

Time frame: Weeks 16

Population: PP analysis set was used.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Dermatology Life Quality Index (DLQI) at Week 162.4 Units on a scaleStandard Deviation 3.2
EU-HumiraDermatology Life Quality Index (DLQI) at Week 162.5 Units on a scaleStandard Deviation 3.7
Secondary

Dermatology Life Quality Index (DLQI) at Week 24 and 52

The DLQI is a 10-item validated quality-of-life questionnaire that covers 6 domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The DLQI measures how much participant's skin problems has affected his life. Responses range from 0=Not at all to 3=Very much. The DLQI total score is the sum of individual 10 items and could range from 0 to 30 (higher score indicated greater negative impact on life).

Time frame: Week 24 and 52

Population: ETP-PP analysis set was used. Here Number analyzed signifies number of participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Dermatology Life Quality Index (DLQI) at Week 24 and 52Week 242.5 Units on a scaleStandard Deviation 4.1
MSB11022 (Core Treatment Period)Dermatology Life Quality Index (DLQI) at Week 24 and 52Week 523.0 Units on a scaleStandard Deviation 4.7
EU-HumiraDermatology Life Quality Index (DLQI) at Week 24 and 52Week 522.1 Units on a scaleStandard Deviation 3.5
EU-HumiraDermatology Life Quality Index (DLQI) at Week 24 and 52Week 242.3 Units on a scaleStandard Deviation 4
EU-Humira/MSB11022Dermatology Life Quality Index (DLQI) at Week 24 and 52Week 242.3 Units on a scaleStandard Deviation 3.9
EU-Humira/MSB11022Dermatology Life Quality Index (DLQI) at Week 24 and 52Week 522.7 Units on a scaleStandard Deviation 4
Secondary

European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52

The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state.

Time frame: Week 24 and 52

Population: ETP-PP analysis set was used. Here Number analyzed signifies those participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 2483.2 Units on a scaleStandard Deviation 14.2
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 5283.5 Units on a scaleStandard Deviation 15.5
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 2484.2 Units on a scaleStandard Deviation 13.7
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 5285.1 Units on a scaleStandard Deviation 13.2
EU-Humira/MSB11022European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 2484.3 Units on a scaleStandard Deviation 13.9
EU-Humira/MSB11022European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on VAS Score at Week 24 and 52Week 5282.1 Units on a scaleStandard Deviation 16.1
Secondary

European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on Visual Analogue Scale (VAS) Score at Week 16

The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level on a visual analog scale, where the participant was asked to rate current health status on a scale of 0 to 100, with 0 being the worst imaginable health state.

Time frame: Week 16

Population: PP analysis set was used. Here Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on Visual Analogue Scale (VAS) Score at Week 1681.9 Units on a scaleStandard Deviation 13.9
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Based on Visual Analogue Scale (VAS) Score at Week 1683.1 Units on a scaleStandard Deviation 15
Secondary

European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 16

The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state).

Time frame: Week 16

Population: PP analysis set was used. Here Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 160.9 Units on a scaleStandard Deviation 0.1
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 160.9 Units on a scaleStandard Deviation 0.1
Secondary

European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52

The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no problems, slight problems, moderate problems, severe problems and extreme problems) that reflect increasing levels of difficulty. The participant was asked to indicate his/her current health state by selecting the most appropriate level in each of the 5 dimensions. The responses are converted into a single index value, with scores ranging from -0.594 to 1 (a higher score indicates better health state).

Time frame: Week 24 and 52

Population: ETP-PP analysis set was used. Here Number analyzed signifies those participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 240.8 Units on a scaleStandard Deviation 0.1
MSB11022 (Core Treatment Period)European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 520.9 Units on a scaleStandard Deviation 0.1
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 240.9 Units on a scaleStandard Deviation 0.1
EU-HumiraEuropean Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 520.9 Units on a scaleStandard Deviation 0.1
EU-Humira/MSB11022European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 240.9 Units on a scaleStandard Deviation 0.1
EU-Humira/MSB11022European Quality of Life 5-Dimensions and 5-Levels Questionnaire (EQ5D-5L) Descriptive Score at Week 24 and 52Week 520.8 Units on a scaleStandard Deviation 0.1
Secondary

Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 16

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.

