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A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Subcutaneously Administered Guselkumab for the Treatment of Chronic Plaque Psoriasis in Pediatric Participants

A Phase 3, Multicenter, Randomized, Placebo- and Active Comparator-Controlled Study Evaluating the Efficacy, Safety, and Pharmacokinetics of Subcutaneously Administered Guselkumab for the Treatment of Chronic Plaque Psoriasis in Pediatric Subjects (>=6 To <18 Years of Age)

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03451851
Acronym
PROTOSTAR
Enrollment
120
Registered
2018-03-02
Start date
2018-07-11
Completion date
2026-12-18
Last updated
2026-03-12

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

Conditions

Psoriasis

Brief summary

The purpose of this study is to evaluate the efficacy and safety of guselkumab in pediatric participants aged greater than or equal to 6 through less than 18 years with chronic plaque psoriasis.

Interventions

DRUGGuselkumab

Participants will receive a weight-based dose of guselkumab subcutaneously.

Participants will receive a weight-based dose of placebo for guselkumab subcutaneously.

DRUGEtanercept

Participants will receive a weight-based dose of etanercept (up to 50 mg) subcutaneously.

Sponsors

Janssen Research & Development, LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Have a diagnosis of chronic plaque-type psoriasis for at least 6 months (with or without psoriatic arthritis \[PsA\]), prior to first administration of study intervention, defined as having at screening and baseline, Investigator Global Assessment (IGA) greater than or equal to (\>=) 3, Psoriasis Area and Severity Index (PASI) \>=12, \>=10% body surface area (BSA) involvement and at least one of the following: very thick lesions, clinically relevant facial, genital, or hand/ foot involvement, PASI\>=20, \>20% BSA involvement, or IGA=4 * Be a candidate for phototherapy or systemic treatment of plaque psoriasis (either naive or history of previous treatment) * Have plaque psoriasis considered by the investigator as inadequately controlled with phototherapy and/or topical therapy after an adequate dose and duration of therapy * Be considered, in the opinion of the investigator, a suitable candidate for etanercept therapy, according to their country's approved Enbrel product labeling * Be otherwise healthy on the basis of physical examination, medical history, and vital signs performed at screening. Any abnormalities, must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documents and initialed by the investigator * Must have acceptable evidence of immunity to varicella and measles, mumps, and rubella (MMR), which includes any one of the following: documentation of age-appropriate vaccination that includes both doses of each vaccine (unless local guidelines specify otherwise) or documentation of past infection by a healthcare provider or in the absence of previous 2 criteria, participants must have positive protective antibody titers to these infection prior to the first administration of study intervention. For participants who have not completed the recommended vaccination schedule for varicella and MMR, and the subsequent vaccination falls within the next 4 years, an accelerated vaccination schedule must be completed prior to study enrollment if available and required or strongly recommended for the location. If varicella or MMR vaccines are utilized, it is necessary for 2 weeks to elapse between the vaccination and receipt of study intervention

Exclusion criteria

* Currently has nonplaque forms of psoriasis (example, erythrodermic, guttate, or pustular) * Has current drug-induced psoriasis (example, a new onset of psoriasis or an exacerbation of psoriasis from beta blockers, calcium channel blockers, or lithium) * Has previously received guselkumab or etanercept * Has a history of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic chest infection (example, bronchiectasis), recurrent urinary tract infection (recurrent pyelonephritis or chronic non-remitting cystitis), fungal infection (mucocutaneous candidiasis), or open, draining, or infected skin wounds or ulcers * Has a known history of lymphoproliferative disease, including lymphoma; a history of monoclonal gammopathy of undetermined significance (MGUS); or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy or splenomegaly

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 16At Week 16The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 point scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 16At Week 16The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percent \[%\] to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 75 response represented participants who achieved at least a 75 % improvement from baseline in the PASI score.

