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Efficacy and Safety of Tildrakizumab in the Treatment of Scalp Psoriasis

A Multicenter, Randomized, Double Blind, Placebo Controlled Clinical Study to Assess the Efficacy and Safety of Tildrakizumab in the Treatment of Moderate to Severe Plaque Psoriasis of the Scalp

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03897088
Enrollment
231
Registered
2019-04-01
Start date
2019-03-29
Completion date
2022-02-17
Last updated
2023-05-31

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

Conditions

Scalp Psoriasis

Brief summary

This is a multicenter, randomized, double-blind, placebo-controlled study to assess the efficacy and safety of tildrakizumab in the treatment of moderate to severe psoriasis of the scalp.

Interventions

DRUGPART 1: Double-blind Placebo-controlled

all eligible subjects will receive either tildrakizumab or placebo

DRUGPART 2: Double-blind Active Treatment Extension

subjects initially on placebo will be switched over to receive tildrakizumab while subjects initially on tildrakizumab will continue to receive tildrakizumab as per defined schedule

Sponsors

Sun Pharmaceutical Industries Limited
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

1. Subjects should be 18 years or older at the time of signing the informed consent during the Screening visit. 2. Subjects with a clinical diagnosis of chronic plaque psoriasis of at least 6 months (as determined by-subject interview and confirmation of diagnosis through physical examination by Investigator). 3. Subjects must have moderate to severe plaque psoriasis of the scalp at Screening and at Baseline, defined by: * Scalp Investigator Global Assessment (IGA) of ≥3 * Psoriasis Scalp Severity Index (PSSI) score of ≥12 * ≥30% or scalp surface area affected. 4. Subject must have moderate to severe plaque psoriasis at Screening and Baseline defined by * Physician Global Assessment for Skin (PGA-S) of at least moderate severity (score of ≥3 on a 5-pointer scale) * PASI score of ≥12 * Body Surface Area (BSA) involvement of \>10% 5. Subjects must be considered candidates for systemic therapy, meaning scalp psoriasis inadequately controlled by topical treatments (corticosteroids), and/or phototherapy, and/or previous systemic therapy. 6. Subjects has a negative evaluation for tuberculosis (TB) within 4 weeks before initiating study treatment, defined as a negative QuantiFERON® test. Subjects with a positive or 2 successive indeterminate. QuantiFERON® tests are allowed if they have all of the following: * No history of active TB or symptoms of TB. * A posterior-anterior chest radiogram (with associated report available at study center) performed within 3 months of Screening with no evidence of active TB (or of any other pulmonary infectious diseases). * If prior latent TB infection (LTBI), must have history of adequate prophylaxis (per local standard of care). * If presence of LTBI is established, then treatment according to local country guidelines must have been followed for 4 weeks prior to inclusion in the study. A maximum of 2 QuantiFERON® tests are allowed. A re-test is only permitted if the first is indeterminate; the result of the second test will then be used. 7. Subjects are unlikely to conceive, as indicated by at least one Yes answer to the following questions: * Subject is a male. * Subject is a female and agrees to abstain from heterosexual activity OR use a highly effective method of contraception as per Appendix 7. * Male subjects with female partners of childbearing potential who are not using birth control as described above must use a barrier method of contraception (eg, condom) if not surgically sterile (ie, vasectomy). * Subject is a surgically sterilized female or is documented to be postmenopausal. For contraceptive guidance see Appendix 7. 8. For women of childbearing potential, a negative serum pregnancy test at Screening and a negative urine pregnancy test within 24 hours prior to Day 1 and on subsequent visits at which study treatment doses are scheduled. 9. Subjects must have results of a physical examination within normal limits or clinically acceptable limits to the Investigator prior to Day 1. The Investigator is encouraged to consult with the Medical Monitor (or appropriate designee) if there are questions regarding the significance of any out-of-range values. 10. Subjects must be capable of giving signed informed consent as described in Appendix 2, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