Time frame: Week 16

Population: PP analysis set was used. Here Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 160.3 Units on a scaleStandard Deviation 0.4
EU-HumiraHealth Assessment Questionnaire Disability Index (HAQ-DI) at Week 160.3 Units on a scaleStandard Deviation 0.4
Secondary

Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52

HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.

Time frame: Week 24 and 52

Population: ETP-PP analysis set was used. Here Number analyzed signifies those participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 240.3 Units on a scaleStandard Deviation 0.4
MSB11022 (Core Treatment Period)Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 520.3 Units on a scaleStandard Deviation 0.4
EU-HumiraHealth Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 240.2 Units on a scaleStandard Deviation 0.5
EU-HumiraHealth Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 520.1 Units on a scaleStandard Deviation 0.2
EU-Humira/MSB11022Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 240.4 Units on a scaleStandard Deviation 0.3
EU-Humira/MSB11022Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24, and 52Week 520.5 Units on a scaleStandard Deviation 0.3
Secondary

Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16

Number of participants with treatment emergent Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab were reported from baseline to week 16. Data was collected using validated bioanalytical method.

Time frame: Week 16

Population: SAF analysis set was used. Here Number of participants analyzed signifies those who were evaluable for this outcome measure and Number analyzed signifies those participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16Participants with ADAs186 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16Participants with Neutralizing Abs70 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16Participants with ADAs179 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 16Participants with Neutralizing Abs70 Participants
Secondary

Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52

Number of participants With positive treatment emergent Anti-Drug Antibodies (ADAs) and positive Neutralizing Antibodies (NAbs) to Adalimumab were reported. Data was collected using validated bioanalytical method.

Time frame: Week 24, 32, 40 and 52

Population: ETP-SAF analysis set was used. Here Number analyzed signifies participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: ADAs185 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: ADAs170 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: ADAs161 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: ADAs162 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: NAb78 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: NAb67 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: NAb70 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: NAb63 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: ADAs72 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: NAb29 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: ADAs68 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: NAb42 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: NAb30 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: ADAs89 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: ADAs78 Participants
EU-HumiraNumber of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: NAb29 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: ADAs80 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: ADAs85 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: ADAs90 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: ADAs77 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 40: NAb28 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 32: NAb32 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 24: NAb39 Participants
EU-Humira/MSB11022Number of Participants With Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Adalimumab at Week 24, 32, 40 and 52Week 52: NAb30 Participants
Secondary

Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16

Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (\>) 1:160 and negativity is defined as ANA titer less than (\<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA \> 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA \< 10 U/mL.

Time frame: Week 16

Population: Safety analysis set was used.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Positive ANA values6 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Intermediate anti-ds DNA values4 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Negative anti-ds DNA values201 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Positive anti-ds DNA values4 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Negative ANA values205 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Positive anti-ds DNA values6 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Negative ANA values190 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Positive ANA values10 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Negative anti-ds DNA values186 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 16Participants with Intermediate anti-ds DNA values5 Participants
Secondary

Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52

Number of participants ANA and anti-ds DNA values were reported. For ANA, positivity is defined as any participants with ANA titer greater than (\>) 1:160 and negativity is defined as ANA titer less than (\<) 1:160. For anti-ds DNA, positivity is defined as any participants with adsDNA \> 15 units per milliliter (U/mL), intermediate category is defined as value between 10 U/mL to 15 U/mL and negativity is defined as adsDNA \< 10 U/mL.

