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A Study to Evaluate the Efficacy and Safety of Bimekizumab in Adult Subjects With Moderate to Severe Chronic Plaque Psoriasis

A Phase 3, Multicenter, Randomized, Double-Blind Study With an Active-Controlled Initial Treatment Period Followed by a Dose-Blind Maintenance Treatment Period to Evaluate the Efficacy and Safety of Bimekizumab in Adult Subjects With Moderate to Severe Chronic Plaque Psoriasis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03412747
Acronym
BE SURE
Enrollment
478
Registered
2018-01-26
Start date
2018-01-26
Completion date
2020-02-26
Last updated
2026-04-15

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

Conditions

Chronic Plaque Psoriasis, Moderate to Severe Plaque Psoriasis

Keywords

Bimekizumab, PSO, Psoriasis

Brief summary

This is a study to compare the efficacy of bimekizumab versus adalimumab in the treatment of subjects with moderate to severe chronic plaque psoriasis (PSO).

Interventions

DRUGBimekizumab

Subjects will receive bimekizumab at pre-defined timepoints in dose regimen 1 and/or dose regimen 2.

DRUGAdalimumab

Adalimumab will be administered according to the labeling recommendations.

OTHERPlacebo

Subjects will receive Placebo at pre-specified time points to maintain the blinding of the Investigational Medicinal Products (IMP).

Sponsors

UCB Biopharma SRL
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Must be at least 18 years of age * Chronic plaque PSO for at least 6 months prior to the Screening Visit * Psoriasis Area Severity Index (PASI) \>=12 and body surface area (BSA) affected by PSO \>=10% and Investigator's Global Assessment (IGA) score \>=3 on a 5-point scale * Subject is a candidate for systemic PSO therapy and/or phototherapy * Female subject of child bearing potential must be willing to use highly effective method of contraception

Exclusion criteria

* Subject has a known hypersensitivity to any excipients of bimekizumab or adalimumab * Subject has an active infection (except common cold), a serious infection, or a history of opportunistic or recurrent chronic infections * Subject has concurrent acute or chronic viral hepatitis B or C or human immunodeficiency virus (HIV) infection * Subject has known tuberculosis (TB) infection, is at high risk of acquiring TB infection, or has current or history of nontuberculous mycobacterium (NTMB) infection * Subject has any other condition, including medical or psychiatric, which, in the Investigator's judgment, would make the subject unsuitable for inclusion in the study * Subject has had previous exposure to adalimumab * Presence of active suicidal ideation or positive suicide behavior * Presence of moderately severe major depression or severe major depression * Subject has any active malignancy or history of malignancy within 5 years prior to the Screening Visit EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma, or in situ cervical cancer

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16Week 16The PASI90 response assessments are based on at least 90% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of respective section, and weighted by the percentage of the person's affected skin for respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Percentage of Participants With an Investigator's Global Assessment (IGA) Response (Clear or Almost Clear With at Least 2-Category Improvement Relative to Baseline) at Week 16Week 16The IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\] or almost clear \[1\] with at least a two-category improvement from Baseline at Week 16.

Secondary

MeasureTime frameDescription
Percentage of Participants With a PASI90 Response at Week 24Week 24The PASI90 response assessments are based on at least 90% improvement in the PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 24Week 24The IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\] with at least a two-category improvement from Baseline at Week 24.
Percentage of Participants With a PASI75 Response at Week 4Week 4The PASI75 response assessments are based on at least 75% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Percentage of Participants With a PASI100 Response at Week 16Week 16The PASI100 response assessments are based on a 100% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Percentage of Participants With a PASI100 Response at Week 24Week 24The PASI100 response assessments are based on a 100% improvement in the PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.
Percentage of Participants With a PASI90 Response at Week 56Week 56PASI90 response assessments are based on at least 90% improvement in the PASI score from Baseline. Body divided into 4 areas: head/arms/trunk to groin/and legs to top of buttocks. Assignment of an average score for the redness/thickness/scaling for each of the 4 body areas with a score of 0 (clear)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 scale. Final PASI=average redness/thickness/scaliness of the psoriatic skin lesions multiplied by the involved psoriasis area score of the respective section and weighted by the percentage of the person's affected skin for the respective section. The min possible PASI score is 0=no disease, max score is 72=maximal disease.
Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 56Week 56IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0=clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1=almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2=mild thickening, pink to light red coloration and predominately fine scaling, 3=moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4=severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\]/almost clear \[1\] with at least a 2-category improvement from Baseline at Wk56.
Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24From Baseline to Week 24The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24From Baseline to Week 24The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24From Baseline to Week 24The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)From Baseline to Safety Follow-Up Visit (up to Week 72)The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)From Baseline to Safety Follow-Up Visit (up to Week 72)The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.
Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)From Baseline to Safety Follow-Up Visit (up to Week 72)The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Countries