Secondary

MeasureTime frameDescription
Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16At Week 16The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90 % improvement from baseline in the PASI score.
Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 16At Week 16The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 point scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16At Week 16The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percent \[%\] to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 100 response represented participants who achieved a 100 % improvement from baseline in the PASI score.
Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16Baseline and Week 16CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of questions 1-10 and ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children. Change from baseline is defined as post baseline score minus baseline score.
Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After RetreatmentAt 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translates to score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90 % improvement from baseline in PASI score.
Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After RetreatmentAt 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90 and 100 response represented at least 50, 75, 90 and 100% improvement from baseline respectively, in the PASI score.
Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90, and 100 responses represented at least 50%, 75%, 90%, and 100% improvement from baseline respectively, in the PASI score.
Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After RetreatmentAt 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Weeks 20, 24, 28, 32, 36, 40, 44, 48, and 52Cumulative rate of loss of at least 50% of PASI improvement was defined as percentage of participants with a loss of \>=50% of Week 16 PASI improvement after treatment is withdrawn. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease.
Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 20, 24, 28, 32, 36, 40, 44, 48, and 52Cumulative maintenance rate was defined as percentage of participants who maintained their PASI 90 response through Week 52 among guselkumab PASI 90 responders at Week 16. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90% improvement from baseline in PASI score.
Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16At Week 16The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 50 response represented at least a 50% improvement from baseline in the PASI score.
Part 1: Percent Improvement From Baseline in PASI Through Week 16Weeks 4, 8, 12, and 16The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease.
Part 2: Percent Improvement From Baseline in PASI Through Week 52Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease.
Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Weeks 4, 8, 12, and 16The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90, and 100 responses represented at least 50%, 75%, 90%, and 100% improvement from baseline respectively, in the PASI score.
Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16Baseline and Week 16Change from baseline in percent body surface area with psoriasis skin involvement was reported. BSA as physical measure to define disease severity is to determine how much of the BSA is affected by psoriasis. Involved BSA is calculated by using the palm of the participant's hand as equivalent to 1% of the BSA (rule of palm). Psoriasis affected BSA under 5% suggests mild psoriasis, a BSA of 5% to 10% is considered moderate, and an involved BSA of over 10% indicates severe psoriasis.
Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Weeks 4, 8, 12, and 16The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.
Part 2: Change From Baseline in CDLQI Score Through Week 52Baseline, Weeks 8, 16, 28, 36, and 52Change from baseline in CDLQI score through Week 52 were reported. CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of questions 1-10 and ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.
Part 1: Percentage of Participants With CDLQI Score Equal to 0 or 1 at Week 16 Among Participants With a Baseline CDLQI Score Greater Than (>) 1At Week 16CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of question 1-10 and ranges from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.
Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Weeks 8, 16, 28, 36, and 52CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of question 1-10 and ranges from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.
Part 1: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 at Week 16 Among Participants With a Baseline FDLQI >1At Week 16The FDLQI was a 10-item questionnaire that examined the impact of participant's skin disease on different aspects of their QoL (example: emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) were added to give a total scale score that ranged from 0 to 30; a higher score indicated greater impairment of QoL.
Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Weeks 8, 16, 28, 36, and 52The FDLQI was a 10-item questionnaire that examine the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) were added to give a total scale score that ranged from 0 to 30; a higher score indicates greater impairment of QoL.
Part 1: Change From Baseline in FDLQI Score at Week 16Baseline and Week 16The FDLQI was a 10-item questionnaire that examined the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) are added to give a total scale score that ranged from 0 to 30; a higher score indicates greater impairment of QoL.
Part 2: Change From Baseline in FDLQI Score Through Week 52Baseline, Weeks 8, 16, 28, 36, and 52The FDLQI was a 10-item questionnaire that examine the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) are added to give a total scale score that ranged from 0 to 30; a higher score indicated greater impairment of QoL.
Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Baseline, Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52Change from baseline in percent body surface area with psoriasis skin involvement was reported. BSA as physical measure to define disease severity is to determine how much of the BSA is affected by psoriasis. Involved BSA is calculated by using the palm of the participant's hand as equivalent to 1% of the BSA (rule of palm). Psoriasis affected BSA under 5% suggests mild psoriasis, a BSA of 5% to 10% is considered moderate, and an involved BSA of over 10% indicates severe psoriasis.
LTE Phase: Percentage of Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over TimeFrom Week 52 to End of the study (EOS) (December 2026)
LTE Phase: Percentage of Participants Who Achieved IGA Score of (Cleared [0], Cleared [0] or Minimal [1], Mild or Better [<=2] Over TimeFrom Week 52 to EOS (December 2026)
LTE Phase: Percent Improvement From Baseline in PASI Over TimeFrom Week 52 to EOS (December 2026)
LTE Phase: Change From Baseline in BSA With Psoriasis Skin Involvement Over TimeFrom Week 52 to EOS (Dec 2026)
LTE Phase: Percentage of Participants Who Achieved PASI Responses (PASI 50, 75, 90,and 100) at Weeks 60 and 84 After Retreatment Among Guselkumab Participants Who Were Withdrawn From Guselkumab at Week 16 and Retreated Upon Loss of Response or at Week 52Week 60 and Week 84
LTE Phase: Percentage of Participants Who Achieved IGA Score of (Cleared [0], Cleared [0] or Minimal [1], Mild or Better [<=2] at Weeks 60 and 84 After RetreatmentWeek 60 and Week 84
LTE Phase: Percent Improvement in PASI Responses (PASI 50, 75, 90, and 100) at Weeks 60 and 84 After Retreatment Among Guselkumab Subjects Who Were Withdrawn From Guselkumab at Week 16 and Subsequently Retreated Upon Loss of Response or at Week 52Week 60 and Week 84
LTE Phase: Change From Baseline in BSA at Weeks 60 and 84 After Retreatment Among Guselkumab Subjects Who Were Withdrawn From Guselkumab at Week 16 and Subsequently Retreated Upon Loss of Response or at Week 52Week 60 and Week 84

Countries

Australia, Belgium, Canada, Germany, Hungary, Italy, Netherlands, Poland, United States

Contacts

STUDY_DIRECTORJanssen Research & Development, LLC Clinical Trial

Janssen Research & Development, LLC

Participant flow

Pre-assignment details

This result is currently reported for primary analysis till clinical cut-off date 29-Mar-2024. In Part 1, the enrollment of participants aged greater than or equal to (\>=) 6 to less than (\<) 12 years started only after all participants aged \>=12 to \<18 years of age had finished Week 16 of the study. Long-term extension (LTE) phase is still ongoing, and results will be posted upon study completion.