Time frame: Week 24, 32, 40 and 52

Population: ETP-SAF included all re-randomized participants who received at least 1 dose of MSB11022 or EU-approved Humira in ETP. Here Number of participants analyzed signifies those participants who were evaluable for this outcome measure \& Number analyzed signifies those participants who were evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive anti-dsDNA10 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive ANA8 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative ANA188 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive anti-dsDNA8 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative anti-dsDNA191 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative ANA185 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive anti-dsDNA8 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative anti-dsDNA184 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Intermediate anti-dsDNA8 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative anti-dsDNA173 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative anti-dsDNA179 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Intermediate anti-dsDNA7 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive ANA13 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Intermediate anti-dsDNA7 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Intermediate anti-dsDNA3 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive ANA13 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative ANA178 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive anti-dsDNA11 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive ANA18 Participants
MSB11022 (Core Treatment Period)Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative ANA186 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Intermediate anti-dsDNA2 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative ANA89 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative ANA85 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative ANA85 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative ANA84 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive ANA5 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive ANA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive ANA6 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive ANA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative anti-dsDNA89 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative anti-dsDNA83 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative anti-dsDNA86 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative anti-dsDNA81 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive anti-dsDNA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive anti-dsDNA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive anti-dsDNA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive anti-dsDNA2 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Intermediate anti-dsDNA3 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Intermediate anti-dsDNA2 Participants
EU-HumiraNumber of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Intermediate anti-dsDNA4 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative ANA88 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive anti-dsDNA5 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive ANA7 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Intermediate anti-dsDNA2 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Positive anti-dsDNA7 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Positive ANA7 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Intermediate anti-dsDNA1 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive anti-dsDNA7 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive ANA5 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative ANA92 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Intermediate anti-dsDNA1 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative ANA79 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative anti-dsDNA84 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Negative anti-dsDNA86 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 40: Negative ANA85 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Negative anti-dsDNA79 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Negative anti-dsDNA88 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 32: Intermediate anti-dsDNA2 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 24: Positive anti-dsDNA5 Participants
EU-Humira/MSB11022Number of Participants With Anti-nuclear Antibodies (ANA) and Anti-double-stranded Deoxyribonucleic Acid (Anti-dsDNA) Assessments at Week 24, 32, 40 and 52Week 52: Positive ANA8 Participants
Secondary

Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16

PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates Clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates Mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates Moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates Severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).

Time frame: Baseline (Day 1 of Core Treatment Period), Week 16

Population: PP Analysis set was used. Number of participants with PGA response of Clear or Almost clear at Week 16 were presented.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Moderate; Week 16: Clear52 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Moderate; Week 16: Almost clear76 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Severe; Week 16: Clear16 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Severe; Week 16: Almost clear27 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Severe; Week 16: Almost clear26 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Moderate; Week 16: Clear51 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Severe; Week 16: Clear20 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 16Baseline: Moderate; Week 16: Almost clear59 Participants
Secondary

Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52

PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).

Time frame: Baseline (Day 1 of Extended Treatment Period), Week 24 and 52

Population: ETP-PP Analysis set was used. Here Number analyzed indicates number of participants who were evaluable for this outcome measure at specified category. Number of participants with PGA response of Clear or Almost clear at Week 24 and 52 were presented.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: Clear69 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Clear18 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: AlmostClear52 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Almost Clear27 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: Clear74 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: AlmostClear40 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Clear29 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Almost Clear15 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Clear11 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Clear17 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Almost Clear14 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: Clear29 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: AlmostClear13 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: AlmostClear24 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: Clear25 Participants
EU-HumiraNumber of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Almost Clear6 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Clear9 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: Clear25 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 24: AlmostClear31 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 24: Almost Clear13 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Clear16 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: AlmostClear16 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Moderate; Week 52: Clear34 Participants
EU-Humira/MSB11022Number of Participants With Change From Baseline in Physician's Global Assessment (PGA) Score to Clear or Almost Clear at Week 24 and 52Baseline: Severe; Week 52: Almost Clear6 Participants
Secondary

Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16

PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).