Exclusion criteria

1. Subjects who have laboratory abnormalities at Screening including any of the following: * Alanine aminotransferase or aspartate aminotransferase ≥2.5 × the upper limit of normal * Creatinine ≥2 × the upper limit of normal * Serum direct bilirubin ≥1.5 mg/dL * White blood cell count \<3.0×103/μL * Any other laboratory abnormality, which, in the opinion of the Investigator, will prevent the subject from completing the study or will interfere with the interpretation of the study results. 2. Subjects who have predominantly non-plaque forms of psoriasis specifically erythrodermic psoriasis, predominantly pustular psoriasis, medication-induced or medication-exacerbated psoriasis, or new-onset guttate psoriasis. 3. Women of childbearing potential who are pregnant, intend to become pregnant (within 6 months of completing the study), or are lactating. 4. Subjects with any infection or history of recurrent infection requiring treatment with systemic antibiotics within 2 weeks prior to Screening, or severe infection (eg, pneumonia, cellulitis, bone or joint infections) requiring hospitalization or treatment with intravenous (IV) antibiotics within 6 weeks prior to Screening. 5. Subjects with any previous use of tildrakizumab or other IL-23/Th-17 pathway inhibitors, including p40, p19 and IL-17 antagonists for psoriasis. • Prior use of TNF-alpha inhibitors with a wash-out period of 12 weeks would be allowed. However, the number of subjects with prior use of TNF-alpha inhibitors would be capped at 40% and the analysis will be stratified based on prior use of these biologics. 6. Subjects with a positive human immunodeficiency virus test result, hepatitis B surface antigen, or hepatitis C virus test result. 7. Subjects with a prior malignancy or concurrent malignancy (excluding successfully treated basal cell carcinoma, squamous cell carcinoma of the skin in situ, squamous cell carcinoma of skin with no evidence of recurrence within 5 years or carcinoma in situ of the cervix that has been adequately treated). 8. Subjects who have received live viral or bacterial vaccination within 4-weeks prior to Baseline or who intend to receive live viral or bacterial vaccination during the study. 9. Subjects who are currently participating in another interventional clinical study or has participated in an interventional clinical study within 5-half-lives (of the drug) to wash-out prior to randomization (Subjects participating in observational studies or non-interventional registry studies may be included in the study). 10. Subjects or a family member is among the personnel of the study center or Sponsor/designee staff directly involved with this study. 11. Subjects who have any concomitant medical condition which in the opinion of the Investigator could affect the study outcome or present an unacceptable risk. 12. Subjects who were hospitalized due to an acute cardiovascular event (such as myocardial infarction, cerebrovascular accident, cardiovascular illness \[eg, angina pectoris\], or cardiovascular surgery \[such as coronary artery bypass grafting\]) within 6 months before Screening. 13. Subjects who, in the opinion of the Investigator, will not be a reliable participant in the study and those who can confound the results of the study. 14. Subjects who have a history of alcohol or drug abuse in the previous year. 15. Subjects who have high risk of suicidality at the Screening assessment based on Investigator's judgment or, if appropriate, as indicated by a response of yes within the last 12 months to Questions 4 or 5 in the suicidal ideation section, or any positive response in the behavioral section of the Columbia-Suicide Severity Rating Scale 16. Subjects with any other clinically significant laboratory abnormality, which, in the opinion of the Investigator, will prevent the subject from completing the study or will interfere with the interpretation of the study results.