Australia, Canada, Germany, Hungary, Poland, Russia, South Korea, Taiwan, United States

Contacts

STUDY_DIRECTORUCB Cares

+1 844 599 2273 (UCB)

Participant flow

Recruitment details

The study started to enroll patients in January 2018 and concluded in February 2020.

Pre-assignment details

This study included 4 periods: a Screening Period (2 to 5 weeks), an Initial Treatment Period (16 weeks), a Maintenance Treatment Period (40 weeks), and a Safety Follow-Up (SFU) Visit (20 weeks after the final dose of study drug). Participant Flow refers to the Randomized Set.

Participants by arm

ArmCount
Bimekizumab 320 Milligrams (mg) Q4W/Q8W
Study participants received bimekizumab 320 mg Q4W for 16 weeks and proceeded with bimekizumab 320 mg Q8W until Week 56. Study participants received placebo at pre-specified time-points to maintain the blinding.
161
Bimekizumab 320 mg Q4W
Study participants received bimekizumab 320 mg Q4W for 56 weeks. Study participants received placebo at pre-specified time-points to maintain the blinding.
158
Adalimumab
Study participants received adalimumab for 24 weeks and then received bimekizumab 320 mg Q4W until Week 56. Study participants received placebo at pre-specified time-points to maintain the blinding.
159
Total Title478
Total956

Baseline characteristics

CharacteristicBimekizumab 320 Milligrams (mg) Q4W/Q8WBimekizumab 320 mg Q4WAdalimumabTotal Title
Age, Categorical
<=18 years
3 Participants0 Participants2 Participants5 Participants
Age, Categorical
>=65 years
13 Participants11 Participants20 Participants44 Participants
Age, Categorical
Between 18 and 65 years
145 Participants147 Participants137 Participants429 Participants
Age, Continuous44.0 years
STANDARD_DEVIATION 13.5
45.3 years
STANDARD_DEVIATION 13.2
45.5 years
STANDARD_DEVIATION 14.3
44.9 years
STANDARD_DEVIATION 13.6
Race/Ethnicity, Customized
Asian
13 Participants10 Participants11 Participants34 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants2 Participants2 Participants6 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Other/Mixed
4 Participants5 Participants5 Participants14 Participants
Race/Ethnicity, Customized
White
140 Participants140 Participants141 Participants421 Participants
Sex: Female, Male
Female
49 Participants56 Participants45 Participants150 Participants
Sex: Female, Male
Male
112 Participants102 Participants114 Participants328 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 / 1610 / 1581 / 1590 / 1540 / 468
other
Total, other adverse events
65 / 16161 / 15862 / 15960 / 154182 / 468
serious
Total, serious adverse events
1 / 1614 / 1585 / 1598 / 15416 / 468

Outcome results

Primary

Percentage of Participants With an Investigator's Global Assessment (IGA) Response (Clear or Almost Clear With at Least 2-Category Improvement Relative to Baseline) at Week 16

The IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\] or almost clear \[1\] with at least a two-category improvement from Baseline at Week 16.

Time frame: Week 16

Population: The Randomized Set (RS) consisted of all randomized study participants. Both BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms are identical in terms of treatment received until Week 16 and therefore they are combined for analyses.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With an Investigator's Global Assessment (IGA) Response (Clear or Almost Clear With at Least 2-Category Improvement Relative to Baseline) at Week 1685.3 percentage of participants
Adalimumab (RS)Percentage of Participants With an Investigator's Global Assessment (IGA) Response (Clear or Almost Clear With at Least 2-Category Improvement Relative to Baseline) at Week 1657.2 percentage of participants
Comparison: Risk Difference: BKZ-ADA calculated using stratified CMH.95% CI: [19.7, 36.7]
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [2.785, 6.765]Cochran-Mantel-Haenszel
Primary

Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 16

The PASI90 response assessments are based on at least 90% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of respective section, and weighted by the percentage of the person's affected skin for respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Time frame: Week 16