Time frame: Baseline (Day 1 of Core Treatment Period), Week 16

Population: PP Analysis set was used. Only categories for which participants recorded a PGA response were included below.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Clear16 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Mild16 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Almost Clear27 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Clear52 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Mild12 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Moderate2 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Moderate2 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Almost Clear76 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Moderate1 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Almost Clear59 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Mild17 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Moderate1 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Clear20 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Almost Clear26 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Severe; Week 16- Mild16 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 16Baseline- Moderate; Week 16- Clear51 Participants
Secondary

Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24

PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).

Time frame: Baseline (Day 1 of Extended Treatment Period), Week 24

Population: ETP-PP Analysis set was used. Only categories for which participants recorded a PGA response were included below. Here Number of participants analyzed signifies those who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Moderate2 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Severe0 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Almost Clear27 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Clear18 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Clear69 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Moderate2 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Mild21 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Almost Clear52 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Mild9 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Clear11 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Clear25 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Almost Clear24 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Mild10 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Moderate2 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Almost Clear14 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Mild6 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Moderate1 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Severe1 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Mild7 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Clear25 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Mild6 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Almost Clear31 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Severe0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Clear9 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Moderate; Week 24- Moderate0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Moderate1 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 24Baseline- Severe; Week 24- Almost Clear13 Participants
Secondary

Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52

PGA was assessed relative to baseline condition based on a scale ranged from 0 to 4, where 0 indicates clear condition (no signs of psoriasis, post-inflammatory hyperpigmentation may be present), 1 indicates Almost clear condition (normal to pink coloration of lesion, no thickening and no to minimal \[focal\] scaling), 2 indicates mild condition (pink to light red coloration, just detectable to mild thickening and predominantly fine scaling), 3 indicates moderate condition (dull bright red, clearly distinguishable erythema, clearly distinguishable to moderate thickening and moderate scaling), and 4 indicates severe condition (bright to deep dark red coloration, severe thickening with hard edges and severe/coarse scaling covering almost all or all lesions).

Time frame: Baseline (Day 1 of Extended Treatment Period), Week 52

Population: ETP-PP Analysis set was used. Here Number of participants analyzed signifies those who were evaluable for this outcome measure. Only categories for which participants recorded a PGA response were included below.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Mild3 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Missing1 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Severe1 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Almost Clear15 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Clear29 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Clear74 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Mild17 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Almost Clear40 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Moderate3 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Moderate4 Participants
MSB11022 (Core Treatment Period)Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Missing1 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Clear17 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Clear29 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Almost Clear13 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Mild11 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Moderate0 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Missing0 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Almost Clear6 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Mild7 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Moderate2 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Severe0 Participants
EU-HumiraNumber of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Missing0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Severe0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Mild3 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Mild6 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Clear34 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Moderate2 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Almost Clear16 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Clear16 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Missing0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Missing0 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Severe; Week 52- Almost Clear6 Participants
EU-Humira/MSB11022Number of Participants With Change in Physician's Global Assessment (PGA) From Baseline at Week 52Baseline- Moderate; Week 52- Moderate4 Participants
Secondary

Number of Participants With Clinically Meaningful Differences in Laboratory Values

Based on categories of low, normal, or high according to the laboratory normal ranges, there were no clinically meaningful differences across the treatment groups in the numbers of participants with shifts in Laboratory parameters including hematology, chemistry and urinalysis from normal at Core Baseline to either low or high during the overall treatment period. Clinical meaningful was determined by the investigator.

Time frame: Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54

Population: Safety Analysis Set (SAF) was used for up to Week 16. The ETP-SAF was used in Extended Treatment Period.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Clinically Meaningful Differences in Laboratory Values0 Participants
EU-HumiraNumber of Participants With Clinically Meaningful Differences in Laboratory Values0 Participants
EU-Humira/MSB11022Number of Participants With Clinically Meaningful Differences in Laboratory Values0 Participants
EU-Humira/EU-HumiraNumber of Participants With Clinically Meaningful Differences in Laboratory Values0 Participants
EU-Humira/MSB11022Number of Participants With Clinically Meaningful Differences in Laboratory Values0 Participants
Secondary

Number of Participants With Clinically Meaningful Differences in Vital Signs

Number of participants with clinically meaningful abnormalities in vital signs were reported. Clinical meaningful was determined by the investigator.