Design outcomes

Primary

MeasureTime frameDescription
The Percentage of Subjects With Non-melanoma Skin CancerWeek 72
The Proportion of Subjects With Investigator Global Assessment Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16Week 16
The Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Week 72
The Percentage of Subjects With Severe Infections, Whether or Not Reported as a Serious EventWeek 72defined as any infection meeting regulatory definition of serious adverse event, or any infection requiring intravenous antibiotics whether or not reported as a serious event as per the regulatory definition.
The Percentage of Subjects With Malignancies (Excluding Carcinoma in Situ of the Cervix).Week 72
The Percentage of Subjects With Melanoma Skin Cancer.Week 72
The Percentage of Subjects With Major Adverse Cardiovascular EventsWeek 72
The Percentage of Subjects With Study Treatment-related Hypersensitivity Reactions (eg, Anaphylaxis, Urticaria, Angioedema, Etc.).Week 72
The Percentage of Subjects With Injection Site Reactions (eg, Pain, Erythema, Edema Etc).Week 72

Secondary

MeasureTime frameDescription
Mean Percentage Change in Scalp Surface Area (SSA) Involvement From Baseline to Week 16Week 16
Time to 75% Reduction in Psoriasis Scalp Severity Index During 16-week Placebo-controlled Treatment Period.Week 16Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measure is time to PSSI 75. Lesser the time required, better is the effect of drug.
Time to Investigator Global Assessment Mod 2011 (Scalp ) Response During the 16-week Placebo-controlled Treatment Period.Week 16Investigator Global Assessment Mod 2011 (Scalp) is a 5-point scale that is static (refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit). Score ranges from 0-4. lower the score is better. Traetment success is considered when IGA Mod 2011 (Scale) is 0 or 1 with 2 point reduction from baseline score. current outcome measures time to treatment success.
Proportion of Subjects Achieving a 4-point Reduction in Itch Numeric Rating Scale Score From Baseline to Week 16Week 16
The Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16Week 16Psoriasis Area and Severity Index is use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The PASI includes scores on erythema, thickness, scaling, and percentage of body surface area (BSA) affected. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measures proportion of subjects achieving 75%, 90% and 100% improvement from baseline, respectively.
The Proportion of Subjects With Physician's Global Assessment Score (Whole Body) Score of Clear or Almost Clear With at Least a 2-point Reduction From Baseline to Week 16Week 16
The Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Indexweek 12
Change in IGA Mod 2011 (Whole-body) From Baseline at Week 52Week 52
Mean Change in Psoriasis Scalp Severity Index Score From Baseline at Week 52Week 52Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.
Change From Baseline in Investigator Global Assessment (Scalp Only) at Week 52Week 52
Change From Baseline in Scalp Itch Numeric Rating Scale (NRS) Score at Week 52Week 52The Scalp Itch NRS is a self-administered, single item questionnaire with response options from 0=No Itch to 10=Worst itch imaginable. A higher score on the NRS corresponds to greater scalp itch severity.
Mean Change in PASI Score From Baseline at Week 52Week 52Psoriasis Area Severity Index (PASI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.
Change in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52Week 52
Change in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52Week 52
Mean Percentage Change in Total Body Surface Area (BSA) Involvement From Baseline to Week 16Week 16
The Proportion of Subjects With Investigator Global Assessment (Scalp Only) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16.Week 16
The Proportion of Subjects With Investigator Global Assessment Mod 2011 Score (Whole Body) of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16Week 16
The Proportion of Subjects With IGA Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From BaselineWeek 12
The Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index at Week 16Week 16
Mean Percentage Change in Psoriasis Scalp Severity Index Score From Baseline to Week 16.Week 16Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.
The Proportion of Subjects Achieving Psoriasis Scalp Severity Index 75 at Week 16Week 16Psoriasis Area and Severity Index is use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The PASI includes scores on erythema, thickness, scaling, and percentage of body surface area (BSA) affected. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measures proportion of subjects achieving 75% improvement from baseline.
The Proportion of Subjects Achieving Psoriasis Scalp Severity Index 100 at Week 16Week 16Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome. Current outcome measures 100% improvement in PSSI from baseline.

