Psoriasis
Conditions
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
Participants will receive a weight-based dose of guselkumab subcutaneously.
Participants will receive a weight-based dose of placebo for guselkumab subcutaneously.
Participants will receive a weight-based dose of etanercept (up to 50 mg) subcutaneously.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Score of Cleared (0) or Minimal (1) at Week 16 | 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. |
| Part 1: Percentage of Participants Who Achieved Psoriasis Area and Severity Index (PASI) 75 Response at Week 16 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16 | 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. |
| Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 16 | 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. |
| Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16 | 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. |
| Part 1: Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score at Week 16 | Baseline and 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. |
| Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After Retreatment | At 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 Retreatment | At 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 52 | Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 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. |
| 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 | At 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 16 | Weeks 20, 24, 28, 32, 36, 40, 44, 48, and 52 | 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. |
| Part 1: Cumulative Maintenance Rate of PASI 90 Response Through Week 52 Among Guselkumab PASI 90 Responders at Week 16 | Week 20, 24, 28, 32, 36, 40, 44, 48, and 52 | 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. |
| Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16 | 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. |
| Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Weeks 4, 8, 12, and 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. |
| Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 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. |
| Part 1: Percentage of Participants With PASI Responses (PASI 50, 75, 90, and 100) Through Week 16 | Weeks 4, 8, 12, and 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. |
| Part 1: Change From Baseline in Body Surface Area (BSA) With Psoriasis Skin Involvement at Week 16 | Baseline and 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. |
| Part 1: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 16 | Weeks 4, 8, 12, and 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. |
| Part 2: Percentage of Participants With IGA of Cleared (0), Cleared (0) or Minimal (1), Mild or Better (<=2) Through Week 52 | Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 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 2: Change From Baseline in CDLQI Score Through Week 52 | Baseline, Weeks 8, 16, 28, 36, and 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. |
| 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 | 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 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 > 1 | Weeks 8, 16, 28, 36, and 52 | 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. |
| 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 | 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) 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 >1 | Weeks 8, 16, 28, 36, and 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) 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 16 | Baseline and 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. |
| Part 2: Change From Baseline in FDLQI Score Through Week 52 | Baseline, Weeks 8, 16, 28, 36, and 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. |
| Parts 2: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time Through Week 52 | Baseline, Weeks 4, 8, 12, 16, 20, 28, 36, 44, and 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. |
| LTE Phase: Percentage of Participants Who Achieved PASI Responses (PASI 50, 75, 90, and 100) Over Time | From 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 Time | From Week 52 to EOS (December 2026) | — |
| LTE Phase: Percent Improvement From Baseline in PASI Over Time | From Week 52 to EOS (December 2026) | — |
| LTE Phase: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time | From 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 52 | Week 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 Retreatment | Week 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 52 | Week 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 52 | Week 60 and Week 84 | — |
Countries
Australia, Belgium, Canada, Germany, Hungary, Italy, Netherlands, Poland, United States
Contacts
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
| Arm | Count |
|---|---|
| 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 |
| Total | 120 |
Baseline characteristics
| Characteristic | Total | Group 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) |
|---|---|---|---|---|---|
| AgeContinuous | 13.4 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 Participants | 15 Participants | 31 Participants | 16 Participants | 28 Participants |
| Age, Customized >=6 to <12 years | 30 Participants | 10 Participants | 10 Participants | 10 Participants | 0 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 4 Participants | 1 Participants | 1 Participants | 2 Participants | 0 Participants |
| Race/Ethnicity, Customized Black or African American | 4 Participants | 2 Participants | 1 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized More than one race | 2 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 3 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized White | 106 Participants | 20 Participants | 36 Participants | 22 Participants | 28 Participants |
| Region of Enrollment AUSTRALIA | 1 participants | 0 participants | 1 participants | 0 participants | 0 participants |
| Region of Enrollment BELGIUM | 11 participants | 0 participants | 4 participants | 5 participants | 2 participants |
| Region of Enrollment CANADA | 8 participants | 1 participants | 5 participants | 1 participants | 1 participants |
| Region of Enrollment GERMANY | 22 participants | 4 participants | 4 participants | 5 participants | 9 participants |
| Region of Enrollment HUNGARY | 30 participants | 6 participants | 11 participants | 4 participants | 9 participants |
| Region of Enrollment ITALY | 10 participants | 4 participants | 4 participants | 1 participants | 1 participants |
| Region of Enrollment NETHERLANDS | 3 participants | 1 participants | 2 participants | 0 participants | 0 participants |
| Region of Enrollment POLAND | 24 participants | 5 participants | 7 participants | 6 participants | 6 participants |
| Region of Enrollment UNITED STATES | 11 participants | 4 participants | 3 participants | 4 participants | 0 participants |
| Sex: Female, Male Female | 52 Participants | 13 Participants | 17 Participants | 11 Participants | 11 Participants |
| Sex: Female, Male Male | 68 Participants | 12 Participants | 24 Participants | 15 Participants | 17 Participants |
Adverse events
| Event type | EG000 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 / 25 | 0 / 41 | 0 / 26 | 0 / 23 | 0 / 41 | 0 / 22 | 0 / 28 |
| other Total, other adverse events | 17 / 25 | 17 / 41 | 15 / 26 | 16 / 23 | 29 / 41 | 13 / 22 | 23 / 28 |
| serious Total, serious adverse events | 0 / 25 | 1 / 41 | 0 / 26 | 1 / 23 | 0 / 41 | 0 / 22 | 1 / 28 |
Outcome results
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.