Participants by arm

ArmCount
Group 1 (Part 1): Placebo (Week 0-16)
Adolescent participants (aged \>=12 to \<18 years) received placebo matched to guselkumab as subcutaneous (SC) injection at Weeks 0, 4, and 12 during the placebo-controlled period (PCP). Once adolescent participants completed Week 16, eligible participants aged \>=6 to \<12 years were enrolled and began receiving the same dose regimen starting from Week 0 until Week 16.
25
Group 2 (Part 1): Guselkumab (Week 0-16)
Adolescent participants received weight-adjusted doses of guselkumab (1.3 mg/kg for body weight \[BW\] \<70 kg, 100 mg for BW \>=70 kg) via subcutaneous injection at Weeks 0, 4, and 12 during PCP. Once adolescent participants completed Week 16, eligible participants aged \>=6 to \<12 years began receiving the same dose regimen starting from Week 0 until Week 16.
41
Group 3 (Part 1): Etanercept (Week 0-16)
Adolescent participants received weight-based dose of open-label etanercept 0.8 mg/kg for BW \<63 kg and 50 mg for BW \>=63 kg SC injection once weekly from Week 0 to Week 15. Once adolescent participants completed Week 16, eligible participants aged \>=6 to \<12 years began receiving the same dose regimen starting from Week 0 until Week 16.
26
Part 2: Guselkumab (Week 0-16)
Adolescent participants received weight-based dose of open-label guselkumab (1.3 mg/kg for body weight \[BW\] \<70 kg, 100 mg for BW \>=70 kg) as SC injection at Weeks 0, 4, and 16.
28
Total120

Baseline characteristics

CharacteristicTotalGroup 1 (Part 1): Placebo (Week 0-16)Group 2 (Part 1): Guselkumab (Week 0-16)Group 3 (Part 1): Etanercept (Week 0-16)Part 2: Guselkumab (Week 0-16)
AgeContinuous13.4 years
STANDARD_DEVIATION 3.05
12.4 years
STANDARD_DEVIATION 3.63
13.4 years
STANDARD_DEVIATION 2.86
12.5 years
STANDARD_DEVIATION 3.29
15.1 years
STANDARD_DEVIATION 1.59
Age, Customized
>=12 to <18 years
90 Participants15 Participants31 Participants16 Participants28 Participants
Age, Customized
>=6 to <12 years
30 Participants10 Participants10 Participants10 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
4 Participants1 Participants1 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants2 Participants1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
More than one race
2 Participants0 Participants1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
3 Participants1 Participants2 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
1 Participants1 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
106 Participants20 Participants36 Participants22 Participants28 Participants
Region of Enrollment
AUSTRALIA
1 participants0 participants1 participants0 participants0 participants
Region of Enrollment
BELGIUM
11 participants0 participants4 participants5 participants2 participants
Region of Enrollment
CANADA
8 participants1 participants5 participants1 participants1 participants
Region of Enrollment
GERMANY
22 participants4 participants4 participants5 participants9 participants
Region of Enrollment
HUNGARY
30 participants6 participants11 participants4 participants9 participants
Region of Enrollment
ITALY
10 participants4 participants4 participants1 participants1 participants
Region of Enrollment
NETHERLANDS
3 participants1 participants2 participants0 participants0 participants
Region of Enrollment
POLAND
24 participants5 participants7 participants6 participants6 participants
Region of Enrollment
UNITED STATES
11 participants4 participants3 participants4 participants0 participants
Sex: Female, Male
Female
52 Participants13 Participants17 Participants11 Participants11 Participants
Sex: Female, Male
Male
68 Participants12 Participants24 Participants15 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 250 / 410 / 260 / 230 / 410 / 220 / 28
other
Total, other adverse events
17 / 2517 / 4115 / 2616 / 2329 / 4113 / 2223 / 28
serious
Total, serious adverse events
0 / 251 / 410 / 261 / 230 / 410 / 221 / 28

Outcome results

Primary

Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 16

The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 point scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the full analysis set (FAS) which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 1616.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 1665.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 1669.2 Percentages of participants
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [25.9, 69.4]Fisher Exact
Primary

Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 16

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percent \[%\] to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 75 response represented participants who achieved at least a 75 % improvement from baseline in the PASI score.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 1620.0 Percentage of Participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 1675.6 Percentage of Participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 1669.2 Percentage of Participants
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [32.1, 74]Fisher Exact
Secondary