Other

MeasureTime frameDescription
Change From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Week 52The DLQI questionnaire is used to assess treatment response on the subject's quality of life. The aim of this questionnaire is to measure how much the skin condition has affected the subject's life during the previous week. Subjects are asked to recall their experiences during the previous week by responding to 10 questions. The questionnaire is self-explanatory and handed to the subject who is asked to fill it in without the need for a detailed explanation. DLQI is calcualted by summing the score of each question resulting in a maximum of 30 and minimum of 0. The higher the score, the more quality of life is impaired.

Countries

Australia, United States

Participant flow

Participants by arm

ArmCount
Placebo
All eligible subjects will receive Placebo injections upto week 4. At Week 16, all the subjects from this arm were switched to receive Tildrakizumab upto 52.
114
Tildrakizumab
All eligible subjects will receive Tildrakizumab upto week 52
117
Total231

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyCOVID-1920
Overall StudyLost to Follow-up715
Overall StudyNon-compliance with Study Drug11
Overall StudyOther30
Overall StudyPregnancy01
Overall StudySponsor Decision12
Overall StudyWithdrawal by Subject1212

Baseline characteristics

CharacteristicPlaceboTildrakizumabTotal
Age, Continuous44.8 years
STANDARD_DEVIATION 12.96
45.6 years
STANDARD_DEVIATION 15.27
45.2 years
STANDARD_DEVIATION 14.15
Ethnicity (NIH/OMB)
Hispanic or Latino
45 Participants42 Participants87 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
69 Participants75 Participants144 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
51 Participants46 Participants97 Participants
Sex: Female, Male
Male
63 Participants71 Participants134 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1140 / 1140 / 117
other
Total, other adverse events
13 / 11417 / 11446 / 117
serious
Total, serious adverse events
0 / 1144 / 1143 / 117

Outcome results

Primary

The Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.

Time frame: Week 72

ArmMeasureGroupValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Serious TEAEs3.5 Percentage of participants
Placebo Comparator: PlaceboThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity - Moderate21.1 Percentage of participants
Placebo Comparator: PlaceboThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity - Mild45.6 Percentage of participants
Placebo Comparator: PlaceboThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity- Severe1.7 Percentage of participants
Placebo Comparator: PlaceboThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Incidence of TEAEs51.8 Percentage of participants
TildrakizumabThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity- Severe0.8 Percentage of participants
TildrakizumabThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Incidence of TEAEs53 Percentage of participants
TildrakizumabThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Serious TEAEs2.6 Percentage of participants
TildrakizumabThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity - Mild40.1 Percentage of participants
TildrakizumabThe Percentage of Subjects With Incidence, Seriousness and Severity of All Adverse Events.Severity - Moderate18.8 Percentage of participants
Primary

The Percentage of Subjects With Injection Site Reactions (eg, Pain, Erythema, Edema Etc).

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Injection Site Reactions (eg, Pain, Erythema, Edema Etc).0.88 Percentage of participants
TildrakizumabThe Percentage of Subjects With Injection Site Reactions (eg, Pain, Erythema, Edema Etc).0 Percentage of participants
Primary

The Percentage of Subjects With Major Adverse Cardiovascular Events

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Major Adverse Cardiovascular Events1.75 Percentage of participants
TildrakizumabThe Percentage of Subjects With Major Adverse Cardiovascular Events0.85 Percentage of participants
Primary

The Percentage of Subjects With Malignancies (Excluding Carcinoma in Situ of the Cervix).

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Malignancies (Excluding Carcinoma in Situ of the Cervix).0 Percentage of participants
TildrakizumabThe Percentage of Subjects With Malignancies (Excluding Carcinoma in Situ of the Cervix).1.71 Percentage of participants
Primary

The Percentage of Subjects With Melanoma Skin Cancer.