Time frame: Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54

Population: Safety analysis set was used for Core Treatment Period. ETP-SAF was used for Extended Treatment Period.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Clinically Meaningful Differences in Vital Signs0 Participants
EU-HumiraNumber of Participants With Clinically Meaningful Differences in Vital Signs0 Participants
EU-Humira/MSB11022Number of Participants With Clinically Meaningful Differences in Vital Signs0 Participants
EU-Humira/EU-HumiraNumber of Participants With Clinically Meaningful Differences in Vital Signs0 Participants
EU-Humira/MSB11022Number of Participants With Clinically Meaningful Differences in Vital Signs0 Participants
Secondary

Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)

Number of participants with clinically significant abnormalities in 12-ECG were reported. Clinical significance was determined by the investigator.

Time frame: Core Treatment Period: Baseline up to 16; Extended Treatment Period: Baseline up to Week 54

Population: Safety analysis set was used for Core Treatment Period. ETP-SAF was used for Extended Treatment Period.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)0 Participants
EU-HumiraNumber of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)1 Participants
EU-Humira/MSB11022Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)0 Participants
EU-Humira/EU-HumiraNumber of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)1 Participants
EU-Humira/MSB11022Number of Participants With Clinically Significant Abnormalities in 12-Electrocardiogram (12-ECG)1 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16

Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs.

Time frame: Baseline (Day 1 of Core Treatment Period) up to Week 16

Population: Safety (SAF) Analysis Set included all randomized participants who received at least 1 dose of MSB11022 or EU-Humira. Participants in SAF were analyzed according to actual treatment received initially during the relevant treatment period.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs114 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with Serious TEAEs8 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs of special interest2 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs Leading to Death0 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs Leading to Death0 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs117 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with TEAEs of special interest3 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 16Participants with Serious TEAEs6 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54

Adverse event(AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign(including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event(SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs.

Time frame: Baseline (Day 1 of Extended Treatment Period) up to Week 54

Population: ETP-SAF Analysis Set was used. Participants were analyzed according to actual treatment received initially during the relevant treatment period.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs142 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with Serious TEAEs12 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs of special interest10 Participants
MSB11022 (Core Treatment Period)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs Leading to Death0 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs Leading to Death1 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs65 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs of special interest1 Participants
EU-HumiraNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with Serious TEAEs3 Participants
EU-Humira/MSB11022Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs Leading to Death0 Participants
EU-Humira/MSB11022Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with Serious TEAEs4 Participants
EU-Humira/MSB11022Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs of special interest4 Participants
EU-Humira/MSB11022Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs of Special Interest and TEAEs Leading to Death up to Week 54Participants with TEAEs63 Participants
Secondary

Observed Serum Concentration at Week 16

Observed serum concentrations at week 16 were reported.

Time frame: Week 16

Population: The Pharmacokinetic (PK) Analysis Set included all participants in the SAF who also had at least 1 measurable post-dose concentration. Here Number of Participants analyzed signifies those who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MSB11022 (Core Treatment Period)Observed Serum Concentration at Week 166990 Nanogram per milliliter (ng/mL)Standard Deviation 4504
EU-HumiraObserved Serum Concentration at Week 166410 Nanogram per milliliter (ng/mL)Standard Deviation 4152
Secondary

Observed Serum Concentration at Week 24 and 52

Observed serum concentrations at week 24 and 52 were reported.