LTE Phase: Change From Baseline in BSA at Weeks 60 and 84 After Retreatment Among Guselkumab Subjects Who Were Withdrawn From Guselkumab at Week 16 and Subsequently Retreated Upon Loss of Response or at Week 52

Time frame: Week 60 and Week 84

Secondary

LTE Phase: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time

Time frame: From Week 52 to EOS (Dec 2026)

Secondary

LTE Phase: Percentage of Participants Who Achieved IGA Score of (Cleared [0], Cleared [0] or Minimal [1], Mild or Better [<=2] at Weeks 60 and 84 After Retreatment

Time frame: Week 60 and Week 84

Secondary

LTE Phase: Percentage of Participants Who Achieved IGA Score of (Cleared [0], Cleared [0] or Minimal [1], Mild or Better [<=2] Over Time

Time frame: From Week 52 to EOS (December 2026)

Secondary

LTE Phase: Percentage of Participants Who Achieved PASI Responses (PASI 50, 75, 90,and 100) at Weeks 60 and 84 After Retreatment Among Guselkumab Participants Who Were Withdrawn From Guselkumab at Week 16 and Retreated Upon Loss of Response or at Week 52

Time frame: Week 60 and Week 84

Secondary

LTE Phase: Percentage of Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time

Time frame: From Week 52 to End of the study (EOS) (December 2026)

Secondary

LTE Phase: Percent Improvement From Baseline in PASI Over Time

Time frame: From Week 52 to EOS (December 2026)

Secondary

LTE Phase: Percent Improvement in PASI Responses (PASI 50, 75, 90, and 100) at Weeks 60 and 84 After Retreatment Among Guselkumab Subjects Who Were Withdrawn From Guselkumab at Week 16 and Subsequently Retreated Upon Loss of Response or at Week 52

Time frame: Week 60 and Week 84

Secondary

Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16

Change from baseline in percent body surface area with psoriasis skin involvement was reported. BSA as physical measure to define disease severity is to determine how much of the BSA is affected by psoriasis. Involved BSA is calculated by using the palm of the participant's hand as equivalent to 1% of the BSA (rule of palm). Psoriasis affected BSA under 5% suggests mild psoriasis, a BSA of 5% to 10% is considered moderate, and an involved BSA of over 10% indicates severe psoriasis.

Time frame: Baseline and Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16-2.84 Units on a scaleStandard Deviation 13.861
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16-19.59 Units on a scaleStandard Deviation 17.645
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16-17.50 Units on a scaleStandard Deviation 10.628
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [-20.28, -9.28]MMRM model
Secondary

Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16

CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of questions 1-10 and ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children. Change from baseline is defined as post baseline score minus baseline score.

Time frame: Baseline and Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16-1.68 Score on a scaleStandard Deviation 6.323
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16-7.12 Score on a scaleStandard Deviation 7.633
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16-6.08 Score on a scaleStandard Deviation 5.692
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [-7.33, -3.06]Mixed model repeated measures (MMRM)
Secondary

Part 1: Change From Baseline in FDLQI Score at Week 16

The FDLQI was a 10-item questionnaire that examined the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) are added to give a total scale score that ranged from 0 to 30; a higher score indicates greater impairment of QoL.

Time frame: Baseline and Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Change From Baseline in FDLQI Score at Week 16-0.50 Score on a scaleStandard Deviation 6.984
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Change From Baseline in FDLQI Score at Week 16-6.22 Score on a scaleStandard Deviation 6.299
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Change From Baseline in FDLQI Score at Week 16-6.22 Score on a scaleStandard Deviation 4.814
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [-8, -2.87]MMRM model
Secondary

Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16

Cumulative maintenance rate was defined as percentage of participants who maintained their PASI 90 response through Week 52 among guselkumab PASI 90 responders at Week 16. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90% improvement from baseline in PASI score.

Time frame: Week 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Analysis population included Guselkumab PASI 90 responders at Week 16. This outcome measure was planned to be analyzed for Group 2 (Part 1): Guselkumab (Week 16-52) arm only.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 20100 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 24100 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 2886.7 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 3663.9 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 4050.2 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 4830.7 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 5225.6 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 3277.5 Percentage of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 4435.8 Percentage of participants
Secondary

Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16

Cumulative rate of loss of at least 50% of PASI improvement was defined as percentage of participants with a loss of \>=50% of Week 16 PASI improvement after treatment is withdrawn. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease.