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Melanoma Skin Cancer.0 Percentage of participants
TildrakizumabThe Percentage of Subjects With Melanoma Skin Cancer.0 Percentage of participants
Primary

The Percentage of Subjects With Non-melanoma Skin Cancer

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Non-melanoma Skin Cancer0 Percentage of participants
TildrakizumabThe Percentage of Subjects With Non-melanoma Skin Cancer2 Percentage of participants
Primary

The Percentage of Subjects With Severe Infections, Whether or Not Reported as a Serious Event

defined as any infection meeting regulatory definition of serious adverse event, or any infection requiring intravenous antibiotics whether or not reported as a serious event as per the regulatory definition.

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Severe Infections, Whether or Not Reported as a Serious Event0 Percentage of participants
TildrakizumabThe Percentage of Subjects With Severe Infections, Whether or Not Reported as a Serious Event0 Percentage of participants
Primary

The Percentage of Subjects With Study Treatment-related Hypersensitivity Reactions (eg, Anaphylaxis, Urticaria, Angioedema, Etc.).

Time frame: Week 72

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Percentage of Subjects With Study Treatment-related Hypersensitivity Reactions (eg, Anaphylaxis, Urticaria, Angioedema, Etc.).1.75 Percentage of participants
TildrakizumabThe Percentage of Subjects With Study Treatment-related Hypersensitivity Reactions (eg, Anaphylaxis, Urticaria, Angioedema, Etc.).0.85 Percentage of participants
Primary

The Proportion of Subjects With Investigator Global Assessment Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With Investigator Global Assessment Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 160.073 proportion of subjects
TildrakizumabThe Proportion of Subjects With Investigator Global Assessment Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 160.494 proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

Change From Baseline in Investigator Global Assessment (Scalp Only) at Week 52

Time frame: Week 52

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 520 = No Change4 Participants
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-2 = Improve by 218 Participants
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 521 = Worsen by 11 Participants
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-3 = Improve by 358 Participants
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-4 = Improve by 48 Participants
Placebo Comparator: PlaceboChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-1 = Improve by 18 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-4 = Improve by 49 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 521 = Worsen by 10 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 520 = No Change3 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-1 = Improve by 18 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-2 = Improve by 214 Participants
TildrakizumabChange From Baseline in Investigator Global Assessment (Scalp Only) at Week 52-3 = Improve by 366 Participants
Secondary

Change From Baseline in Scalp Itch Numeric Rating Scale (NRS) Score at Week 52

The Scalp Itch NRS is a self-administered, single item questionnaire with response options from 0=No Itch to 10=Worst itch imaginable. A higher score on the NRS corresponds to greater scalp itch severity.

Time frame: Week 52

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboChange From Baseline in Scalp Itch Numeric Rating Scale (NRS) Score at Week 52-5.0 score on a scaleStandard Deviation 3.04
TildrakizumabChange From Baseline in Scalp Itch Numeric Rating Scale (NRS) Score at Week 52-4.7 score on a scaleStandard Deviation 3.04
Secondary

Change in IGA Mod 2011 (Whole-body) From Baseline at Week 52

Time frame: Week 52

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 521 = Worsen by 10 Participants
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 520 = No Change6 Participants
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-1 = Improve by 115 Participants
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-2 = Improve by 215 Participants
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-3 = Improve by 326 Participants
Placebo Comparator: PlaceboChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-4 = Improve by 43 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-3 = Improve by 333 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 521 = Worsen by 10 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-2 = Improve by 218 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 520 = No Change5 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-4 = Improve by 42 Participants
TildrakizumabChange in IGA Mod 2011 (Whole-body) From Baseline at Week 52-1 = Improve by 118 Participants
Secondary

Change in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52

Time frame: Week 52

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 521 = Worsen by 10 Participants
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 520 = No Change1 Participants
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-1 = Improve by 114 Participants
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-2 = Improve by 29 Participants
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-3 = Improve by 338 Participants
Placebo Comparator: PlaceboChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-4 = Improve by 46 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-3 = Improve by 348 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 521 = Worsen by 10 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-2 = Improve by 29 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 520 = No Change2 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-4 = Improve by 45 Participants
TildrakizumabChange in Investigator Global Assessment Mod 2011 (Scalp) From Baseline at Week 52-1 = Improve by 113 Participants
Secondary