| Arm | Measure | Value (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 16 | 16.0 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 16 | 65.9 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 16 | 69.2 Percentages of participants |
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.
| Arm | Measure | Value (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 16 | 20.0 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 16 | 75.6 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 16 | 69.2 Percentage of Participants |
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
LTE Phase: Change From Baseline in BSA With Psoriasis Skin Involvement Over Time
Time frame: From Week 52 to EOS (Dec 2026)
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
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)
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
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)
LTE Phase: Percent Improvement From Baseline in PASI Over Time
Time frame: From Week 52 to EOS (December 2026)
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
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.
| Arm | Measure | Value (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 scale | Standard 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 scale | Standard 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 scale | Standard Deviation 10.628 |
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.
| Arm | Measure | Value (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 scale | Standard 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 scale | Standard 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 scale | Standard Deviation 5.692 |
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.
| Arm | Measure | Value (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 scale | Standard 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 scale | Standard 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 scale | Standard Deviation 4.814 |
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.
| Arm | Measure | Group | Value (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 16 | Week 20 | 100 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 16 | Week 24 | 100 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 16 | Week 28 | 86.7 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 16 | Week 36 | 63.9 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 16 | Week 40 | 50.2 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 16 | Week 48 | 30.7 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 16 | Week 52 | 25.6 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 16 | Week 32 | 77.5 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 16 | Week 44 | 35.8 Percentage of participants |
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.
| Arm | Measure | Group | Value (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 16 | Week 20 | 0 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 16 | Week 24 | 0 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 16 | Week 32 | 0 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 16 | Week 36 | 0 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 16 | Week 40 | 0 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 16 | Week 44 | 9.3 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 16 | Week 48 | 19.1 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 16 | Week 28 | 0 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 16 | Week 52 | 19.1 Percentage of Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percentage of Participants Who Achieved an IGA Score of Cleared (0) at Week 16 | 4.0 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 16 | 39.0 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 16 | 26.9 Percentages of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16 | 28.0 Percentages of participants |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16 | 87.8 Percentages of participants |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percentage of Participants Who Achieved a PASI 50 Response at Week 16 | 76.9 Percentages of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16 | 0 Percentages of participants |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16 | 34.1 Percentages of participants |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percentage of Participants Who Achieved PASI 100 Response at Week 16 | 26.9 Percentages of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16 | 16.0 Percentage of Participants |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16 | 56.1 Percentage of Participants |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percentage of Participants Who Achieve PASI 90 Response at Week 16 | 53.8 Percentage of Participants |
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.
| Arm | Measure | Value (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 (>) 1 | 17.4 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 (>) 1 | 64.1 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 (>) 1 | 38.5 Percentages of participants |
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.