Time frame: Week 24 and 52

Population: The ETP-PK analysis included all participants in ETP SAF who had at least 1 measurable post-dose concentration in ETP, without any important protocol deviations that could have impacted quality of PK data during ETP. Here Number analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MSB11022 (Core Treatment Period)Observed Serum Concentration at Week 24 and 52Week 246240 ng/mLStandard Deviation 4569
MSB11022 (Core Treatment Period)Observed Serum Concentration at Week 24 and 52Week 526910 ng/mLStandard Deviation 5750
EU-HumiraObserved Serum Concentration at Week 24 and 52Week 245870 ng/mLStandard Deviation 4516
EU-HumiraObserved Serum Concentration at Week 24 and 52Week 525930 ng/mLStandard Deviation 4529
EU-Humira/MSB11022Observed Serum Concentration at Week 24 and 52Week 246430 ng/mLStandard Deviation 4610
EU-Humira/MSB11022Observed Serum Concentration at Week 24 and 52Week 526600 ng/mLStandard Deviation 5394
Secondary

Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 16

Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain.

Time frame: Week 16

Population: PP analysis set was used. Here Number of participants analyzed signifies participants who were evaluable for this outcome measure at specified category.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 1626.9 millimeter (mm)Standard Deviation 28.3
EU-HumiraPatient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 1624.6 millimeter (mm)Standard Deviation 24.3
Secondary

Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52

Patient global assessment for joints was measured on a 100 millimeter (mm) VAS scale, where 0 = no pain and 100 = worst possible pain.

Time frame: Week 24 and 52

Population: ETP-PP analysis set was used. Here Number analyzed signifies participants who were evaluable for this outcome measure at specified category.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 2429.7 mmStandard Deviation 25.3
MSB11022 (Core Treatment Period)Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 5225.0 mmStandard Deviation 20.3
EU-HumiraPatient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 2420.6 mmStandard Deviation 27.1
EU-HumiraPatient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 5214.7 mmStandard Deviation 16.5
EU-Humira/MSB11022Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 2424.9 mmStandard Deviation 20.5
EU-Humira/MSB11022Patient Global Assessment for Joints on Visual Analog Scale (PJA-VAS) at Week 24 and 52Week 5229.5 mmStandard Deviation 19.6
Secondary

Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 24 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 24.

Time frame: Week 24

Population: The Extended Treatment Period (ETP)-PP Analysis Set included participants who were in PP Analysis Set \& were re-randomized \& received treatment in Extended Treatment Period. Here Number of participants analyzed signifies those who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 50100.0 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 7592.5 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 9074.0 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 10042.5 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 10037.2 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 5098.9 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 9078.7 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 7588.3 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 10035.9 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 7594.6 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 9080.4 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 24PASI 50100.0 Percentage of Participants
Secondary

Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI response rate at Week 52 is measured as the percentage of participants who achieved at least 50, 75, 90 and 100% improvement from baseline PASI at Week 52.

Time frame: Week 52

Population: The ETP-PP Analysis Set was used. Here Number of participants analyzed signifies those who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 10053.8 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 5097.8 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 7590.9 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 9076.3 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 9078.8 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 10054.1 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 7592.9 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 50100.0 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 9085.1 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 50100.0 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 7593.1 Percentage of Participants
EU-Humira/MSB11022Percentage of Participants Who Achieved PASI 50, 75, 90 and 100 at Week 52PASI 10057.5 Percentage of Participants
Secondary

Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72 with higher scores reflecting more disease severity. The PASI 50, 90 and 100 response rate at Week 16 is measured as the percentage of participants who achieved at least 50, 90 and 100% improvement from baseline PASI score at Week 16.

Time frame: Week 16

Population: PP analysis set was used.

ArmMeasureGroupValue (NUMBER)
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 50100.0 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 9064.0 Percentage of Participants
MSB11022 (Core Treatment Period)Percentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 10033.0 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 50100.0 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 9066.0 Percentage of Participants
EU-HumiraPercentage of Participants Who Achieved PASI 50, 90 and 100 at Week 16PASI 10037.2 Percentage of Participants
Secondary

Percent Change From Baseline in PASI at Week 16

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Percent change from Baseline in PASI score was reported.