Change in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52

Time frame: Week 52

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 520 = No Change8 Participants
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-2 = Improve by 226 Participants
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 521 = Worsen by 11 Participants
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-3 = Improve by 338 Participants
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-1 = Improve by 115 Participants
Placebo Comparator: PlaceboChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-4 = Improve by 48 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-1 = Improve by 112 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 521 = Worsen by 16 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 520 = No Change12 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-4 = Improve by 46 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-2 = Improve by 227 Participants
TildrakizumabChange in Physician Global Assessment for Skin (Whole Body) From Baseline at Week 52-3 = Improve by 349 Participants
Secondary

Mean Change in PASI Score From Baseline at Week 52

Psoriasis Area Severity Index (PASI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.

Time frame: Week 52

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboMean Change in PASI Score From Baseline at Week 52-16.43 score on a scaleStandard Deviation 7.901
TildrakizumabMean Change in PASI Score From Baseline at Week 52-16.84 score on a scaleStandard Deviation 6.072
Secondary

Mean Change in Psoriasis Scalp Severity Index Score From Baseline at Week 52

Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.

Time frame: Week 52

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboMean Change in Psoriasis Scalp Severity Index Score From Baseline at Week 52-30.4 score on a scaleStandard Deviation 15.39
TildrakizumabMean Change in Psoriasis Scalp Severity Index Score From Baseline at Week 52-31.1 score on a scaleStandard Deviation 13.96
Secondary

Mean Percentage Change in Psoriasis Scalp Severity Index Score From Baseline to Week 16.

Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome.

Time frame: Week 16

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboMean Percentage Change in Psoriasis Scalp Severity Index Score From Baseline to Week 16.-21.84 Mean percent changeStandard Deviation 35.577
TildrakizumabMean Percentage Change in Psoriasis Scalp Severity Index Score From Baseline to Week 16.-79.81 Mean percent changeStandard Deviation 30.434
Comparison: Week 16p-value: <0.00001Mixed Models Analysis
Secondary

Mean Percentage Change in Scalp Surface Area (SSA) Involvement From Baseline to Week 16

Time frame: Week 16

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboMean Percentage Change in Scalp Surface Area (SSA) Involvement From Baseline to Week 16-15.20 Mean percent change in SSAStandard Deviation 31.473
TildrakizumabMean Percentage Change in Scalp Surface Area (SSA) Involvement From Baseline to Week 16-76.39 Mean percent change in SSAStandard Deviation 35.179
Comparison: Week 16p-value: <0.00001Mixed Models Analysis
Secondary

Mean Percentage Change in Total Body Surface Area (BSA) Involvement From Baseline to Week 16

Time frame: Week 16

ArmMeasureValue (MEAN)Dispersion
Placebo Comparator: PlaceboMean Percentage Change in Total Body Surface Area (BSA) Involvement From Baseline to Week 160.19 Mean percent change in BSAStandard Deviation 39.039
TildrakizumabMean Percentage Change in Total Body Surface Area (BSA) Involvement From Baseline to Week 16-70.17 Mean percent change in BSAStandard Deviation 33.443
Comparison: Week 16p-value: <0.00001Mixed Models Analysis
Secondary

Proportion of Subjects Achieving a 4-point Reduction in Itch Numeric Rating Scale Score From Baseline to Week 16

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboProportion of Subjects Achieving a 4-point Reduction in Itch Numeric Rating Scale Score From Baseline to Week 160.147 Proportion of subjects
TildrakizumabProportion of Subjects Achieving a 4-point Reduction in Itch Numeric Rating Scale Score From Baseline to Week 160.545 Proportion of subjects
p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16

Psoriasis Area and Severity Index is use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The PASI includes scores on erythema, thickness, scaling, and percentage of body surface area (BSA) affected. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measures proportion of subjects achieving 75%, 90% and 100% improvement from baseline, respectively.