Time frame: Weeks 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Analysis population included Guselkumab PASI 90 responders at Week 16. This outcome measure was planned to be analyzed for Group 2 (Part 1): Guselkumab (Week 16-52) arm only.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 200 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 240 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 320 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 360 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 400 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 449.3 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 4819.1 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 280 Percentage of Participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Cumulative Rate of Loss of at Least 50% of Week 16 PASI Improvement Through Week 52 Among Guselkumab PASI 90 Responders at Week 16Week 5219.1 Percentage of Participants
Secondary

Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 16

The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 point scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 point scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 164.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 1639.0 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 1626.9 Percentages of participants
Comparison: Guselkumab Vs Placebop-value: =0.00495% CI: [10.5, 56.8]Fisher Exact
Secondary

Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 50 response represented at least a 50% improvement from baseline in the PASI score.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 1628.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 1687.8 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 1676.9 Percentages of participants
Comparison: Guselkumab Vs Placebop-value: <0.00195% CI: [36.9, 77.6]Fisher Exact
Secondary

Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 percent \[%\] to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 100 response represented participants who achieved a 100 % improvement from baseline in the PASI score.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 160 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 1634.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 1626.9 Percentages of participants
Comparison: Guselkumab Vs Placebop-value: =0.00225% CI: [9.7, 56.1]Fisher Exact
Secondary

Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). The PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90 % improvement from baseline in the PASI score.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 1616.0 Percentage of Participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 1656.1 Percentage of Participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 1653.8 Percentage of Participants
Comparison: Guselkumab Vs Placebop-value: =0.00395% CI: [15.6, 61.3]Fisher Exact
Secondary

Part 1: Percentage of Participants With CDLQI Score Equal to 0 or 1 at Week 16 Among Participants With a Baseline CDLQI Score Greater Than (>) 1

CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of question 1-10 and ranges from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With CDLQI Score Equal to 0 or 1 at Week 16 Among Participants With a Baseline CDLQI Score Greater Than (>) 117.4 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With CDLQI Score Equal to 0 or 1 at Week 16 Among Participants With a Baseline CDLQI Score Greater Than (>) 164.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With CDLQI Score Equal to 0 or 1 at Week 16 Among Participants With a Baseline CDLQI Score Greater Than (>) 138.5 Percentages of participants
p-value: =0.00295% CI: [21.9, 67.3]Fisher Exact
Secondary

Part 1: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 at Week 16 Among Participants With a Baseline FDLQI >1

The FDLQI was a 10-item questionnaire that examined the impact of participant's skin disease on different aspects of their QoL (example: emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) were added to give a total scale score that ranged from 0 to 30; a higher score indicated greater impairment of QoL.

Time frame: At Week 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 at Week 16 Among Participants With a Baseline FDLQI >113.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 at Week 16 Among Participants With a Baseline FDLQI >136.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 at Week 16 Among Participants With a Baseline FDLQI >124.0 Percentages of participants
Comparison: Guselkumab Vs Placebop-value: =0.13995% CI: [-3.4, 47]Fisher Exact
Secondary

Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16

The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.

Time frame: Weeks 4, 8, 12, and 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 :IGA of mild or better (<=2)48.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0) or minimal (1)8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 :IGA of mild or better (<=2)20.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8: IGA of cleared (0)4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 : IGA of cleared (0) or minimal (1)8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 :IGA of mild or better (<=2)24.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 : IGA of cleared (0) or minimal (1)8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 :IGA of mild or better (<=2)40.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16: IGA of cleared (0)4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 : IGA of cleared (0) or minimal (1)16.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12: IGA of cleared (0)4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0)0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 : IGA of cleared (0) or minimal (1)58.5 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 :IGA of mild or better (<=2)78.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12: IGA of cleared (0)43.9 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 : IGA of cleared (0) or minimal (1)70.7 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 :IGA of mild or better (<=2)87.8 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16: IGA of cleared (0)39.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 : IGA of cleared (0) or minimal (1)65.9 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0)0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0) or minimal (1)19.5 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 :IGA of mild or better (<=2)92.7 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8: IGA of cleared (0)22.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 :IGA of mild or better (<=2)63.4 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 :IGA of mild or better (<=2)73.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 :IGA of mild or better (<=2)84.6 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 :IGA of mild or better (<=2)88.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0)0 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8 : IGA of cleared (0) or minimal (1)50.0 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16 : IGA of cleared (0) or minimal (1)69.2 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 16: IGA of cleared (0)26.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 4 : IGA of cleared (0) or minimal (1)23.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 :IGA of mild or better (<=2)84.6 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12: IGA of cleared (0)26.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 8: IGA of cleared (0)11.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16Week 12 : IGA of cleared (0) or minimal (1)65.4 Percentages of participants
Secondary

Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90, and 100 responses represented at least 50%, 75%, 90%, and 100% improvement from baseline respectively, in the PASI score.