| Arm | Measure | Value (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 >1 | 13.0 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 >1 | 36.1 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 >1 | 24.0 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 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 16 | Week 12 : IGA of cleared (0) or minimal (1) | 65.4 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 16 | Week 8: >= 75% improvement | 8.0 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 16 | Week 16: >= 90% improvement | 16.0 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 16 | Week 12: >= 90% improvement | 8.0 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 16 | Week 4: >= 75% improvement | 8.0 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 16 | Week 16: >= 75% improvement | 20.0 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 16 | Week 12: 100% improvement | 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 16 | Week 8: >= 90% improvement | 4.0 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 16 | Week 16: >= 50% improvement | 28.0 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 16 | Week 16: 100% improvement | 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 16 | Week 4: 100% improvement | 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 16 | Week 8: 100% improvement | 4.0 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 16 | Week 8: >= 50% improvement | 20.0 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 16 | Week 4: >= 90% improvement | 4.0 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 16 | Week 12: >= 50% improvement | 24.0 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 16 | Week 4: >= 50% improvement | 8.0 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 16 | Week 12: >= 75% improvement | 12.0 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 16 | Week 8: >= 50% improvement | 78.0 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 16 | Week 4: >= 90% improvement | 2.4 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 16 | Week 8: >= 75% improvement | 51.2 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 16 | Week 8: >= 90% improvement | 34.1 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 16 | Week 8: 100% improvement | 12.2 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 16 | Week 12: >= 75% improvement | 73.2 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 16 | Week 12: >= 90% improvement | 56.1 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 16 | Week 12: 100% improvement | 34.1 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 16 | Week 16: >= 75% improvement | 75.6 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 16 | Week 16: 100% improvement | 34.1 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 16 | Week 4: >= 50% improvement | 34.1 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 16 | Week 4: >= 75% improvement | 12.2 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 16 | Week 4: 100% improvement | 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 16 | Week 12: >= 50% improvement | 85.4 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 16 | Week 16: >= 50% improvement | 87.8 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 16 | Week 16: >= 90% improvement | 56.1 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 16 | Week 12: >= 50% improvement | 76.9 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 16 | Week 8: >= 75% improvement | 46.2 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 16 | Week 4: 100% improvement | 0 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 16 | Week 4: >= 75% improvement | 15.4 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 16 | Week 8: 100% improvement | 11.5 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 16 | Week 4: >= 90% improvement | 3.8 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 16 | Week 8: >= 90% improvement | 19.2 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 16 | Week 16: >= 90% improvement | 53.8 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 16 | Week 12: 100% improvement | 26.9 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 16 | Week 16: >= 50% improvement | 76.9 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 16 | Week 12: >= 90% improvement | 38.5 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 16 | Week 8: >= 50% improvement | 73.1 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 16 | Week 16: >= 75% improvement | 69.2 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 16 | Week 12: >= 75% improvement | 61.5 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 16 | Week 4: >= 50% improvement | 38.5 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 16 | Week 16: 100% improvement | 26.9 Percentages of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percentage of Retreated Participants Who Achieved a PASI 90 Response Over Time After Retreatment | 4 weeks after retreatment of guselkumab | 0 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 Retreatment | 8 weeks after retreatment of guselkumab | 50.0 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 Retreatment | 4 Weeks after retreatment: IGA-0 | 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 Retreatment | 8 Weeks after retreatment: IGA-0 | 50.0 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 Retreatment | 8 Weeks after retreatment: IGA-0 or 1 | 50.0 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 Retreatment | 8 Weeks after retreatment: IGA- 2 | 100.0 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 Retreatment | 4 Weeks after retreatment: IGA-0 or 1 | 25.0 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 Retreatment | 4 Weeks after retreatment: IGA-2 | 75.0 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 Retreatment | 4 weeks after retreatment: >=50% improvement | 50.0 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 Retreatment | 4 weeks after retreatment: >=75% improvement | 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 Retreatment | 4 weeks after retreatment:>= 90% improvement | 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 Retreatment | 4 weeks after retreatment: 100% improvement | 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 Retreatment | 8 weeks after retreatment: >=75% improvement | 50.0 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 Retreatment | 8 weeks after retreatment: >=50% improvement | 50.0 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 Retreatment | 8 weeks after retreatment:>= 90% improvement | 50.0 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 Retreatment | 8 weeks after retreatment: 100% improvement | 50.0 At 4 and 8 weeks post retreatment |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 4 | 13.37 Percent improvement | Standard Deviation 30.074 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 8 | 13.61 Percent improvement | Standard Deviation 40.734 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 12 | 13.67 Percent improvement | Standard Deviation 52.391 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 16 | 16.02 Percent improvement | Standard Deviation 55.538 |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 16 | 79.83 Percent improvement | Standard Deviation 30.468 |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 4 | 39.12 Percent improvement | Standard Deviation 27.907 |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 12 | 79.79 Percent improvement | Standard Deviation 28.57 |
| Group 2 (Part 1): Guselkumab (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 8 | 71.25 Percent improvement | Standard Deviation 28.018 |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 16 | 82.05 Percent improvement | Standard Deviation 23.225 |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 8 | 64.27 Percent improvement | Standard Deviation 29.314 |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 12 | 77.30 Percent improvement | Standard Deviation 24.735 |
| Group 3 (Part 1): Etanercept (Week 0-16) | Part 1: Percent Improvement From Baseline in PASI Through Week 16 | Week 4 | 42.53 Percent improvement | Standard Deviation 26.013 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in CDLQI Score Through Week 52 | Week 8 | -5.6 Score on a scale | Standard Deviation 6.4 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in CDLQI Score Through Week 52 | Week 36 | -7.0 Score on a scale | Standard Deviation 6.88 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in CDLQI Score Through Week 52 | Week 52 | -7.3 Score on a scale | Standard Deviation 6.83 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in CDLQI Score Through Week 52 | Week 16 | -6.8 Score on a scale | Standard Deviation 6.32 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in CDLQI Score Through Week 52 | Week 28 | -6.7 Score on a scale | Standard Deviation 6.54 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in FDLQI Score Through Week 52 | Week 28 | -7.5 Score on scale | Standard Deviation 6.15 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in FDLQI Score Through Week 52 | Week 52 | -7.8 Score on scale | Standard Deviation 5.68 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in FDLQI Score Through Week 52 | Week 8 | -5.4 Score on scale | Standard Deviation 5.58 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in FDLQI Score Through Week 52 | Week 16 | -5.5 Score on scale | Standard Deviation 5.9 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Change From Baseline in FDLQI Score Through Week 52 | Week 36 | -6.7 Score on scale | Standard Deviation 5 |
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.