Population: The Randomized Set (RS) consisted of all randomized study participants. Both BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms are identical in terms of treatment received until Week 16 and therefore they are combined for analyses.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 1686.2 percentage of participants
Adalimumab (RS)Percentage of Participants With a Psoriasis Area and Severity Index 90 (PASI90) Response at Week 1647.2 percentage of participants
Comparison: Risk Difference: BKZ-ADA calculated using stratified CMH.95% CI: [30.9, 47.7]
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [4.709, 11.816]Cochran-Mantel-Haenszel
Secondary

Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)

The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Safety Follow-Up Visit (up to Week 72)

Population: The Bimekizumab Set (BKZ Set) consisted of all study participants who received at least 1 dose of bimekizumab in this study.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)7.03 no. of new events per 100 subject-years
Adalimumab (RS)Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)5.34 no. of new events per 100 subject-years
Secondary

Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24

The number of SAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Week 24

Population: The Safety Set (SS) consisted of all study participants that received at least 1 dose of IMP.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 241.37 no. of new events per 100 subject-years
Adalimumab (RS)Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 245.61 no. of new events per 100 subject-years
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Serious Adverse Events (SAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 246.98 no. of new events per 100 subject-years
Secondary

Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)

The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Safety Follow-Up Visit (up to Week 72)

Population: The Bimekizumab Set (BKZ Set) consisted of all study participants who received at least 1 dose of bimekizumab in this study.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)231.38 no. of new events per 100 subject-years
Adalimumab (RS)Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)262.41 no. of new events per 100 subject-years
Secondary

Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24

The number of TEAEs adjusted by duration of exposure to study treatment was scaled such that provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Week 24

Population: The Safety Set (SS) consisted of all study participants who received at least 1 dose of IMP.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24310.44 no. of new events per 100 subject-years
Adalimumab (RS)Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24300.71 no. of new events per 100 subject-years
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24297.54 no. of new events per 100 subject-years
Secondary

Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)

The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Safety Follow-Up Visit (up to Week 72)

Population: The Bimekizumab Set (BKZ Set) consisted of all study participants who received at least 1 dose of bimekizumab in this study.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)4.37 no. of new events per 100 subject-years
Adalimumab (RS)Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Safety Follow-Up Visit (up to Week 72)4.62 no. of new events per 100 subject-years
Secondary

Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 24

The number of TEAEs leading to discontinuation adjusted by duration of exposure to study treatment was scaled such that it provided an incidence rate per 100 patient-years. If a participant had multiple events, the time of exposure was calculated to the first occurrence of the AE being considered. If a participant had no events, the total time at risk was used.

Time frame: From Baseline to Week 24

Population: The Safety Set (SS) consisted of all study participants that received at least 1 dose of IMP.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 248.30 no. of new events per 100 subject-years
Adalimumab (RS)Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 244.16 no. of new events per 100 subject-years
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Number of Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal Adjusted by Duration of Participant Exposure to Study Treatment From Baseline to Week 246.98 no. of new events per 100 subject-years
Secondary

Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 24

The IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0= clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1= almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2= mild thickening, pink to light red coloration and predominately fine scaling, 3= moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4= severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\] with at least a two-category improvement from Baseline at Week 24.

Time frame: Week 24

Population: The Randomized Set (RS) consisted of all randomized study participants. BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms were also combined for analyses purposes at Week 24 since they differ only one dose (Week 20).

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 2487.0 percentage of participants
Adalimumab (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 2486.1 percentage of participants
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 2486.5 percentage of participants
Adalimumab (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 2457.9 percentage of participants
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [2.683, 8.318]Cochran-Mantel-Haenszel
Comparison: Odds ratio: BKZ/ADA calculated using stratified CMH test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.014, 7.523]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 56

IGA measures the overall psoriasis severity following a 5-point scale (0-4), where scale 0=clear, no signs of psoriasis; presence of post-inflammatory hyperpigmentation, scale 1=almost clear, no thickening; normal to pink coloration; no to minimal focal scaling, scale 2=mild thickening, pink to light red coloration and predominately fine scaling, 3=moderate, clearly distinguishable to moderate thickening; dull to bright red, clearly distinguishable to moderate thickening; moderate scaling and 4=severe thickening with hard edges; bright to deep dark red coloration; severe/coarse scaling covering almost all or all lesions. IGA response was defined as clear \[0\]/almost clear \[1\] with at least a 2-category improvement from Baseline at Wk56.