Time frame: Weeks 4, 8, 12, and 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 75% improvement8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 90% improvement16.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 90% improvement8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 75% improvement8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 75% improvement20.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: 100% improvement0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 90% improvement4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 50% improvement28.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: 100% improvement0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: 100% improvement0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: 100% improvement4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 50% improvement20.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 90% improvement4.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 50% improvement24.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 50% improvement8.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 75% improvement12.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 50% improvement78.0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 90% improvement2.4 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 75% improvement51.2 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 90% improvement34.1 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: 100% improvement12.2 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 75% improvement73.2 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 90% improvement56.1 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: 100% improvement34.1 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 75% improvement75.6 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: 100% improvement34.1 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 50% improvement34.1 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 75% improvement12.2 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: 100% improvement0 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 50% improvement85.4 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 50% improvement87.8 Percentages of participants
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 90% improvement56.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 50% improvement76.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 75% improvement46.2 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: 100% improvement0 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 75% improvement15.4 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: 100% improvement11.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 90% improvement3.8 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 90% improvement19.2 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 90% improvement53.8 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: 100% improvement26.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 50% improvement76.9 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 90% improvement38.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 8: >= 50% improvement73.1 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: >= 75% improvement69.2 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 12: >= 75% improvement61.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 4: >= 50% improvement38.5 Percentages of participants
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16Week 16: 100% improvement26.9 Percentages of participants
Secondary

Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After Retreatment

PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In PASI system, body was divided into 4 regions: head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for percentage of area involved, which translates to score that ranges from 0 (indicates no involvement) to 6 (90 % to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 (none) to 4 (severe). PASI produced a numeric score that can range from 0 (no visible skin involvement) to 72 (maximal skin involvement of the whole body). A higher score indicated more severe disease. A PASI 90 response represented participants who achieved at least a 90 % improvement from baseline in PASI score.

Time frame: At 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)

Population: Analysis population included Guselkumab PASI 90 responders at Week 16 who were retreated with guselkumab prior to Week 52. This outcome measure was planned to be analyzed for Group 2 (Part 1): Guselkumab (Week 16-52) arm only. Here, n (Number Analyzed) signifies number of participants evaluable at specified time points.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After Retreatment4 weeks after retreatment of guselkumab0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After Retreatment8 weeks after retreatment of guselkumab50.0 Percentages of participants
Secondary

Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment

The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.

Time frame: At 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)

Population: Analysis population included Guselkumab PASI 90 responders at Week 16 who were retreated with guselkumab prior to Week 52. Here, n (Number Analyzed) signifies number of participants evaluable at specified time points. This outcome measure was planned to be analyzed for Group 2 (Part 1): Guselkumab (Week 16-52) arm only.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment4 Weeks after retreatment: IGA-00 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment8 Weeks after retreatment: IGA-050.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment8 Weeks after retreatment: IGA-0 or 150.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment8 Weeks after retreatment: IGA- 2100.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment4 Weeks after retreatment: IGA-0 or 125.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved IGA Responses (IGA of Cleared [0], Minimal [1], or Mild [2], IGA of Cleared [0] or Minimal [1], and IGA of Cleared [0]) Over Time After Retreatment4 Weeks after retreatment: IGA-275.0 Percentages of participants
Secondary

Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90%-100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90 and 100 response represented at least 50, 75, 90 and 100% improvement from baseline respectively, in the PASI score.

Time frame: At 4 and 8 weeks post retreatment (retreatment period ranged from Week 16 to Week 52)

Population: Analysis population included guselkumab PASI 90 responders at Week 16 who were retreated with guselkumab prior to Week 52. Here, n (Number Analyzed) signifies number of participants evaluable at specified time points. This outcome measure was planned to be analyzed for Group 2 (Part 1): Guselkumab (Week 16-52) arm only.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment4 weeks after retreatment: >=50% improvement50.0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment4 weeks after retreatment: >=75% improvement0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment4 weeks after retreatment:>= 90% improvement0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment4 weeks after retreatment: 100% improvement0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment8 weeks after retreatment: >=75% improvement50.0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment8 weeks after retreatment: >=50% improvement50.0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment8 weeks after retreatment:>= 90% improvement50.0 At 4 and 8 weeks post retreatment
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percentage of Retreated Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time After Retreatment8 weeks after retreatment: 100% improvement50.0 At 4 and 8 weeks post retreatment
Secondary

Part 1: Percent Improvement From Baseline in PASI Through Week 16

The PASI is a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease.

Time frame: Weeks 4, 8, 12, and 16

Population: The efficacy analysis for Part 1 of the study was based upon the FAS which included all randomized participants in Part 1. In the efficacy analyses, participants were analyzed according to their assigned treatment group regardless of their actual treatment received. Here, n (number analyzed): number of participants evaluable for each arm at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 413.37 Percent improvementStandard Deviation 30.074
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 813.61 Percent improvementStandard Deviation 40.734
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1213.67 Percent improvementStandard Deviation 52.391
Group 1 (Part 1): Placebo (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1616.02 Percent improvementStandard Deviation 55.538
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1679.83 Percent improvementStandard Deviation 30.468
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 439.12 Percent improvementStandard Deviation 27.907
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1279.79 Percent improvementStandard Deviation 28.57
Group 2 (Part 1): Guselkumab (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 871.25 Percent improvementStandard Deviation 28.018
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1682.05 Percent improvementStandard Deviation 23.225
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 864.27 Percent improvementStandard Deviation 29.314
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 1277.30 Percent improvementStandard Deviation 24.735
Group 3 (Part 1): Etanercept (Week 0-16)Part 1: Percent Improvement From Baseline in PASI Through Week 16Week 442.53 Percent improvementStandard Deviation 26.013
Secondary

Part 2: Change From Baseline in CDLQI Score Through Week 52

Change from baseline in CDLQI score through Week 52 were reported. CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of questions 1-10 and ranged from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.

