Psoriasis
Conditions
Keywords
Psoriasis
Brief summary
The main purpose of this study is to evaluate the long-term safety and efficacy of the drug Deucravacitinib (BMS-986165) in participants who have been previously enrolled in an applicable Phase 3 psoriasis study. In addition, the study includes a vaccine cohort to evaluate whether deucravacitinib impacts the humoral immune response to 2 non-live vaccines, the Pneumovax 23 vaccine (pneumococcus), a T-cell independent vaccine, and the Boostrix vaccine (tetanus toxoid), a T-cell dependent vaccine. Additionally, this vaccine cohort assesses the safety of administering these vaccines to subjects with psoriasis receiving deucravacitinib compared to those receiving a placebo.
Interventions
Specified dose on specified days
Specified dose on specified days
Sponsors
Study design
Eligibility
Inclusion criteria
* Completion of the protocol-required treatment period in an applicable study of BMS-986165 in moderate-to-severe psoriasis. * Women must not be pregnant, lactating, or breastfeeding. * Vaccine Cohort: 1. Subject must have moderate-to-severe plaque psoriasis, be currently receiving deucravacitinib treatment in the main IM011075 LTE cohort in the United States, Canada, or Poland, and must have completed at least one year of deucravacitinib treatment.
Exclusion criteria
* Any disease or medical condition that the investigator feels that would make the patient unsuitable for this study. * To be eligible for the study, a participant must not have active signs or symptoms of tuberculosis (TB) as judged by the investigator. * Vaccine Cohort: 1. Subject received the Pneumovax 23 vaccine ≤ 5 years before Day 1 or a pneumococcal conjugate vaccine ≤ 1 year before Day 1. 2. Subject received the Boostrix vaccine (as single or part of a combination vaccine) ≤ 5 years before Day 1. * Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Adverse Events (AEs) | Up to 244 weeks | — |
| Incidence of Serious Adverse Events (SAEs) | Up to 244 weeks | — |
| Proportion of participants achieving a satisfactory humoral response: pneumococcus | At Week 4 post vaccination | Vaccine cohort only Defined as ≥ 2-fold increase in immunoglobulin (IgG) antibody titers or geometric mean fold rise (GMFRs) titers of ≥ 6 |
| Proportion of participants achieving a satisfactory humoral response: tetanus titers | At Week 4 post vaccination | Vaccine cohort only A serologic response is defined as: * Postvaccination titer levels ≥ 0.40 IU/mL if prevaccination IgG antibody titer level is ≤ 0.10 IU/mL OR * Postvaccination titer levels of at least a 4-fold increase if prevaccination titer level is \> 0.10 IU/mL and ≤ 2.7 IU/mL OR * Postvaccination titer levels of at least a 2-fold increase if prevaccination titer level is \> 2.7 IU/mL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| static Physician Global Assessment (sPGA) 0/1 response | Up to 240 weeks | — |
| Psoriasis Area and Severity Index (PASI) 75 response | Up to 240 weeks | — |
| Proportion of participants with anti-tetanus toxoid IgG geometric mean concentration (GMC) > 0.1 IU/mL | At Week 4 after vaccination | Vaccine cohort only |
| Proportion of participants with IgG serologic response to the tetanus toxoid with ≥ 4-fold increase in antibody GMC | At Week 4 after vaccination | Vaccine cohort only |
| Pneumococcal opsonophagocytic assay (OPA) geometric mean titers (GMTs) | At Week 4 after vaccination | Vaccine cohort only |
| Pneumococcal OPA geometric mean fold rise (GMFRs) | At Week 4 after vaccination | Vaccine cohort only |
| Incidence of treatment-emergent adverse events (TEAEs) | At Week 4 after vaccination | Vaccine cohort only |
| Incidence of serious adverse events (SAEs) | At Week 4 after vaccination | Vaccine cohort only |
| Incidence of AEs leading to discontinuation | At Week 4 after vaccination | Vaccine cohort only |
| Incidence of vaccine-specific AEs | At Week 4 after vaccination | Vaccine cohort only |
Countries
Australia, Canada, China, Czechia, Finland, France, Germany, Hungary, Israel, Japan, New Zealand, Poland, Puerto Rico, Russia, South Korea, Spain, Sweden, Taiwan, United Kingdom, United States
Contacts
Bristol-Myers Squibb