Time frame: Week 56

Population: The RS consisted of all randomized study participants. ADA participants were not included as they did not start BKZ treatment at Baseline, thus did not have a year of BKZ treatment. The purpose of this table is to look at response after one year of BKZ.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 5683.2 percentage of participants
Adalimumab (RS)Percentage of Participants With an IGA Response (Clear or Almost Clear With at Least 2-category Improvement Relative to Baseline) at Week 5682.3 percentage of participants
Secondary

Percentage of Participants With a PASI100 Response at Week 16

The PASI100 response assessments are based on a 100% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Time frame: Week 16

Population: The Randomized Set (RS) consisted of all randomized study participants. Both BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms are identical in terms of treatment received until Week 16 and therefore they are combined for analyses.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI100 Response at Week 1660.8 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI100 Response at Week 1623.9 percentage of participants
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.23, 7.661]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With a PASI100 Response at Week 24

The PASI100 response assessments are based on a 100% improvement in the PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Time frame: Week 24

Population: The Randomized Set (RS) consisted of all randomized study participants. BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms were also combined for analyses purposes at Week 24 since they differ only one dose (Week 20).

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI100 Response at Week 2465.8 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI100 Response at Week 2467.7 percentage of participants
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI100 Response at Week 2466.8 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI100 Response at Week 2429.6 percentage of participants
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.207, 8.593]Cochran-Mantel-Haenszel
Comparison: Odds ratio: BKZ/ADA calculated using stratified CMH test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.257, 7.594]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With a PASI75 Response at Week 4

The PASI75 response assessments are based on at least 75% improvement in PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Time frame: Week 4

Population: The Randomized Set (RS) consisted of all randomized study participants. Both BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms are identical in terms of treatment received until Week 16 and therefore they are combined for analyses.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI75 Response at Week 476.5 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI75 Response at Week 431.4 percentage of participants
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [4.637, 10.88]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With a PASI90 Response at Week 24

The PASI90 response assessments are based on at least 90% improvement in the PASI score from Baseline. Body divided into 4 areas: head, arms, trunk to groin, and legs to top of buttocks. Assignment of an average score for the redness, thickness, and scaling for each of the 4 body areas with a score of 0 (clear) to 4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0 to 6 scale. Final PASI= average redness, thickness, and scaliness of the psoriatic skin lesions, multiplied by the involved psoriasis area score of the respective section, and weighted by the percentage of the person's affected skin for the respective section. The minimum possible PASI score is 0= no disease, the maximum score is 72= maximal disease.

Time frame: Week 24

Population: The Randomized Set (RS) consisted of all randomized study participants. BKZ 320 mg Q4W and BKZ 320 mg Q4W/Q8W arms were also combined for analyses purposes at Week 24 since they differ only one dose (Week 20).

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI90 Response at Week 2485.1 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI90 Response at Week 2486.1 percentage of participants
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI90 Response at Week 2485.6 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI90 Response at Week 2451.6 percentage of participants
Comparison: Odds ratio: BKZ/ADA calculated using stratified Cochran-Mantel-Haenszel (CMH) test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.515, 11.046]Cochran-Mantel-Haenszel
Comparison: Odds ratio: BKZ/ADA calculated using stratified CMH test with region and prior biologic exposure as stratification variables.p-value: <0.00195% CI: [3.657, 9.041]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With a PASI90 Response at Week 56

PASI90 response assessments are based on at least 90% improvement in the PASI score from Baseline. Body divided into 4 areas: head/arms/trunk to groin/and legs to top of buttocks. Assignment of an average score for the redness/thickness/scaling for each of the 4 body areas with a score of 0 (clear)-4 (very marked). Determining the percentage of skin covered with PSO for each of the body areas and converting to a 0-6 scale. Final PASI=average redness/thickness/scaliness of the psoriatic skin lesions multiplied by the involved psoriasis area score of the respective section and weighted by the percentage of the person's affected skin for the respective section. The min possible PASI score is 0=no disease, max score is 72=maximal disease.

Time frame: Week 56

Population: The RS consisted of all randomized study participants. ADA participants were not included as they did not start BKZ treatment at Baseline, thus did not have a year of BKZ treatment. The purpose of this table is to look at response after one year of BKZ.

ArmMeasureValue (NUMBER)
Bimekizumab 320 mg Q4W + Bimekizumab 320 mg Q4W/Q8W (RS)Percentage of Participants With a PASI90 Response at Week 5682.6 percentage of participants
Adalimumab (RS)Percentage of Participants With a PASI90 Response at Week 5684.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Apr 16, 2026