Time frame: Baseline, Weeks 8, 16, 28, 36, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, n (number analyzed) signifies number of participants evaluable at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in CDLQI Score Through Week 52Week 8-5.6 Score on a scaleStandard Deviation 6.4
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in CDLQI Score Through Week 52Week 36-7.0 Score on a scaleStandard Deviation 6.88
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in CDLQI Score Through Week 52Week 52-7.3 Score on a scaleStandard Deviation 6.83
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in CDLQI Score Through Week 52Week 16-6.8 Score on a scaleStandard Deviation 6.32
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in CDLQI Score Through Week 52Week 28-6.7 Score on a scaleStandard Deviation 6.54
Secondary

Part 2: Change From Baseline in FDLQI Score Through Week 52

The FDLQI was a 10-item questionnaire that examine the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) are added to give a total scale score that ranged from 0 to 30; a higher score indicated greater impairment of QoL.

Time frame: Baseline, Weeks 8, 16, 28, 36, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure and n (number analyzed) signifies number of participants evaluable at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in FDLQI Score Through Week 52Week 28-7.5 Score on scaleStandard Deviation 6.15
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in FDLQI Score Through Week 52Week 52-7.8 Score on scaleStandard Deviation 5.68
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in FDLQI Score Through Week 52Week 8-5.4 Score on scaleStandard Deviation 5.58
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in FDLQI Score Through Week 52Week 16-5.5 Score on scaleStandard Deviation 5.9
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Change From Baseline in FDLQI Score Through Week 52Week 36-6.7 Score on scaleStandard Deviation 5
Secondary

Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1

CDLQI is a 10-item questionnaire that measures the impact of skin disease on children's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. CDLQI total score was the sum of individual scores of question 1-10 and ranges from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of children.

Time frame: Weeks 8, 16, 28, 36, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Week 1658.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Week 2866.7 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Week 3662.5 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Week 5266.7 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With CDLQI Score Equal to of 0 or 1 Through Week 52 Among Participants With a Baseline CDLQI Score > 1Week 850.0 Percentages of participants
Secondary

Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1

The FDLQI was a 10-item questionnaire that examine the impact of participant's skin disease on different aspects of their QoL (example, emotional, physical well-being, relationships, social life, leisure activities, burden of care, job/study, housework and expenditure) over the last 1 month, as assessed by a family member/partner. Each item had a four-point response option, where Not at all/Not relevant = 0; A little = 1; Quite a lot = 2; and Very much = 3. The scores of individual items (0-3) were added to give a total scale score that ranged from 0 to 30; a higher score indicates greater impairment of QoL.

Time frame: Weeks 8, 16, 28, 36, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, N (Overall Number of Participants Analyzed) signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Week 827.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Week 1631.8 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Week 2859.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Week 3636.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With Family Dermatology Life Quality Index (FDLQI) of 0 or 1 Through Week 52 Among Participants With a Baseline FDLQI >1Week 5250.0 Percentages of participants
Secondary

Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52

The IGA assesses participant's plaque psoriasis. Lesions were graded for induration, erythema and scaling, each using a 5 points scale. Induration: 0 = no evidence of plaque elevation, 1 = minimal plaque elevation, = 0.25 mm; 2 = mild plaque elevation, = 0.5 mm; 3 = moderate plaque elevation, = 0.75 mm; 4 = severe plaque elevation, \>1 mm; Erythema: 0 = no evidence of erythema, hyperpigmentation may be present, 1 = faint erythema, 2 = light red coloration, 3 = moderate red coloration, 4 = bright red coloration; Scaling: 0 = no evidence of scaling, 1 = minimal; occasional fine scale over less than 5% of the lesion, 2 = mild; fine scale dominates, 3 = moderate; coarse scale predominates, 4 = severe; thick, scale predominates. Final IGA score of psoriasis was based upon the average of induration, erythema and scaling scores assessed on a 5 points scale: cleared (0), minimal (1), mild (2), moderate (3), or severe (4). A higher score indicated more severe disease.