| Arm | Measure | Group | Value (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 > 1 | Week 16 | 58.3 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 > 1 | Week 28 | 66.7 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 > 1 | Week 36 | 62.5 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 > 1 | Week 52 | 66.7 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 > 1 | Week 8 | 50.0 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 >1 | Week 8 | 27.3 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 >1 | Week 16 | 31.8 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 >1 | Week 28 | 59.1 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 >1 | Week 36 | 36.4 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 >1 | Week 52 | 50.0 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 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 52 | Week 52: IGA of cleared (0) or minimal (1) | 85.7 Percentages of participants |
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.
| Arm | Measure | Group | Value (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 52 | Week 4: >= 75% improvement | 14.3 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 52 | Week 4: >= 90% improvement | 14.3 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 52 | Week 8: >= 50% improvement | 89.3 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 52 | Week 8: >= 75% improvement | 67.9 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 52 | Week 8: >= 90% improvement | 39.3 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 52 | Week 8: 100% improvement | 17.9 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 52 | Week 12: >= 50% improvement | 96.4 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 52 | Week 12: >= 90% improvement | 42.9 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 52 | Week 12: 100% improvement | 25.0 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 52 | Week 16: >= 50% improvement | 92.9 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 52 | Week 16: >= 75% improvement | 82.1 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 52 | Week 16: >= 90% improvement | 64.3 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 52 | Week 16: 100% improvement | 35.7 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 52 | Week 20: >= 50% improvement | 92.9 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 52 | Week 20: >= 75% improvement | 82.1 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 52 | Week 20: >= 90% improvement | 75.0 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 52 | Week 20: 100% improvement | 39.3 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 52 | Week 28: >= 50% improvement | 92.9 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 52 | Week 28: >= 90% improvement | 75.0 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 52 | Week 28: 100% improvement | 46.4 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 52 | Week 36: >= 50% improvement | 96.4 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 52 | Week 36: >= 75% improvement | 89.3 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 52 | Week 36: >= 90% improvement | 82.1 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 52 | Week 36: 100% improvement | 53.6 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 52 | Week 44: >= 50% improvement | 96.4 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 52 | Week 44: >= 75% improvement | 89.3 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 52 | Week 44: 100% improvement | 53.6 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 52 | Week 52: >= 50% improvement | 96.4 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 52 | Week 52: >= 75% improvement | 92.9 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 52 | Week 52: 100% improvement | 53.6 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 52 | Week 4: >= 50% improvement | 42.9 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 52 | Week 4: 100% improvement | 3.6 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 52 | Week 12: >= 75% improvement | 75.0 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 52 | Week 28: >= 75% improvement | 89.3 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 52 | Week 44: >= 90% improvement | 82.1 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 52 | Week 52: >= 90% improvement | 82.1 Percentages of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 4 | 48.33 Percent improvement | Standard Deviation 26.781 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 8 | 79.05 Percent improvement | Standard Deviation 21.177 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 12 | 86.40 Percent improvement | Standard Deviation 15.541 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 36 | 95.77 Percent improvement | Standard Deviation 7.848 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 44 | 95.95 Percent improvement | Standard Deviation 7.43 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 16 | 91.96 Percent improvement | Standard Deviation 11.177 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 20 | 91.10 Percent improvement | Standard Deviation 14.851 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 28 | 93.44 Percent improvement | Standard Deviation 12.948 |
| Group 1 (Part 1): Placebo (Week 0-16) | Part 2: Percent Improvement From Baseline in PASI Through Week 52 | Week 52 | 96.32 Percent improvement | Standard Deviation 7.478 |
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.
| Arm | Measure | Group | Value (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 52 | Week 4 | -6.9 Units on a scale | Standard 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 52 | Week 8 | -16.8 Units on a scale | Standard 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 52 | Week 12 | -19.6 Units on a scale | Standard 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 52 | Week 16 | -22.7 Units on a scale | Standard 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 52 | Week 20 | -24.0 Units on a scale | Standard 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 52 | Week 28 | -26.0 Units on a scale | Standard 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 52 | Week 36 | -26.3 Units on a scale | Standard 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 52 | Week 52 | -26.4 Units on a scale | Standard 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 52 | Week 44 | -26.5 Units on a scale | Standard Deviation 14.05 |