Time frame: Week 16

ArmMeasureGroupValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-750.079 Proportion of subjects
Placebo Comparator: PlaceboThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-900.026 Proportion of subjects
Placebo Comparator: PlaceboThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-1000.009 Proportion of subjects
TildrakizumabThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-750.667 Proportion of subjects
TildrakizumabThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-900.41 Proportion of subjects
TildrakizumabThe Proportion of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75, Psoriasis Area and Severity Index 90, and Psoriasis Area and Severity Index 100 at Week 16PASI-1000.162 Proportion of subjects
Comparison: PASI-75p-value: <0.00001Cochran-Mantel-Haenszel
Comparison: PASI-90p-value: <0.00001Cochran-Mantel-Haenszel
Comparison: PASI-100p-value: 0.00004Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects Achieving Psoriasis Scalp Severity Index 100 at Week 16

Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Lesser the score, better is the outcome. Current outcome measures 100% improvement in PSSI from baseline.

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects Achieving Psoriasis Scalp Severity Index 100 at Week 160.026 proportion of subjects
TildrakizumabThe Proportion of Subjects Achieving Psoriasis Scalp Severity Index 100 at Week 160.376 proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects Achieving Psoriasis Scalp Severity Index 75 at Week 16

Psoriasis Area and Severity Index is use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling). The PASI includes scores on erythema, thickness, scaling, and percentage of body surface area (BSA) affected. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measures proportion of subjects achieving 75% improvement from baseline.

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects Achieving Psoriasis Scalp Severity Index 75 at Week 160.105 proportion of subjects
TildrakizumabThe Proportion of Subjects Achieving Psoriasis Scalp Severity Index 75 at Week 160.709 proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index

Time frame: week 12

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index0.018 Proportion of subjects
TildrakizumabThe Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index0.427 Proportion of subjects
Comparison: Week 12p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index at Week 16

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index at Week 160.044 proportion of subjects
TildrakizumabThe Proportion of Subjects With at Least 90% Improvement From Baseline in the Psoriasis Scalp Severity Index at Week 160.56 proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With IGA Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline

Time frame: Week 12

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With IGA Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline0.049 Proportion of subjects
TildrakizumabThe Proportion of Subjects With IGA Mod 2011 (Scalp) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline0.461 Proportion of subjects
Comparison: Week 12p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With Investigator Global Assessment Mod 2011 Score (Whole Body) of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With Investigator Global Assessment Mod 2011 Score (Whole Body) of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 160.038 Proportion of subjects
TildrakizumabThe Proportion of Subjects With Investigator Global Assessment Mod 2011 Score (Whole Body) of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 160.545 Proportion of subjects
p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With Investigator Global Assessment (Scalp Only) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16.

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With Investigator Global Assessment (Scalp Only) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16.0.106 Proportion of subjects
TildrakizumabThe Proportion of Subjects With Investigator Global Assessment (Scalp Only) Score of Clear and Almost Clear With at Least 2-point Reduction From Baseline at Week 16.0.684 Proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

The Proportion of Subjects With Physician's Global Assessment Score (Whole Body) Score of Clear or Almost Clear With at Least a 2-point Reduction From Baseline to Week 16

Time frame: Week 16

ArmMeasureValue (NUMBER)
Placebo Comparator: PlaceboThe Proportion of Subjects With Physician's Global Assessment Score (Whole Body) Score of Clear or Almost Clear With at Least a 2-point Reduction From Baseline to Week 160.062 Proportion of subjects
TildrakizumabThe Proportion of Subjects With Physician's Global Assessment Score (Whole Body) Score of Clear or Almost Clear With at Least a 2-point Reduction From Baseline to Week 160.556 Proportion of subjects
Comparison: Week 16p-value: <0.00001Cochran-Mantel-Haenszel
Secondary

Time to 75% Reduction in Psoriasis Scalp Severity Index During 16-week Placebo-controlled Treatment Period.