Time frame: Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 4: IGA of cleared (0)3.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 4:IGA of mild or better (<=2)57.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 8: IGA of cleared (0)25.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 8: IGA of cleared (0) or minimal (1)64.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 8:IGA of mild or better (<=2)92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 12: IGA of cleared (0)35.7 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 12: IGA of cleared (0) or minimal (1)75.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 12:IGA of mild or better (<=2)96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 16: IGA of cleared (0)46.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 20: IGA of cleared (0)50.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 20:IGA of mild or better (<=2)96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 28: IGA of cleared (0) or minimal (1)78.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 28:IGA of mild or better (<=2)96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 36: IGA of cleared (0) or minimal (1)89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 36:IGA of mild or better (<=2)89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 44: IGA of cleared (0)64.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 44: IGA of mild or better (<=2)89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 52: IGA of cleared (0)75.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 52: IGA of mild or better (<=2)92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 4: IGA of cleared (0) or minimal (1)25.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 16: IGA of cleared (0) or minimal (1)89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 16:IGA of mild or better (<=2)92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 20: IGA of cleared (0) or minimal (1)82.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 28: IGA of cleared (0)57.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 36: IGA of cleared (0)64.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 44: IGA of cleared (0) or minimal (1)85.7 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52Week 52: IGA of cleared (0) or minimal (1)85.7 Percentages of participants
Secondary

Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which are each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease. PASI 50, 75, 90, and 100 responses represented at least 50%, 75%, 90%, and 100% improvement from baseline respectively, in the PASI score.

Time frame: Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2.

ArmMeasureGroupValue (NUMBER)
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 4: >= 75% improvement14.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 4: >= 90% improvement14.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 8: >= 50% improvement89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 8: >= 75% improvement67.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 8: >= 90% improvement39.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 8: 100% improvement17.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 12: >= 50% improvement96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 12: >= 90% improvement42.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 12: 100% improvement25.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 16: >= 50% improvement92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 16: >= 75% improvement82.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 16: >= 90% improvement64.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 16: 100% improvement35.7 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 20: >= 50% improvement92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 20: >= 75% improvement82.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 20: >= 90% improvement75.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 20: 100% improvement39.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 28: >= 50% improvement92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 28: >= 90% improvement75.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 28: 100% improvement46.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 36: >= 50% improvement96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 36: >= 75% improvement89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 36: >= 90% improvement82.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 36: 100% improvement53.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 44: >= 50% improvement96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 44: >= 75% improvement89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 44: 100% improvement53.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 52: >= 50% improvement96.4 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 52: >= 75% improvement92.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 52: 100% improvement53.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 4: >= 50% improvement42.9 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 4: 100% improvement3.6 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 12: >= 75% improvement75.0 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 28: >= 75% improvement89.3 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 44: >= 90% improvement82.1 Percentages of participants
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 52Week 52: >= 90% improvement82.1 Percentages of participants
Secondary

Part 2: Percent Improvement From Baseline in PASI Through Week 52

The PASI was a system used for assessing and grading the severity of psoriatic lesions and their response to therapy. In the PASI system, the body was divided into 4 regions: the head, trunk, upper extremities, and lower extremities. Each of these areas was assessed separately for the percentage of the area involved, which translates to a numeric score that ranges from 0 (indicates no involvement) to 6 (90% to 100% involvement), and for erythema, induration, and scaling, which were each rated on a scale of 0 to 4. The PASI produced a numeric score that can range from 0 (no psoriasis) to 72. A higher score indicated more severe disease.

Time frame: Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, n (number analyzed) signifies number of participants evaluable at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 448.33 Percent improvementStandard Deviation 26.781
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 879.05 Percent improvementStandard Deviation 21.177
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 1286.40 Percent improvementStandard Deviation 15.541
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 3695.77 Percent improvementStandard Deviation 7.848
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 4495.95 Percent improvementStandard Deviation 7.43
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 1691.96 Percent improvementStandard Deviation 11.177
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 2091.10 Percent improvementStandard Deviation 14.851
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 2893.44 Percent improvementStandard Deviation 12.948
Group 1 (Part 1): Placebo (Week 0-16)Part 2: Percent Improvement From Baseline in PASI Through Week 52Week 5296.32 Percent improvementStandard Deviation 7.478
Secondary

Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52

Change from baseline in percent body surface area with psoriasis skin involvement was reported. BSA as physical measure to define disease severity is to determine how much of the BSA is affected by psoriasis. Involved BSA is calculated by using the palm of the participant's hand as equivalent to 1% of the BSA (rule of palm). Psoriasis affected BSA under 5% suggests mild psoriasis, a BSA of 5% to 10% is considered moderate, and an involved BSA of over 10% indicates severe psoriasis.

Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 52

Population: FAS for Part 2 included all participants enrolled in Part 2. Here, n (number analyzed) signifies number of participants evaluable at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 4-6.9 Units on a scaleStandard Deviation 7.94
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 8-16.8 Units on a scaleStandard Deviation 12
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 12-19.6 Units on a scaleStandard Deviation 12.58
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 16-22.7 Units on a scaleStandard Deviation 13.57
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 20-24.0 Units on a scaleStandard Deviation 13.46
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 28-26.0 Units on a scaleStandard Deviation 14.61
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 36-26.3 Units on a scaleStandard Deviation 14.42
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 52-26.4 Units on a scaleStandard Deviation 14.52
Group 1 (Part 1): Placebo (Week 0-16)Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52Week 44-26.5 Units on a scaleStandard Deviation 14.05

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026