Time frame: Baseline (Day 1 of Core Treatment Period), Week 16

Population: The PP Analysis set was used.

ArmMeasureValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Percent Change From Baseline in PASI at Week 16-90.6 Percent changeStandard Deviation 11.3
EU-HumiraPercent Change From Baseline in PASI at Week 16-91.7 Percent changeStandard Deviation 9.9
95% CI: [-1.21, 2.98]
Secondary

Percent Change From Baseline in PASI at Week 24 and 52

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity.

Time frame: Baseline (Day 1 of Extended Treatment Period), Weeks 24 and 52

Population: The ETP-PP analysis set was used. Here Number analyzed Signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
MSB11022 (Core Treatment Period)Percent Change From Baseline in PASI at Week 24 and 52Week 24-92.9 Percent changeStandard Deviation 9.9
MSB11022 (Core Treatment Period)Percent Change From Baseline in PASI at Week 24 and 52Week 52-92.8 Percent changeStandard Deviation 13.6
EU-HumiraPercent Change From Baseline in PASI at Week 24 and 52Week 24-91.3 Percent changeStandard Deviation 12.7
EU-HumiraPercent Change From Baseline in PASI at Week 24 and 52Week 52-93.9 Percent changeStandard Deviation 9.6
EU-Humira/MSB11022Percent Change From Baseline in PASI at Week 24 and 52Week 24-94.2 Percent changeStandard Deviation 8.2
EU-Humira/MSB11022Percent Change From Baseline in PASI at Week 24 and 52Week 52-94.8 Percent changeStandard Deviation 9.7
Secondary

Time to Achieve PASI 100

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 100% improvement in PASI from baseline was measured.

Time frame: Baseline (Day 1 of Core Treatment Period) up to Month 13.5

Population: ETP-PP analysis set was used.

ArmMeasureValue (MEDIAN)
MSB11022 (Core Treatment Period)Time to Achieve PASI 1007.2 Month
EU-HumiraTime to Achieve PASI 1007.2 Month
EU-Humira/MSB11022Time to Achieve PASI 1008.9 Month
Secondary

Time to Achieve PASI 50

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 50% improvement in PASI from baseline was measured.

Time frame: Baseline (Day 1 of Core Treatment Period) up to Month 4

Population: PP analysis set was used.

ArmMeasureValue (MEDIAN)Dispersion
MSB11022 (Core Treatment Period)Time to Achieve PASI 501.6 MonthsFull Range 0.2
EU-HumiraTime to Achieve PASI 501.6 MonthsFull Range 0.2
Secondary

Time to Achieve PASI 75

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 75% improvement in PASI from baseline was measured.

Time frame: Baseline (Day 1 of Core Treatment Period) up to Month 4

Population: PP analysis set was used.

ArmMeasureValue (MEDIAN)Dispersion
MSB11022 (Core Treatment Period)Time to Achieve PASI 752.5 MonthsFull Range 0.2
EU-HumiraTime to Achieve PASI 751.7 MonthsFull Range 0.7
Secondary

Time to Achieve PASI 90

PASI correlates to the physician's assessment of psoriasis symptoms including redness of lesions, thickness of lesions, scaliness of lesions and extent of disease. Each parameter is graded from 0-4, 0 refers to no disease and 4 to severe involvement. The body is divided into 4 areas for scoring (head, arms, trunk to groin, legs to top of buttocks), and the final score ranges from 0-72, with higher scores reflecting more disease severity. Time to achieve at least 90% improvement in PASI from baseline was measured.

Time frame: Baseline (Day 1 of Core Treatment Period) up to Month 4

Population: PP analysis set was used.

ArmMeasureValue (MEDIAN)Dispersion
MSB11022 (Core Treatment Period)Time to Achieve PASI 903.4 MonthsFull Range 0.7
EU-HumiraTime to Achieve PASI 902.6 MonthsFull Range 1.4

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026