Psoriasis Scalp Severity Index (PSSI) use a 5-point scale to grade the 3 clinical parameters (erythema, thickness, and scaling) in the same way as the Psoriasis Area Severity Index (PASI), but for scalp only. The parameter scores are summed and multiplied by an integer (0-6) that represents the area of affected scalp. The score ranges from 0-72. Outcome measures percentage change in score from baseline. Current outcome measure is time to PSSI 75. Lesser the time required, better is the effect of drug.

Time frame: Week 16

ArmMeasureValue (MEDIAN)
Placebo Comparator: PlaceboTime to 75% Reduction in Psoriasis Scalp Severity Index During 16-week Placebo-controlled Treatment Period.NA Time (days)
TildrakizumabTime to 75% Reduction in Psoriasis Scalp Severity Index During 16-week Placebo-controlled Treatment Period.59 Time (days)
p-value: <0.00001Kaplan-Meier Estimates
Secondary

Time to Investigator Global Assessment Mod 2011 (Scalp ) Response During the 16-week Placebo-controlled Treatment Period.

Investigator Global Assessment Mod 2011 (Scalp) is a 5-point scale that is static (refers exclusively to the subject's disease state at the time of the assessments, and does not attempt a comparison with any of the subject's previous disease states, whether at baseline or at a previous visit). Score ranges from 0-4. lower the score is better. Traetment success is considered when IGA Mod 2011 (Scale) is 0 or 1 with 2 point reduction from baseline score. current outcome measures time to treatment success.

Time frame: Week 16

ArmMeasureValue (MEDIAN)
Placebo Comparator: PlaceboTime to Investigator Global Assessment Mod 2011 (Scalp ) Response During the 16-week Placebo-controlled Treatment Period.NA Time (days)
TildrakizumabTime to Investigator Global Assessment Mod 2011 (Scalp ) Response During the 16-week Placebo-controlled Treatment Period.86 Time (days)
p-value: <0.00001Kaplan-Meier Estimates
Other Pre-specified

Change From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52

The DLQI questionnaire is used to assess treatment response on the subject's quality of life. The aim of this questionnaire is to measure how much the skin condition has affected the subject's life during the previous week. Subjects are asked to recall their experiences during the previous week by responding to 10 questions. The questionnaire is self-explanatory and handed to the subject who is asked to fill it in without the need for a detailed explanation. DLQI is calcualted by summing the score of each question resulting in a maximum of 30 and minimum of 0. The higher the score, the more quality of life is impaired.

Time frame: Week 52

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Daily Activities-2.8 score on a scaleStandard Deviation 1.62
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Work and School-0.9 score on a scaleStandard Deviation 1.09
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Symptoms and Feelings-3.4 score on a scaleStandard Deviation 1.27
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Personal Relationships-1.8 score on a scaleStandard Deviation 1.86
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Leisure-2.4 score on a scaleStandard Deviation 1.93
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Treatment-1.1 score on a scaleStandard Deviation 1.26
Placebo Comparator: PlaceboChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Total-12.5 score on a scaleStandard Deviation 6.74
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Treatment-0.9 score on a scaleStandard Deviation 1.12
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Total-11.5 score on a scaleStandard Deviation 7.51
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Symptoms and Feelings-3.2 score on a scaleStandard Deviation 1.61
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Daily Activities-2.6 score on a scaleStandard Deviation 1.9
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Leisure-2.2 score on a scaleStandard Deviation 2.03
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Work and School-0.9 score on a scaleStandard Deviation 1.17
TildrakizumabChange From Baseline in Dermatology Life Quality Index Score (Total and 6 Domain Scores) at Measured Time Points Through Week 52Personal Relationships-1.7 score on a scaleStandard Deviation 1.97

Source: ClinicalTrials.gov · Data processed: May 11, 2026